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Hand Grip Strength Differences in Geriatric Subjects with and without Hand Diseases
Koji Takamoto1, Yutaka Morizaki1, Akira Fukuda2
1Department of Orthopedic Surgery, NTT Medical Center Tokyo, Shinagawa, Tokyo, Japan.
Progress in Rehabilitation Medicine
|September 22, 2023
Summary
Untreated hand diseases significantly reduce grip strength in older adults, potentially skewing diagnoses of sarcopenia and frailty. This highlights the need to consider hand health when assessing geriatric patients.
Area of Science:
- Geriatric Medicine
- Orthopedics
- Sarcopenia Research
Background:
- Hand grip strength is a key diagnostic indicator for sarcopenia and frailty in the elderly.
- Untreated hand conditions may affect grip strength measurements.
- Geriatric assessment often relies on accurate grip strength data.
Purpose of the Study:
- To determine the impact of untreated hand diseases on hand grip strength in individuals aged 65 and older.
- To test the hypothesis that untreated hand diseases lead to reduced grip strength.
- To evaluate potential biases in sarcopenia and frailty screening due to hand pathology.
Main Methods:
- A cohort of 240 adults aged 65+ was recruited.
- Participants were categorized into two groups: with and without typical hand diseases.
- Grip strength was compared between groups (disease vs. control) for men and women using t-tests.
Main Results:
- Individuals with untreated hand diseases demonstrated significantly lower grip strength compared to controls.
- This reduction in grip strength was observed in both men and women within the hand disease group.
- Statistical analysis confirmed a significant difference between the groups.
Conclusions:
- Untreated hand diseases negatively affect hand grip strength in older adults.
- This impact can introduce bias when using grip strength to screen for sarcopenia and frailty.
- Clinicians should account for hand disease presence when evaluating grip strength in geriatric populations.

