Identifying Sincerity of Effort by Grip Strength Ratio of Three Wrist Positions in Individuals with Upper Extremity Musculoskeletal Disorders

Overview

Journal J Occup Health

Publisher Oxford University Press

Specialty Occupational Medicine

Date 2021 Nov 15

PMID 34780083

Citations 2

Authors

Pirun Nanta

Petcharatana Bhuanantanondh

Affiliations

Soon will be listed here.

Abstract

Objectives: To evaluate whether the grip strength ratio of three wrist positions could determine sincerity of effort (SOE), by differentiating between maximal effort (ME) and submaximal effort (SE), in individuals with upper extremity musculoskeletal disorders (MSDs).

Methods: A total of 19 volunteers with unilateral upper extremity MSDs (9 males, 10 females) participated in this study. Participants performed grip strength tests in neutral, full flexion, and full extension wrist positions for both hands. In each wrist position, they exerted grip force with their ME and preferred SE for three times.

Results: Significant main effects of type of effort, wrist position (P < .001), and hand (P = .005) were observed. The results also showed significant interactions for type of effort × wrist position (P < .001) and wrist positions × hand (P = .001). Moreover, the grip strength ratios of neutral/flexion (N/F) and neutral/extension (N/E) between ME and SE differed significantly (P < .001).

Conclusion: This study suggests that the N/F and N/E grip strength ratios can discriminate between ME and SE in individuals with upper extremity MSDs. Thus, this test might be applicable to use for identifying SOE in clinical setting.

Citing Articles

Clinical and Radiographic Evaluation of Ulnar-Sided Wrist Pain.

Morway G, Miller A Curr Rev Musculoskelet Med. 2022; 15(6):590-596.

PMID: 36173549 PMC: 9789218. DOI: 10.1007/s12178-022-09790-3.

Identifying sincerity of effort by grip strength ratio of three wrist positions in individuals with upper extremity musculoskeletal disorders.

Nanta P, Bhuanantanondh P J Occup Health. 2021; 63(1):e12295.

PMID: 34780083 PMC: 8592090. DOI: 10.1002/1348-9585.12295.

References

Bhuanantanondh P, Nanta P, Mekhora K . Determining Sincerity of Effort Based on Grip Strength Test in Three Wrist Positions. Saf Health Work. 2018; 9(1):59-62. PMC: 6111120. DOI: 10.1016/j.shaw.2017.06.001. View

Mittenberg W, Patton C, Canyock E, Condit D . Base rates of malingering and symptom exaggeration. J Clin Exp Neuropsychol. 2003; 24(8):1094-102. DOI: 10.1076/jcen.24.8.1094.8379. View

Lechner D, BRADBURY S, Bradley L . Detecting sincerity of effort: a summary of methods and approaches. Phys Ther. 1998; 78(8):867-88. DOI: 10.1093/ptj/78.8.867. View

Shechtman O, Gutierrez Z, Kokendofer E . Analysis of the statistical methods used to detect submaximal effort with the five-rung grip strength test. J Hand Ther. 2005; 18(1):10-8. DOI: 10.1197/j.jht.2004.10.004. View

Van Wilgen C, Akkerman L, Wieringa J, Dijkstra P . Muscle strength in patients with chronic pain. Clin Rehabil. 2003; 17(8):885-9. DOI: 10.1191/0269215503cr693oa. View

Noguchi T, Demura S, Aoki H . Superiority of the dominant and nondominant hands in static strength and controlled force exertion. Percept Mot Skills. 2009; 109(2):339-46. DOI: 10.2466/PMS.109.2.339-346. View

Hashemi L, Webster B, Clancy E, Courtney T . Length of disability and cost of work-related musculoskeletal disorders of the upper extremity. J Occup Environ Med. 1998; 40(3):261-9. DOI: 10.1097/00043764-199803000-00008. View

Nanta P, Bhuanantanondh P . Identifying sincerity of effort by grip strength ratio of three wrist positions in individuals with upper extremity musculoskeletal disorders. J Occup Health. 2021; 63(1):e12295. PMC: 8592090. DOI: 10.1002/1348-9585.12295. View

Kroemer K, Marras W . Towards an objective assessment of the "maximal voluntary contraction" component in routine muscle strength measurements. Eur J Appl Physiol Occup Physiol. 1980; 45(1):1-9. DOI: 10.1007/BF00421195. View

10.

van Tulder M, Malmivaara A, Koes B . Repetitive strain injury. Lancet. 2007; 369(9575):1815-1822. DOI: 10.1016/S0140-6736(07)60820-4. View

11.

Leveille S . Musculoskeletal aging. Curr Opin Rheumatol. 2004; 16(2):114-8. DOI: 10.1097/00002281-200403000-00007. View

12.

Pienimaki T, Tarvainen T, Siira P, Malmivaara A, Vanharanta H . Associations between pain, grip strength, and manual tests in the treatment evaluation of chronic tennis elbow. Clin J Pain. 2002; 18(3):164-70. DOI: 10.1097/00002508-200205000-00005. View

13.

Pryce J . The wrist position between neutral and ulnar deviation that facilitates the maximum power grip strength. J Biomech. 1980; 13(6):505-11. DOI: 10.1016/0021-9290(80)90343-7. View

14.

SILVERSTEIN B, Welp E, Nelson N, Kalat J . Claims incidence of work-related disorders of the upper extremities: Washington state, 1987 through 1995. Am J Public Health. 1998; 88(12):1827-33. PMC: 1509055. DOI: 10.2105/ajph.88.12.1827. View

15.

Li Z . The influence of wrist position on individual finger forces during forceful grip. J Hand Surg Am. 2002; 27(5):886-96. DOI: 10.1053/jhsu.2002.35078. View

16.

Sindhu B, Shechtman O . Using the force-time curve to determine sincerity of effort in people with upper extremity injuries. J Hand Ther. 2010; 24(1):22-9. DOI: 10.1016/j.jht.2010.07.005. View

17.

Shechtman O, Hope L, Sindhu B . Evaluation of the torque-velocity test of the BTE-Primus as a measure of sincerity of effort of grip strength. J Hand Ther. 2007; 20(4):326-34. DOI: 10.1197/j.jht.2007.07.009. View

18.

Picavet H, Hoeymans N . Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Ann Rheum Dis. 2004; 63(6):723-9. PMC: 1755044. DOI: 10.1136/ard.2003.010769. View

19.

Fishbain D, Cutler R, Rosomoff H, Rosomoff R . Chronic pain disability exaggeration/malingering and submaximal effort research. Clin J Pain. 2000; 15(4):244-74. DOI: 10.1097/00002508-199912000-00002. View

20.

Sindhu B, Shechtman O, Veazie P . Identifying sincerity of effort based on the combined predictive ability of multiple grip strength tests. J Hand Ther. 2012; 25(3):308-18. DOI: 10.1016/j.jht.2012.03.007. View