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Erschienen in: Rheumatology International 5/2018

06.04.2018 | Expert Opinion

Measuring hand grip strength in rheumatoid arthritis

verfasst von: Susie C. Higgins, Jo Adams, Rodney Hughes

Erschienen in: Rheumatology International | Ausgabe 5/2018

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Abstract

Rheumatoid arthritis (RA) is a systemic inflammatory disease with a particular predilection for causing pain, deformity and functional limitation affecting the hands. Measures of the severity of RA, such as the disease activity score with 28 joint count may not fully reflect the regional impact of RA on the hands. Hand grip strength measurements are a form of objective assessment that focuses specifically on the hands in RA. This review explores what is currently known about the assessment of hand grip strength; what it may indicate, how it is measured, some of the practical aspects and challenges associated with performing these tests, and how this information can be applied in a clinical setting. It summarises the role that grip strength has in assessing patients with RA and finishes with some recommendations for how to use grip strength measurements in clinical practice, and what direction future research might take.
Literatur
1.
Zurück zum Zitat Grassi W, De Angelis R, Lamanna G, Cervini C (1998) The clinical features of rheumatoid arthritis. Eur J Radiol 27(Suppl 1):S18–S24CrossRefPubMed Grassi W, De Angelis R, Lamanna G, Cervini C (1998) The clinical features of rheumatoid arthritis. Eur J Radiol 27(Suppl 1):S18–S24CrossRefPubMed
2.
Zurück zum Zitat Towheed TE, Anastassiades TP (1994) Rheumatoid hand. Practical approach to assessment and management. Can Fam Physician 40:1303–1309PubMedPubMedCentral Towheed TE, Anastassiades TP (1994) Rheumatoid hand. Practical approach to assessment and management. Can Fam Physician 40:1303–1309PubMedPubMedCentral
3.
Zurück zum Zitat Eberhardt K, Sandqvist G, Geborek P (2008) Hand function tests are important and sensitive tools for assessment of treatment response in patients with rheumatoid arthritis. Scand J Rheumatol 37(2):109–112CrossRefPubMed Eberhardt K, Sandqvist G, Geborek P (2008) Hand function tests are important and sensitive tools for assessment of treatment response in patients with rheumatoid arthritis. Scand J Rheumatol 37(2):109–112CrossRefPubMed
4.
Zurück zum Zitat Vliet Vlieland TP, van der Wijk TP, Jolie IM, Zwinderman AH, Hazes JM (1996) Determinants of hand function in patients with rheumatoid arthritis. J Rheumatol 23(5):835–840PubMed Vliet Vlieland TP, van der Wijk TP, Jolie IM, Zwinderman AH, Hazes JM (1996) Determinants of hand function in patients with rheumatoid arthritis. J Rheumatol 23(5):835–840PubMed
5.
Zurück zum Zitat Bodur H, Yilmaz O, Keskin D (2006) Hand disability and related variables in patients with rheumatoid arthritis. Rheumatol Int 26(6):541–544CrossRefPubMed Bodur H, Yilmaz O, Keskin D (2006) Hand disability and related variables in patients with rheumatoid arthritis. Rheumatol Int 26(6):541–544CrossRefPubMed
6.
Zurück zum Zitat Gasparyan AY, Ayvazyan L, Blackmore H, Kitas GD (2011) Writing a narrative biomedical review: considerations for authors, peer reviewers, and editors. Rheumatol Int 31(11):1409–1417CrossRefPubMed Gasparyan AY, Ayvazyan L, Blackmore H, Kitas GD (2011) Writing a narrative biomedical review: considerations for authors, peer reviewers, and editors. Rheumatol Int 31(11):1409–1417CrossRefPubMed
7.
Zurück zum Zitat Bohannon R (2002) Quantitative testing of muscle strength: issues and practical options for the geriatric population. Topics Geriatr Rehabil 18(2):1–17CrossRef Bohannon R (2002) Quantitative testing of muscle strength: issues and practical options for the geriatric population. Topics Geriatr Rehabil 18(2):1–17CrossRef
8.
