Axelsson Peter, Fredrikson Per, Nilsson Anders, Andersson Jonny K, Kärrholm Johan
Department of Hand Surgery, Sahlgrenska University Hospital, Göteborg, Sweden; Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Göteborg, Göteborg, Sweden.
Department of Orthopaedics, Hallands Hospital Halmstad, Halmstad, Sweden.
J Hand Surg Am. 2018 Jul;43(7):677.e1-677.e17. doi: 10.1016/j.jhsa.2017.12.022. Epub 2018 Feb 10.
To establish reference values for new methods designed to quantitatively measure forearm torque and lifting strength and to compare these values with grip strength.
A total of 499 volunteers, 262 males and 237 females, aged 15 to 85 (mean, 44) years, were tested for lifting strength and forearm torque with the Kern and Baseline dynamometers. These individuals were also tested for grip strength with a Jamar dynamometer. Standardized procedures were used and information about sex, height, weight, hand dominance, and whether their work involved high or low manual strain was collected.
Men had approximately 70% higher forearm torque and lifting strength compared with females. Male subjects aged 26 to 35 years and female subjects aged 36 to 45 years showed highest strength values. In patients with dominant right side, 61% to 78% had a higher or equal strength on this side in the different tests performed. In patients with dominant left side, the corresponding proportions varied between 41% and 65%. There was a high correlation between grip strength and forearm torque and lifting strength. Sex, body height, body weight, and age showed a significant correlation to the strength measurements. In a multiple regression model sex, age (entered as linear and squared) could explain 51% to 63% of the total variances of forearm torque strength and 30% to 36% of lifting strength.
Reference values for lifting strength and forearm torque to be used in clinical practice were acquired. Grip strength has a high correlation to forearm torque and lifting strength. Sex, age, and height can be used to predict forearm torque and lifting strength. Prediction equations using these variables were generated.
Normative data of forearm torque and lifting strength might improve the quality of assessment of wrist and forearm disorders as well as their treatments.
为旨在定量测量前臂扭矩和举力的新方法建立参考值,并将这些值与握力进行比较。
共有499名志愿者参与测试,其中男性262名,女性237名,年龄在15至85岁(平均44岁)之间。使用克恩测力计和基线测力计对他们的举力和前臂扭矩进行测试。这些个体还使用贾马尔测力计进行握力测试。采用标准化程序,并收集有关性别、身高、体重、利手以及其工作是否涉及高体力劳动或低体力劳动的信息。
男性的前臂扭矩和举力比女性高约70%。年龄在26至35岁的男性受试者和年龄在36至45岁的女性受试者表现出最高的力量值。在右侧利手的患者中,61%至78%在不同测试中该侧力量更高或相等。在左侧利手的患者中,相应比例在41%至65%之间变化。握力与前臂扭矩和举力之间存在高度相关性。性别、身高、体重和年龄与力量测量结果显示出显著相关性。在多元回归模型中,性别、年龄(以线性和平方形式输入)可以解释前臂扭矩力量总方差的51%至63%以及举力力量力量总方差的30%至36%。
获得了临床实践中使用的举力和前臂扭矩的参考值。握力与前臂扭矩和举力高度相关。性别、年龄和身高可用于预测前臂扭矩和举力。生成了使用这些变量的预测方程。
前臂扭矩和举力的规范数据可能会改善手腕和前臂疾病评估及其治疗的质量。