Grip Strength and Hand Dominance: Challenging the 10% Rule

Author:

Petersen Paul1,Petrick Monica2,Connor Heather3,Conklin Deborah4

Affiliation:

1. Paul Petersen, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy, Elizabethtown College, One Alpha Drive, Elizabethtown, Pennsylvania 17022-2298

2. Monica Petrick, OTR/L, is a staff therapist at the Meadowlands Healthcare Center, Cannonsburg, Pennsylvania. At the time of this study, she was a senior student in the Department of Occupational Therapy at Elizabethtown College, Elizabethtown, Pennsylvania

3. Heather Connor, OTR/L, is a staff therapist at Williamsport Hospital and Medical Center, Williamsport, Pennsylvania. At the time of this study, she was a senior student in the Department of Occupational Therapy at Elizabethtown College, Elizabethtown, Pennsylvania

4. Deborah Conklin, OTR, is a staff therapist at Sharp Memorial Hospital, San Diego, California. At the time of this study, she was a senior student in the Department of Occupational Therapy at Elizabethtown College, Elizabethtown, Pennsylvania

Abstract

Abstract The purpose of this study was to test the utility of the 10% rule in hand rehabilitation. The 10% rule states that the dominant hand possesses a 10% greater grip strength than the nondominant hand. This rule has been used for many years to assist therapists in setting strength goals for patients with injured hands. The sample for this study consisted of 310 male and female students, faculty, and staff from a small, private liberal arts college located in Pennsylvania. Grip strength was measured with a factory-calibrated Jamar dynamometer. Results showed an overall 10.74% grip strength difference between dominant and nondominant hands. This finding verified the 10% rule. However, when the data were separated into left-handed and right-handed subjects, a 12. 72% difference for right-handed subjects and a –0.08% difference for left-handed subjects was found. In conclusion, this study showed that the 10% rule is valid for right-handed persons only; for left-handed persons, grip strength should be considered equivalent in both hands.

Publisher

AOTA Press

Subject

Occupational Therapy

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