Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: The Swedish TIRA project

Thyberg, Ingrid; Hass, Ursula; Nordenskiöld, Ulla; Gerdle, Björn

doi:10.1002/art.21595

Cited by 59 publications

(47 citation statements)

References 35 publications

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“…Additionally, three studies reported a significant correlation between grip strength and arm circumference and arm strength [15,28,30] and two studies reported a significant correlation between grip strength and jumping strength [9,16]. Also, several studies reported a significant association between grip strength and physical fitness or health status [1,7,22,36,40]. Based on present literature in the clinical setting, grip strength might serve as a general indicator for general muscle strength; however, the prediction of total muscle strength from grip strength might result in some inaccuracies on the individual level.…”

Section: Discussionmentioning

confidence: 96%

Is grip strength a predictor for total muscle strength in healthy children, adolescents, and young adults?

et al. 2009

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The primary purpose of this study was to examine whether grip strength is related to total muscle strength in children, adolescents, and young adults. The second purpose was to provide reference charts for grip strength, which could be used in the clinical and research setting. This cross-sectional study was performed at primary and secondary schools and the University of Applied Sciences. Three hundred and eighty-four healthy Dutch children, adolescents, and young adults at the age of 8 to 20 years participated. Isometric muscle strength was measured with a handheld dynamometer of four muscle groups (shoulder abductors, grip strength, hip flexors, and ankle dorsiflexors). Total muscle strength was a summing up of shoulder abductors, hip flexors, and ankle dorsiflexors. All physical therapists participated in a reliability study. The study was started when intratester and intertester reliability was high (Pearson correlation coefficient >0.8). Grip strength was strongly correlated with total muscle strength, with correlation coefficients between 0.736 and 0.890 (p < 0.01). However, the correlation was weaker when controlled for weight (0.485-0.564, p < 0.01). Grip strength is related to total muscle strength. This indicates, in the clinical setting, that grip strength can be used as a tool to have a rapid indication of someone's general muscle strength. The developed reference charts are suitable for evaluating muscle strength in children, adolescents, and young adults in clinical and research settings.

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Section: Discussionmentioning

confidence: 96%

Is grip strength a predictor for total muscle strength in healthy children, adolescents, and young adults?

et al. 2009

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“…udo wod nio no zwią -zek po mię dzy si łą chwy tu a ogra ni cze niem ak tyw ności rucho wej cho rych na RZS [15]. W związ ku z tym mo żna za ło żyć, że zwięk sze nie si ły uchwy tu mo że pro wa dzić do po pra wy ja ko ści ży cia i spraw no ści wy ko ny wa nia czyn no ści dnia co dzien ne go.…”

Section: Discussionunclassified

“…Thyberg et al demonstrated a correlation between grip force and limitation of activity in patients with RA [15]. Therefore, hand strength improvement measured by grip force might result in improved quality of life and ability to cope with daily activities.…”

Section: Discussionmentioning

confidence: 99%

The use of Kinesiology Taping method in patients with rheumatoid hand – pilot study

