Normative values of handgrip and pinch strengths in healthy female college students in Riyadh, Saudi Arabia: a cross-sectional study

Normative Data of Grip Strength and Pinch Strength in the Indian Population

Background  There is no normative study of transregional grip strength data available from India. Hence, a multicenter study is designed to obtain reference value. Materials and Methods  This is a prospective observational study conducted as a part of the Indian normative data project of the Indian Society for Surgery of the Hand. The study included three participating centers: one from the northern part and two from the southern part. Certified calibrated Jamar dynamometer and Jamar pinch gauge were used to measure the grip strength, key pinch strength, tip pinch strength, and tripod pinch strength as per the guidelines of the American Society of Hand Therapists. Results  A total of 1,019 volunteers in the age group of 18 to 60 years were studied. The mean grip strength in males and females was 38.18 and 24.06 kg, respectively. The mean key pinch strength was 8.52 kg in males and 5.97 kg in females. The mean tip pinch strength was 4.86 kg in males and 3.59 kg in females. The mean tripod pinch strength was 5.41 kg in males and 4.16 kg in females. Conclusions  All four strengths were lower in value when compared with American and other populations. The men had more strength than women. There was no relation to hand dominance. There was a correlation for age and height but no correlation with body mass index (BMI).

A Review of Anthropometric Measurements for Saudi Adults and Elderly, Directions for Future Work and Recommendations to Establish Saudi Guidelines in Line with the Saudi 2030 Vision

Body weight is a significant risk factor for the disease burden of noncommunicable diseases (NCDs). Anthropometric measurements are the first step in determining NCDs risk, and clinicians must have access to valid cutoffs. This study aims to review the literature of Saudi national guidelines and studies previously conducted in Saudi Arabia (SA) and to provide insights and recommendations to establish national guidelines in anthropometric measurements for Saudi adults/elderly in line with the Saudi 2030 Vision. In total, 163 studies were included, and 12 of them contributed to the development of specific anthropometric cutoffs. Cutoffs for metabolic syndrome, waist circumference, and body mass index were established in Saudi adults. However, limited studies were conducted in the elderly. This review warrants establishing standard cutoffs of Saudi adult anthropometrics to avoid over/underreporting of malnutrition and adiposity. This review will help policymakers and the Ministry of Health to establish national guidelines and standard cutoffs to be used in SA for anthropometric measurements that may assist in detecting malnutrition and NCDs.

Normative values for hand grip and pinch strength for 6 to 18 year-olds in Saudi Arabia

BACKGROUND

Normative values for hand grip and pinch strength among children in Saudi Arabia has not been well established. Therefore, the main aim of this study is to establish normative values for hand grip and pinch strength in children aged 6 to 18 years in Saudi Arabia.

METHODS

A cross-sectional study was conducted from different 5 regions in Saudi Arabia. Participants between the age of 6 years and 18 years old were recruited through different primary and secondary schools in Saudi Arabia. Data for age, gender, Body Mass Index, and preferred hand were collected. Hand grip strength was measured using digital hand dynamometer and the tip pinch, palmar pinch, and key pinch strength were measured using the hydraulic pinch gauge.

RESULTS

A total of 616 participants included in this study (318 boys and 298 girls). Participants were stratified into 5 chronological age groups of 6-7 years, 8-9, 10-11, 12-13, 14-15, 16-17, and 18 years. The results showed an overall trend of increasing hand grip strength and pinch strength with age regardless of hand preference. Boys had significantly higher grip strength than girls in all age groups (P < 0.05).

CONCLUSION

This study established normative values for hand grip and pinch strength in the healthy Saudi pediatric and adolescent population, using boys and girls aged 6 to 18. The outcomes of this study also demonstrated that gender, age, and hand preference can all have an impact on how strong a handgrip develops.

The relationship between handgrip strength and performance scores in North American Collegiate Division I women’s artistic gymnasts

Maximal isometric handgrip strength (HGS) is used as an indicator of overall muscular strength and has also been found to be predictive of certain athletic events sporting prowess. Women’s artistic gymnastics requires athletes have high levels of relative muscular strength and power to be successful. This study examined the relationship between HGS and gymnastics performance scores for the 4 events of vault, uneven bars, beam, and floor in female collegiate artistic gymnasts. Twenty-five (n=25) female National Collegiate Athletic Association (NCAA) Division I North American collegiate women’s artistic gymnasts (age: 20.1±1.3 yrs; height: 158.9±5.6 cm; mass: 58.2±5.3 kg) were assessed for a one-time measurement of absolute HGS in kg and relative HGS (HGS/height in m2), as well as their average vault, uneven bars, beam, and floor performance scores across a competitive season. Pearson correlation coefficients (r) were determined between HGS and all performance scores. No significant (p > 0.05) correlations were found between absolute HGS (30.8±4.4 kg) or relative HGS (12.0±1.6 kg/m2) and any 4 gymnastics event’s performance scores (r range: -0.07 – 0.50 or r range: -0.06 – 0.31, respectively). In this female collegiate gymnastics’ population, 56% had an absolute HGS and 80% had a relative HGS, respectively, above the 50th percentile of all similarly aged adult females in the United States. In the current population of female collegiate gymnasts, absolute and relative HGS were not related to any gymnastics events performance scores and adds to the existing literature, supporting no relationships between HGS and sports performances where sports movements require a high degree of technical precision and accuracy. Findings from this investigation can be used by athletes, coaches, and practitioners in the collegiate women’s gymnastics realm to assess if athletes have attained sufficient absolute HGS, and especially relative HGS values, to be successful.

Correlation between the Ability to Manipulate a Touchscreen Device and Hand Strength and Manual Dexterity among Community-Living Older Individuals

Information regarding the relationship between the degree of hand function among the elderly as measured by traditional assessments and the ability to manipulate touchscreens is lacking. This study aimed to examine the correlation between the ability to manipulate a touchscreen device, as assessed using the touchscreen assessment tool (TATOO) (University of Haifa, Israel & Universetiy of Bologna, Italy), and hand strength and manual dexterity among independent community-living older individuals. Thirty-four community-living older adults (average age 79.4 ± 6.7 years) participated in single-session assessments lasting 45 min each. The assessment included hand strength measurement using the manual hand dynamometry and hydraulic pinch gauge, a functional dexterity test (FDT), and TATOO. No significant correlations were observed between most of the TATOO items (22 out of 26) and handgrip strength, pinch strength, and FDT results. Moderately significant correlations were demonstrated between the number of drag attempts in the “Drag to different directions” task and handgrip strength and manual dexterity (r value: −0.39, p value: 0.02; r value: 0.36, p value: 0.04, respectively). In addition, a moderately significant correlation was noted between the number of double taps and manual dexterity (r value: 0.32, p value: 0.07). These results indicate that more complex gestures that require greater accuracy (dragging task) or rapid movements (double tapping) are related to hand strength and manual dexterity. These results suggest that the manual gestures necessary for touchscreen operation entail unique and specific capabilities that are generally not captured by traditional tools. The clinical implication is that the hand function assessment toolbox should be expanded. Tools such as the TATOO should be used to capture skills required for touchscreen manipulation in the context of the modern digital milieu.