scholarly journals Assessment of hand function in women with lymphadenopathy after radical mastectomy

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11252
Author(s):  
Subham Mistry ◽  
Taimul Ali ◽  
Mohammed Qasheesh ◽  
Rashid Ali Beg ◽  
Mohammad Abu Shaphe ◽  
...  

Background Breast cancer related upper limb lymphedema (BCRL) is a common complication in post-mastectomy patients. It is known to cause upper limb disability, which subsequently may affect the grip strength and hand function. There is little evidence on the objective assessment of functional activities particularly hand function in women with BCRL. Therefore, this study objectively assesses the handgrip strength and hand functions in women with BCRL. Method A cross-sectional study design was conducted on a sample of women with (n = 31) and without (n = 31) BCRL. The Handgrip strength and hand functions were measured using a dynamometer and Jebsen-Taylor hand function test, respectively. Results The results showed a significantly reduced handgrip strength in women with BCRL as compared to age-matched healthy adult women for both right and left hands (p < 0.05). Similarly, hand functions were significantly impaired in women with BCRL as compared to healthy adult women (p < 0.05). Reduction in handgrip strength and hand function in women with BCRL were clinically meaningful as indicated by moderate to large effect sizes (Cohen’s d = 0.61 to 0.99 and 0.54 to 3.02, respectively) in all outcomes except power handgrip strength in left hand (Cohen’s d = 0.38). Conclusion The results of this study indicate a significant reduction of hand grip strength and hand function in women with BCRL. Our findings suggest that objective measures of grip strength and function be included in the assessment of women with BCRL to better guide clinical decision making and patient care, which may include management of impairment associated with hand strength and function. Future studies that evaluate hand grip strength and function in a larger sample which includes a more diverse age group of women with BCRL are warranted to confirm the current findings.

2017 ◽  
Vol 45 (2) ◽  
pp. 540-548 ◽  
Author(s):  
Khalid A Alahmari ◽  
S. Paul Silvian ◽  
Ravi Shankar Reddy ◽  
Venkata Nagaraj Kakaraparthi ◽  
Irshad Ahmad ◽  
...  

Objectives To determine whether age, body mass index (BMI), hand length and forearm circumference were predictive of hand grip strength in healthy Saudi Arabian adult males. Methods This cross-sectional descriptive study recruited healthy adult male volunteers. Their anthropometric characteristics including age, BMI, hand length and forearm circumference were measured using routine techniques. Hand grip strength was assessed using a Jamar® Hydraulic Hand Dynamometer. The data were analysed using Pearson correlation coefficient ( r) as well as by a stepwise multiple linear regression analysis. Results The study included 116 healthy males who satisfied the inclusion criteria. A Pearson correlation coefficient matrix demonstrated that all the four measures, age, BMI, hand length and forearm circumference, were significantly correlated with hand grip strength. Age had an inverse correlation with hand grip strength. The anthropometric measures of hand length, age and forearm circumference accounted for 44.2% (R2 0.442) of the variation of the hand grip strength. Conclusion Hand length, age and forearm circumference significantly impacted on hand grip strength in Saudi Arabian healthy adult males.


2019 ◽  
Vol 38 (2) ◽  
pp. 721-729 ◽  
Author(s):  
Luigi Barrea ◽  
Giovanna Muscogiuri ◽  
Carolina Di Somma ◽  
Giovanni Tramontano ◽  
Vincenzo De Luca ◽  
...  

2015 ◽  
Vol 52 (6) ◽  
pp. 663-668 ◽  
Author(s):  
Esra Erkol İnal ◽  
Alparslan Bayram Çarlı ◽  
Sultan Çanak ◽  
Oğuzhan Aksu ◽  
Banu Kale Köroğlu ◽  
...  

Author(s):  
Deepika Singla ◽  
M. Ejaz Hussain

AbstractBackgroundAlthough a significant amount of research has been conducted on handgrip strength and its association with anthropometric variables, very few researchers have focused on assessment of back strength and its relationship with anthropometric variables in cricketers.ObjectiveTo investigate the degree of correlation between handgrip strength and back strength in cricket players of different maturity levels and to find the correlations of handgrip strength and back strength with anthropometric variables of age, height, body weight and body mass index (BMI).MethodsTwenty-four adolescents; aged 16.6 ± 0.8 years and 32 adult cricketers aged 24 ± 4.6 years were tested for height, body weight, BMI, hand grip strength and back strength. t values, Cohen’s d and Pearson’s correlation coefficients were calculated.ResultsHand grip strength and back strength were not found to correlate with each other at p ≤ 0.05 in adolescent players while a statistically significant large sized correlation was observed in adult cricketers at p = 0.001. Back strength and body weight were found to have a statistically significant moderate sized correlation with each other (r = 0.453 in the adolescent group and r = 0.355 in the adult group). Significant positive correlations were observed for left hand grip strength with height, body weight and BMI and also between back strength and age in the adult population of cricketers.ConclusionA significantly large correlation exists between handgrip strength and back strength in adult cricketers with no such correlation found for adolescent cricketers. Data of the present study justify its utility in the case of selection, assessment and rehabilitation of cricket players.


