Aging Clinical and Experimental Research

, Volume 29, Issue 4, pp 753–760 | Cite as

Predicting hand function in older adults: evaluations of grip strength, arm curl strength, and manual dexterity

  • Chiung-ju LiuEmail author
  • Deana Marie
  • Aaron Fredrick
  • Jessica Bertram
  • Kristen Utley
  • Elaine Ewing Fess
Original Article



Hand function is critical for independence in activities of daily living for older adults.


The purpose of this study was to examine how grip strength, arm curl strength, and manual dexterous coordination contributed to time-based versus self-report assessment of hand function in community-dwelling older adults.


Adults aged ≥60 years without low vision or neurological disorders were recruited. Purdue Pegboard Test, Jamar hand dynamometer, 30-second arm curl test, Jebsen-Taylor Hand Function Test, and the Late-Life Function and Disability Instrument were administered to assess manual dexterous coordination, grip strength, arm curl strength, time-based hand function, and self-report of hand function, respectively.


Eighty-four adults (mean age = 72 years) completed the study. Hierarchical multiple regressions show that older adults with better arm curl strength (β = −.25, p < .01) and manual dexterous coordination (β = −.52, p < .01) performed better on the time-based hand function test. In comparison, older adults with better grip strength (β = .40, p < .01), arm curl strength (β = .23, p < .05), and manual dexterous coordination (β = .23, p < .05) were associated with better self-report of upper extremity function.


The relationship between grip strength and hand function may be test-specific. Grip strength becomes a significant factor when the test requires grip strength to successfully complete the test tasks. Arm curl strength independently contributed to hand function in both time-based and self-report assessments, indicating that strength of extrinsic muscles of the hand are essential for hand function.


Arm strength Grip strength Hand function Aging Fine motor coordination 



Portion of the results had been presented in a poster format at the 2016 Annual Conference and Expo of American Occupational Therapy Association in Chicago, IL.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Statement of human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study did not involve animals.

Informed consent

Informed consent was obtained from all individual participants included in this study.