Zurück zum Zitat Napier JR (1956) The prehensile movements of the human hand. J Bone Jt Surg Br 38-B(4):902–913CrossRef Napier JR (1956) The prehensile movements of the human hand. J Bone Jt Surg Br 38-B(4):902–913CrossRef
9.
Zurück zum Zitat Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C et al (2011) A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing 40(4):423–429CrossRefPubMed Roberts HC, Denison HJ, Martin HJ, Patel HP, Syddall H, Cooper C et al (2011) A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing 40(4):423–429CrossRefPubMed
10.
Zurück zum Zitat Shiratori AP, Iop RAR, Borges Júnior NG, Domenech SC, Gevaerd MaS (2014) Evaluation protocols of hand grip strength in individuals with rheumatoid arthritis: a systematic review. Rev Bras Reumatol 54(2):140–147CrossRefPubMed Shiratori AP, Iop RAR, Borges Júnior NG, Domenech SC, Gevaerd MaS (2014) Evaluation protocols of hand grip strength in individuals with rheumatoid arthritis: a systematic review. Rev Bras Reumatol 54(2):140–147CrossRefPubMed
11.
Zurück zum Zitat Mathiowetz V (2002) Comparison of Rolyan and Jamar dynamometers for measuring grip strength. Occup Ther Int 9(3):201–209CrossRefPubMed Mathiowetz V (2002) Comparison of Rolyan and Jamar dynamometers for measuring grip strength. Occup Ther Int 9(3):201–209CrossRefPubMed
12.
Zurück zum Zitat Svens B, Lee H (2005) Intra- and inter-instrument reliability of grip-strength measurements: GripTrackTM and Jamar® hand dynamometers. Br J Hand Ther 10(2):47–55CrossRef Svens B, Lee H (2005) Intra- and inter-instrument reliability of grip-strength measurements: GripTrackTM and Jamar® hand dynamometers. Br J Hand Ther 10(2):47–55CrossRef
13.
Zurück zum Zitat Ward C, Adams J (2007) Comparative study of the test–re-test reliability of four instruments to measure grip strength in a healthy population. Br J Hand Ther 12:48–54CrossRef Ward C, Adams J (2007) Comparative study of the test–re-test reliability of four instruments to measure grip strength in a healthy population. Br J Hand Ther 12:48–54CrossRef
14.
Zurück zum Zitat Mathiowetz V, Weber K, Volland G, Kashman N (1984) Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 9(2):222–226CrossRefPubMed Mathiowetz V, Weber K, Volland G, Kashman N (1984) Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 9(2):222–226CrossRefPubMed
15.
Zurück zum Zitat Blenkiron EL (2005) Uptake of standardised hand assessments in rheumatology: why is it so low? Br J Occup Ther 68(4):148–157CrossRef Blenkiron EL (2005) Uptake of standardised hand assessments in rheumatology: why is it so low? Br J Occup Ther 68(4):148–157CrossRef
16.
Zurück zum Zitat Agnew P, Maas F (1991) Jamar dynamometer and adapted sphygmomanometer for measuring grip strength in patients with rheumatoid arthritis. Occup Particip Health 11(5):259–270 Agnew P, Maas F (1991) Jamar dynamometer and adapted sphygmomanometer for measuring grip strength in patients with rheumatoid arthritis. Occup Particip Health 11(5):259–270
17.
18.
Zurück zum Zitat Sipers WM, Verdijk LB, Sipers SJ, Schols JM, van Loon LJ (2016) The Martin vigorimeter represents a reliable and more practical tool than the Jamar dynamometer to assess handgrip strength in the geriatric patient. J Am Med Dir Assoc 17(5):466.e1–e7CrossRef Sipers WM, Verdijk LB, Sipers SJ, Schols JM, van Loon LJ (2016) The Martin vigorimeter represents a reliable and more practical tool than the Jamar dynamometer to assess handgrip strength in the geriatric patient. J Am Med Dir Assoc 17(5):466.e1–e7CrossRef
19.
