Abstract
Background
The grip strength test is widely used; however, little has been investigated about its reliability when used in elderly with subjects thumb carpometacarpal (CMC) osteoarthritis (OA). The purpose of this study was to examine the test–retest reliability of the grip strength test in elderly subjects with thumb CMC OA.
Methods
A total of 78 patients with unilateral thumb CMC OA, 84.6 % female (mean ± SD age 83 ± 5 years), were recruited. Each patient performed three pain free maximal isometric contractions on each hand in two occasions, 1 week apart. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), and 95 % limits of agreement (LOA) were calculated.
Results
Test–retest reliability was excellent for side affected (ICC = 0.947; p = 0.001) and contralateral (ICC = 0.96; p = 0.001) thumb CMC OA.
Conclusions
The present results indicate that maximum handgrip strength can be measured reliably, using the Jamar hand dynamometer, in patients with thumb CMC OA, which enables its use in research and in the clinic to determine the effect of interventions on improving grip.
Similar content being viewed by others
References
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1(8476):307–10.
Bohannon RW. Test-retest reliability of hand-held dynamometry during a single session of strength assessment. Phys Ther. 1986;66(2):206–9.
Brown A, Cramer LD, Eckhaus D, Schmidt J, Ware L, MacKenzie E. Validity and reliability of the dexter hand evaluation and therapy system in hand-injured patients. J Hand Ther. 2000;13(1):37–45.
Chiarotto A, Fernandez-de-Las-Penas C, Castaldo C, Negrini S, Villafañe JH. Widespread pressure pain hypersensitivity in elderly subjects with unilateral thumb carpometacarpal osteoarthritis. Hand (N Y). 2013;8(4):422–9.
Chiarotto A, Fernandez-de-Las-Penas C, Castaldo M, Villafañe JH. Bilateral pressure pain hypersensitivity over the hand as potential sign of sensitization mechanisms in individuals with thumb carpometacarpal osteoarthritis. Pain Med. 2013;14(10):1585–92.
Coldham F, Lewis J, Lee H. The reliability of one vs. three grip trials in symptomatic and asymptomatic subjects. J Hand Ther. 2006;19(3):318–26. quiz 327.
Copay AG, Subach BR, Glassman SD, Polly DW, Schuler TC. Understanding the minimum clinically important difference: a review of concepts and methods. Spine J. 2007;7:541–6.
Dominick KL, Jordan JM, Renner JB, Kraus VB. Relationship of radiographic and clinical variables to pinch and grip strength among individuals with osteoarthritis. Arthritis Rheum. 2005;52(5):1424–30.
Fess E, Moran C. Clinical assessment recommendations. Garner: American Society of Hand Therapists; 1981.
Hamilton A, Balnave R, Adams R. Grip strength testing reliability. J Hand Ther. 1994;7(3):163–70.
Hopkins WG, Schabort EJ, Hawley JS. Reliability of power in physical performance tests. Sports Med. 2001;31(3):211–34.
Jaggi R, Morris S. Practice tips. Rule of thumb: update on first carpometacarpal joint osteoarthritis. Can Fam Physician. 2007;53(8):1309–10.
Johnson C, Green B. Submitting manuscripts to biomedical journals: common errors and helpful solutions. J Manip Physiol Ther. 2009;32(1):1–12.
Lee HJ, Paik NJ, Lim JY, Kim KW, Gong HS. The impact of digit-related radiographic osteoarthritis of the hand on grip-strength and upper extremity disability. Clin Orthop Relat Res. 2012;470(8):2202–8.
Mathiowetz V, Weber K, Volland G, Kashman M. Reliability and validity of grip and pinch strength evaluations. J Hand Surg [Am]. 1984;9(2):222–6.
Nitschke JE, McMeeken JM, Burry HC, Matyas TA. When is a change a genuine change? A clinically meaningful interpretation of grip strength measurements in healthy and disabled women. J Hand Ther. 1999;12(1):25–30.