Szczegielniak¹,

Łuniewski²,

Bogacz³

et al. 2012

Ortopedia, traumatologia, rehabilitacja

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STRESZCZENIEWstęp. Reu ma to idal ne Za pa le nie Sta wów (RZS) naj czę ściej obej mu je ma łe sta wy rąk i stóp. Do ty po wych de for ma cji wyni ka ją cych z prze bie gu cho ro by na le ży za li czyć: ulna ry za cję rę ki, pal ce bu to nier ko wa te, pal ce "ła bę dziej szyj ki", przy kur cze i ogra ni cze nie ru cho mo ści w ob rę bie sta wów rąk i nad garst ków, za ni ki krót kich i dłu gich mię śni rę ki. Te ma tem pra cy jest wpływ za sto so wa nia me to dy Kinesiology Ta pin gu na funk cję rę ki pa cjen tów z Reu ma to idal nym Za pa le niem Sta wów.Ma te riał i me to dy. Ba da nia mi ob ję to 20 cho rych (16 ko biet, 4 mę żczyzn) z RZS, le czo nych w Sa mo dziel nym Pu blicznym Ze spo le Szpi ta li Pul mo no lo gicz no -Reu ma to lo gicz nych z sie dzi bą w Kup. Wiek cho rych wy no sił śred nio 62,2 lat. Ba dani, po za le cze niem far ma ko lo gicz nym w od dzia le reu ma to lo gicz nym, pod da ni zo sta li stan dar do wej fi zjo te ra pii. U 10 cho rych do ko na no po nad to apli ka cji ta śmy K -Ac ti ve Ta pe, w ce lu ko rek cji do łok cio we go usta wie nia rę ki i uspraw nie nia funk cji rę ki. Przed przy stą pie niem do fi zjo te ra pii u wszyst kich cho rych wy ko na no test funk cjo nal ny rę ki i do ko na no po mia ru za po mo cą dy na mo me tru. Ba da nia po wtó rzo no po za koń czo nym cy klu uspraw nia nia trwa ją cym 2 ty go dnie. Wy ni ki pod da no ana li zie staty stycz nej za po mo cą te stu istot no ści ko lej no ści par Wil co xo na oraz te stem U Man na -Whit ney'a. Ba da nie za le żno ści za chodzą cych po mię dzy ana li zo wa ny mi pa ra me tra mi, zo sta ło wy ko na ne za po mo cą te stu ko re la cji li nio wej.Wy ni ki. W gru pie cho rych, u któ rych za sto so wa no apli ka cję Ki ne sio lo gy Ta pin gu istot nie zwięk szy ła się si ła mię śni rę ki (p<0,05) w po rów na niu do gru py cho rych pod da nych stan dar do wej fi zjo te ra pii. Wzrost si ły mię śni rę ki ko re lo wał z szyb ko ścią wy ko na nia te stu funk cjo nal ne go rę ki (r>0,8).Wnio sek. Uzy ska ne wy ni ki su ge ru ją przy dat ność me to dy Ki ne sio lo gy Ta pin gu w fi zjo te ra pii rę ki reu ma to idal nej. Słowa kluczowe: fizjoterapia, Kinesiology Taping, Reumatoidalne Zapalenie Stawów SUMMARYBackground. Rheumatoid arthritis (RA) most frequently affects smaller joints in the hands and feet. The most common deformities seen in the course of the disease include ulnar deviation, Boutonniere deformity, swan neck deformity, contractures and limited range of movement in the hand and wrist joints, and atrophy of long and short muscles. This article discusses the effect of Kinesiology Taping on hand function in patients with rheumatoid arthritis.Material and methods. The study involved 20 patients with rheumatoid arthritis (16 women, 4 men), treated in the Hospital in Kup. The average age of the patients was 62.2 years. Apart from medication therapy at the rheumatology ward, the patients received standard physiotherapy. In 10 patients, K-Active Tape applications were additionally used to correct ulnar positioning of th...

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“…The Swedish TIRA project This study was conducted in association with the Swedish multi-centre early intervention project TIRA [1,3,5,16,18,33]. In total, 320 patients with recent-onset (≤1 year) RA who fulfilled ≥4 of 7 RA classification criteria or at least morning stiffness ≥60 min, symmetrical arthritis and arthritis of small joints were included in the TIRA cohort during 1996-1998.…”

Section: Methodsmentioning

confidence: 99%

Potential of the HAQ score as clinical indicator suggesting comprehensive multidisciplinary assessments: the Swedish TIRA cohort 8 years after diagnosis of RA

et al. 2012

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This study explores the potential of the health assessment questionnaire (HAQ) score as a clinical indicator that can be used to suggest comprehensive multidisciplinary assessments, by relating it to more general aspects of disability. In a cohort of 132 patients with early RA (mean age 55, 68% women), 28 joint count Disease Activity Scores (DAS-28), HAQ, and Short Form 36 (SF-36) scores were registered at annual follow-up visits 8 years after diagnosis. The patients were tentatively sub-grouped into a high-HAQ group (HAQ ≥ 1 at the 8-year follow-up) and a low-HAQ group. The high-HAQ group, comprising 36% of the cohort, had a higher mean HAQ score at inclusion and beyond at all visits compared to the low-HAQ group, and 24% of all individual patients in the high-HAQ group had a HAQ score ≥ 1 at inclusion. Although the DAS-28 improved in both groups, patients in the high-HAQ group also had significantly more persistent disability according to the SF-36: five scales at each follow-up visit and all eight scales at the majority of the visits. Individual RA patients with HAQ ≥ 1 probably have considerable persistent disabilities according to the SF-36. The HAQ score could be used as a clinical indicator suggesting comprehensive multidisciplinary assessments of the components of disability and corresponding interventions, in addition to the established use of HAQ at group levels and in parallel with the medication strategy based on DAS-28.

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Activity limitation in rheumatoid arthritis correlates with reduced grip force regardless of sex: The Swedish TIRA project

Cited by 59 publications

References 35 publications

Is grip strength a predictor for total muscle strength in healthy children, adolescents, and young adults?

Is grip strength a predictor for total muscle strength in healthy children, adolescents, and young adults?

The use of Kinesiology Taping method in patients with rheumatoid hand – pilot study

Potential of the HAQ score as clinical indicator suggesting comprehensive multidisciplinary assessments: the Swedish TIRA cohort 8 years after diagnosis of RA

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