Hand grips strength in athletic and non-athletic girls at different phases of menstrual cycle: an observational case–control study

Abstract

Background There are a significant number of female athletes competing at the highest levels of sport. But, women are still largely underrepresented in scientific literature. The female menstrual cycle is characterized by variations in circulating hormone levels, which may have an impact on performance. Aim This study aimed to assess the impact of hormonal changes through different menstrual cycle phases on hand grip strength, pulp pinch strength, three fingers pinch strength, and lateral pinch strength of athletic and non-athletic girls. Methods An observational case control study was conducted on forty post-pubertal girls, their ages ranged from 16 to 22 years old, and their body mass index (BMI) ranged from 18.5 to 25 kg/m2. They were divided into two groups: athletic group of twenty basketball and tennis players recruited from basketball and tennis teams at Mena Garden City Club, 6 October Club, and Shooting Club October and non-athletic group of twenty non-sportive undergraduate students from Faculty of Physical Therapy, Misr University for Science and Technology. Hand grip strength was evaluated by Jamar hand dynamometer, while pulp pinch strength, three fingers pinch strength, and lateral pinch strength were evaluated by Jamar pinch gauge through three different menstrual cycle phases (follicular, ovulatory and luteal phases). Results Statistical analysis demonstrated a significant increase in handgrip strength, pulp pinch strength, three fingers pinch strength, and lateral pinch strength in non-athletic group. Also, there was a significant increase in three fingers pinch strength and lateral pinch strength in athletic group during the ovulatory phase across the menstrual cycle (p < 0.05). But, there was a significant difference across menstrual phases in handgrip strength and pulp pinch strength in athletic group (p > 0.05). Conclusion Hormonal changes during menstrual cycle phases do not alter handgrip strength, pulp pinch strength performance for athletic girls. But, they alter hand grip strength, pulp pinch strength, three fingers, and lateral pinch grip strength performance for non-athletic girls. Trial registration The protocol of the study was registered in clinical trials.gov PRS (Protocol Registration and Result System (registration No.NCT06086262), Registered on 17 October 2023). The study received ethical approval from the Institutional Review Board of the Faculty of Physical Therapy at Cairo University prior to its beginning (approval No P.T.REC/012/003358) .