Influence of Maximal or Submaximal Effort on the Load Distribution of the Hand Analyzed by Manugraphy
This study aims to investigate if the hands' load-distribution pattern differs during maximal and submaximal grip. Fifty-four healthy subjects used the 200-mm Manugraphy cylinder to assess the load-distribution pattern of both hands. On 2 testing days, the subjects performed grip-force testing:...
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Veröffentlicht in: | The Journal of hand surgery (American ed.) 2018-10, Vol.43 (10), p.948.e1-948.e9 |
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container_title | The Journal of hand surgery (American ed.) |
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creator | Mühldorfer-Fodor, Marion Cenik, Eren Hahn, Peter Mittlmeier, Thomas van Schoonhoven, Jörg Prommersberger, Karl Josef |
description | This study aims to investigate if the hands' load-distribution pattern differs during maximal and submaximal grip.
Fifty-four healthy subjects used the 200-mm Manugraphy cylinder to assess the load-distribution pattern of both hands. On 2 testing days, the subjects performed grip-force testing: 1 hand with maximal effort and the other with submaximal effort. Sides changed for the second testing day. The whole contact area of the hand was sectioned into 7 anatomical areas, and the percent contribution of each area, in relation to the total load applied, was calculated. Maximal and submaximal efforts were compared across the 7 areas in terms of load contributions.
Comparing maximum effort of the left and right hand, the load distribution was very similar without statistically significant differences between the corresponding areas. Comparing the maximal and the submaximal effort for each hand, 4 (left) and 5 (right) of the 7 corresponding areas showed statistically significant differences. Comparing the right hand, performing with maximal effort, with the left hand, performing with submaximal effort, 5 areas varied significantly. With the right hand performing submaximal effort, all 7 anatomical areas were significantly different.
The load distribution of a healthy hand is different when performing with submaximal effort compared with maximal effort. To analyze a hand's load-distribution pattern, the opposite hand can be used as a reference.
The hand's load-distribution pattern may be a useful indication of submaximal effort during grip-force testing. |
doi_str_mv | 10.1016/j.jhsa.2018.02.016 |
format | Article |
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Fifty-four healthy subjects used the 200-mm Manugraphy cylinder to assess the load-distribution pattern of both hands. On 2 testing days, the subjects performed grip-force testing: 1 hand with maximal effort and the other with submaximal effort. Sides changed for the second testing day. The whole contact area of the hand was sectioned into 7 anatomical areas, and the percent contribution of each area, in relation to the total load applied, was calculated. Maximal and submaximal efforts were compared across the 7 areas in terms of load contributions.
Comparing maximum effort of the left and right hand, the load distribution was very similar without statistically significant differences between the corresponding areas. Comparing the maximal and the submaximal effort for each hand, 4 (left) and 5 (right) of the 7 corresponding areas showed statistically significant differences. Comparing the right hand, performing with maximal effort, with the left hand, performing with submaximal effort, 5 areas varied significantly. With the right hand performing submaximal effort, all 7 anatomical areas were significantly different.
The load distribution of a healthy hand is different when performing with submaximal effort compared with maximal effort. To analyze a hand's load-distribution pattern, the opposite hand can be used as a reference.
