Handgrip Strength as an Indicator of Overall Strength and Functional Performance—Systematic Review
Source abstract
Abstract
Reduced muscle strength can affect daily activities, so monitoring is essential. Methods such as isokinetic dynamometers assess maximum muscle force, while hand dynamometers measure hand grip strength. Research has investigated hand grip strength as a predictor of upper, lower and total strength, but the results remain unsystematic. The aim of this study was to systematize the current state of knowledge to test whether hand grip strength can be used as an indicator of overall strength and functional performance. A review of studies from 2000 to 2023 was conducted using: ScienceDirect, PubMed and GoogleScholar. The focus was on articles that examined the relationship between hand grip strength and muscle torque. The following keywords, entered in different configurations, were used in the search: ’hand grip’, ’muscle strength’, ’correlation’ and ’association’. A total of 22 studies were selected for analysis, involving 752 healthy adults, 30 physically active people, 120 ill adults, 2965 older people and 112 ill older people. The analysis looked at associations between hand grip strength and muscle moments of the trunk, limbs and knee joint. The results from the literature indicate that the value of the correlation between hand grip strength and muscle torque varies (from low to high) depending on the test method or group. Therefore, caution should be exercised when using hand grip strength as the sole measure of overall strength and functional performance.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Nutrition and Health in Aging · Body Composition Measurement Techniques · Physical Education and Gymnastics
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Biomechatronics, Faculty of Biomedical Engineering, Silesian University of Technology, Roosevelta 40, 41-800 Zabrze, Poland
Funding
European Funds for Silesia 2021–2027 Program · Just Transition Fund project entitled “Development of the Silesian biomedical engineering potential in the face of the challenges of the digital and green economy (BioMeDiG)”
References (50)
Show source-provided references
1. Inter-Machine Reliability of the Biodex and Cybex Isokinetic Dynamometers for Knee Flexor/Extensor Isometric, Concentric and Eccentric Tests10.1016/j.ptsp.2014.04.004 ↗
2. Hamill, J., and Knutzen, K.M. (2003). Biomechanical Basis of Human Movement, Lippincott Williams & Wilkins.
3. Objective Evaluation of Upper Limb Claudication: Use of Isokinetic Dynamometry10.1590/S1807-59322006000300002 ↗
4. Reliability of Testing the Knee Extensors and Flexors in Healthy Adult Women Using a Cybex® II Isokinetic Dynamometer10.2519/jospt.1991.14.1.37 ↗
5. Hand-Held Dynamometry: Tester Strength Is Paramount, Even in Frail Populations10.2340/16501977-0860 ↗
6. Shoulder Muscle Endurance: The Development of a Standardized and Reliable Protocol10.1186/1758-2555-3-1 ↗
7. Test-Retest Reliabilty of Isokinetic Hip Adductor and Flexor Muscle Strength10.1097/00042752-199904000-00007 ↗
8. Isometric Knee Extension Test: A Practical, Repeatable, and Suitable Tool for Lower-Limb Screening among Institutionalized Older Adults10.1016/j.exger.2021.111575 ↗
9. Comparison of Absolute and Relative Handgrip Strength to Predict Cancer Prognosis: A Prospective Multicenter Cohort Study10.1016/j.clnu.2022.06.011 ↗
10. Fess, E., and Moran, C. (2024, February 04). American Society of Hand Therapists Clinical Assessment Recommendations. Available online: https://www.researchgate.net/profile/Elaine-Fess/publication/303400806_American_Society_of_Hand_Therapists_Clinical_Assessment_Recommendations/links/57409a6208aea45ee847b254/American-Society-of-Hand-Therapists-Clinical-Assessment-Recommendations.pdf.
11. Hand Grip Strength Is Strongly Associated with Lower Limb Strength but Only Weakly with Postural Control in Community-Dwelling Older Adults10.1016/j.archger.2021.104345 ↗
12. Hand Grip Strength—A Simple Prognostic Indicator In Surgical Patients10.1177/0148607185009006701 ↗
13. Relation of Anthropometric and Dynamometric Variables to Serious Postoperative Complications10.1136/bmj.281.6245.899 ↗
14. Tomes, C., Schram, B., Pope, R., and Orr, R. (2020). What Is the Impact of Fitness on Injury Risk during Police Academy Training? A Retrospective Cohort Study. BMC Sports Sci. Med. Rehabil., 12.10.1186/s13102-020-00188-7 ↗
15. The Association Between Grip Strength Measured in Childhood, Young- and Mid-Adulthood and Prediabetes or Type 2 Diabetes in Mid-Adulthood10.1007/s40279-020-01328-2 ↗
16. Relationship between Grip Strength and Bone Mineral Density in Healthy Hong Kong Adolescents10.1007/s00198-008-0595-1 ↗
17. Muscle Strength as a Predictor of Bone Mineral Density in Young Women10.1002/jbmr.5650050608 ↗
18. Association of Physical Function with Clinical and Subclinical Brain Disease: The Framingham Offspring Study10.3233/JAD-160229 ↗
