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Grip Work Measurement with the Jamar Dynamometer: Validation of a Simple Equation for Clinical Use

  • L. de Dobbeleer
  • I. Beyer
  • Å. M. Hansen
  • D. Molbo
  • E. L. Mortensen
  • R. Lund
  • Ivan BautmansEmail author
Article

Abstract

Objectives

Previously, we developed and validated an easy test to measure muscle fatigability during sustained maximal handgrip contraction in older persons using a Martin Vigorimeter device. This study aimed at validating the equation to estimate grip work (GW) during sustained maximal handgrip contraction, by monitoring continuously the grip strength (GS) decay using a Jamar Dynamometer-like (JD) device.

Design

Cross sectional, explorative study.

Setting

Data collection took place at The National Research Centre for the Working Environment in Copenhagen, Denmark.

Participants

962 subjects, belonging to a subgroup of the Copenhagen Aging and Midlife Biobank, were enrolled.

Methods

GS was recorded continuously during sustained maximal contraction until it dropped to 50% of its maximum and fatigue resistance (FR, time to fatigue) was noted. GW, area under the force-time curve, was compared to its estimate which was calculated as GWestimated=GSmax*0.75*FR.

Results

Excellent correlation was found between GWestimated and GWmeasured (R2=0.98 p<0.001). The equation slightly overestimated GW by 6.04 kg*s (95% CI[-0.08, 12.15]) with a coefficient of variation method error of 6%.

Conclusion

GW estimation is a valid parameter reflecting muscle work output during a sustained maximal grip effort in healthy middle-aged community-dwelling persons when using a JD. GW estimation is a promising outcome parameter in comprehensive geriatric assessment and its validation for commonly used instruments in geriatric practice will increase its clinical implementation.

Key words

Grip work validity Jamar Dynamometer muscle fatigue grip strength 

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Copyright information

© Serdi and Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  • L. de Dobbeleer
    • 1
    • 2
  • I. Beyer
    • 1
    • 2
  • Å. M. Hansen
    • 3
    • 4
  • D. Molbo
    • 3
  • E. L. Mortensen
    • 4
    • 5
  • R. Lund
    • 3
    • 4
  • Ivan Bautmans
    • 1
    • 2
    • 6
    Email author
  1. 1.Gerontology Department and Frailty in Aging Research (FRIA) Group, Faculty of Medicine and PharmacyVrije Universiteit BrusselBrusselBelgium
  2. 2.Department of GeriatricsUniversitair Ziekenhuis BrusselBrusselBelgium
  3. 3.Section of Social Medicine, Department of Public HealthUniversity of CopenhagenCopenhagenDenmark
  4. 4.Centre for Healthy AgingUniversity of CopenhagenCopenhagenDenmark
  5. 5.Section of Environmental Health Department of Public HealthUniversity of CopenhagenCopenhagenDenmark
  6. 6.Gerontology departmentVrije Universiteit Brussel (VUB)BrusselsBelgium

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