Effect of wrist positioning on the repeatability and strength of power grip

Am J Occup Ther. 2001 Mar-Apr;55(2):212-6. doi: 10.5014/ajot.55.2.212.

Abstract

Objective: This study tested the between-day repeatability and effect of wrist positioning on grip strength measurement.

Method: Thirty healthy men 20 years to 69 years of age were tested twice, 1 week apart, in six wrist positions.

Results: The findings showed good repeatability for grip strength, with the intraclass correlation coefficient [ICC(1, 3)] ranging from .9043 to .9663. Significant differences were found in grip strength among the six positions (p < . 001), with grip strength measured at 15 degrees or 30 degrees of wrist extension (EXT) and 0 degrees ulnar deviation (UD) significantly greater than that of 0 degrees UD and 0 degrees EXT or 15 degrees UD with or without EXT This finding suggests the clinical importance of standardizing the testing position for grip strength measurement.

Conclusion: The high repeatability of the tests supports the use of the grip strength measurement to evaluate treatment progress.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Biomechanical Phenomena
  • Hand Strength / physiology*
  • Humans
  • Male
  • Middle Aged
  • Posture / physiology
  • Prospective Studies
  • Range of Motion, Articular / physiology*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Wrist Joint / physiology*