Skip to main content
Log in

Predicting grip strength and key pinch using anthropometric data, DASH questionnaire and wrist range of motion

  • Handsurgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Purpose

The objective of this study was to examine the influence of anthropometric data, occupational manual strain, DASH (disability of arm, shoulder and hand) score and range of motion (ROM) on grip strength and key pinch. An additional goal was to develop models that enable the prediction of hand strength using the aforementioned parameters.

Methods

Normative data generated from a healthy working population (n = 750) served as basis for the statistical analysis. Prediction models for hand strength were developed using multivariate regression analysis.

Results

Gender, body weight and height, BMI and extension ROM correlate positively, age and DASH score, however, correlate negatively with grip strength and key pinch. Occupational manual strain has no influence on hand strength. The predictive power of the developed models was 68.4 % for grip strength and 57.1 % for key pinch.

Conclusions

The developed models enable the prediction of hand strength using easily obtainable data points. The models will have application in clinical practice, physiological studies, medical evidence and rehab decisions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Goodson A, McGregor AH, Douglas J, Taylor P (2007) Direct, quantitative clinical assessment of hand function: usefulness and reproducibility. Man Ther 12:144–152

    Article  PubMed  Google Scholar 

  2. Klum M, Wolf MB, Hahn P, Lelcère FM, Bruckner T, Unglaub F (2012) Normative data on wrist function. J Hand Surg Am [Epub ahead of print]

  3. Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J (2006) Reference values for adult grip strength measured with Jamar dynamometer: a descriptive meta-analysis. Physiotherapy 92:11–15

    Article  Google Scholar 

  4. Vaz M, Hunsberger S, Diffey B (2002) Prediction equations forehand grip strength in healthy Indian male and female subjects encompassing a wide age range. Ann Hum Biol 29:131–141

    Article  PubMed  CAS  Google Scholar 

  5. Angst F, Drerup S, Werle S, Herren DB, Simmen BR, Goldhahn J (2010) Prediction of grip and key pinch strength in 978 healthy subjects. BMC Musculoskelet Disord 11:94

    Article  PubMed  Google Scholar 

  6. Chandresakaran B, Ghosh A, Prasad C, Krishnan K, Chandrasharma B (2010) Age and anthropometric traits predict handgrip strength in healthy adults. J Hand Microsurg 2:58–61

    Article  Google Scholar 

  7. Hossain MG, Zyroul R, Pereira BP, Kamarul T (2012) Multiple regression analysis of factors influencing dominant hand grip strength in an adult Malaysian population. J Hand Surg Eur 37(1):65–70

    Article  CAS  Google Scholar 

  8. Hanten WP, Chen WY, Austin AA, Brooks RE, Carter HC, Law CA, Morgan MK, Sanders DJ, Swan CA, Vanderslice AL (1999) Maximum grip strength in normal subjects from 20–64 years of age. J Hand Ther 12:193–200

    Article  PubMed  CAS  Google Scholar 

  9. Massy-Westropp N, Rankin W, Ahern M, Krishnan J, Hearn TC (2004) Measuring grip strength in normal adults: reference ranges and a comparison of electronic and hydraulic instruments. J Hand Surg Am 29:514–519

    Article  PubMed  Google Scholar 

  10. Fess EE (1992) Grip Strength. In: Casanova JS (ed) Clinical assessment recommendations, 2nd edn. American Society of Hand Therapists, Chicago, pp 41–45

    Google Scholar 

  11. Balogun JA, Akomolafe CT, Amusa LO (1991) Grip strength: effects of testing posture and elbow position. Arch Phys Med Rehabil 72:280–283

    PubMed  CAS  Google Scholar 

  12. Mathiowetz V, Weber K, Volland G, Kashman N (1984) Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 9:222–226

    PubMed  CAS  Google Scholar 

  13. Firrell JC, Crain GM (1996) Which setting of the dynamometer provides maximal grip strength? J Hand Surg Am 21:397–401

    Article  PubMed  CAS  Google Scholar 

  14. Mathiowetz V, Rennells C, Donahoe L (1985) Effect oft elbow position on grip and key pinch strength. J Hand Surg Am 10:694–697

    PubMed  CAS  Google Scholar 

  15. Günther CM, Bürger A, Rickert M, Schulz CU (2008) Key pinch in healthy adults: normative values. J Hand Surg Eur 33:144–148