Zurück zum Zitat Adams J, Burridge J, Mullee M, Hammond A, Cooper C (2008) The clinical effectiveness of static resting splints in early rheumatoid arthritis: a randomized controlled trial. Rheumatology 47(10):1548–1553CrossRefPubMed Adams J, Burridge J, Mullee M, Hammond A, Cooper C (2008) The clinical effectiveness of static resting splints in early rheumatoid arthritis: a randomized controlled trial. Rheumatology 47(10):1548–1553CrossRefPubMed
20.
Zurück zum Zitat Haidar SG, Kumar D, Bassi RS, Deshmukh SC (2004) Average versus maximum grip strength: which is more consistent? J Hand Surg Br 29(1):82–84CrossRefPubMed Haidar SG, Kumar D, Bassi RS, Deshmukh SC (2004) Average versus maximum grip strength: which is more consistent? J Hand Surg Br 29(1):82–84CrossRefPubMed
21.
Zurück zum Zitat Kennedy D, Jerosch-Herold C, Hickson M (2010) The reliability of one vs. three trials of pain-free grip strength in subjects with rheumatoid arthritis. J Hand Ther 23(4):384–390 (quiz 91) CrossRefPubMed Kennedy D, Jerosch-Herold C, Hickson M (2010) The reliability of one vs. three trials of pain-free grip strength in subjects with rheumatoid arthritis. J Hand Ther 23(4):384–390 (quiz 91) CrossRefPubMed
22.
Zurück zum Zitat Helliwell P, Howe A, Wright V (1987) Functional assessment of the hand: reproducibility, acceptability, and utility of a new system for measuring strength. Ann Rheum Dis 46(3):203–208CrossRefPubMedPubMedCentral Helliwell P, Howe A, Wright V (1987) Functional assessment of the hand: reproducibility, acceptability, and utility of a new system for measuring strength. Ann Rheum Dis 46(3):203–208CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Richards LG, Olson B, Palmiter-Thomas P (1996) How forearm position affects grip strength. Am J Occup Ther 50(2):133–138CrossRefPubMed Richards LG, Olson B, Palmiter-Thomas P (1996) How forearm position affects grip strength. Am J Occup Ther 50(2):133–138CrossRefPubMed
24.
Zurück zum Zitat Mathiowetz V, Candidate P (1991) Reliability and validity of grip and pinch strength measurements. Crit Rev Phys Rehabil Med 2.4:201–202 Mathiowetz V, Candidate P (1991) Reliability and validity of grip and pinch strength measurements. Crit Rev Phys Rehabil Med 2.4:201–202
25.
Zurück zum Zitat Häkkinen A, Sokka T, Kotaniemi A, Hannonen P (2001) A randomized two-year study of the effects of dynamic strength training on muscle strength, disease activity, functional capacity, and bone mineral density in early rheumatoid arthritis. Arthritis Rheum 44(3):515–522CrossRefPubMed Häkkinen A, Sokka T, Kotaniemi A, Hannonen P (2001) A randomized two-year study of the effects of dynamic strength training on muscle strength, disease activity, functional capacity, and bone mineral density in early rheumatoid arthritis. Arthritis Rheum 44(3):515–522CrossRefPubMed
26.
Zurück zum Zitat Dias JJ, Singh HP, Taub N, Thompson J (2013) Grip strength characteristics using force–time curves in rheumatoid hands. J Hand Surg Eur 38(2):170–177CrossRef Dias JJ, Singh HP, Taub N, Thompson J (2013) Grip strength characteristics using force–time curves in rheumatoid hands. J Hand Surg Eur 38(2):170–177CrossRef
27.
Zurück zum Zitat Günther CM, Bürger A, Rickert M, Crispin A, Schulz CU (2008) Grip strength in healthy caucasian adults: reference values. J Hand Surg Am 33(4):558–565CrossRefPubMed Günther CM, Bürger A, Rickert M, Crispin A, Schulz CU (2008) Grip strength in healthy caucasian adults: reference values. J Hand Surg Am 33(4):558–565CrossRefPubMed
28.
