The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis

Dedeoğlu, Meryem

doi:10.5606/tjr.2013.2742

Cited by 33 publications

(42 citation statements)

References 24 publications

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“…Several previous studies have reported weak to moderate correlations between disease activity and hand or upper extremity disability; however, hand disability was assessed with selfreport questionnaires, not by GAT, in these studies. 24,[26][27][28][29] In a study by Eberhardt et al,18 in which GAT was used to evaluate hand disability, GAT was not significantly associated with disease activity. The authors considered that this might have resulted from the fact that most of their patients already had severe hand dysfunction.…”

Section: Discussionmentioning

confidence: 95%

“…Muscle strength has been reported to be lower in RA patients compared to healthy controls. 21,22 Significant correlations between grip strength and general disability, 23,24 as well as hand dysfunction, 20,24 have been found in studies where hand function was evaluated by methods other than GAT. In our study, GAT correlated significantly with both dominant and non-dominant hand grip strength.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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Objectives:The aim of this study was to investigate the relationship between the Grip Ability Test (GAT) and disease activity, and hand-specific self-report questionnaires in patients with rheumatoid arthritis (RA). Patients and methods:The study included 65 RA patients (55 females, 10 males; mean age 55±11 years; range 24 to 74 years) who were diagnosed according to the American College of Rheumatology/European League Against Rheumatism 2010 criteria. Duration of disease and duration of morning stiffness were recorded. The number of tender and swollen joints and hand deformities were identified. A 100-mm visual analog scale (VAS) was used to assess the intensity of pain at rest and pain during activities of daily living, and stiffness. The grip strength was measured in both hands by a Jamar dynamometer. Flexion deficit in fingers II-V was recorded as the distance from the distal palmar crease to the tip of the fingers. The disease activity was measured with the Disease Activity Score 28. Health Assessment Questionnaire, hand and finger function subscale of Arthritis Impact Measurement Scale 2, and Duruoz Hand Index were completed by all patients. Results: The mean duration of disease was 10.2±8.2 years (range 1 to 42 years). Significant positive correlations were found between GAT score and duration of morning stiffness, VAS-pain during activities of daily living, VAS-stiffness, finger flexion deficit of dominant hand, Disease Activity Score 28, Health Assessment Questionnaire, Arthritis Impact Measurement Scale 2 hand/finger function subscale, and Duruoz Hand Index (r=0.261 to 0.639, p<0.05). There were significant negative correlations between the GAT score and dominant (r= -0.505, p<0.001) and non-dominant hand (r= -0.399, p=0.001) grip strength. No significant correlation was found between the GAT and duration of disease, and VAS-pain at rest. Conclusion: Weak to moderate correlations were found between the GAT and disease activity, and hand-specific self-report questionnaires in patients with RA. An evaluation of patients using a performance-based test such as GAT as well as clinical and laboratory assessments may provide important additional information about the patients' hand disability.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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“…Therefore in individuals with RA, grip strength and pinch strength are decreased and are affected by many aspects of RA . Although this study showed that RA affects grip strength scores, it does not address the most common form of arthritis, OA, and also used both men and women (Dedeoğlu et al, 2013).…”

Section: Arthritis and Grip Strengthmentioning

confidence: 99%

“…Various forms of arthritis have been evaluated on their effect on grip strength including the most common forms (OA, RA, FM, gout) (Bagis et al, 2003;Burke et al, 2015;Dedeoğlu et al, 2013;Kemmler et al, 2015;Koca et al, 2016;Panton et al, 2006). In a case-control study conducted by Panton, et al (2006), that study evaluated how FM affected muscular strength and physical functioning.…”

Section: Arthritis and Grip Strengthmentioning

confidence: 99%

“…It is considered a valid measure of overall muscular strength and is predictive of health outcomes including frailty, disability, and mortality Rantanen et al, 1999a;Visser, Deeg, Lips, Harris, & Bouter, 2000). However, functional limitations from diseases in the hand such as arthritis are known to be associated with decreased grip strength scores (Bagis, Sahin, Yapici, Cimen, & Erdogan, 2003;Dedeoğlu, Gafuroğlu, Yilmaz, & Bodur, 2013;Kemmler et al, 2015;Koca et al, 2016). The limited hand functionality due to arthritis may therefore influence sarcopenia classification via grip strength measures despite adequate muscular strength in other major muscle groups and physical functioning.…”

Section: Introductionmentioning

confidence: 99%

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Relationship Between Arthritis And Muscular Strength In Older Women With Symptoms Of Sarcopenia

Renna

Slezak

Mahoney

et al. 2016

Medicine & Science in Sports & Exercise

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Grip strength has been identified as a valid predictor of frailty and disability and has been shown to be a cost-effective method to assess muscular strength in older populations. Grip strength is also used in working definitions for sarcopenia classification. However, various forms of arthritis have been shown to negatively impact grip strength scores, which could potentially lead to misclassification. Therefore, the aim of this study was to investigate if hand arthritis is related to sarcopenia classification in a group of older women with or without symptoms of sarcopenia and if arthritis is related to upper and lower body muscular strength.Sarcopenia status was based on established working definitions that use grip strength or chair stands, physical function, body composition measures in a sample of 61 (71.9±4.6) and a sub-sample of 25 (72.3±4.6 years) older women. Arthritis status was based on self-report and grip strength was measured using a hand dynamometer.Upper body muscular strength was assessed with a one repetition maximum (1RM) test on a chest press machine, while lower body muscular strength was assessed with a 1RM test on a leg press machine. Characteristics of both samples were expressed as mean±SD and frequencies. A Fisher's exact test assessed the relationship between non-specific arthritis and hand arthritis to sarcopenia status. Pearson's correlation coefficients were used to assess the strength of the relationship between grip strength, chest press 1RM (CP1RM), and leg press 1RM (LP1RM) in those with hand arthritis and non-specific arthritis. Non-specific arthritis and hand arthritis were not related to sarcopenia status (p=0.36, p=0.44). There was no relationship between grip strength and CP1RM, grip strength and LP1RM, and CP1RM and LP1RM for those with nonspecific arthritis or hand arthritis. Although non-specific arthritis and hand arthritis were not related to sarcopenia status via grip strength or failure to complete a single chair stand in this sample, studies with larger sample sizes should be done to assess how arthritis is related to sarcopenia status in older women and what forms are related to sarcopenia status.iv ACKNOWLEDGMENTS

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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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The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis

Cited by 33 publications

References 24 publications

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

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

Relationship Between Arthritis And Muscular Strength In Older Women With Symptoms Of Sarcopenia

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

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