Hahn P, Spies C, Unglaub F, Mühldorfer-Fodor M
Handchirurgie, Vulpius Klinik Bad Rappenau, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.
Medizinische Fakultät Mannheim, Universität Heidelberg, Heidelberg, Deutschland.
Orthopade. 2018 Mar;47(3):191-197. doi: 10.1007/s00132-017-3487-2.
Grip strength measurement is a widely used method for clinical as well as scientific purposes. In hand surgery, it is an essential component in the diagnosis of disease, treatment sequences and assessment. In epidemiological studies, it is a good predictor of healthy ageing or disease progression.
Measurement results and their interpretation can be influenced by many factors. The historical development of dynamometry, measurement technology and the standard values in various population groups are presented. Comparisons with standard values should only be made using current tables because the grip strength has changed in recent decades. Assessment of the voluntarily submaximal grip strength remains problematic. Proposals are made for how to assess grip strength during the evaluation.
握力测量是一种广泛应用于临床和科研目的的方法。在手外科中，它是疾病诊断、治疗流程和评估的重要组成部分。在流行病学研究中，它是健康老龄化或疾病进展的良好预测指标。
测量结果及其解读可能受到多种因素的影响。本文介绍了测力计的历史发展、测量技术以及不同人群组的标准值。由于近几十年来握力发生了变化，与标准值的比较应仅使用当前表格。对自愿性次最大握力的评估仍然存在问题。文中针对评估过程中如何评估握力提出了建议。
