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Measuring hand grip strength in rheumatoid arthritis
Susie C Higgins1, Jo Adams2, Rodney Hughes3
1Department of Rheumatology, Maidstone and Tunbridge Wells NHS Trust, Maidstone Hospital, Maidstone, UK. shiggins1@nhs.net.
Hand grip strength offers an objective measure of rheumatoid arthritis (RA) impact on hands, complementing traditional disease activity scores. This review details its assessment, application, and future research directions for RA management.
Area of Science:
- Rheumatology
- Musculoskeletal Diseases
- Clinical Assessment
Background:
- Rheumatoid arthritis (RA) is a systemic inflammatory condition impacting joints, particularly the hands, leading to pain and functional decline.
- Standard RA severity scores may not fully capture the localized effects on hand function.
- Hand grip strength provides a specific, objective measure of hand impairment in RA patients.
Purpose of the Study:
- To review the current knowledge on assessing hand grip strength in rheumatoid arthritis.
- To explore the indications, measurement methods, practical challenges, and clinical applications of grip strength testing.
- To summarize the role of grip strength in RA assessment and provide recommendations for clinical practice and future research.
Main Methods:
- Literature review of studies on hand grip strength assessment in rheumatoid arthritis.
- Analysis of measurement techniques, influencing factors, and clinical utility.
- Synthesis of findings to inform recommendations for practice and research.
Main Results:
- Grip strength is a valuable objective measure for assessing hand involvement in RA.
- Various methods exist for grip strength measurement, each with practical considerations and challenges.
- Grip strength data can inform clinical decision-making and patient management.
Conclusions:
- Hand grip strength assessment is a relevant tool for evaluating RA patients.
- Standardized protocols and further research are needed to optimize its clinical application.
- Integrating grip strength into routine RA assessment can enhance patient care and outcomes.
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