Abstract
Background
The present study was aimed to compare the grip/pinch strengths and manual dexterity of individuals with and without the use of cannabis and its derivatives.
Methods
A cross-sectional prospective study was conducted with 66 individuals, including 33 cases with the use of cannabis (and its derivatives) and 33 age- and sex-matched controls. Grip and pinch strengths were evaluated with a dynamometer. The Nine-Hole Peg Test (9HPT), Minnesota Manual Dexterity Test (MMDT), and Michigan Hand Outcomes Questionnaire (MHQ) were used to assess the hand function.
Results
The hand grip strength and dominant hand 2-point pinch (2PP) grip strength were less in individuals with substance use disorder (SUD) (p < 0.05). The 9HPT duration of the SUD patients was higher (p < 0.05). On the other hand, the MMDT insertion and rotation test results were different between the groups (p < 0.05). Grip strength was related with the MMDT insertion and rotation tests (r = −0.411 to −0.480). There was significant correlation between grip strength with dominant hand 9HPT (r = −0.370) and between dominant hand 3-point pinch (3PP) strength with MMDT insertion (r = −0.378). In addition, dominant hand 2PP strength was correlated with overall hand function of MHQ (r = 0.382).
Conclusion
The individuals with cannabis use disorder showed reduced grip strength on both sides and decreased 2PP strength on the dominant side compared to healthy individuals. In addition, there is a decrease in the hand skills of individuals with cannabis use disorder. Decreased grip strength of individuals with cannabis use disorder affected their hand skills negatively.
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Data availability
All data generated or analyzed during this study are included in this published article.
References
More A, Jackson B, Dimmock JA et al (2017) Exercise in the treatment of youth substance use disorders: review and recommendations. Front Psychol 8:1839
American Psychiatric Association D, Association AP (2013) Diagnostic and statistical manual of mental disorders: DSM-5, vol 5. American psychiatric association Washington, DC
Dumas TM, Ellis W, Litt DM (2020) What does adolescent substance use look like during the COVID-19 pandemic? Examining changes in frequency, social contexts, and pandemic-related predictors. J Adolesc Health 67(3):354–361
Tiet QQ, Ilgen MA, Byrnes HF et al (2007) Treatment setting and baseline substance use severity interact to predict patients’ outcomes. Addiction 102(3):432–440
Koob GF, Le Moal M (2008) Addiction and the brain antireward system. Annu Rev Psychol 59:29–53
Fleury M-J, Djouini A, Huỳnh C et al (2016) Remission from substance use disorders: a systematic review and meta-analysis. Drug Alcohol Depend 168:293–306
Madras B, Kuhar M (2013) The effects of drug abuse on the human nervous system. Elsevier
Battisti RA, Roodenrys S, Johnstone SJ et al (2010) Chronic cannabis users show altered neurophysiological functioning on Stroop task conflict resolution. Psychopharmacology 212(4):613–624
Hall W, Degenhardt L (2007) Prevalence and correlates of cannabis use in developed and developing countries. Curr Opin Psychiatry 20(4):393–397
Connor JP, Stjepanović D, Le Foll B et al (2021) Cannabis use and cannabis use disorder. Nat Rev Dis Primers 7(1):1–24
Pearson-Dennett V, Flavel SC, Wilcox RA et al (2014) Hand function is altered in individuals with a history of illicit stimulant use. PLoS One 9(12):e115771
Cassou B, Derriennic F, Iwatsubo Y, Amphoux M (1992) Physical diability after retirement and occupational risk factors during working life: a cross sectional epidemiological study in the Paris area. J Epidemiol Community Health 46(5):506–511
Jahn WT, Cupon LN, Steinbaugh JH (2004) Functional and work capacity evaluation issues. J Chiropr Med 3(1):1–5
Organization WH (2010) Atlas on substance use (2010): resources for the prevention and treatment of substance use disorders. World Health Organization
Grice KO (2015) The use of occupation-based assessments and intervention in the hand therapy setting–a survey. J Hand Ther 28(3):300–306
Ross JM, Ellingson JM, Frieser MJ et al (2022) The effects of cannabis use on physical health: a co-twin control study. Drug Alcohol Depend 230:109200
Peretti-Watel P, Lorente FO (2004) Cannabis use, sport practice and other leisure activities at the end of adolescence. Drug Alcohol Depend 73(3):251–257
Duruoz MT (2016) Hand function. Springer
Granfield R, Cloud W (2001) Social context and “natural recovery”: the role of social capital in the resolution of drug-associated problems. Subst Use Misuse 36(11):1543–1570
Dupont WD, Plummer W (1997) PS: power and sample size calculation. Control Clin Trials 18–274
Bohannon RW, Peolsson A, Massy-Westropp N et al (2006) Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy 92(1):11–15
Oxford Grice K, Vogel KA, Le V et al (2003) Adult norms for a commercially available Nine Hole Peg Test for finger dexterity. Am J Occup Ther 57(5):570–573