Zurück zum Zitat Myers DB, Grennan DM, Palmer DG (1980) Hand grip function in patients with rheumatoid arthritis. Arch Phys Med Rehabil 61(8):369–373PubMed Myers DB, Grennan DM, Palmer DG (1980) Hand grip function in patients with rheumatoid arthritis. Arch Phys Med Rehabil 61(8):369–373PubMed
29.
Zurück zum Zitat Spruit MA, Sillen MJ, Groenen MT, Wouters EF, Franssen FM (2013) New normative values for handgrip strength: results from the UK Biobank. J Am Med Dir Assoc 14(10):775.e5–e11CrossRef Spruit MA, Sillen MJ, Groenen MT, Wouters EF, Franssen FM (2013) New normative values for handgrip strength: results from the UK Biobank. J Am Med Dir Assoc 14(10):775.e5–e11CrossRef
30.
Zurück zum Zitat Nordenskiöld UM, Grimby G (1993) Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects. A study with the Grippit instrument. Scand J Rheumatol 22(1):14–19CrossRefPubMed Nordenskiöld UM, Grimby G (1993) Grip force in patients with rheumatoid arthritis and fibromyalgia and in healthy subjects. A study with the Grippit instrument. Scand J Rheumatol 22(1):14–19CrossRefPubMed
31.
Zurück zum Zitat Fraser A, Vallow J, Preston A, Cooper RG (1999) Predicting ‘normal’ grip strength for rheumatoid arthritis patients. Rheumatology 38(6):521–528CrossRefPubMed Fraser A, Vallow J, Preston A, Cooper RG (1999) Predicting ‘normal’ grip strength for rheumatoid arthritis patients. Rheumatology 38(6):521–528CrossRefPubMed
32.
Zurück zum Zitat Thyberg I, Dahlström Ö, Björk M, Stenström B, Adams J (2016) Hand pains in women and men in early rheumatoid arthritis, a one year follow-up after diagnosis. The Swedish TIRA project. Disabil Rehabil:1–10 Thyberg I, Dahlström Ö, Björk M, Stenström B, Adams J (2016) Hand pains in women and men in early rheumatoid arthritis, a one year follow-up after diagnosis. The Swedish TIRA project. Disabil Rehabil:1–10
33.
Zurück zum Zitat Su CY, Lin JH, Chien TH, Cheng KF, Sung YT (1994) Grip strength in different positions of elbow and shoulder. Arch Phys Med Rehabil 75(7):812–815PubMed Su CY, Lin JH, Chien TH, Cheng KF, Sung YT (1994) Grip strength in different positions of elbow and shoulder. Arch Phys Med Rehabil 75(7):812–815PubMed
34.
Zurück zum Zitat Coldham F, Lewis J, Lee H (2006) The reliability of one vs. three grip trials in symptomatic and asymptomatic subjects. J Hand Ther 19(3):318–326 (quiz 27) CrossRefPubMed Coldham F, Lewis J, Lee H (2006) The reliability of one vs. three grip trials in symptomatic and asymptomatic subjects. J Hand Ther 19(3):318–326 (quiz 27) CrossRefPubMed
35.
Zurück zum Zitat Lagerström C, Nordgren B (1998) On the reliability and usefulness of methods for grip strength measurement. Scand J Rehabil Med 30(2):113–119CrossRefPubMed Lagerström C, Nordgren B (1998) On the reliability and usefulness of methods for grip strength measurement. Scand J Rehabil Med 30(2):113–119CrossRefPubMed
36.
Zurück zum Zitat Nitschke JE, McMeeken JM, Burry HC, Matyas TA (1999) When is a change a genuine change? A clinically meaningful interpretation of grip strength measurements in healthy and disabled women. J Hand Ther 12(1):25–30CrossRefPubMed Nitschke JE, McMeeken JM, Burry HC, Matyas TA (1999) When is a change a genuine change? A clinically meaningful interpretation of grip strength measurements in healthy and disabled women. J Hand Ther 12(1):25–30CrossRefPubMed
37.