The hand's load-distribution pattern may be a useful indication of submaximal effort during grip-force testing.</description><identifier>ISSN: 0363-5023</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2018.02.016</identifier><identifier>PMID: 29551343</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Biomechanical Phenomena - physiology ; Female ; grip force ; Hand - physiology ; Hand Strength - physiology ; Healthy Volunteers ; Humans ; Insincere effort ; load distribution ; Male ; malingering ; manugraphy ; Middle Aged ; Muscle Strength Dynamometer ; Young Adult</subject><ispartof>The Journal of hand surgery (American ed.), 2018-10, Vol.43 (10), p.948.e1-948.e9</ispartof><rights>2018 American Society for Surgery of the Hand</rights><rights>Copyright © 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-ae9ced7e6716526201871db4bf13993616028425eccbfcf2c9eaae138a979aff3</citedby><cites>FETCH-LOGICAL-c422t-ae9ced7e6716526201871db4bf13993616028425eccbfcf2c9eaae138a979aff3</cites><orcidid>0000-0002-0536-8045</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jhsa.2018.02.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29551343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mühldorfer-Fodor, Marion</creatorcontrib><creatorcontrib>Cenik, Eren</creatorcontrib><creatorcontrib>Hahn, Peter</creatorcontrib><creatorcontrib>Mittlmeier, Thomas</creatorcontrib><creatorcontrib>van Schoonhoven, Jörg</creatorcontrib><creatorcontrib>Prommersberger, Karl Josef</creatorcontrib><title>Influence of Maximal or Submaximal Effort on the Load Distribution of the Hand Analyzed by Manugraphy</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>This study aims to investigate if the hands' load-distribution pattern differs during maximal and submaximal grip.
Fifty-four healthy subjects used the 200-mm Manugraphy cylinder to assess the load-distribution pattern of both hands. On 2 testing days, the subjects performed grip-force testing: 1 hand with maximal effort and the other with submaximal effort. Sides changed for the second testing day. The whole contact area of the hand was sectioned into 7 anatomical areas, and the percent contribution of each area, in relation to the total load applied, was calculated. Maximal and submaximal efforts were compared across the 7 areas in terms of load contributions.
Comparing maximum effort of the left and right hand, the load distribution was very similar without statistically significant differences between the corresponding areas. Comparing the maximal and the submaximal effort for each hand, 4 (left) and 5 (right) of the 7 corresponding areas showed statistically significant differences. Comparing the right hand, performing with maximal effort, with the left hand, performing with submaximal effort, 5 areas varied significantly. With the right hand performing submaximal effort, all 7 anatomical areas were significantly different.
The load distribution of a healthy hand is different when performing with submaximal effort compared with maximal effort. To analyze a hand's load-distribution pattern, the opposite hand can be used as a reference.
The hand's load-distribution pattern may be a useful indication of submaximal effort during grip-force testing.</description><subject>Adult</subject><subject>Biomechanical Phenomena - physiology</subject><subject>Female</subject><subject>grip force</subject><subject>Hand - physiology</subject><subject>Hand Strength - physiology</subject><subject>Healthy Volunteers</subject><subject>Humans</subject><subject>Insincere effort</subject><subject>load distribution</subject><subject>Male</subject><subject>malingering</subject><subject>manugraphy</subject><subject>Middle Aged</subject><subject>Muscle Strength Dynamometer</subject><subject>Young Adult</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtP4zAUhS00CDqFP8ACeTmbZPyInURig3gMSEUsgLXlONfUVRoXO0GUX4-jFpazurr3nnOk8yF0RklOCZV_V_lqGXXOCK1ywvJ0OkAzKjjNpJDFLzQjXPJMEMaP0e8YV4QkCRdH6JjVQlBe8BmC-952I_QGsLf4QX-4te6wD_hpbNb77cZaHwbsezwsAS-8bvG1i0NwzTi4dE3G6XGn-xZf9rrbfkKLm21K68fXoDfL7Qk6tLqLcLqfc_Rye_N8dZctHv_dX10uMlMwNmQaagNtCbKkUjA5FStp2xSNpbyuuaSSsKpgAoxprLHM1KA1UF7puqy1tXyO_uxyN8G_jRAHtXbRQNfpHvwYVUoUBalKxpOU7aQm-BgDWLUJqW3YKkrUhFet1IR38lSKMDWxm6PzfX6iA-2P5ZtnElzsBJBavjsIKho30W1dADOo1rv_5X8BdIqL2Q</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Mühldorfer-Fodor, Marion</creator><creator>Cenik, Eren</creator><creator>Hahn, Peter</creator><creator>Mittlmeier, Thomas</creator><creator>van