Wang Y-C, Wickstrom R, Yen S-C et al (2018) Assessing manual dexterity: comparing the workability rate of manipulation test with the Minnesota manual dexterity test. J Hand Ther 31(3):339–347
Öksüz Ç, Akel BS, Oskay D et al (2011) Cross-cultural adaptation, validation, and reliability process of the Michigan Hand Outcomes Questionnaire in a Turkish population. J Hand Surg 36(3):486–492
Fess E (1981) Clinical assessment recommendations. American society of hand therapists 6–8
Mathiowetz V, Weber K, Kashman N, Volland G (1985) Adult norms for the nine hole peg test of finger dexterity. Am J Occup Ther 5(1):24–38
Amirjani N, Ashworth NL, Gordon T et al (2007) Normative values and the effects of age, gender, and handedness on the Moberg Pick-Up Test. Muscle Nerve 35(6):788–792
Desrosiers J, Rochette A, Hebert R, Bravo G (1997) The Minnesota Manual Dexterity Test: reliability, validity and reference values studies with healthy elderly people. Can J Occup Ther 64(5):270–276
Dias J, Rajan R, Thompson J (2008) Which questionnaire is best? The reliability, validity and ease of use of the patient evaluation measure, the disabilities of the arm, shoulder and hand and the Michigan hand outcome measure. J Hand Surg (European Volume)
Gürbey SK, Metin M (2022) Development of a self-efficacy scale for preschool teachers on science teaching: validity and reliability study. Southeast Asian Stud 11(1):106–129
Tarter RE, Kirisci L, Mezzich A et al (2003) Neurobehavioral disinhibition in childhood predicts early age at onset of substance use disorder. Am J Psychiatry 160(6):1078–1085
Türkcan A (1998) Türkiye’de madde kullananların profili: Hastane verilerinin incelenmesi. Düşünen Adam 11(3):56–64
Ay B, Toklu M, Sarıkamışlı M, Deniz F (2013) Türkiye Uyuşturucu ve Uyuşturucu Bağımlılığı İzleme Merkezi. Türkiye Uyuşturucu Raporu
Karaağaç H, Usta ZE, Usta A et al (2017) Kayseri Eğitim ve Araştırma Hastanesi AMATEM Kliniğinde yatarak tedavi gören hastaların sosyo-demografik özelliklerinin retrospektif analizi. Dusunen Adam 30(3):251–257
Yazici AB, Yazici E, Kumsar NA, Erol A (2015) Addiction profile in probation practices in Turkey: 5-year data analysis. Neuropsychiatr Dis Treat 11:2259
Haward BM, Griffin MJ (2002) Repeatability of grip strength and dexterity tests and the effects of age and gender. Int Arch Occup Environ Health 75(1):111–119
Rantanen T, Era P, Kauppinen M, Heikkinen E (1994) Maximal isometric muscle strength and socioeconomic status, health, and physical activity in 75-year-old persons. J Aging Phys Act 2(3):206–220
Metter EJ, Talbot LA, Schrager M, Conwit R (2002) Skeletal muscle strength as a predictor of all-cause mortality in healthy men. J Gerontol A Biol Sci Med Sci 57(10):B359–B365
Boulougouris J, Panayiotopoulos C, Antypas E et al (1976) Effects of chronic hashish use on medical status in 44 users compared with 38 controls. Ann N Y Acad Sci 282(1):168–172
Trinh KV, Diep D, Robson H (2018) Marijuana and its effects on athletic performance: a systematic review. Clin J Sport Med 28(4):350–357
Tyler H, Adams J, Ellis B (2005) What can handgrip strength tell the therapist about hand function? J Hand Ther 10(1):4–9
Abdullaev Y, Posner MI, Nunnally R, Dishion TJ (2010) Functional MRI evidence for inefficient attentional control in adolescent chronic cannabis abuse. Behav Brain Res 215(1):45–57
Pesta DH, Angadi SS, Burtscher M, Roberts CK (2013) The effects of caffeine, nicotine, ethanol, and tetrahydrocannabinol on exercise performance. Nutr Metab 10(1):1–15
Ramaekers JG, Berghaus G, van Laar M, Drummer OH (2004) Dose related risk of motor vehicle crashes after cannabis use. Drug Alcohol Depend 73(2):109–119
Flavel SC, White JM, Todd G (2013) Abnormal maximal finger tapping in abstinent cannabis users. Hum Psychopharmacol Clin Exp 28(6):612–614
Beautrais AL, Marks DF (1976) A test of state dependency effects in marihuana intoxication for the learning of psychomotor tasks. Psychopharmacologia 46(1):37–40
Bolla KI, Brown K, Eldreth D et al (2002) Dose-related neurocognitive effects of marijuana use. Neurology 59(9):1337–1343
Müller-Vahl K, Kolbe H, Schneider U, Emrich H (1999) Cannabis in movement disorders. J Complement Med Res 6(Suppl. 3):23–27
Collin C, Davies P, Mutiboko I et al (2007) Randomized controlled trial of cannabis-based medicine in spasticity caused by multiple sclerosis. Eur J Neurol 14(3):290–296
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The study was carried out in accordance with the ethical principles and the Helsinki Declaration. The study protocol was approved by the ethics committee of Bezmiâlem Vakıf University (No:21/289).
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Güçlü, B., Tuğay, B.U., Özden, F. et al. Investigation of hand functions in individuals with cannabis and its derivatives use disorder. Ir J Med Sci 192, 675–683 (2023). https://doi.org/10.1007/s11845-022-03006-w
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DOI: https://doi.org/10.1007/s11845-022-03006-w