To establish normative data for hand grip strength amongst elderly

Authors

  • Ashu Sharma PG student, College of Physiotherapy, Sumandeep vidyapeeth
  • Neha Mukkamala Assistant professor, College of Physiotherapy, Sumandeep vidyapeeth
  • Lata Parmar Principal, College of Physiotherapy, Sumandeep vidyapeeth

DOI:

https://doi.org/10.70284/njirm.v9i6.2439

Keywords:

Elderly, Hand grip strength, Normative values

Abstract

BACKGROUND- Hand grip strength is good indicator of hand functions and muscle performance. Differences in HGS could be due to variation in environmental, genetic, nutritional, social and cultural factors. The present study establishes normative values of HGS using dynamometer amongst elderly.

METHODS- 539 healthy elderly subjects, both gender, ≥ 60 years, were included if GDS ≤ 2 and MMSE >25 from hospital campus and community. Grip strength was measured using JAMAR dynamometer. The elderly were segregated in to age groups 60-69, 70-79, & ≥80.

RESULTS- Data were normally distributed. The mean HGS was 21.49 kg and 12.82 kg of right hand and 20.47 kg and 11.99 kg of left hand in males & females respectively. ANOVA showed HGS of right and left to be significantly different within and between groups, indicating influence of age. Dominance and occupation showed no significant impact on HGS.

CONCLUSION- Mean grip strength in this study was significantly less than similar studies done in the west. HGS in males was significantly greater than females. Grip strength decreases with advancing age. Dominance & previous occupation of the elderly did not have impact on grip strength.

 Key Words: Elderly, Hand grip strength, Normative values

Author Biographies

Ashu Sharma, PG student, College of Physiotherapy, Sumandeep vidyapeeth

 

College of Physiotherapy, Sumandeep vidyapeeth

Neha Mukkamala, Assistant professor, College of Physiotherapy, Sumandeep vidyapeeth

 

College of Physiotherapy, Sumandeep vidyapeeth

 

Lata Parmar, Principal, College of Physiotherapy, Sumandeep vidyapeeth

 

College of Physiotherapy, Sumandeep vidyapeeth

 

References

1. Walankar P, Verma C. Mehta A. Study of hand grip strength in Indian population. International Journal of Health Sciences and Research. 2016; 6 (11):162-166.
2. Lam N W, Goh H T, Kamaruzzman S B, Chin A V, Poi P J, Tan M P. Normative data for hand grip strength and key pinch strength, stratified by age and gender for a multiethnic Asian population. Singapore Med J.2016 ; 57 (10): 578-584.
3. Nair KS. Aging muscle 1-5. Am J Clin Nutr. 2005; 81: 953–63.
4. Vidt M E, Daly M, Miller M E, Davis C C, Marsh A P, Saul K R. Characterizing upper limb volume and strength in older adults: A comparison with young adults. Journal of biomechanics. 2012; 45: 334-341.
5. Buckley C, Stokes M, Samuel D. Muscle strength, functional endurance, and health-related quality of life in active older female golfers. Aging Clin Exp Res.2018 Jul;30(7):811-818.
6. Roberts H C, Denison H J, Martin H J, Patel H P, Syddall H, Cooper C et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardized approach. Age and Ageing. 2011;40:423–429.
7. Taekema D G, Gussekloo J, Maier A B, Westendorp R G, De Craen A J. Handgrip strength as a predictor of functional, psychological and social health. A prospective population-based study among the oldest old. Age and Ageing. 2010; 39:331–337.
8. Jansen C W, Niebuhr B R, Coussirat D J, Hawthorne D, Moreno L, Phillip M. Hand force of men and women over 65 years of age as measured by maximum pinch and grip force. Journal of Aging and Physical Activity. 2008; 16: 24-41.
9. Hyatt R H, Whitelaw M N, Bhat A, Scott S, Maxwell J D. Association of Muscle Strength with Functional Status of Elderly People.Age and Ageing. 1990;19:330-336.
10. Norman K, Stobaus N, Gonzalez M C, Schulzke J D, Pirlich M. Hand grip strength : outcome predictor and marker of nutritional status. Clinical Nutrition. 2011; 30:135-142.
11. Kaur M. Age related changes in hand grip strength among rural and urban Haryanvi jat females. Journal of comparative human biology. 2009; (60): 441-450.
12. Massy-Westropp N M, Gill T K, Taylor A W, Bohannon R W, Hill C L. Hand Grip Strength: age and gender stratified normative data in a population-based study. BMC Research Notes. 2011; 4:127.
13. Josty I C, Tyler M P,Shewell P C, Roberts A H. Grip and pinch strength variations in different types of workers. Journal of Hand Surgery (British and European Volume 1997); 22 B (2): 266-269.
14. Vermeulen J, Neyens J C ,Spreeuwenberg M D, Rossum E V, Hewson D J , De Witte L P. Measuring Grip Strength in Older Adults: Comparing the grip-ball with the Jamar dynamometer. Journal of Geriatric Physical Therapy. 2015;38 (3):148–153.
15. Global health and ageing. World Health Organization. [Internet, cited July 7, 2018]. Available from http://www.who.int/ageing/publications/global_health.pdf.
16. Chatterji S, Kowal P, Mathers C, Naidoo N, Verdes E, Smith J P et al. The health of aging populations in China and India. Health affairs.2008; 27(4):1052-1063.
17. Liu K P, Chu M M. Grip strength and physical demand of previous occupation in a well-functioning cohort of Chinese older adults. Perceptual and Motor Skills.2006;103:14-20.
18. Desrosiers J, Bravo G, Rejean H,Dutil E. Normative data for grip strength of elderly men and women.The American Journal of Occupational Therapy.1995 ; 49 (7) : 637-643.
19. Bohannon R W, Peolsson A, Massy-Westtrop M, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006; 92: 11-15.
20. Zuboff S. Hand grip strength norms. [Internet, cited July 7, 2018]. Available from https://www.prohealthcareproducts.com/blog/hand-grip-strength-norms/.
21. Armstrong CA. Oldham J A.A comparison of dominant and non-dominant hand strengths. Journal of Hand Surgery (British and European Volume, 1999) 24B: 4: 421–425.
22. Noguchi T, Demura S, Aoki H. Superiority of the dominant and non-dominant hands in static strength and controlled force exertion. Perceptual and Motor Skills. 2009 ; 109 : 339-346

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Published

2018-12-31

How to Cite

Sharma, A., Mukkamala, N., & Parmar, L. (2018). To establish normative data for hand grip strength amongst elderly. National Journal of Integrated Research in Medicine, 9(6), 23–27. https://doi.org/10.70284/njirm.v9i6.2439

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Original Articles