Schoonhoven, Jörg</creator><creator>Prommersberger, Karl Josef</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0536-8045</orcidid></search><sort><creationdate>201810</creationdate><title>Influence of Maximal or Submaximal Effort on the Load Distribution of the Hand Analyzed by Manugraphy</title><author>Mühldorfer-Fodor, Marion ; Cenik, Eren ; Hahn, Peter ; Mittlmeier, Thomas ; van Schoonhoven, Jörg ; Prommersberger, Karl Josef</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-ae9ced7e6716526201871db4bf13993616028425eccbfcf2c9eaae138a979aff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Biomechanical Phenomena - physiology</topic><topic>Female</topic><topic>grip force</topic><topic>Hand - physiology</topic><topic>Hand Strength - physiology</topic><topic>Healthy Volunteers</topic><topic>Humans</topic><topic>Insincere effort</topic><topic>load distribution</topic><topic>Male</topic><topic>malingering</topic><topic>manugraphy</topic><topic>Middle Aged</topic><topic>Muscle Strength Dynamometer</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mühldorfer-Fodor, Marion</creatorcontrib><creatorcontrib>Cenik, Eren</creatorcontrib><creatorcontrib>Hahn, Peter</creatorcontrib><creatorcontrib>Mittlmeier, Thomas</creatorcontrib><creatorcontrib>van Schoonhoven, Jörg</creatorcontrib><creatorcontrib>Prommersberger, Karl Josef</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mühldorfer-Fodor, Marion</au><au>Cenik, Eren</au><au>Hahn, Peter</au><au>Mittlmeier, Thomas</au><au>van Schoonhoven, Jörg</au><au>Prommersberger, Karl Josef</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Maximal or Submaximal Effort on the Load Distribution of the Hand Analyzed by Manugraphy</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2018-10</date><risdate>2018</risdate><volume>43</volume><issue>10</issue><spage>948.e1</spage><epage>948.e9</epage><pages>948.e1-948.e9</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><abstract>This study aims to investigate if the hands' load-distribution pattern differs during maximal and submaximal grip.
Fifty-four healthy subjects used the 200-mm Manugraphy cylinder to assess the load-distribution pattern of both hands. On 2 testing days, the subjects performed grip-force testing: 1 hand with maximal effort and the other with submaximal effort. Sides changed for the second testing day. The whole contact area of the hand was sectioned into 7 anatomical areas, and the percent contribution of each area, in relation to the total load applied, was calculated. Maximal and submaximal efforts were compared across the 7 areas in terms of load contributions.
Comparing maximum effort of the left and right hand, the load distribution was very similar without statistically significant differences between the corresponding areas. Comparing the maximal and the submaximal effort for each hand, 4 (left) and 5 (right) of the 7 corresponding areas showed statistically significant differences. Comparing the right hand, performing with maximal effort, with the left hand, performing with submaximal effort, 5 areas varied significantly. With the right hand performing submaximal effort, all 7 anatomical areas were significantly different.
The load distribution of a healthy hand is different when performing with submaximal effort compared with maximal effort. To analyze a hand's load-distribution pattern, the opposite hand can be used as a reference.
The hand's load-distribution pattern may be a useful indication of submaximal effort during grip-force testing.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29551343</pmid><doi>10.1016/j.jhsa.2018.02.016</doi><orcidid>https://orcid.org/0000-0002-0536-8045</orcidid></addata></record> |
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subjects | Adult Biomechanical Phenomena - physiology Female grip force Hand - physiology Hand Strength - physiology Healthy Volunteers Humans Insincere effort load distribution Male malingering manugraphy Middle Aged Muscle Strength Dynamometer Young Adult |
title | Influence of Maximal or Submaximal Effort on the Load Distribution of the Hand Analyzed by Manugraphy |
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