How to examine for power of grip in a patient with weakness?

When we do clinical examination for weakness, power is ascertained by MRC grading. However, for grip, MRC grading cannot be used. Is there any method to examine hand grip power other than using dynamometer
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Gerry Leisman
Evaluating grip strength in patients with muscular weakness entails diverse clinical techniques that yield objective data. These techniques are essential for detecting disorders such as chronic inflammatory demyelinating polyneuropathy (CIDP) and assessing surgical healing. Among the measurement options are: The Q-Motor Grip Force Assessment (QGFA) is employed to objectively measure muscular weakness in patients with CIDP. It quantifies grip force and involuntary motions by electromagnetic sensors, yielding metrics such as grip force variability and position index, as referenced in Klehmet et al., 2019. This approach demonstrates significant connections with conventional illness severity ratings, signifying its efficacy in identifying subclinical muscular weakness. Dynamometry has been previously mentioned; nevertheless, low-tech approaches, such as adapted manual sphygmomanometers, can exhibit a strong correlation with formal dynamometry, hence enhancing the accessibility of grip strength testing in diverse clinical environments.



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Elisabetta Ferrara
I'd be happy to help you find methods for examining hand grip power beyond dynamometry. To ensure I provide the most relevant information, could you clarify a few things:Are you looking for bedside clinical tests that don't require any equipment at all, or are simple tools (like everyday objects) acceptable?Is this for a specific patient population (e.g., elderly, pediatric, stroke patients, or those with specific neurological conditions)?Are you interested in purely strength assessment, or would functional grip assessments (like ability to perform daily tasks) also be useful?These details will help me find the most appropriate examination techniques for your clinical needs.

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