Grip Ability Test in Rheumatoid Arthritis Patients: Relationship With Disease Activity and Hand-Specific Self-Report Questionnaires

Bircan, Çiğdem; Gündüz, Nihan Erdinç; Tekgül, Ayşegül; Cetin, P.; Önen, Fatoş; Kizil, Ramazan; Gülbahar, Selmin

doi:10.5606/tjr.2014.4590

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…Moreover, GAT was prolonged among RA hands. Current study results were matching with Bircan et al's [21] and Verma and his colleagues' [4] studies where GAT scores were seen affected in 95 % of the studied RA patients. These findings were in agreement with the findings of Silva et al [22] who found that the handgrip strength was weak among the patients with RA compared with the controls.…”

Section: Discussionsupporting

confidence: 90%

Value of musculoskeletal ultrasound in assessment of rheumatoid hand function

Safar

Zaki

Al-Zifzaf

et al. 2020

Egypt J Radiol Nucl Med

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Background Musculoskeletal ultrasound can be now considered a complement to physical examination in rheumatoid arthritis. This study evaluates the role of musculoskeletal ultrasound in assessment of rheumatoid hand function and underlying functional defects and disabilities in order to find out a possibly better tool for assessment. Results Hand grip weakness was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.045), wrist joint synovitis (p = 0.009), flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.001), flexor pollicis longus tendon tenosynovitis (p = 0.013). Hand function impairment by grip ability test was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.009), wrist joint synovitis (p = 0.004), and flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.042). Multiple linear regression analysis showed that the most influencing factor affecting grip ability test and hand grip strength was ulnar 4 Flexor tendons tenosynovitis (P = 0.023, P = 0.037) respectively. Conclusions Joint synovitis and tenosynovitis that are detected by musculoskeletal ultrasound can be used as an assessment tool for hand function in rheumatoid arthritis, since they are associated with reduced hand grip strength and impaired hand ability.

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Section: Discussionsupporting

confidence: 90%

Value of musculoskeletal ultrasound in assessment of rheumatoid hand function

Safar

Zaki

Al-Zifzaf

et al. 2020

Egypt J Radiol Nucl Med

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“…Hand dynamometer was used as an accurate method for assessment of HGS in normal children [7,8]. Among adults with rheumatoid arthritis (RA), studies suggested that HGS measured by dynamometer being a routine evaluation in these patients [9], and can be used as a measure for disease activity in patients with RA [10][11][12]. Evaluating HGS either subjectively or objectively in children with different rheumatic diseases including JIA has been previously studied [6,13,14].…”

Section: Introductionmentioning

confidence: 99%

Association of hand grip strength with disease activity, disability and quality of life in children and adolescents with Juvenile Idiopathic Arthritis

et al. 2018

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Background: Juvenile idiopathic arthritis (JIA) affects wrist and hand joints leading to decrease hand function and patients' daily living activities. The assessment of hand grip strength (HGS) in children and adolescents with JIA is of major importance, and the association of HGS with JIA disease activity, disability and quality of life has not been explored. The primary objective of this study was to evaluate hand grip strength (HGS) in children and adolescents with Juvenile Idiopathic Arthritis (JIA) compared to matched healthy peers. The secondary objective was to explore the relationship between HGS and JIA disease activity, disability, and quality of life. Methods: This study involved 23 patients with JIA and 46 age and sex matched healthy controls. Hand held dynamometer was used to evaluate HGS for all study participants. Anthropometric parameters for all study participants were measured. Disease activity, physical function, and quality of life were assessed for the JIA group using juvenile arthritis disease activity score (JADAS-27), juvenile arthritis functionality scale (JAFS), and pediatric quality of life inventory (PedsQL) respectively. Laboratory marker of inflammation, erythrocyte sedimentation rate (ESR), and plain radiography of hands were performed for all patients. Results: Hand grip strength of children and adolescents with JIA was significantly weaker compared to matched controls (p < 0.001). Hand grip strength had a significant inverse correlation with JADAS-27 (r = − 0.467, p = 0.025), JAFS (r = − 0.650, p = 0.001) and a significant direct correlation with PedsQL (r = 0.438, p = 0.036). In addition, HGS was negatively correlated with ESR and duration of morning stiffness (r = − 0.489, p = 0.018 and r = − 0.201, p = 0.359, respectively). HGS was detected as an independent predictor of disease activity, disability, and quality of life in JIA patients in multivariate linear regression. Conclusions: Assessment of HGS could be a simple non-invasive tool for assessing disease activity, disability and quality of life in JIA patients in clinical practice.

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“…The articles in the review were based on 19 independent studies of people with RA. Fifteen of the 20 articles (75%) were cross‐sectional , 2 were case‐control , and 3 were cohort studies . Case‐control and cohort studies included in this review presented cross‐sectional data on the association between factors and hand function, therefore all studies were considered to be cross‐sectional, resulting in limited evidence in the best‐evidence synthesis.…”

Section: Resultsmentioning

confidence: 99%

“…After 4 consensus meetings, no disagreement persisted, and a third reviewer was not required to achieve consensus. Overall quality, assessed by the reviewers as the total percentage of quality appraisal items endorsed for each study, was high (≥60%) for 5 studies (25%) . The mean quality score for the 20 included articles was 49.5% (range 25–75%).…”

Section: Resultsmentioning

confidence: 99%

Factors Associated With Hand and Upper Arm Functional Disability in People With Rheumatoid Arthritis: A Systematic Review

Alkabeya

Hughes

Adams

2019

Arthritis Care & Research

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Objective. This original systematic review aimed to summarize evidence within observational studies on the factors associated with hand functional disability in adults with rheumatoid arthritis (RA).Methods. A rigorous extensive systematic literature search was conducted in 6 medical databases for peerreviewed English language observational studies that explore the factors associated with hand function for people with RA. Factors were critically classified under the domains of the International Classification of Functioning, Disability and Health (ICF) framework and health-related factors. The methodologic quality was determined using the appraisal tool for cross-sectional studies. Factors related to hand function that were investigated in ≥2 studies were explored using a best-evidence synthesis.Results. Twenty articles from 1,271 citations met the inclusion criteria. All presented cross-sectional data (5 high-quality and 15 low-quality articles), resulting in limited evidence in the best-evidence synthesis. For the factors classified under the ICF domains, the best-evidence synthesis indicated that a diverse range of positive and negative factors were associated with hand function. However, key factors were hand strength, disease activity, and pain intensity. It is evident that few sociodemographic factors have been explored for the association with hand function.Conclusion. Although the level of evidence was limited, modifiable factors such as grip strength, disease activity, and pain were identified as the most influential factors on hand function in people with RA. The findings of the present review indicate that important sociodemographic factors that impact hand function in individuals with RA have not yet been considered or reported in clinical research.Presented by Mr. Arab Alkabeya in partial fulfillment of the requirements for a

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Grip Ability Test in Rheumatoid Arthritis Patients: Relationship With Disease Activity and Hand-Specific Self-Report Questionnaires

Cited by 5 publications

References 27 publications

Value of musculoskeletal ultrasound in assessment of rheumatoid hand function

Value of musculoskeletal ultrasound in assessment of rheumatoid hand function

Association of hand grip strength with disease activity, disability and quality of life in children and adolescents with Juvenile Idiopathic Arthritis

Factors Associated With Hand and Upper Arm Functional Disability in People With Rheumatoid Arthritis: A Systematic Review

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