  1. 1.
    Carmeli E, Patish H, Coleman R (2003) The aging hand. J Gerontol Ser A Biol Sci Med Sci 58:M146–M152. doi: 10.1093/gerona/58.2.M146 CrossRefGoogle Scholar
  2. 2.
    Janssen I, Heymsfield SB, Ross R (2002) Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc 50:889–896. doi: 10.1046/j.1532-5415.2002.50216.x CrossRefPubMedGoogle Scholar
  3. 3.
    Vermeulen J, Neyens JC, van Rossum E et al (2011) Predicting ADL disability in community-dwelling elderly people using physical frailty indicators: a systematic review. BMC Geriatr 11:33. doi: 10.1186/1471-2318-11-33 CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Visser M, Goodpaster BH, Kritchevsky SB et al (2005) Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well-functioning older persons. J Gerontol Ser A Biol Sci Med Sci 60:324–333. doi: 10.1093/gerona/60.3.324 CrossRefGoogle Scholar
  5. 5.
    Puthoff ML, Nielsen DH (2007) Relationships among impairments in lower-extremity strength and power, Functional limitations, and disability in older adults. Phys Ther 87:1334–1347. doi: 10.2522/ptj.20060176 CrossRefPubMedGoogle Scholar
  6. 6.
    Purser JL, Weinberger M, Cohen HJ et al (2005) Walking speed predicts health status and hospital costs for frail elderly male veterans. J Rehabil Res Dev 42:535–546. doi: 10.1682/JRRD.2004.07.0087 CrossRefPubMedGoogle Scholar
  7. 7.
    Hirvensalo M, Rantanen T, Heikkinen E (2000) Mobility difficulties and physical activity as predictors of mortality and loss of independence in the community-living older population. J Am Geriatr Soc 48:493–498. doi: 10.1111/j.1532-5415.2000.tb04994.x CrossRefPubMedGoogle Scholar
  8. 8.
    Rosso AL, Taylor JA, Tabb LP et al (2013) Mobility, disability, and social engagement in older adults. J Aging Health 25:617–637. doi: 10.1177/0898264313482489 CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Pahor M, Guralnik JM, Ambrosius WT et al (2014) Effect of structured physical activity on prevention of major mobility disability in older adults: the LIFE study randomized clinical trial. JAMA 311:2387–2396. doi: 10.1001/jama.2014.5616 CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Long C, Conrad P, Hall E et al (1970) Intrinsic-extrinsic muscle control of the hand in power grip and precision handling. J Bone Joint Surg Am 52:853–867CrossRefPubMedGoogle Scholar
  11. 11.
    Metter EJ, Conwit R, Tobin J et al (1997) Age-associated loss of power and strength in the upper extremities in women and men. J Gerontol Ser A Biol Sci Med Sci 52:B267–B276. doi: 10.1093/gerona/52A.5.B267 CrossRefGoogle Scholar
  12. 12.
    Shinohara M, Latash ML, Zatsiorsky VM (2003) Age effects on force produced by intrinsic and extrinsic hand muscles and finger interaction during MVC tasks. J Appl Physiol 95:1361–1369. doi: 10.1152/japplphysiol.00070.2003 CrossRefPubMedGoogle Scholar
  13. 13.
    Hsu J (2009) Aging related differences in hand intrinsic and extrinsic muscles for hand dexterity: an MRI investigation. University of Maryland, College Park, MDGoogle Scholar
  14. 14.
    Diermayr G, McIsaac TL, Gordon AM (2011) Finger force coordination underlying object manipulation in the elderly—a mini-review. Gerontology 57:217–227. doi: 10.1159/000295921 CrossRefPubMedGoogle Scholar
  15. 15.
    Galganski ME, Fuglevand AJ, Enoka RM (1993) Reduced control of motor output in a human hand muscle of elderly subjects during submaximal contractions. J Neurophysiol 69:2108–2115PubMedGoogle Scholar
  16. 16.
    Ranganathan VK, Siemionow V, Sahgal V et al (2001) Effects of aging on hand function. J Am Geriatr Soc 49:1478–1484. doi: 10.1046/j.1532-5415.2001.4911240.x CrossRefPubMedGoogle Scholar
  17. 17.
    Marmon AR, Pascoe MA, Schwartz RS et al (2011) Associations among strength, steadiness, and hand function across the adult life span. Med Sci Sports Exerc 43:560–567. doi: 10.1249/MSS.0b013e3181f3f3ab CrossRefPubMedGoogle Scholar
  18. 18.
    Desrosiers J, Hébert R, Bravo G et al (1998) Comparison of cross-sectional and longitudinal designs in the study of aging of upper extremity performance. J Gerontol Ser A Biol Sci Med Sci 53:B362–B368. doi: 10.1093/gerona/53A.5.B362 CrossRefGoogle Scholar