    Article  Google Scholar 

  16. Ruby LK, Cooney WP, An KN (1988) Relative motions of the selected carpal bones: kinematic analysis of the normal wrist. J Hand Surg Am 12:1–10

    Article  Google Scholar 

  17. MacDermid J, Kramer J, Woodbury M, McFarlane R, Roth J (1994) Interrater reliability of pinch and grip strength measurements in patients with cumulative trauma disorders. J Hand Ther 7:10–14

    Article  PubMed  CAS  Google Scholar 

  18. Haidar SG, Kumar D, Bassi RS, Deshmukh SC (2004) Average versus maximum grip strength: which is more consistent? J Hand Surg Eur 29:82–84

    Article  CAS  Google Scholar 

  19. Coldham F, Lewis J, Lee H (2006) The reliability of one versus three trials in symptomatic and asymptomatic subjects. J Hand Ther 19:318–327

    Article  PubMed  Google Scholar 

  20. Hudak PL, Amadio PC, Bombardier C (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). The Upper Extremity Collaborative Group. Am J Ind Med 29(6):602–608

    Article  PubMed  CAS  Google Scholar 

  21. Ugurlu Ü, Özdogan H (2012) Age- and gender-specific normative data of pinch strengths in a healthy Turkish population. J Hand Surg Eur 37(5):436–446

    Article  CAS  Google Scholar 

  22. Bot AG, Mulders MA, Fostvedt S, Ring D (2012) Determinants of grip strength in healthy subjects compared to that in patients recovering from a distal radius fracture. J Hand Surg Am 37(9):1874–1880

    Google Scholar 

  23. Xu S, Morse AM, Lacy B, Baggett LS, Gogola GR (2011) Peg restrained intrinsic muscle evaluator (PRIME): development, reliability, and normative values of a device to quantify intrinsic hand muscle strength in children. J Hand Surg Am 36(5):894–903

    Article  PubMed  Google Scholar 

  24. Crosby CA, Wehbe MA (1994) Hand strength: normative values. J Hand Surg Am 19:665–670

    Article  PubMed  CAS  Google Scholar 

  25. Fraser A, Vallow J, Preston A, Cooper G (1999) Predicting “normal” grip strength for rheumatoid arthritis patients. Rheumatology 38:521–528

    Article  PubMed  CAS  Google Scholar 

  26. Mitsionis G, Pakos EE, Stafilas KS, Paschos N, Papakostas T, Beris AE (2009) Normative data on hand grip strength in a Greek adult population. Int Orthop 33:713–717

    Article  PubMed  Google Scholar 

  27. Puh U (2010) Age-related and sex-related differences in hand and pinch grip strength in adults. Int J Rehabil Res 33:4–11

    Article  PubMed  Google Scholar 

  28. Günther CM, Bürger A, Rickert M, Crispin A, Schulz CU (2008) Grip strength in healthy Caucasian adults: reference values. J Hand Surg Am 33:558–565

    Article  PubMed  Google Scholar 

  29. Iwasaki N, Nishida K, Motomiya M, Funakoshi T, Minami A (2011) Arthroscopic-assisted repair of avulsed triangular fibrocartilage complex to the fovea of the ulnar head: a 2- to 4-year follow-up study. Arthroscopy 27(10):1371–1378

    Article  PubMed  Google Scholar 

  30. Furia JP (2010) Arthroscopic debridement and synovectomy for treating basal joint arthritis. Arthroscopy 26(1):34–40

    Article  PubMed  Google Scholar 

  31. Hohendorff B, Mühldorfer-Fodor M, Kalb K, van Schoonhoven J, Prommersberger KJ (2012) STT arthrodesis versus proximal row carpectomy for Lichtman stage IIIB Kienböck’s disease: first results of an ongoing observational study. Arch Orthop Trauma Surg

  32. Prommersberger KJ, Pillukat T, Mühldorfer M, van Schoonhoven J (2012) Malunion of the distal radius. Arch Orthop Trauma Surg 132(5):693–702

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matthias Klum.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Klum, M., Wolf, M.B., Hahn, P. et al. Predicting grip strength and key pinch using anthropometric data, DASH questionnaire and wrist range of motion. Arch Orthop Trauma Surg 132, 1807–1811 (2012). https://doi.org/10.1007/s00402-012-1602-8

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-012-1602-8

Keywords

Navigation