Effect of static wrist position on grip strength

Background: Grip strength after wrist arthrodesis is reported to be significantly less than normal. One of the reasons suggested for this decrease in grip strength is that the arthrodesis was performed in a suboptimal position. However, there is no consensus on the ideal position of wrist fusion. Th...

Full description

Saved in:
Bibliographic Details
Main Authors: Praveen Bhardwaj, Saumyakumar S Nayak, Asif M Kiswar, S Raja Sabapathy
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2011-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=55;epage=58;aulast=Bhardwaj
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849691075760881664
author Praveen Bhardwaj
Saumyakumar S Nayak
Asif M Kiswar
S Raja Sabapathy
author_facet Praveen Bhardwaj
Saumyakumar S Nayak
Asif M Kiswar
S Raja Sabapathy
author_sort Praveen Bhardwaj
collection DOAJ
description Background: Grip strength after wrist arthrodesis is reported to be significantly less than normal. One of the reasons suggested for this decrease in grip strength is that the arthrodesis was performed in a suboptimal position. However, there is no consensus on the ideal position of wrist fusion. There is a paucity of studies evaluating the effect of various fixed positions of the wrist on grip strength and therefore, there is no guide regarding the ideal position of wrist fusion. The authors′ aim was to determine the grip strength in various fixed positions of the wrist and subsequently to find out in which position of wrist fusion the grip strength would be maximal. Materials and Methods: One hundred healthy adults participated in the study. For the purpose of this study, the authors constructed splints to hold the wrist in five different fixed positions: 45, 30 and 15 degrees of wrist extension, neutral and 30 degrees of wrist flexion. The grip strength in all the participants was measured bilaterally, first without a splint and then with each splint sequentially. Results: The average grip strength without the splint was 34.3 kg for right and 32.3 kg for the left hand. Grip strength decreased by 19-25% when the wrist was splinted. The maximum average grip strength with a splint on was recorded at 45 degrees of extension (27.9 kg for right and 26.3 kg for left side). There was a gradual increase in the grip strength with increase in wrist extension but the difference was not statistically significant (P = 0.29). The grip strength was significantly less in flexed position of the wrist (P < 0.001).
format Article
id doaj-art-e8bf70ef3c8c4559a477aad033fd3e3b
institution DOAJ
issn 0970-0358
1998-376X
language English
publishDate 2011-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-e8bf70ef3c8c4559a477aad033fd3e3b2025-08-20T03:21:09ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2011-01-01441555810.4103/0970-0358.81440Effect of static wrist position on grip strengthPraveen BhardwajSaumyakumar S NayakAsif M KiswarS Raja SabapathyBackground: Grip strength after wrist arthrodesis is reported to be significantly less than normal. One of the reasons suggested for this decrease in grip strength is that the arthrodesis was performed in a suboptimal position. However, there is no consensus on the ideal position of wrist fusion. There is a paucity of studies evaluating the effect of various fixed positions of the wrist on grip strength and therefore, there is no guide regarding the ideal position of wrist fusion. The authors′ aim was to determine the grip strength in various fixed positions of the wrist and subsequently to find out in which position of wrist fusion the grip strength would be maximal. Materials and Methods: One hundred healthy adults participated in the study. For the purpose of this study, the authors constructed splints to hold the wrist in five different fixed positions: 45, 30 and 15 degrees of wrist extension, neutral and 30 degrees of wrist flexion. The grip strength in all the participants was measured bilaterally, first without a splint and then with each splint sequentially. Results: The average grip strength without the splint was 34.3 kg for right and 32.3 kg for the left hand. Grip strength decreased by 19-25% when the wrist was splinted. The maximum average grip strength with a splint on was recorded at 45 degrees of extension (27.9 kg for right and 26.3 kg for left side). There was a gradual increase in the grip strength with increase in wrist extension but the difference was not statistically significant (P = 0.29). The grip strength was significantly less in flexed position of the wrist (P < 0.001).http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=55;epage=58;aulast=BhardwajGrip strengthwrist positionwrist arthrodesis
spellingShingle Praveen Bhardwaj
Saumyakumar S Nayak
Asif M Kiswar
S Raja Sabapathy
Effect of static wrist position on grip strength
Indian Journal of Plastic Surgery
Grip strength
wrist position
wrist arthrodesis
title Effect of static wrist position on grip strength
title_full Effect of static wrist position on grip strength
title_fullStr Effect of static wrist position on grip strength
title_full_unstemmed Effect of static wrist position on grip strength
title_short Effect of static wrist position on grip strength
title_sort effect of static wrist position on grip strength
topic Grip strength
wrist position
wrist arthrodesis
url http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=55;epage=58;aulast=Bhardwaj
work_keys_str_mv AT praveenbhardwaj effectofstaticwristpositionongripstrength
AT saumyakumarsnayak effectofstaticwristpositionongripstrength
AT asifmkiswar effectofstaticwristpositionongripstrength
AT srajasabapathy effectofstaticwristpositionongripstrength