Werle S, Goldhahn J, Drerup S, Simmen B R, Sprott H, Herren D B
Department of Hand Surgery, Schulthess Klinik, Zurich, Switzerland.
J Hand Surg Eur Vol. 2009 Feb;34(1):76-84. doi: 10.1177/1753193408096763. Epub 2009 Jan 7.
Assessment of hand strength is used in a wide range of clinical settings especially during treatment of diseases affecting the function of the hand. This investigation aimed to determine age- and gender-specific reference values for grip and pinch strength in a normal Swiss population with special regard to old and very old subjects as well as to different levels of occupational demand. Hand strength data were collected using a Jamar dynamometer and a pinch gauge with standard testing position, protocol and instructions. Analysis of the data from 1023 tested subjects between 18 and 96 years revealed a curvilinear relationship of grip and pinch strength to age, a correlation to height, weight and significant differences between occupational groups. Hand strength values differed significantly from those of other populations, confirming the thesis that applying normative data internationally is questionable. Age- and gender-specific reference values for grip and pinch strength are presented.
手部力量评估在广泛的临床环境中使用,尤其是在治疗影响手部功能的疾病期间。本研究旨在确定瑞士正常人群中握力和捏力的年龄和性别特异性参考值,特别关注老年和高龄受试者以及不同职业需求水平。使用Jamar测力计和捏力计,按照标准测试位置、方案和说明收集手部力量数据。对1023名年龄在18至96岁之间的受试对象的数据进行分析后发现,握力和捏力与年龄呈曲线关系,与身高、体重相关,且职业群体之间存在显著差异。手部力量值与其他人群有显著差异,证实了在国际上应用规范数据存在问题这一论点。文中给出了握力和捏力的年龄和性别特异性参考值。