Grip Strength: Difference between revisions

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== Objective<br> ==
== Objective  ==
Grip strength is a measure of muscular strength or the maximum force/tension generated by one’s forearm


== Intended Population<br> ==
muscles. It can be used as a screening tool for measurement of upper body strength and overall strength. It is
 
most useful when multiple measurements are taken over time to track performance.
 
Research indicates that grip strength in midlife can predict physical disability in senior years and help evaluate a patient’s overall health. All you need is a hand dynamometer and the hand grip strength norm tables<br>
 
== Intended Population ==
Grip strength can be used in numerous situations to evaluate and track many health related conditions
 
=== The elderly. ===
Grip strength grows weaker as we age, which eventually begins to affect our day-to-day. Simple things like opening jars, carrying groceries and turning doorknobs are made more or less difficult depending on the strength of the hands.
 
It is also a reliable indicator of many health conditions  associated with ageing
* a 2018 prospective study found better handgrip strength was associated with cardiac structure and function in a pattern indicative of less cardiac hypertrophy and remodeling. These characteristics are known to be associated with a lower risk of cardiovascular events<ref>Beyer SE, Sanghvi MM, Aung N, Hosking A, Cooper JA, Paiva JM, Lee AM, Fung K, Lukaschuk E, Carapella V, Mittleman MA. [https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0193124 Prospective association between handgrip strength and cardiac structure and function in UK adults.] PloS one. 2018 Mar 14;13(3):e0193124. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0193124 (last accessed 23.10.2019)</ref>.
* In older patients with hip fractures, early grip strength evaluation might provide important prognostic information regarding the patient's future functional trajectory.<ref>Savino E, Martini E, Lauretani F, Pioli G, Zagatti AM, Frondini C, Pellicciotti F, Giordano A, Ferrari A, Nardelli A, Davoli ML. [https://www.amjmed.com/article/S0002-9343(13)00482-8/abstract Handgrip strength predicts persistent walking recovery after hip fracture surgery. The American journal of medicine]. 2013 Dec 1;126(12):1068-75. Available from: https://www.amjmed.com/article/S0002-9343(13)00482-8/abstract (last accessed 23.10.2019)</ref>
* a 2017 scoping review reported the use of handgrip strength as a way to monitor cognitive changes was important and that reduced handgrip strength over time may serve as a predictor of cognitive loss with advancing age<ref>Fritz NE, McCarthy CJ, Adamo DE. [https://www.ncbi.nlm.nih.gov/pubmed/28189666 Handgrip strength as a means of monitoring progression of cognitive decline–a scoping review.] Ageing research reviews. 2017 May 1;35:112-23. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28189666 (last accessed 23.10.2019)</ref>. Similarly a 2016 review found that handgrip strength has a predictive validity for decline in cognition, mobility, functional status and mortality in older community-dwelling populations<ref>Rijk JM, Roos PR, Deckx L, van den Akker M, Buntinx F. [https://www.ncbi.nlm.nih.gov/pubmed/26016893/ Prognostic value of handgrip strength in people aged 60 years and older: a systematic review and meta‐analysis.] Geriatrics & gerontology international. 2016 Jan;16(1):5-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26016893/ (last accessed 23.10.2019)</ref>.
* Implementation of grip strength measurement in medicine for older people wards as part of routine admission assessment was recommended ( K Ibrahim et al  2018 study<ref>Ibrahim, K., May, C.R., Patel, H.P., Baxter, M., Sayer, A.A. and Roberts, H.C., 2018. [https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-018-0768-5 Implementation of grip strength measurement in medicine for older people wards as part of routine admission assessment: identifying facilitators and barriers using a theory-led intervention.] BMC geriatrics, 18(1), p.79. Available from: https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-018-0768-5 (last accessed 23.10.2019)</ref>) as low grip strength in older inpatients is associated with poor healthcare outcomes including longer length of stay and mortality.  A high percentage of older patients were identified to be at risk of poor healthcare outcomes as a result of low grip strength and would benefit from nutritional and exercise interventions.<br>


== Method of Use  ==
== Method of Use  ==


== Reference<br>  ==
== Reference   ==


== Evidence  ==
== Evidence  ==
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=== Responsiveness  ===
=== Responsiveness  ===


=== Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span><br>  ===
=== Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span>   ===


== Links  ==
== Links  ==

Revision as of 07:47, 23 October 2019

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Top Contributors - Lucinda hampton, Kim Jackson, Jonathan Wong, Uchechukwu Chukwuemeka, Vidya Acharya and Angeliki Chorti  

Objective[edit | edit source]

Grip strength is a measure of muscular strength or the maximum force/tension generated by one’s forearm

muscles. It can be used as a screening tool for measurement of upper body strength and overall strength. It is

most useful when multiple measurements are taken over time to track performance.

Research indicates that grip strength in midlife can predict physical disability in senior years and help evaluate a patient’s overall health. All you need is a hand dynamometer and the hand grip strength norm tables

Intended Population[edit | edit source]

Grip strength can be used in numerous situations to evaluate and track many health related conditions

The elderly.[edit | edit source]

Grip strength grows weaker as we age, which eventually begins to affect our day-to-day. Simple things like opening jars, carrying groceries and turning doorknobs are made more or less difficult depending on the strength of the hands.

It is also a reliable indicator of many health conditions associated with ageing

  • a 2018 prospective study found better handgrip strength was associated with cardiac structure and function in a pattern indicative of less cardiac hypertrophy and remodeling. These characteristics are known to be associated with a lower risk of cardiovascular events[1].
  • In older patients with hip fractures, early grip strength evaluation might provide important prognostic information regarding the patient's future functional trajectory.[2]
  • a 2017 scoping review reported the use of handgrip strength as a way to monitor cognitive changes was important and that reduced handgrip strength over time may serve as a predictor of cognitive loss with advancing age[3]. Similarly a 2016 review found that handgrip strength has a predictive validity for decline in cognition, mobility, functional status and mortality in older community-dwelling populations[4].
  • Implementation of grip strength measurement in medicine for older people wards as part of routine admission assessment was recommended ( K Ibrahim et al 2018 study[5]) as low grip strength in older inpatients is associated with poor healthcare outcomes including longer length of stay and mortality.  A high percentage of older patients were identified to be at risk of poor healthcare outcomes as a result of low grip strength and would benefit from nutritional and exercise interventions.

Method of Use[edit | edit source]

Reference[edit | edit source]

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

Links[edit | edit source]

References[edit | edit source]

  1. Beyer SE, Sanghvi MM, Aung N, Hosking A, Cooper JA, Paiva JM, Lee AM, Fung K, Lukaschuk E, Carapella V, Mittleman MA. Prospective association between handgrip strength and cardiac structure and function in UK adults. PloS one. 2018 Mar 14;13(3):e0193124. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0193124 (last accessed 23.10.2019)
  2. Savino E, Martini E, Lauretani F, Pioli G, Zagatti AM, Frondini C, Pellicciotti F, Giordano A, Ferrari A, Nardelli A, Davoli ML. Handgrip strength predicts persistent walking recovery after hip fracture surgery. The American journal of medicine. 2013 Dec 1;126(12):1068-75. Available from: https://www.amjmed.com/article/S0002-9343(13)00482-8/abstract (last accessed 23.10.2019)
  3. Fritz NE, McCarthy CJ, Adamo DE. Handgrip strength as a means of monitoring progression of cognitive decline–a scoping review. Ageing research reviews. 2017 May 1;35:112-23. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28189666 (last accessed 23.10.2019)
  4. Rijk JM, Roos PR, Deckx L, van den Akker M, Buntinx F. Prognostic value of handgrip strength in people aged 60 years and older: a systematic review and meta‐analysis. Geriatrics & gerontology international. 2016 Jan;16(1):5-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26016893/ (last accessed 23.10.2019)
  5. Ibrahim, K., May, C.R., Patel, H.P., Baxter, M., Sayer, A.A. and Roberts, H.C., 2018. Implementation of grip strength measurement in medicine for older people wards as part of routine admission assessment: identifying facilitators and barriers using a theory-led intervention. BMC geriatrics, 18(1), p.79. Available from: https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-018-0768-5 (last accessed 23.10.2019)