Bohannon Richard W
Department of Physical Therapy, Neag School of Education, University of Connecticut, Storrs, CT 06269-2101, USA.
J Geriatr Phys Ther. 2008;31(1):3-10. doi: 10.1519/00139143-200831010-00002.
One use of clinical measures is the prediction of future outcomes. The purpose of this systematic review was to summarize the literature addressing the value of grip strength as a predictor of important outcomes.
Relevant literature was located using 4 bibliographic databases, searching article reference lists, and perusing personal files.
Forty-five relevant research articles were found. The research involved both healthy subjects and patients; it tended to focus on middle-aged and older adults. The primary outcome addressed was mortality/survival (24 articles), but disability (9 articles), complications and/or increased length of stay (12 articles), and other outcomes were also examined. Low grip strength was shown consistently to be associated with a greater likelihood of premature mortality, the development of disability, and an increased risk of complications or prolonged length of stay after hospitalization or surgery.
Given its predictive validity and simplicity, dynamometrically measured grip strength should be considered as a vital sign useful for screening middle-aged and older adults.
临床测量的一个用途是预测未来结果。本系统评价的目的是总结关于握力作为重要结果预测指标价值的文献。
通过4个书目数据库、检索文章参考文献列表以及查阅个人文件来查找相关文献。
共找到45篇相关研究文章。研究涉及健康受试者和患者；倾向于关注中年及老年人。主要研究的结果是死亡率/生存率（24篇文章），但也考察了残疾（9篇文章）、并发症和/或住院时间延长（12篇文章）以及其他结果。握力低一直被证明与过早死亡、残疾发生以及住院或手术后并发症风险增加或住院时间延长的可能性更大相关。
鉴于其预测效度和简便性，通过测力计测量的握力应被视为对中年及老年人进行筛查有用的生命体征。
