PMID- 25557054
OWN - NLM
STAT- MEDLINE
DCOM- 20180320
LR  - 20180320
IS  - 2048-7940 (Electronic)
IS  - 0278-4807 (Linking)
VI  - 42
IP  - 3
DP  - 2017 May/Jun
TI  - Minimal Clinically Important Difference of Grip and Pinch Strength in Women With 
      Thumb Carpometacarpal Osteoarthritis When Compared to Healthy Subjects.
PG  - 139-145
LID - 10.1002/rnj.196 [doi]
AB  - PURPOSE: The primary objective of this study was to compare grip and pinch 
      strength between women with carpometacarpal (CMC) osteoarthritis (OA) between 
      affected and unaffected sides of the body in patients or dominant and nondominant 
      sides in healthy subjects. The secondary aim was to establish the cutoff value 
      scores for the minimal clinically important difference (MCID) for grip strength, 
      tip, and tripod pinch. DESIGN: A prospective case-control study. METHODS: One 
      hundred ten women participated in the study. The CMC OA group consisted of 57 
      patients, and the control group consisted of 53 healthy subjects. Grip strength, 
      tip, and tripod pinch were assessed bilaterally. The two-way analysis of variance 
      (ANOVA) was conducted to determine the differences between sides of the body and 
      between the groups. FINDINGS: The post hoc analysis indicated that the patients 
      in the CMC OA group indicated statistically significant lower scores on the grip 
      and pinch strength (all, p < .001). The MCID from baseline score in this patient 
      population was 0.84 kg for grip, 0.33 kg for tip, and 0.35 kg for tripod pinch 
      for the affected right arm and 1.12 kg for grip, 0.23 kg for tip, and 0.30 kg for 
      tripod pinch for the unaffected left side. CONCLUSIONS: Women with CMC OA have 
      significantly decreased grip strength, tip, and tripod pinch as compared to their 
      healthy counterparts and may experience functional consequences because of this 
      limitation. CLINICAL RELEVANCE: Our study established the MCID for grip and pinch 
      strength for individuals with CMC OA and their healthy counterparts.
FAU - Villafane, Jorge Hugo
AU  - Villafane JH
AD  - 1 IRCCS Don Gnocchi Foundation, Milan, Italy2 Hand Works Therapy, Sarasota, FL, 
      USA3 School of Physical Therapy, Alma Mater Studiorum, University of Bologna, 
      Bologna, Italy4 Department of Clinical and Experimental Sciences, University of 
      Brescia, Brescia, Italy.
FAU - Valdes, Kristin
AU  - Valdes K
FAU - Bertozzi, Lucia
AU  - Bertozzi L
FAU - Negrini, Stefano
AU  - Negrini S
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Rehabil Nurs
JT  - Rehabilitation nursing : the official journal of the Association of 
      Rehabilitation Nurses
JID - 8104825
MH  - Aged
MH  - Aged, 80 and over
MH  - Analysis of Variance
MH  - Carpometacarpal Joints/*abnormalities
MH  - Case-Control Studies
MH  - Female
MH  - Hand Strength/physiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Muscle Strength/*physiology
MH  - Osteoarthritis/*complications/physiopathology/rehabilitation
MH  - Pinch Strength/physiology
MH  - Prospective Studies
MH  - Rehabilitation Nursing/methods
EDAT- 2015/01/06 06:00
MHDA- 2018/03/21 06:00
CRDT- 2015/01/06 06:00
PHST- 2015/01/06 06:00 [pubmed]
PHST- 2018/03/21 06:00 [medline]
PHST- 2015/01/06 06:00 [entrez]
AID - 10.1002/rnj.196 [doi]
PST - ppublish
SO  - Rehabil Nurs. 2017 May/Jun;42(3):139-145. doi: 10.1002/rnj.196.