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Measurement of Spatial Stability in Precision Grip
09:36

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Published on: June 4, 2020

Using the force-time curve to detect maximal grip strength effort.

Orit Shechtman1, Bhagwant S Sindhu, Paul W Davenport

  • 1Department of Occupational Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, FL 32610, USA. osechtm@php.ufl.edu

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|January 27, 2007
PubMed
Summary

Detecting insincere effort in grip strength tests is challenging. This study found that force-time curve slopes effectively identify maximal effort, with different phases proving more accurate for men and women.

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Area of Science:

  • Biomechanics
  • Human Performance
  • Medical Diagnostics

Background:

  • Assessing maximal grip strength requires sincere effort from participants.
  • Current methods for detecting insincere effort lack universal acceptance.
  • Objective measures are needed to validate grip strength testing outcomes.

Purpose of the Study:

  • To evaluate the validity of force-time curve slopes in detecting insincere effort during grip strength testing.
  • To determine if different phases of the force-time curve offer distinct insights into effort sincerity.
  • To compare the effectiveness of force-time curve analysis between genders.

Main Methods:

  • Thirty healthy subjects performed maximal and submaximal grip strength trials.
  • Force-time data were collected, generating curves for each trial.
  • Slopes of the force-generation and force-decay phases were calculated and analyzed.
  • Sensitivity and specificity analyses were performed to assess diagnostic accuracy.

Main Results:

  • Both force-generation and force-decay slopes were significantly steeper during maximal efforts compared to submaximal efforts (p<0.0001).
  • The force-generation slope was more effective for women, while the force-decay slope was more effective for men in identifying sincerity of effort.
  • Specific cutoff values for the force-decay slope demonstrated high accuracy in correctly classifying men's effort levels.

Conclusions:

  • Force-time curve slopes are valid and effective tools for assessing sincerity of effort in grip strength testing among healthy individuals.
  • This novel approach using force-time curve slopes represents a significant step towards objective sincerity of effort assessment.
  • Further research is warranted to validate these findings in clinical populations, particularly those with hand injuries.