System for Quantifying the Functional Strength of the Grip and Pinch Movements

Study Overview
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Brief Summary
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This study developed a system to quantify the functional strength of young adults without motor impairment during grip and pinch movement. Making it possible to know the accuracy of the value of these strength, the range of motion performed and whether the grip force was maintained throughout the range of motion. In addition to checking the functionality, reliability and reproducibility of the system.

Detailed Description
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Quantifying grip and grip movement is essential as it allows for a basis in upper limb functionality. However, when there is access, it causes changes in the hands and changes the motor in relation to the force and range of motion, or generates changes in activities of daily living. Thus, a system with 5 devices, where each one the devices were prints in three-dimensional, and instrumented with force sensor for static-dynamic force analysis e potentiometer for analysis range of motion, during the execution of movements cylindrical grip, spherical grip, hook grip, pulp-pulp pinch, and pulp- side pinch in different activities of daily living. Elaborated a data storage interface through MATLAB® software that allows recording the data of each device. For the system functionality tests, 30 volunteers were selected for both sexes, young adults between 20 and 39 years old, students of the Physiotherapy and Graduate courses of the University of Mogi das Cruzes. The tests are divided into two sessions and are repeated after 7 days of the first test

Official Title
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System for Quantifying the Functional Strength of the Grip and Pinch Movements

Conditions
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Hand Injuries and Disorders

Intervention / Treatment
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* Device: handgrip strength
* Device: Door handle device
* Device: Tap device
* Device: Door pull handle
* Device: Linear Switch device
* Device: Door Key device


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: only right-handed individuals, male and female, have preserved cognitive functions, absence of neurological disorder who present minimum grip strength by the Jamar ® dynamometer, in the age group of 20-29 years men 45.08 ± 0.67 kg and women of 27.2 ± 0.46 kg, who present minimum grip strength by the dynamometer Jamar ®, aged 30 to 39 years old men 46.05 ± 0.47 kg and women 28.0 ± 0.39 kg, using the mean minus the standard deviation. Exclusion Criteria: Injury to upper limbs such as amputation, recent surgery (6 months), fractures, bruising, pain and musculoskeletal disorders. Do not accept to participate in the survey.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 39 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Hand strength<br>The tests were performed in two sessions lasting 1 hour each. The volunteers used the devices: door handle, tap, door pull handle, switch and door key to quantify hand strength. The tests were performed in two sessions lasting 1 hour each. The volunteers used the devices: door handle, tap, door pull handle, switch and door key to quantify hand strength. In the first session, the volunteers performed the movements 3 times in each device of daily living activities with the right limb, with a 1-minute rest interval between the 3 measurements. The entire procedure performed in the session was repeated again after 30 minutes to verify the reliability and reproducibility of the Intra-evaluator test. The Inter-rater test was repeated after 7 days by the second rater to analyze reliability between the rater. | Device: handgrip strength<br>* First, the hand measurements of each volunteer were evaluated, followed by the measurement of handgrip strength using the Jamar® dynamometer. And later the tests were performed using the system that contains the 5 devices to quantify the hand strength.<br>* Other names: Jamar dynamometer;Device: Door handle device<br>* To evaluate the cylindrical grip movement, a door handle was used, which evaluated the full force in the range of motion.<br>Device: Tap device<br>* To evaluate the spherical grip movement, a tap was used, which evaluated the full force in the range of motion.<br>Device: Door pull handle<br>* To assess the hook grip movement, a door pull handle was used, which assessed the full force in the range of motion<br>Device: Linear Switch device<br>* To evaluate the pulp-pulp pinch movement, a switch was used, which evaluated the full force in the movement of the movement.<br>Device: Door Key device<br>* To assess the pulp-side pinch movement, a door key was used, which evaluated the full force in the range of motion.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Strength device | The strength of the cylindrical grip movement was quantified through the door handle device, the spherical grip strength through the tap device, the hook grip strength through the vertical door pull handle, the pulp-pulp pinch strength through the linear switch device and the pulp-side pinch strength through the key device. The test was quantified 3 times with a 1 minute interval between each test and the force throughout the range of motion. Unit of measure: newton (N). | 15 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of motion in angle | The test measured the range of motion of the door handle device, the tap device, door pull handle device and the door key device, 3 times with 1 minute interval for each test, in which all range of motion was measured from its start until its end. Unit of measure: Angle (º). | 15 minutes | 
| Range of motion millimeter | The test measured the range of motion in a linear switch device 3 times with a 1 minute interval for each test, in which all of the range of motion was measured from its start until its end. Unit measurement: millimeter (mm). | 15 minutes |