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
Hauptverfasser: Mühldorfer-Fodor, Marion, Cenik, Eren, Hahn, Peter, Mittlmeier, Thomas, van Schoonhoven, Jörg, Prommersberger, Karl Josef
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container_end_page 948.e9
container_issue 10
container_start_page 948.e1
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.
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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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