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Extended dynamometry: reference values.
Henry J C R Belcher1, Hayley Smith2
11 Independent Hand Surgeon, Edenbridge, UK.
The Journal of Hand Surgery, European Volume
|November 10, 2018
Summary
This study introduces an improved grip strength test protocol to accurately assess patient capacity and detect sub-maximal effort in medicolegal claims. The new method enhances reliability for disability and personal injury evaluations.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Forensic Medicine
Background:
- Grip strength testing is crucial for disability and personal injury claims.
- Current methods are susceptible to sub-maximal effort, compromising objectivity.
- A need exists for a more reliable grip strength assessment protocol.
Purpose of the Study:
- To develop and validate an extended grip strength test protocol.
- To mitigate inconsistency and detect sub-maximal effort in grip strength measurements.
- To provide normative data for enhanced medicolegal assessments.
Main Methods:
- An extended protocol using five Jamar dynamometer positions was developed.
- Dynamometry was performed on 242 healthy volunteers (124 male, 118 female).
- Data analysis focused on consistency, curve deviation, and expected curve pattern variation.
Main Results:
- Normative values for grip strength consistency and curve patterns were established.
- Measures of consistency and reliability were not significantly affected by laterality, hand dominance, sex, or age.
- The protocol effectively differentiates between maximal and sub-maximal effort.
Conclusions:
- The developed extended grip strength protocol enhances reliability in medicolegal evaluations.
- The methodology provides reference values for assessing patient capacity and test validity.
- This approach improves the objectivity of grip strength testing in clinical and legal settings.
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