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Population Norms for Hand Grip and Precision Grip Strengths in Polish Children and Adolescents Aged 3-19
Michał Górecki1, Marta Kazarców1, Agnieszka Protasewicz1
1Department of Traumatology, Orthopaedics and Hand Surgery, Poznań University of Medical Sciences, 61-545 Poznań, Poland.
Insights
This study establishes grip strength norms for Polish children aged 3-19. Grip strength increases with age and is higher in boys and the right hand, providing essential data for healthcare professionals.
Area of Science:
- Pediatrics
- Physiotherapy
- Human Anatomy
Background:
- Normative data for hand and precision grip strength are crucial for assessing development, rehabilitation effectiveness, and treatment outcomes.
- Polish physiotherapists and physicians require established grip strength norms for Polish children to effectively treat upper limb conditions.
- This study addresses the need for localized grip strength data in a specific pediatric population.
Purpose of the Study:
- To establish normative values for hand and precision grip strengths in Polish children and adolescents aged 3 to 19 years.
- To provide a reference standard for evaluating grip strength in the Polish pediatric population.
- To aid in the diagnosis and management of upper limb conditions in children.
Main Methods:
- A sample of 358 children and adolescents (aged 3-19) without upper limb injuries or defects were recruited from diverse geographical settings in Poland.
- Grip strength, including pincer, three-point, side, and opposition grips, was measured using a hand dynamometer and pinchmeter.
- Data collection occurred between 2012 and 2023, ensuring a contemporary dataset.
Main Results:
- Grip strength demonstrated a positive correlation with chronological age across all tested grip types and both genders.
- Boys exhibited higher grip strength compared to girls, and the right hand showed greater strength than the left (difference <10%).
- Detailed normative data, including standard deviations, were presented in tables categorized by age and sex.
Conclusions:
- Normative grip strength values for Polish children and adolescents (3-19 years) have been successfully established.
- These norms enable clinicians to compare Polish pediatric patients against healthy, age- and sex-matched peers.
- The findings support improved clinical assessment and treatment planning for pediatric upper limb conditions in Poland.
Abstract:
Background: Normative data on hand and precision grip strengths are essential for evaluating the level of development, the efficacy of rehabilitation, and treatment results. The need for established norms of grip strength in Polish children is one of the problems that Polish physiotherapists and physicians face when treating upper limbs. The aim was to establish normative values of hand and precision grips strengths in Polish children and adolescents aged 3-19. Methods: In the years 2012-2023, a sample of 358 children and adolescents with no history of upper limb injuries or congenital upper extremity defects were randomly chosen from kindergartens, primary schools, middle schools, and high schools. They were living in urban agglomerations and in smaller towns or villages. Hand and precision grips like the pincer, three-point, side, and opposition grip strength were assessed using a hand dynamometer and pinchmeter in standard positions. Results: The strength in all types of examined hand grips increases with chronological age in both genders. The grip strength was higher in the boys' group than in the girls' and it was higher in the right hand than in the left, but the difference was no more greater than 10%. Detailed data with standard deviation were presented in the form of a table, divided by age and sex. Conclusions: Norms for grip strength were provided for Polish children and adolescents aged 3-19, allowing therapists and physicians to compare Polish patients with that of normally developed, healthy children of the same age and sex.
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