The effect of hand osteoarthritis on grip and pinch strength and hand function in postmenopausal women

Bagis, Selda; Şahin, Günşah; Yapici, Yasemin; Çimen, Özlem Bölgen; Erdoğan, Canan

doi:10.1007/s10067-003-0792-4

Cited by 117 publications

(107 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies support an association of advanced age, female sex, family history, and increased BMI with CMC OA [2,6,16,30]. Pinching tasks are especially uncomfortable for patients with early OA, and patients with CMC and distal interphalangeal arthritis have been shown to have lower pinch and grip strength [1,5,8,17,24]. The extent to which this weakness during functional tasks informs the diagnosis of early CMC OA has been preliminary but not rigorously quantified in the literature [15,22].…”

Section: Introductionmentioning

confidence: 99%

Weaker Functional Pinch Strength Is Associated With Early Thumb Carpometacarpal Osteoarthritis

McQuillan

Kenney

Crisco

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background The thumb carpometacarpal (CMC) joint orchestrates pinch in its various positions, and thumb CMC osteoarthritis (OA) is a major source of orthopaedic morbidity. Self-reported pain, weakness, and physical examination may not correspond to radiographic findings when diagnosing early thumb CMC OA. Weakness is a prominent feature of the disease, but little evidence exists to quantify self-reported loss of strength with time, or to compare weakness with that of a nonarthritic population during early disease. Questions/purposes We asked: (1) Is pinch strength in subjects with early thumb CMC OA less than that in asymptomatic control subjects; and (2) weakness in which pinch position (key, tripod, or tip pinch) has the strongest association with early OA diagnosis? Methods For this case-control study, we recruited 23 subjects who were asymptomatic and 91 with early OA for comprehensive history, physical examination, strength measurements, pain surveys, and radiographic evaluation. We used multivariate logistic regression to quantify the association between declining pinch strength and early OA diagnosis after controlling for age, sex, and BMI. This analysis was performed for three different pinch positions (key, tripod, and tip pinch) to evaluate which measurement was most closely associated with diagnosis. Results Pinch strength was less in patients with early thumb CMC OA. Key pinch had the most robust association with OA diagnosis, in which a 20% decrease in key pinch strength from the control subjects' baseline was associated with a 10% increase in the OA diagnosis (95% CI, 3%-16%; p = 0.004). This had a stronger association with OA diagnosis than tip pinch, in which a 20% decrease in strength was associated with a 6% increase in early CMC OA (95% CI, 1.0%-11%; p = 0.031). Tripod pinch also was associated to a lesser extent; a 20% reduction in tripod pinch led to a 5% increase in OA (95% CI, 1.3%-9%; p = 0.048). Conclusions Decreasing pinch strength, especially key pinch, is associated with early CMC arthritis before the development of extensive radiographic disease.

show abstract

Section: Introductionmentioning

confidence: 99%

Weaker Functional Pinch Strength Is Associated With Early Thumb Carpometacarpal Osteoarthritis

McQuillan

Kenney

Crisco

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…The first CMC joint is frequently affected by osteoarthritis (OA), a degenerative condition resulting in deterioration of the joint surfaces and eventual bone remodeling. 2 The consequence of CMC joint OA is severe pain, leading to considerable limitations in function and disability, and a substantial societal burden. 2,15,42,44 Patients with CMC joint OA represent the cohort of individuals with upper extremity arthritis most likely to undergo surgical intervention.…”

mentioning

confidence: 99%

“…2 The consequence of CMC joint OA is severe pain, leading to considerable limitations in function and disability, and a substantial societal burden. 2,15,42,44 Patients with CMC joint OA represent the cohort of individuals with upper extremity arthritis most likely to undergo surgical intervention. 3 However, previous studies examining the effectiveness of surgical intervention have reported varied levels of benefits in terms of pain reduction and improved function, and have demonstrated an adverse event rate of between 10% and 22%, depend-T T STUDY DESIGN: Double-blind, randomized controlled trial.…”

mentioning

confidence: 99%

The Effectiveness of a Manual Therapy and Exercise Protocol in Patients With Thumb Carpometacarpal Osteoarthritis: A Randomized Controlled Trial

Villafañe¹,

Cleland²,

Fernández‐de‐las‐Peñas³

2013

J Orthop Sports Phys Ther

128

View full text Add to dashboard Cite

“…Many studies have reported that grip strength is negatively affected by various forms of arthritis [28][29][30][31][32]. A study by Bagis et al (2003) scores of those with osteoarthritis on both hands were significantly lower than those without osteoarthritis and would meet the sarcopenia criteria used by the EWGSOP for muscular strength (grip strength <20kg) [6]. Therefore, since a cut-point of <20kg…”

Section: Discussionmentioning

confidence: 99%

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

Renna

Slezak

Mahoney

et al. 2016

Medicine & Science in Sports & Exercise

View full text Add to dashboard Cite

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

show abstract

The effect of hand osteoarthritis on grip and pinch strength and hand function in postmenopausal women

Cited by 117 publications

References 15 publications

Weaker Functional Pinch Strength Is Associated With Early Thumb Carpometacarpal Osteoarthritis

Weaker Functional Pinch Strength Is Associated With Early Thumb Carpometacarpal Osteoarthritis

The Effectiveness of a Manual Therapy and Exercise Protocol in Patients With Thumb Carpometacarpal Osteoarthritis: A Randomized Controlled Trial

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

Contact Info

Product

Resources

About