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Het meten van handgreepsterkte bij geriatrische patiënten

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Tijdschrift voor Gerontologie en Geriatrie volume 45, pages 197–207 (2014)Cite this article

Measuring the handgrip strength of geriatric patients

The handgrip strength of geriatric patients can be measured when the patient is hospitalized. This article elaborates on the intrinsic and extrinsic factors which have a direct or indirect influence on handgrip strength. For the best results the tests need to be taken in the best circumstances with attention to individual differences and the age of the patient. Handgrip strength as determination of biological vitality is a key concept. Besides the physical characteristics there are many psychological factors (cognition, psyching-up, test attitude…) influencing the results. These are barely mentioned or not mentioned at all in the usual procedures. Research of handgrip strength testing theories is mostly focused on young, healthy adults and less on elderly patients. The main goal of this article is stimulating experimental research on the measurement of handgrip strength with elderly people and involving them more actively with the procedure. It is not enough to acquire insight in function and predicting characteristics of handgrip strength. Next to the aiming for the best test performance is ‘working interactively with elderly patients’ a goal on itself in the modern vision of health care.

Samenvatting

Het meten van de handgreepsterkte bij geriatrische patiënten gebeurt onder andere in het kader van een ziekenhuisopname. Dit artikel gaat in op intrinsieke en extrinsieke factoren die de handgreepsterkte rechtstreeks of indirect beïnvloeden. Om een zo goed mogelijk meetresultaat te bereiken dient de testafname te gebeuren in de best mogelijke omstandigheden met aandacht voor individuele verschillen en leeftijd van de patiënt. Handgreepsterkte als manifestatie van biologische vitaliteit staat centraal. Naast fysieke eigenschappen zijn er veel psychologische factoren, zoals cognitie, psyching-up en de attitude van de testuitvoerder, die de resultaten van de meting beïnvloeden. Zij komen in de gangbare meetprocedures nauwelijks of niet aan bod. Onderzoeken rond handgreepsterkte die theoretische beschouwingen in de praktijk toetsen, zijn veelal gericht op gezonde, jongere volwassenen en minder op oudere patiënten. De belangrijkste doelstelling van dit artikel is experimenteel onderzoek rond handgreepsterktemeting bij ouderen te stimuleren en hen actief te betrekken in de procedure. Het is niet voldoende inzicht te verwerven in functie en voorspellende eigenschappen van handgreepsterkte. Naast het streven naar de beste testperformantie is ‘het interactief werken met de oudere patiënt’ in de moderne visie op gezondheidszorg een doel op zich.

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Affiliations

  1. Zelfstandig werkzaam, Antwerpen, Belgium

    A. G. M. Kerckhofs

  2. Universitair Centrum Geriatrie, Universiteit Antwerpen, Antwerpen, Belgium

    M. F. J. Vandewoude

  3. Faculteit psychologie, Open Universiteit Nederland, Heerlen, The Netherlands

    A. N. Mudde

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  1. A. G. M. Kerckhofs
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  2. M. F. J. Vandewoude
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Kerckhofs, A.G.M., Vandewoude, M.F.J. & Mudde, A.N. Het meten van handgreepsterkte bij geriatrische patiënten. Tijdschr Gerontol Geriatr 45, 197–207 (2014). https://doi.org/10.1007/s12439-014-0073-5

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Keywords

  • Handgrip strength
  • Biological vitality
  • Assessment
  • Frailty
  • Sarcopenia

Trefwoorden

  • Handgreepsterkte
  • Biologische Vitaliteit
  • Meetprocedure
  • Frailty
  • Sarcopenie