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Clinical Rheumatology

, Volume 22, Issue 6, pp 420–424 | Cite as

The effect of hand osteoarthritis on grip and pinch strength and hand function in postmenopausal women

  • Selda BagisEmail author
  • Gunsah Sahin
  • Yasemin Yapici
  • Ozlem Bolgen Cimen
  • Canan Erdogan
Original Article

Abstract

The aim of the study was to investigate the effect of osteoarthritis on hand function in postmenopausal women. One hundred patients with hand OA and 70 healthy volunteers as controls were evaluated. Grip and pinch strength measurements and Dreiser’s functional index were used for hand function. Pain was assessed by a visual analog scale, and tenderness was assessed by palpation and scored, depending on the severity of tenderness, as 0, 1 or 2. Heberden’s and Bouchard’s nodules and joint involvement were also recorded. The number of patients with only distal interphalangeal joint involvement was 50 (50%), those with distal interphalangeal joint plus proximal interphalangeal joint involvement was 49 (49%), and those with carpometacarpal joint involvement numbered 18 (18%). The incidence of Heberden’s and Bouchard’s nodules was 85% and 36%, respectively. Eighty-six (86%) patients were suffering from pain and 57 were found to have tenderness. Grip and pinch strength was significantly lower (p<0.05) and Dreiser’s functional index score was significantly higher (p<0.001) in the study group (particularly in grade 4 OA). Grip strength was lower in hand OA patients with distal interphalangeal joint plus proximal interphalangeal joint involvement than in those with only distal interphalangeal joint and carpometacarpal joint involvement. Pinch strength was also lower in patients with distal interphalangeal joint plus proximal interphalangeal joint plus carpometacarpal joint involvement. The patients with Heberden’s and Bouchard’s nodules had lower grip and pinch strength than controls. Also, pain and tenderness had significant (p<0.05) effects on hand function. Dreiser’s total score ranged from 0 to 10 in 80 (80%) patients and from 11 to 20 in 20 patients. In conclusion, hand osteoarthritis contributes to hand dysfunction, mainly related to the severity of osteoarthritis, pain, joint involvement and the presence of nodules.

Keywords

Grip strength Hand function Hand osteoarthritis 

Abbreviations

CMC

Carpometacarpal

DIP

Distal interphalangeal

OA

Osteoarthritis

PIP

Proximal interphalangeal

References

  1. 1.
    Altman R, Asch E, Bloch D et al. (1986) Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum 29:1039–1049PubMedGoogle Scholar
  2. 2.
    Nevitt MC, Felson DT (1996) Sex hormones and the risk of osteoarthritis in women. Ann Rheum Dis 55:673–676PubMedGoogle Scholar
  3. 3.
    Felson DT, Zhang Y (1998) Update on the epidemiology of knee and hip OA with a view to prevention. Arthritis Rheum 41:1343–1355PubMedGoogle Scholar
  4. 4.
    Van Saase JL, van Romunde LK, Cats A, Vandenbroucke JP, Valkenburg HA (1989) Epidemiology of osteoarthritis: Zoetermeer survey. Comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations. Ann Rheum Dis 48:271–280PubMedGoogle Scholar
  5. 5.
    Oliveria SA, Felson DT, Reed JI, Cirillo PA, Walker AM (1995) Incidence of symptomatic hand, hip and knee osteoarthritis among patients in a health maintenance organisation. Arthritis Rheum 38:1134–1141PubMedGoogle Scholar
  6. 6.
    Hart DJ, Spector TD, Brown P, Wilson P, Doyle DV, Silman AJ (1991) Clinical signs of early osteoarthritis: reproducibility and relation to x-ray changes in 541 women in the general population. Ann Rheum Dis 50:467–470PubMedGoogle Scholar
  7. 7.
    Plato CC, Norris AH (1979) Osteoarthritis of the hand: Age specific joint-digit prevalence rates. Am J Epidemiol 109:169–180 [Abstract]PubMedGoogle Scholar
  8. 8.
    Jones G, Cooley HM, Bellamy N (2001) A cross-sectional study of the association between Heberden’s nodes, radiographic osteoarthritis of the hands, grip strength, disability and pain. Osteoarthritis Cartilage 9: 606–611CrossRefPubMedGoogle Scholar
  9. 9.
    Baron M, Dutil E, Berkson L, Lander P, Becker R (1987) Hand function in elderly: relation to osteoarthritis. J Rheumatol 14:815–819PubMedGoogle Scholar
  10. 10.
    Labi ML, Gresham GE, Rathey UK (1982) Hand function in osteoarthritis. Arch Phys Med Rehab 63:438–440Google Scholar
  11. 11.
    Hirsch R, Guralnik JM, Leveille SG et al. (1999) Severity of hand osteoarthritis and its association with upper extremity impairment an a population of disabled older women: The Women’s Health and Aging Study. Aging (Milan) 11:253–261 [Abstract]Google Scholar
  12. 12.
    Dreiser RL,Maheu E, Guillou GB, Caspard H, Grouin JM (1995) Validation of an algofunctional index for osteoarthritis of the hand. Rev Rhum (Engl Edn) 62 (Suppl 1): 43S–53SGoogle Scholar
  13. 13.
    Altman R, Alarcon G, Appelrough D (1990) The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis Rheum 33:1601–1610PubMedGoogle Scholar
  14. 14.
    Kellgren JH, Lawrence JS (1957) Radiololgical assessment of osteoarthritis. Ann Rheum Dis 16:494–502Google Scholar
  15. 15.
    Balogun JA, Akomolafe CT, Amua LO (1991) Grip strength: Effects of testing posture and elbow position. Arch Phys Med Rehab 72:280–283Google Scholar
  16. 16.
    Schmidt RT, Toews JW (1970) Grip strength as measured by the Jamar dynamometer. Arch Phys Med Rehab 51:321–327Google Scholar
  17. 17.
    Lagerstrom C, Nodgren B (1998) On the reliability and usefulness of methods for grip strength measurement. Scand J Rehab Med 30:113–119CrossRefGoogle Scholar
  18. 18.
    Bejjani FJ, Landsmmer JMF (1989) Biomechanics of the hand. In: Nordin M, Frankel VH, eds. Basic biomechanics of the musculoskeletal system. Philadelphia, Lea & Febiger, 275–304Google Scholar
  19. 19.
    Moran JM, Hemann JH, Greenwald AS (1985) Finger joints contact areas and pressures. J Orthop Res 3:49–55PubMedGoogle Scholar
  20. 20.
    Pattrick M, Aldridge S, Hamilton E, Manhire A, Doherty M (1989) A controlled study of hand function in nodal and erosive osteoarthritis. Ann Rheum Dis 48:978–982PubMedGoogle Scholar
  21. 21.
    Steultjens MP, Dekker J, van Baar ME, Oostendorp RA, Bijlsma JW (2001) Muscle strength, pain and disability in patients with osteoarthritis. Clin Rehab 15: 331–341CrossRefGoogle Scholar
  22. 22.
    Kirby LR (1998) Impairment, disability and handicap. In: de Lisa JA, ed. Rehabilitation medicine: principles and practice. Philadelphia, Lippincott-Raven, 55–60Google Scholar

Copyright information

© Clinical Rheumatology 2003

Authors and Affiliations

  • Selda Bagis
    • 1
    • 2
    Email author
  • Gunsah Sahin
    • 1
  • Yasemin Yapici
    • 1
  • Ozlem Bolgen Cimen
    • 1
  • Canan Erdogan
    • 1
  1. 1.Department of Physical Medicine and RehabilitationMersin University Medical SchoolMersinTurkey
  2. 2.AdanaTurkey

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