The effect of handedness on upper extremity isometric strength symmetry

Understanding upper extremity strength symmetry can have important implications for ergonomics assessment and design. Few studies have examined isometric joint strength symmetry of left-handed individuals, or examined how handedness can influence strength. As such, the purpose of this study was to investigate the influence of handedness on dominant/non-dominant (D/ND) strength ratio in several moment directions about the shoulder, elbow, wrist, and hand. It was hypothesized that the isometric strength symmetry of left-handed individuals would be significantly different from that of right-handed individuals.

The study recruited 28 participants to perform a series of maximal voluntary isometric contractions (MVCs) with both arms for various efforts about the shoulder, elbow, and wrist, as well as handgrip for a total of 68 MVCs. Strength symmetry ratios were computed, and a two-way mixed-model ANOVA evaluated the effects of handedness and MVC test on strength symmetry.

Significant differences in D/ND ratios between right and left-handed individuals were found for 11 of the 17 explored exertion directions. Left-handed individuals tended to possess greater strength in their non-dominant limb, while right-handed individuals tended to have greater strength in their dominant limb. Left- and right-handed individuals often significantly differed in D/ND ratio, suggesting that separate normative values should be created to account for handedness when considering return-to-work or strength-based ergonomics design criterion.