  19. 19.
    Hackel ME, Wolfe GA, Bang SM et al (1992) Changes in hand function in the aging adult as determined by the Jebsen test of hand function. Phys Ther 72:373–377CrossRefPubMedGoogle Scholar
  20. 20.
    Hughes SL, Gibbs J, Edelman P et al (1992) Joint impairment and hand function in the elderly. J Am Geriatr Soc 40:871–877. doi: 10.1111/j.1532-5415.1992.tb01982.x CrossRefPubMedGoogle Scholar
  21. 21.
    Martin JA, Ramsay J, Hughes C et al (2015) Age and grip strength predict hand dexterity in adults. PLoS ONE. doi: 10.1371/journal.pone.0117598 Google Scholar
  22. 22.
    Falconer J, Hughes SL, Naughton BJ et al (1991) Self report and performance-based hand function tests as correlates of dependency in the elderly. J Am Geriatr Soc 39:695–699. doi: 10.1111/j.1532-5415.1991.tb03624.x CrossRefPubMedGoogle Scholar
  23. 23.
    Incel NA, Sezgin M, As I et al (2009) The geriatric hand: correlation of hand-muscle function and activity restriction in elderly. Int J Rehabil Res 32:213–218. doi: 10.1097/MRR.0b013e3283298226 CrossRefPubMedGoogle Scholar
  24. 24.
    Fess EE (1987) A method for checking Jamar dynamometer calibration. J Hand Ther 1:28–32. doi: 10.1016/S0894-1130(87)80009-1 CrossRefGoogle Scholar
  25. 25.
    Rikli RE, Jones CJ (1999) Development and validation of a functional fitness test for community-residing older adults. J Aging Phys Act 7:129–161CrossRefGoogle Scholar
  26. 26.
    Rikli RE, Jones CJ (eds) (2013) Test validity, reliability, percentile norms, and criterion-referenced standards. In: Senior Fitness Test Manual. 2nd edn Human Kinetics, Champaign, ILGoogle Scholar
  27. 27.
    Tiffin J, Asher EJ (1948) The Purdue Pegboard: norms and studies of reliability and validity. J Appl Psychol 32:234. doi: 10.1037/h0061266 CrossRefPubMedGoogle Scholar
  28. 28.
    Desrosiers J, Hebert R, Bravo G et al (1995) The Purdue Pegboard Test: normative data for people aged 60 and over. Disabil Rehabil 17:217–224. doi: 10.3109/09638289509166638 CrossRefPubMedGoogle Scholar
  29. 29.
    Jebsen RH, Taylor N, Trieschmann R et al. (1969) An objective and standardized test of hand function. Arch Phys Med Rehabil 50:311–319PubMedGoogle Scholar
  30. 30.
    Beauchamp MK, Schmidt CT, Pedersen MM et al (2014) Psychometric properties of the late-life function and disability instrument: a systematic review. BMC Geriatr 14:12. doi: 10.1186/1471-2318-14-12 CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Haley SM, Jette AM, Coster WJ et al (2002) Late life function and disability instrument II. Development and evaluation of the function component. J Gerontol A Biol Sci Med Sci 57:M217–M222. doi: 10.1093/gerona/57.4.M217 CrossRefPubMedGoogle Scholar
  32. 32.
    McGee CW, Mathiowetz V (2003) The relationship between upper extremity strength and instrumental activities of daily living performance among elderly women. OTJR: Occup Particip Health 23:143–154. doi: 10.1177/153944920302300402 Google Scholar
  33. 33.
    Al Shin S, Markides KS, Ottenbacher KJ et al (2004) Hand grip strength and incident ADL disability in elderly Mexican Americans over a seven-year period. Aging Clin Exp Res 16:481–486. doi: 10.1007/BF03327406 CrossRefGoogle Scholar
  34. 34.
    Giampaoli S, Ferrucci L, Cecchi F et al (1999) Hand-grip strength predicts incident disability in non-disabled older men. Age Ageing 28:283–288. doi: 10.1093/ageing/28.3.283 CrossRefPubMedGoogle Scholar
  35. 35.
    Falkenstein M, Yordanova J, Kolev V (2006) Effects of aging on slowing of motor-response generation. Int J Psychophysiol 59:22–29. doi: 10.1016/j.ijpsycho.2005.08.004 CrossRefPubMedGoogle Scholar
  36. 36.
    Shiffman LM (1992) Effects of aging on adult hand function. Am J Occup Ther 46:785–792. doi: 10.5014/ajot.46.9.785 CrossRefPubMedGoogle Scholar
  37. 37.
    Cole K, Rotella DL, Harper JG (1998) Tactile impairments cannot explain the effect of age on a grasp and lift task. Exp Brain Res 121:263–269. doi: 10.1007/s002210050459 CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Occupational Therapy, School of Health and Rehabilitation SciencesIndiana UniversityIndianapolisUSA

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