Normative Data for Grip Strength of Elderly Men and Women

Author:

Desrosiers Johanne1,Bravo Gina2,Hébert Réjean3,Dutil Élisabeth4

Affiliation:

1. Johanne Desrosiers, OT(C), PhD, is Researcher, Centre de recherche en gérontologie et gériatrie, Hôspital D’Youville de Sherbrooke, 1036 Belvédère Sud, Sherbrooke Québec J1H 4C4

2. Gina Bravo, PhD, is Researcher, Centre de recherche en gérontologie et gériatrie, Hôpital D’Youville de Sherbrooke, Québec, Canada, and Assistant Professor, Faculté de Médicine, Université de Sherbrooke

3. Réjean Hébert, MD, MPhil, is Geriatrician, epidemiologist, and director of the Centre de recherche en gérontologie et gériatrie, Hôpital D’Youville de Sherbrooke, Québec, Canada, and Professor, Faculté de Médicine, Université de Sherbrooke

4. Élisabeth Dutil, OT(C), Msc, is Full Professor, École de réadaptation, Université de Montréal

Abstract

Abstract Objectives. Grip strength is an important prerequisite for good performance of the upper limb, hence it is important to evaluate it correctly. However, one of the main difficulties in evaluating the grip strength of elderly patients is the absence of valid norms. Therefore, the objective of this study was to develop normative data for maximum grip strength of persons aged 60 years and older. Method. The grip strength of 360 subjects aged 60 years and older, randomly recruited by age and gender strata, was evaluated with the Jamar dynamometer and the Martin vigorimeter according to the protocol of the American Society of Hand Therapists. Results. Grip strength diminishes curvilinearly with age, and men are consistently stronger than women. The data are presented by the means, standard deviations, and range, and as predictive equations obtained by regression analysis. In addition to age and gender, hand circumference and body height proved to be the best indicators of grip strength for this population of elderly subjects. Conclusion. The random recruitment of subjects, the high participation rate in the study, and the comparability of the subjects who agreed to participate and those who refused give this study the high external validity that is essential to any norm study. The predictive equations will help occupational therapists to better estimate the expected grip strength of elderly patients than they could if using only age and gender.

Publisher

AOTA Press

Subject

Occupational Therapy

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