Dynamometric measurement of hand grip and pinch strength as functional independency outcome in neuromuscular diseases
European Journal of Physical and Rehabilitation Medicine, cilt.61, sa.4, ss.632-644, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 61 Sayı: 4
- Basım Tarihi: 2025
- Doi Numarası: 10.23736/s1973-9087.25.09128-2
- Dergi Adı: European Journal of Physical and Rehabilitation Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, MEDLINE, Directory of Open Access Journals
- Sayfa Sayıları: ss.632-644
- Anahtar Kelimeler: Neuromuscular diseases, Hand strength, Muscle strength dynamometer
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: Hand function is critical for independence in activities of daily living (ADL). Resulting in debilitating conditions, neuromuscular disease (NMD) sufferers have loss of hand grip and pinch functions. AIM: We aimed to measure the grip strength, its impact on and correlation with functional independency in NMD patients. DESIGN: Retrospective analysis of correlations between cross-sectional observational tests. SETTING: Outpatients of NMD Center. POPULATION: Ninety-six people's files with NMD registered in the Center during the year 2024 are enrolled. Sample consist of four groups broadly; patients with motor neuron disease (10.4%), neuromuscular junctionopathies (16.7%), neuropathies (27.1%) and muscle pathologies (45.8%). METHODS: To investigate hand functions grip strength was measured with CAMRY electronic hand dynamometer and BASELINE hydraulic pinch gauge. ABILHAND NMD hand ability questionnaire and Barthel Index for activities in daily living (ADL) were recorded. Neurological examination and manual muscle testing were performed as a routine part of physical examination. Descriptive statistics, bivariate and multivariate correlation analysis between functional scores are accomplished. RESULTS: Mean of age was 44.3±19.7 years with a female/male ratio of 50%/50% in 96 subjects. Only myopathy group including 44 patients has 44±17.9 years mean of age and 47.7%/52.3% female/male ratio. Mean of Barthel scores was 90.7±18.5/91.9±20.3 in all patients/myopathies respectively. Independency scores were almost high by the mean of ABILHAND score 31.2±7.6/32.0±7.6 over 36 marks perhaps due to short timespan since diagnosis (10.13/10.38 months). There was significant correlation between Barthel scores and muscle testing, ABILHAND, dynamometric HGS, lateral and pinch grip measurements. CONCLUSIONS: Dynamometric measurements are objective, harmless, easily applicable and satisfactory continuation of physical examination. We pointed its reflecting effect of functional impairment status by the significant correlation between Barthel scores. CLINICAL REHABILITATION IMPACT: In such a vulnerable patient group it is important to determine the functional capacity and prediction of prognosis as a rehabilitation cult. Dynamometric evaluations strengthen our hand to step to the fore.