19. Sarcopenia: European Consensus on Definition and Diagnosis: Report of the European Working Group on Sarcopenia in Older People10.1093/ageing/afq034 ↗
20. Grip Strength Predicts Cause-Specific Mortality in Middle-Aged and Elderly Persons10.1016/j.amjmed.2006.04.018 ↗
21. Hand-Grip Dynamometry Predicts Future Outcomes in Aging Adults10.1519/00139143-200831010-00002 ↗
22. Handgrip Strength and Health in Aging Adults10.1007/s40279-018-0952-y ↗
23. Correlation between Handgrip and Isokinetic Strength of Shoulder Muscles in Elite Sitting Volleyball Players10.1016/j.jbmt.2020.07.015 ↗
24. Poor Correlation between Handgrip Strength and Isokinetic Performance of Knee Flexor and Extensor Muscles in Community-Dwelling Elderly Women10.1111/ggi.12077 ↗
25. Handgrip Strength Cannot Be Assumed a Proxy for Overall Muscle Strength10.1016/j.jamda.2018.04.019 ↗
26. Is Handgrip Strength a Useful Measure to Evaluate Lower Limb Strength and Functional Performance in Older Women?10.2147/CIA.S253262 ↗
27. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration10.1016/j.jclinepi.2009.06.006 ↗
28. The Feasibility of Creating a Checklist for the Assessment of the Methodological Quality Both of Randomised and Non-Randomised Studies of Health Care Interventions10.1136/jech.52.6.377 ↗
29. Relationship between Hand-Grip Isometric Strength and Isokinetic Moment Data of the Shoulder Stabilisers10.1016/j.jbmt.2008.05.001 ↗
30. Isometric Hand Grip Strength Correlated with Isokinetic Data of the Shoulder Stabilizers in Individuals with Chronic Stroke10.1016/j.jbmt.2012.01.002 ↗
31. Grip and Shoulder Strength Correlation with Validated Outcome Instruments in Patients with Rotator Cuff Tears10.1016/j.jse.2020.07.041 ↗
32. Is the Grip Force Measurement Suitable for Assessing Overall Strength Regardless of Age and Gender?10.1016/j.measurement.2021.109093 ↗
33. Peak Torque Prediction Using Handgrip and Strength Predictors in Men and Women With Motor Complete Spinal Cord Injury10.46292/sci20-00027 ↗
34. de Relationship between Grip Strength and Global Muscle Strength in Community-Dwelling Older People10.1016/j.archger.2019.03.005 ↗
35. An Investigation of the Association between Grip Strength and Hip and Knee Joint Moments in Older Adults10.1016/j.archger.2011.03.009 ↗
36. Is Grip Strength a Predictor for Total Muscle Strength in Healthy Children, Adolescents, and Young Adults?10.1007/s00431-009-1010-4 ↗
37. Knee Extension Strength and Handgrip Strength Are Important Predictors of Timed Up and Go Test Performance among Community-Dwelling Elderly Women: A Cross-Sectional Study10.1590/1516-3180.2020.0182.r1.30102020 ↗
38. Alonso, A.C., Ribeiro, S.M., Silva Luna, N.M., Peterson, M.D., Bocalini, D.S., Serra, M.M., Brech, G.C., D’Andréa Greve, J.M., and Garcez-Leme, L.E. (2018). Association between Handgrip Strength, Balance, and Knee Flexion/Extension Strength in Older Adults. PLoS ONE, 13.10.1371/journal.pone.0198185 ↗
39. Reliability and Relationships among Handgrip Strength, Leg Extensor Strength and Power, and Balance in Older Men10.1016/j.exger.2014.07.007 ↗
40. Are Hand-Grip and Knee Extension Strength Reflective of a Common Construct?10.2466/03.26.PMS.114.2.514-518 ↗
41. Grip and Knee Extension Muscle Strength Reflect a Common Construct among Adults10.1002/mus.23350 ↗
42. Yeung, S.S.Y., Reijnierse, E.M., Trappenburg, M.C., Blauw, G.J., Meskers, C.G.M., and Maier, A.B. (2018). Knee Extension Strength Measurements Should Be Considered as Part of the Comprehensive Geriatric Assessment. BMC Geriatr., 18.10.1186/s12877-018-0815-2 ↗
43. Comparison of Quadriceps Strength and Handgrip Strength in Their Association with Health Outcomes in Older Adults in Primary Care10.1007/s11357-014-9714-4 ↗
44. Age-Associated Changes in Hand Grip and Quadriceps Muscle Strength Ratios in Healthy Adults10.1007/BF03325252 ↗
45. Du, W., Cornett, K.M.D., Donlevy, G.A., Burns, J., and McKay, M.J. (2024). Variability between Different Hand-Held Dynamometers for Measuring Muscle Strength. Sensors, 24.10.3390/s24061861 ↗
46. Pino-Ortega, J., Carvajal-Espinoza, R., and Becerra-Patiño, B.A. (2024). Evaluation of Hand Muscle Strength Using Manual Dynamometry: A Reliability and Validity Study of the Activ5 Instrument. Appl. Sci., 14.10.3390/app14198775 ↗
47. Savas, S., Kilavuz, A., Kayhan Koçak, F.Ö., and Cavdar, S. (2023). Comparison of Grip Strength Measurements by Widely Used Three Dynamometers in Outpatients Aged 60 Years and Over. J. Clin. Med., 12.10.3390/jcm12134260 ↗
48. Zadoń, H., Michnik, R., and Nowakowska-Lipiec, K. (2024). Assessment of Musculoskeletal Loads among Office Workers Due to Predicted BMI Increase. Appl. Sci., 14.10.3390/app14198928 ↗
49. Sousa-Santos, A.R., and Amaral, T.F. (2017). Differences in Handgrip Strength Protocols to Identify Sarcopenia and Frailty—A Systematic Review. BMC Geriatr., 17.10.1186/s12877-017-0625-y ↗
50. Hand Grip Strength as a Proposed New Vital Sign of Health: A Narrative Review of Evidences10.1186/s41043-024-00500-y ↗