Zurück zum Zitat Niedermann K, Buchi S, Ciurea A, Kubli R, Steurer-Stey C, Villiger PM et al (2012) Six and 12 months’ effects of individual joint protection education in people with rheumatoid arthritis: a randomized controlled trial. Scand J Occup Ther 19(4):360–369CrossRefPubMed Niedermann K, Buchi S, Ciurea A, Kubli R, Steurer-Stey C, Villiger PM et al (2012) Six and 12 months’ effects of individual joint protection education in people with rheumatoid arthritis: a randomized controlled trial. Scand J Occup Ther 19(4):360–369CrossRefPubMed
38.
Zurück zum Zitat Williams MA, Williamson EM, Heine PJ, Nichols V, Glover MJ, Dritsaki M et al (2015) Strengthening and stretching for rheumatoid arthritis of the hand (SARAH). A randomised controlled trial and economic evaluation. Health Technol Assess 19(19):1–222CrossRef Williams MA, Williamson EM, Heine PJ, Nichols V, Glover MJ, Dritsaki M et al (2015) Strengthening and stretching for rheumatoid arthritis of the hand (SARAH). A randomised controlled trial and economic evaluation. Health Technol Assess 19(19):1–222CrossRef
39.
Zurück zum Zitat Jacobs JW, Geenen R, Evers AW, van Jaarsveld CH, Kraaimaat FW, Bijlsma JW (2001) Short term effects of corticosteroid pulse treatment on disease activity and the wellbeing of patients with active rheumatoid arthritis. Ann Rheum Dis 60(1):61–64CrossRefPubMedPubMedCentral Jacobs JW, Geenen R, Evers AW, van Jaarsveld CH, Kraaimaat FW, Bijlsma JW (2001) Short term effects of corticosteroid pulse treatment on disease activity and the wellbeing of patients with active rheumatoid arthritis. Ann Rheum Dis 60(1):61–64CrossRefPubMedPubMedCentral
40.
Zurück zum Zitat Sheehy C, Gaffney K, Mukhtyar C (2013) Standardized grip strength as an outcome measure in early rheumatoid arthritis. Scand J Rheumatol 42(4):289–293CrossRefPubMed Sheehy C, Gaffney K, Mukhtyar C (2013) Standardized grip strength as an outcome measure in early rheumatoid arthritis. Scand J Rheumatol 42(4):289–293CrossRefPubMed
41.
Zurück zum Zitat Alley DE, Shardell MD, Peters KW, McLean RR, Dam TT, Kenny AM et al (2014) Grip strength cutpoints for the identification of clinically relevant weakness. J Gerontol A Biol Sci Med Sci 69(5):559–566CrossRefPubMedPubMedCentral Alley DE, Shardell MD, Peters KW, McLean RR, Dam TT, Kenny AM et al (2014) Grip strength cutpoints for the identification of clinically relevant weakness. J Gerontol A Biol Sci Med Sci 69(5):559–566CrossRefPubMedPubMedCentral
42.
Zurück zum Zitat Tyler H, Adams J, Ellis B (2005) What can handgrip strength tell the therapist about hand function? Br J Hand Ther 10(1):4–9CrossRef Tyler H, Adams J, Ellis B (2005) What can handgrip strength tell the therapist about hand function? Br J Hand Ther 10(1):4–9CrossRef
43.
Zurück zum Zitat Dedeoglu M, Gafuroglu Ü, Yilmaz Ö, Bodur H (2013) The relationship between hand grip and pinch strengths and disease activity, articular damage, pain, and disability in patients with rheumatoid arthritis. Arch Rheumatol 28(2):69–77 Dedeoglu M, Gafuroglu Ü, Yilmaz Ö, Bodur H (2013) The relationship between hand grip and pinch strengths and disease activity, articular damage, pain, and disability in patients with rheumatoid arthritis. Arch Rheumatol 28(2):69–77
44.
