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Flexion-extension strength of the index-thumb system in Italian population. A cross-sectional study to gather normative data

      Highlights

      • Pinch MVC (maximal voluntary contraction) is not correlated to dexterity
      • Pinch MVC and E-MVC (extension maximal voluntary contraction) values have different decline over ageing.
      • No difference in E-MVC (extension maximal voluntary contraction) was observed between hands
      • In heaviest occupations there is no difference in Palmar pinch MVC between hands
      • The anthropometric factor most correlated with pinch MVCs is height

      Abstract

      Study design

      Cross-sectional study.

      Introduction

      Flexion (Palmar Pinch, PP-MVC and Tip Pinch, TP-MVC) and extension (E-MVC) maximal voluntary contraction (MVC) of the index-thumb system offers a quick way to estimate the level of hands’ impairment in several musculoskeletal and neurologic conditions.

      Purpose of the Study

      This study established normative data of PP-MVC, TP-MVC, E-MVC in the Italian population and evaluated their correlation with hand dominance, anthropometric factors, dexterity and workload level.

      Methods

      In our study, 303 healthy people (150F, 153M) were recruited. Participants performed PP-MVC, TP-MVC and E-MVC tests per hand, conducted by using a pinch-gauge. T-test was used to analyze MVC means between sexes and between hands. One-way ANOVA was conducted to compare MVC means in male and female samples stratified by age (18-29, 30-44, 45-59, 60-74, +75). Spearman's correlation analysis was performed to determine anthropometric variables, dexterity and workload level effects on MVCs.

      Results

      Medium-to-large effect sizes of age were shown in the majority of tasks. The 30 to 44 years and then +75 years age groups showed the highest and the lowest values, respectively, for both sex and both hands. Men were meanly 50% stronger, and the dominant hand showed higher values (6-10%). MVC-tests correlated moderately with weight and height weakly with dexterity and workload level.

      Conclusions

      After 30 to 44 years, hand strength declines in line with the normal process of aging that also entails muscle fibers and the reduction of daily activities in older adults. In relative terms, E-MVC showed the highest strength loss in the over 75 seconds. The difference between sexes was higher in E-MVC than in flexion MVCs. E-MVC seems to depend more on musculoskeletal architecture that differs from women to men, according to the highest correlation between E-MVC and anthropometric variables. Only high workload levels impacted hand strength. In heaviest occupations, no PP-MVCs differences were observed between hands.

      Keywords

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