Nunes PM, de Oliveira DG, Aruin AS, dos Santos MJ. Relationship between hand function and grip force control in women with hand osteoarthritis. J Rehabil Res Dev. 2012;49(6):855–65.
Portney L, Watkins M. Foundations of clinical research. New Jersey: Prentice Hall Health; 2000.
Schreuders TA, Roebroeck ME, Goumans J, van Nieuwenhuijzen JF, Stijnen TH, Stam HJ. Measurement error in grip and pinch force measurements in patients with hand injuries. Phys Ther. 2003;83(9):806–15.
Spijkerma NDC, Snijders CJ, Stijnen T, Lankhorst GJ. Standardization of grip strength measurements. Effects on repeatability and peak force. Scand J Rehabil Med. 1991;23(4):203–6.
Stone CA, Nolan B, Lawlor PG, Kenny RA. Hand-held dynamometry: tester strength is paramount, even in frail populations. J Rehabil Med. 2011;43(9):808–11.
Stratford P, Levy D, Gauldie S, Levy K, Miseferi D. Extensor carpi radialis tendonitis: a validation of selected outcome measures. Physiother Can. 1987;39:250–5.
Villafañe JH, Valdes K. Reliability of pinch grip strength test in elderly subjects with unilateral thumb carpometacarpal osteoarthritis. J Phys Ther Sci. 2014;26(7):993–5.
Villafañe JH, Silva GB, Diaz-Parreno SA, Fernandez-Carnero J. Hypoalgesic and motor effects of kaltenborn mobilization on elderly patients with secondary thumb carpometacarpal osteoarthritis: a randomized controlled trial. J Manipu Physiol Ther. 2011;34(8):547–56.
Villafañe JH, Silva GB, Bishop MD, Fernandez-Carnero J. Radial nerve mobilization decreases pain sensitivity and improves motor performance in patients with thumb carpometacarpal osteoarthritis: a randomized controlled trial. Arch Phys Med Rehabil. 2012;93(3):396–403.
Villafañe JH, Silva GB, Fernandez-Carnero J. Effect of thumb joint mobilization on pressure pain threshold in elderly patients with thumb carpometacarpal osteoarthritis. J Manip Physiol Ther. 2012;35(2):110–20.
Villafañe JH, Bishop MD, Fernandez-de-Las-Penas C, Langford D. Radial nerve mobilisation had bilateral sensory effects in people with thumb carpometacarpal osteoarthritis: a randomised trial. J Physiother. 2013;59(1):25–30.
Villafañe JH, Cleland JA, Fernandez-de-Las-Penas C. Bilateral sensory effects of unilateral passive accessory mobilization in patients with thumb carpometacarpal osteoarthritis. J Manip Physiol Ther. 2013;36(4):232–7.
Villafañe JH, Cleland JA, Fernandez-de-Las-Penas C. The effectiveness of a manual therapy and exercise protocol in patients with thumb carpometacarpal osteoarthritis: a randomized controlled trial. J Orthop Sports Phys Ther. 2013;43(4):204–13.
Zhang W, Doherty BF, Leeb L, Alekseeva NK, Arden JW, Bijlsma F, et al. EULAR evidence-based recommendations for the diagnosis of hand osteoarthritis: report of a task force of ESCISIT. Ann Rheum Dis. 2009;68(1):8–17.
Acknowledgments
This work was supported by personal funds of Jorge Hugo Villafañe (JHV). The authors thank C.C, for their assistance.
Conflict of Interest
Jorge Hugo Villafañe declares that he has no conflict of interest.
Kristin Valdes declares that he has no conflict of interest.
Statement of Informed Consent
Informed consent was obtained from all participants and all procedures were conducted according to the Declaration of Helsinki.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Villafañe, J.H., Valdes, K., Vanti, C. et al. Reliability of handgrip strength test in elderly subjects with unilateral thumb carpometacarpal osteoarthritis. HAND 10, 205–209 (2015). https://doi.org/10.1007/s11552-014-9678-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11552-014-9678-y