Zurück zum Zitat Escalante A, Haas RW, del Rincón I (2004) Measurement of global functional performance in patients with rheumatoid arthritis using rheumatology function tests. Arthritis Res Ther 6(4):R315–R325CrossRefPubMedPubMedCentral Escalante A, Haas RW, del Rincón I (2004) Measurement of global functional performance in patients with rheumatoid arthritis using rheumatology function tests. Arthritis Res Ther 6(4):R315–R325CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat Jones E, Hanly JG, Mooney R, Rand LL, Spurway PM, Eastwood BJ et al (1991) Strength and function in the normal and rheumatoid hand. J Rheumatol 18(9):1313–1318PubMed Jones E, Hanly JG, Mooney R, Rand LL, Spurway PM, Eastwood BJ et al (1991) Strength and function in the normal and rheumatoid hand. J Rheumatol 18(9):1313–1318PubMed
46.
Zurück zum Zitat Björk MA, Thyberg IS, Skogh T, Gerdle BU (2007) Hand function and activity limitation according to health assessment questionnaire in patients with rheumatoid arthritis and healthy referents: 5-year followup of predictors of activity limitation (The Swedish TIRA Project). J Rheumatol 34(2):296–302PubMed Björk MA, Thyberg IS, Skogh T, Gerdle BU (2007) Hand function and activity limitation according to health assessment questionnaire in patients with rheumatoid arthritis and healthy referents: 5-year followup of predictors of activity limitation (The Swedish TIRA Project). J Rheumatol 34(2):296–302PubMed
47.
Zurück zum Zitat Özeri Z, Çakýt BD, Taþkýn S, Genç H, Saraçoðlu M, Erdem HR (2008) The relationships among functional impairment, disability and articular damage in rheumatoid hand. J Phys Med Rehabil Sci 2:53–58 Özeri Z, Çakýt BD, Taþkýn S, Genç H, Saraçoðlu M, Erdem HR (2008) The relationships among functional impairment, disability and articular damage in rheumatoid hand. J Phys Med Rehabil Sci 2:53–58
48.
Zurück zum Zitat Bombardier C, Barbieri M, Parthan A, Zack DJ, Walker V, Macarios D et al (2012) The relationship between joint damage and functional disability in rheumatoid arthritis: a systematic review. Ann Rheum Dis 71(6):836–844CrossRefPubMed Bombardier C, Barbieri M, Parthan A, Zack DJ, Walker V, Macarios D et al (2012) The relationship between joint damage and functional disability in rheumatoid arthritis: a systematic review. Ann Rheum Dis 71(6):836–844CrossRefPubMed
49.
Zurück zum Zitat Navarro-Compán V, Landewé R, Provan SA, Ødegård S, Uhlig T, Kvien TK et al (2015) Relationship between types of radiographic damage and disability in patients with rheumatoid arthritis in the EURIDISS cohort: a longitudinal study. Rheumatology 54(1):83–90CrossRefPubMed Navarro-Compán V, Landewé R, Provan SA, Ødegård S, Uhlig T, Kvien TK et al (2015) Relationship between types of radiographic damage and disability in patients with rheumatoid arthritis in the EURIDISS cohort: a longitudinal study. Rheumatology 54(1):83–90CrossRefPubMed
50.
Zurück zum Zitat Arvidson NG, Larsson A, Larsen A (2002) Simple function tests, but not the modified HAQ, correlate with radiological joint damage in rheumatoid arthritis. Scand J Rheumatol 31(3):146–150CrossRefPubMed Arvidson NG, Larsson A, Larsen A (2002) Simple function tests, but not the modified HAQ, correlate with radiological joint damage in rheumatoid arthritis. Scand J Rheumatol 31(3):146–150CrossRefPubMed
51.
Zurück zum Zitat Teo K, Chow CK, Vaz M, Rangarajan S, Yusuf S, Group PI-W (2009) The Prospective Urban Rural Epidemiology (PURE) study: examining the impact of societal influences on chronic noncommunicable diseases in low-, middle-, and high-income countries. Am Heart J 158(1):1–7.e1CrossRefPubMed Teo K, Chow CK, Vaz M, Rangarajan S, Yusuf S, Group PI-W (2009) The Prospective Urban Rural Epidemiology (PURE) study: examining the impact of societal influences on chronic noncommunicable diseases in low-, middle-, and high-income countries. Am Heart J 158(1):1–7.e1CrossRefPubMed
52.
