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Die Messung der Griffkraft

Wertigkeit und Grenzen

Grip strength measurement

Significance and boundaries

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Zusammenfassung

Hintergrund

Die Messung der Griffkraft ist eine weitverbreitete Methode, sowohl für klinische als auch für wissenschaftliche Belange. In der Handchirurgie ist sie ein wesentlicher Bestandteil der Evaluation von Erkrankungen und Therapieerfolgen sowie der Begutachtung. In epidemiologischen Studien ist sie ein guter Vorhersagewert für gesundes Altern oder für den Verlauf von Erkrankungen.

Problematik

Die Messergebnisse und ihre Interpretation können von vielen Faktoren beeinflusst werden. Die historische Entwicklung der Dynamometrie, die Messtechnik und die Normwerte in verschiedenen Bevölkerungsgruppen werden dargestellt. Vergleiche mit Normwerten sollten nur mit aktuellen Tabellen vorgenommen werden, da sich die Griffkraft in den letzten Jahrzehnten verändert hat. Die Beurteilung der willentlich submaximalen Griffkraft ist weiterhin problematisch. Es werden Vorschläge zur Beurteilung der Griffkraft bei der Begutachtung gemacht.

Abstract

Background

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.

Problem

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.

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Abbreviations

ASHT:

American Society of Hand Therapists

BTE:

„Baltimore Therapeutic Equipment Worksimulator“

DASH:

„Disabilities of the Arm, Shoulder, Hand“

DGUV:

Deutsche Gesetzliche Unfallversicherung

JD:

Jamar-Dynamometer

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Authors and Affiliations

  1. Handchirurgie, Vulpius Klinik Bad Rappenau, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland

    P. Hahn, C. Spies & F. Unglaub

  2. Handchirurgie, Rhön Klinikum AG Bad Neustadt, Salzburger Leite 1, Bad Neustadt, Deutschland

    M. Mühldorfer-Fodor

  3. Medizinische Fakultät Mannheim, Universität Heidelberg, Heidelberg, Deutschland

    F. Unglaub

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  1. P. Hahn
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Correspondence to P. Hahn.

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Interessenkonflikt

P. Hahn, C. Spies, F. Unglaub und M. Mühldorfer-Fodor geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Hahn, P., Spies, C., Unglaub, F. et al. Die Messung der Griffkraft. Orthopäde 47, 191–197 (2018). https://doi.org/10.1007/s00132-017-3487-2

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