Reliability, validity, and responsiveness of pinch strength assessment: a systematic review.

Autor: Szekeres M; Department of Occupational Therapy, Western University, London, ON, Canada.; Lawson Health Research Institute, London, ON, Canada., Aspinall D; Department of Health and Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada., Kulick J; Department of Health and Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada., Sajid A; Department of Health and Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada., Dabbagh A; Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, ON, Canada., MacDermid J; Department of Health and Rehabilitation Sciences, Faculty of Health Science, Western University, London, ON, Canada.; Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada.
Jazyk: angličtina
Zdroj: Disability and rehabilitation [Disabil Rehabil] 2024 Jul 31, pp. 1-13. Date of Electronic Publication: 2024 Jul 31.
DOI: 10.1080/09638288.2024.2382907
Abstrakt: Purpose: To summarize and critically appraise the quality of studies investigating psychometric properties of pinch strength assessment.
Methods: Medical literature up to February 2024 was searched for studies reporting on at least one measurement property of pinch strength assessment. The quality of the evidence and the risk of bias were rated using COSMIN 2018 guidelines.
Results: Thirty-three studies (1962 participants) were included. The majority (16/19) of reliability studies were of adequate to very good quality. Seven of 12 studies of validity were rated as adequate or very good. The quality of the eight responsiveness studies was adequate. Reliability was good to excellent (ICC > 0.75) for neurological conditions, and excellent (ICC > 0.90) for musculoskeletal disorders and healthy participants. Pinch strength showed strong to very strong correlations with grip strength ( r  = 0.72-0.92), moderate to strong correlations with assessments of dexterity ( r  = 0.78-0.80), and weak to moderate correlation with patient-reported outcome measures ( r  = 0.03-0.50). Varied results were found for pinch strength responsiveness in a small number of studies.
Conclusions: Pinch strength assessment is reliable. Validity and responsiveness are less reported, but there is a strong correlation between pinch and grip strength, and a moderate correlation with dexterity.
Databáze: MEDLINE