Protocolos de avaliação da força de preensão manual em indivíduos com artrite reumatoide: uma revisão sistemática

Abstract

Hand grip strength is a useful measurement for individuals with rheumatoid arthritis, since this disease is often associated with functional anomalies of the hands and a consequent reduction in muscular strength. Thus, the standardization of the test protocol is important in relation to make reproducible and reliable studies. The aim of this systematic review was to verify the parameters associated with the measurement of the hand grip strength in individuals with rheumatoid arthritis. The review was carried out according to the recommendations of PRISMA, based on the databases of the Web of Science and the Journals Website of the Brazilian governmental agency CAPES. The following inclusion criteria were established: articles whose themes involved dynamometry to measure the hand grip in adult patients with rheumatoid arthritis, published in English between 1990 and 2012. The articles were selected by two independent reviewers. Initially, 628 articles were identified, and in the final review only 40 were included in the qualitative synthesis, that is, those in which the main tool used to evaluate the hand grip strength was the Jamar®. In relation to the hand grip strength parameters feedback type, hand dominance, repetitions, contraction intensity, acquisition time and rest period many data are imprecise and were not detailed in the method description. It is clear that there is a need for the standardization of a protocol which establishes the type of dynamometer and the parameters to be evaluated and also takes into consideration the clinical conditions of patients with rheumatoid arthritis.

Type 2 diabetes mellitus is associated with increased risks of sarcopenia and pre-sarcopenia in Chinese elderly

“…Muscle strength was assessed by handgrip strength using a JAMAR Hydraulic Hand Dynamometer (Sammons Preston Rolyan, Chicago, IL, USA) in a standard posture as recommended by the American Society of Hand Therapist (ASHT)34. Handgrip strength measurement of each subject was done on both arms, repeated three times, and the maximum value was used.…”

Hand strength in patients with RA correlates strongly with function but not with activity of disease

“…Maximum strength was assessed after a 3-s sustained contraction; the average of 3 attempts at 1-min intervals was considered for analysis. During the tests, all participants received verbal feedback by means of the sentence "strength, strength, strength" [24,25]. Measurements included a) handgrip strength (HS) measured with a Jamar® hydraulic dynamometer at handle position 2, as established by the American Society of Hand Therapists (ASHT); results were recorded in kilogram-force (kgf ) [24], and b) pinch strength measured using a B&L Engineering® PG-30 pinch gauge, including 2-point tip-to-tip pinch strength (classic, between the thumb and index finger), lateral or key pinch strength (between the pad of the thumb and the lateral surface of the middle phalanx of the index finger), and 3-point pinch strength (between the thumb, index, and middle fingers) [26].…”

Força de preensão manual em atletas de judô

“…Estudos relacionados à força manual têm sido realizados com diferentes populações de diversas faixas etárias em condições de saúde e diagnósticas variadas nos últimos anos [11][12][13][14][15][16] . No judô a avaliação da força de preensão manual foi examinada em relação à dominância por Paz et al 17 ; os autores avaliaram atletas de alto rendimento neste esporte e não observaram diferenças entre o membro dominante e não dominante, diferentemente dos resultados observados neste estudo, onde a mão dominante apresentou significativamente maior força em relação ao lado não dominante no grupo de faixas pretas (p=0,0006), sendo que os atletas eram amadores.…”