American Society of Hand Therapists

Fess, Elaine Ewing

doi:10.1016/s0363-5023(83)80141-5

Cited by 256 publications

(295 citation statements)

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“…Standardized positioning of patients for grip strength measurements, according to the American Society of Hand Therapists 8 (ASHT) indicates that "the patient should be seated with his shoulder adducted and neutrally rotated, elbow flexed at 90°a nd the forearm and wrist in neutral position." Measuring grip strength with extended elbow, as we did, may reflect a more sensitive outcome for patients with lateral epicondylitis, 30,31 although it limits comparability with the recommended standardized positioning method for grip strength.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, ASHT recommended that "the second handle position of the dynamometer should be used when evaluating grip strength" and "the mean of three successive trials should be used as the outcome measure of grip strength." 8 In our study, the handle position of the Jamar dynamometer was adjusted to the hand size of the patient and standardized for each measurement.…”

Section: Discussionmentioning

confidence: 99%

“…Several authors [7][8][9][10][11][12][13] have recommended the use of the pressure pain threshold meter in clinical practice and research. Interobserver reliability of pressure pain threshold measurements has been reported as satisfactory in healthy subjects [14][15][16] and in patients with myofascial trigger points.…”

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confidence: 99%

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Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis

Smidt

Windt

Assendelft

et al. 2002

Archives of Physical Medicine and Rehabilitation

253

159

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ABSTRACT. Smidt N, van der Windt DA, Assendelft WJ, Mourits AJ, Devillé WL, de Winter AF, Bouter LM. Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis. Arch Phys Med Rehabil 2002;83:1145-50.Objective: To evaluate the interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis in primary care.Design: Two physiotherapists assessed independently, and in randomized order, the severity of complaints scored on an 11-point numeric rating scale, pain-free grip strength, maximum grip strength, and pressure pain threshold.Setting: Primary care center in the Netherlands. Participants: Fifty patients were assessed by both physiotherapists.Interventions: Not applicable. Main Outcome Measures: Intraclass correlation coefficients (ICCs) and 95% confidence intervals (CIs) were calculated to assess interobserver reliability. The Bland and Altman method was used to assess interobserver agreement, which included calculation of the mean difference between the observers (d ), the 95% CI for d, the standard deviation of the differences, and the 95% limits of agreement. Finally, the smallest detectable difference (SDD) was calculated.Results: The ICC for the severity of complaints was .90. The ICCs for the pain-free grip strength and maximum grip strength were .97 and .98, respectively. The pressure pain threshold showed a lower reliability (ICCϭ.77). The interobserver agreement for all outcome measures was good, but systematic differences in assessment between the physiotherapists were found for the maximum grip strength and pressure pain threshold. For pressure pain threshold, the SDD was clearly larger than the predefined acceptable difference of 10% of the total range of measurement.Conclusions: The interobserver reliability of severity of complaints and grip strength was excellent, whereas the pressure pain threshold showed unsatisfactory reliability. Grip strength and overall assessment of the severity of complaints are useful and reliable measures for the assessment of lateral epicondylitis. Pain-free grip strength, in particular, is relatively easy to perform and has been shown to be associated with other measures of functional disability in patients with lateral epicondylitis. We, therefore, recommend the use of pain-free grip strength in both research and clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis

Smidt

Windt

Assendelft

et al. 2002

Archives of Physical Medicine and Rehabilitation

253

159

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“…On the other end the American Society for Surgery of the Hand (ASSH) and the American Society of Hand Therapists (ASHT) 16 have standardized positioning, instruction and calculation of HGS. The vitality of ASSH assessment of hand grip strength had been evaluated.…”

Section: Subject Participantsmentioning

confidence: 99%

Comparing BMI and hand grip strength of Tsinghua University Beijing and University of Sindh Pakistan students

Rafique¹,

Bing²,

Ansari³

et al. 2014

IOSRJSPE

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“…The procedure was performed according to the recommendations of the American Society of Hand Therapists (ASHT) (13). The dominant side was measured thrice, and the mean of the three measures was recorded.…”

Section: Methodsmentioning

confidence: 99%

Muscle strength, lower extremity functional performance and body composition in elderly women with mild cognitive impairment

et al. 2017

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Introduction: Mild cognitive impairment (MCI) is characterized by subjective memory complaints and is considered an intermediate stage between normal and pathological cognitive function. The decline in cognitive function may be associated with low functional performance and alterations in body composition in older adults. Objective: To assess muscle strength, lower extremity functional performance and body composition in elderly women with MCI. Methods: Forty-three elderly women (aged 60-80 years) participated in the study. Participants were divided into two groups: elderly women with MCI (n = 19) and elderly women without MCI (n = 24). To diagnose MCI, we used the instruments proposed by Petersen et al. According to it, the subjects had to have memory complaints that had no effects on basic or instrumental activities of daily living. Muscle strength was assessed via palmar grip strength (PGS) using a dynamometer (Jamar®) and knee extension strength (KES) was assessed using the one-repetition maximum test (1-RM). Lower extremity (LE) functional performance was assessed using the Short Physical Performance Battery (SPPB) and body composition was measured using biometrical impedance analysis (Biodynamics Model 310). Results: There was a significant difference in muscle strength between groups. The group with MCI had lower PGS

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American Society of Hand Therapists

Cited by 256 publications

References 0 publications

Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis

Interobserver reproducibility of the assessment of severity of complaints, grip strength, and pressure pain threshold in patients with lateral epicondylitis

Comparing BMI and hand grip strength of Tsinghua University Beijing and University of Sindh Pakistan students

Muscle strength, lower extremity functional performance and body composition in elderly women with mild cognitive impairment

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