Author(s):  
Dr. Vidhi Shah ◽  
Renuka Pangde ◽  
Padmaja Guruprasad ◽  
Sunita Padhi ◽  
Bhakti Panchal ◽  
...  

<strong>Background</strong><br> The measure of handgrip strength is influenced by several factors including age, gender, different angle of shoulder, elbow,wrist and grip span . there is an optimal grip span at which maximum handgrip strength is obtained in adult.Hand span affect maximal and submaximal handgrip strengths. It was found that hand span affect grip strength, grip force and dexterity function in adult as well as geriatric population. In geriatric population hand grip function decreased with age.<br> <strong>Methodology</strong><br> Screening was done in 3 schools near PCMC area and students were selected as per the inclusion criteria. Total 150 children’s age from 6 to 16 years were selected from the convenient places. Hand span was measured in both hands (Dominant and Non-dominant) from the tip of the thumb to the tip of the small finger with the hand open as wide as possible. And the results of hand span measurement were rounded to nearest whole. The dexterity function was measured using Jebsen Taylor Hand Function Test. There were 7 subtests performed in the Jebsen Taylor Hand Function Test. <br> <strong>Results : </strong><br> The results shows that there was a strong negative correlation between the hand span and subtest1,2,3,7 of Jebsen Taylor Hand Function test. There was a moderate negative correlation between the subtest 4,5,6 of Jebsen Taylor Hand Function test. <br> <strong>Conclusion : </strong><br> In pediatrics, as the age increases, the hand span and hand grip strength increases but the time required to complete the subtest in Jebsen Taylor hand function test decreases. So the dexterity function improves.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Mary Camire ◽  
Emily Durán-Frontera ◽  
Mona Therrien

Abstract Objectives This study examined relationships among smell impairment and health in adults over the age of 60 years. We hypothesized that persons with impaired or altered olfaction would be weaker (as shown by hand grip strength tests) and have a lower body mass index (BMI) ratios because they ate less. Methods The 2013–2014 NHANES database was use examined for smell identification scores, general demographic data, handgrip strength, and other types of data. Only persons aged 60 or older who had completed the Mobile Exam Center interview, and the complete smell and grip tests were included (n = 1287). Data were weighted to represent the U.S. population. Smell impairment was defined as five or fewer correct answers in the Odor Identification Test. Data-dependent statistical analyses (t-test, Wilcoxon rank sum, χ2) were performed to find differences based on specific criteria. Odds ratios (OR) with 95% confidence intervals were generated by simple logistic regression, and then a multivariable predictive model was developed. Results The NHANES participants included for these analyses were mainly non-Hispanic white (52.7%), college-educated (54.5%), and lived with someone (60%). The prevalence of smell impairment was 21.7% among persons aged 60 or older, but the prevalence rose to 44.8% among persons aged 75–80. The prevalence of self-reported smell alteration was 16.2%. Smell impairment was significantly associated with age 75–80 years (OR: 3.51, CI: 2.51–3.11), and an educational level of high school or less (OR: 1.70, CI: 1.40–2.30). After adjustment for gender, age, education, and race, smell impairment was associated with poor health self-ratings (OR: 2.63, CI: 1.30–5.40), more sedentary hours each day (OR: 1.07, CI: 1.03–1.11), and presence of smell alteration (OR: 3.00, CI: 2.10–4.60). Persons with normal muscle and hand grip strength were less likely to have a smell impairment or alteration. Conclusions Men aged 75–80 years were more at risk for smell impairment. Further research is needed to determine whether preservation of olfaction can forestall age-related reductions in appetite, and subsequent loss in body mass, particularly muscle. The inclusion of persons older than 80 years in the NHANES sampling would provide useful data for researchers. Funding Sources USDA Hatch funds.


Author(s):  
Aya Hamed Safar ◽  
Mohamed G. Zaki ◽  
Dina S. Al-Zifzaf ◽  
Rana A. El-Hilaly ◽  
Nouran Abaza

Abstract Background Musculoskeletal ultrasound can be now considered a complement to physical examination in rheumatoid arthritis. This study evaluates the role of musculoskeletal ultrasound in assessment of rheumatoid hand function and underlying functional defects and disabilities in order to find out a possibly better tool for assessment. Results Hand grip weakness was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.045), wrist joint synovitis (p = 0.009), flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.001), flexor pollicis longus tendon tenosynovitis (p = 0.013). Hand function impairment by grip ability test was significantly associated with metacarpophalangeal joints synovitis of ulnar 4 fingers (p = 0.009), wrist joint synovitis (p = 0.004), and flexor tendons tenosynovitis of the ulnar 4 fingers (p = 0.042). Multiple linear regression analysis showed that the most influencing factor affecting grip ability test and hand grip strength was ulnar 4 Flexor tendons tenosynovitis (P = 0.023, P = 0.037) respectively. Conclusions Joint synovitis and tenosynovitis that are detected by musculoskeletal ultrasound can be used as an assessment tool for hand function in rheumatoid arthritis, since they are associated with reduced hand grip strength and impaired hand ability.


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