Zurück zum Zitat Leong DP, Teo KK, Rangarajan S, Lopez-Jaramillo P, Avezum A, Orlandini A et al (2015) Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet 386(9990):266–273CrossRefPubMed Leong DP, Teo KK, Rangarajan S, Lopez-Jaramillo P, Avezum A, Orlandini A et al (2015) Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet 386(9990):266–273CrossRefPubMed
53.
Zurück zum Zitat Schumacher HR, Habre W, Meador R, Hsia EC (2004) Predictive factors in early arthritis: long-term follow-up. Semin Arthritis Rheum 33(4):264–272CrossRefPubMed Schumacher HR, Habre W, Meador R, Hsia EC (2004) Predictive factors in early arthritis: long-term follow-up. Semin Arthritis Rheum 33(4):264–272CrossRefPubMed
54.
Zurück zum Zitat Corbett M, Dalton S, Young A, Silman A, Shipley M (1993) Factors predicting death, survival and functional outcome in a prospective study of early rheumatoid disease over fifteen years. Br J Rheumatol 32(8):717–723CrossRefPubMed Corbett M, Dalton S, Young A, Silman A, Shipley M (1993) Factors predicting death, survival and functional outcome in a prospective study of early rheumatoid disease over fifteen years. Br J Rheumatol 32(8):717–723CrossRefPubMed
55.
Zurück zum Zitat Callahan LF, Pincus T, Huston JW, Brooks RH, Nance EP, Kaye JJ (1997) Measures of activity and damage in rheumatoid arthritis: depiction of changes and prediction of mortality over five years. Arthritis Care Res 10(6):381–394CrossRefPubMed Callahan LF, Pincus T, Huston JW, Brooks RH, Nance EP, Kaye JJ (1997) Measures of activity and damage in rheumatoid arthritis: depiction of changes and prediction of mortality over five years. Arthritis Care Res 10(6):381–394CrossRefPubMed
56.
Zurück zum Zitat Flipon E, Brazier M, Clavel G, Boumier P, Gayet A, Le Loët X et al (2009) Is it possible to identify early predictors of the future cost of chronic arthritis? The VErA project. Fundam Clin Pharmacol 23(1):105–113CrossRefPubMed Flipon E, Brazier M, Clavel G, Boumier P, Gayet A, Le Loët X et al (2009) Is it possible to identify early predictors of the future cost of chronic arthritis? The VErA project. Fundam Clin Pharmacol 23(1):105–113CrossRefPubMed
57.
Zurück zum Zitat Ibrahim K, May C, Patel HP, Baxter M, Sayer AA, Roberts H (2016) A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): study protocol. Pilot Feasibil Stud 2:27CrossRef Ibrahim K, May C, Patel HP, Baxter M, Sayer AA, Roberts H (2016) A feasibility study of implementing grip strength measurement into routine hospital practice (GRImP): study protocol. Pilot Feasibil Stud 2:27CrossRef
58.
Zurück zum Zitat Taştekin N, Uzunca K, Birtane M, Kabayel DD, Öztürk G (2006) The relationship of range of motion and grip strength of the hand with disease activity, hand functions and disability in patients with rheumatoid arthritis. Arch Rheumatol 21(1):13–17 Taştekin N, Uzunca K, Birtane M, Kabayel DD, Öztürk G (2006) The relationship of range of motion and grip strength of the hand with disease activity, hand functions and disability in patients with rheumatoid arthritis. Arch Rheumatol 21(1):13–17
Metadaten
Titel
Measuring hand grip strength in rheumatoid arthritis
verfasst von
Susie C. Higgins
Jo Adams
Rodney Hughes
Publikationsdatum
06.04.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Rheumatology International / Ausgabe 5/2018
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-018-4024-2

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