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  4. Handgrip Strength Cutoff Points for Functional Independence and Wheelchair Ability in Men With Spinal Cord Injury

Handgrip Strength Cutoff Points for Functional Independence and Wheelchair Ability in Men With Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2021 · DOI: 10.46292/sci20-00040 · Published: September 1, 2021

Spinal Cord InjuryRehabilitationMusculoskeletal Medicine

Simple Explanation

This study aimed to find out how strong someone's handgrip needs to be for them to be able to do things on their own and use a wheelchair well if they are a man with a spinal cord injury. The researchers measured the handgrip strength of 54 men with spinal cord injuries and then looked at how well they could perform tasks related to daily living and wheelchair use. The study found specific handgrip strength levels that were linked to better performance in these tasks, which could help doctors and therapists set goals for rehabilitation.

Study Duration
September 2016 to February 2017
Participants
54 men with SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    A handgrip strength of 102.5 kgf was identified as a cutoff point to achieve a score of 70 on the Spinal Cord Independence Measure (SCIM-III).
  • 2
    A handgrip strength of 102.5 kgf was needed to achieve a 3-minute overground wheeling distance of 270 m.
  • 3
    A handgrip strength cutoff point of 93.0 kgf was necessary to obtain a performance score of 23.7 seconds on the Adapted Manual Wheelchair Circuit (AMWC).

Research Summary

This study determined optimal handgrip strength (HGS) cutoff points for greater functional independence and wheelchair skills in men with spinal cord injury (SCI). The HGS was a significant predictor for the SCIM-III score, AMWC performance score, and 3-minute overground wheeling test. Three significant predictive equations were established based on HGS, which could be adopted as parameters for optimal functional independence and wheelchair skills.

Practical Implications

Rehabilitation Goal Setting

The identified handgrip strength cutoff points can be used to set specific and measurable goals for rehabilitation programs.

Strength Training Focus

Values under the cutoff points indicate that strength training should be a main objective to increase functional independence and wheelchair ability.

Practical Assessment Tool

Handgrip dynamometer provides a faster and more practical strength test during daily rehabilitation sessions.

Study Limitations

  • 1
    Possible ceiling effect in the SCIM-III
  • 2
    Wheelchairs had minor bearing defects
  • 3
    Other predictors might positively influence the equation models and were not analyzed in the present study

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