Research Article
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Investigation of the Relationship between Handgrip Strength and Cough Strength in Healthy Individuals

Year 2018, Volume: 5 Issue: 1, 39 - 43, 15.02.2018
https://doi.org/10.17681/hsp.364936

Abstract


Objective: The aim of
this study was to investigate the relationship between handgrip strength and
cough strength in healthy individuals. Methods:
Demographic
data were obtained from healthy university students aged 18-25 years. Dominant
handgrip strength (kg) was assessed by using a hydraulic hand dynamometer (Jamar)
for determining peripheral muscle strength. Cough strength was evaluated by using
a portable Pef meter (L/min) by measuring the peak expiratory flow value which
was occurred during a cough maneuver following a deep inspiration in sitting
position. Three attempts were undertaken and the highest value was recorded for
the analysis. As the data not distributed normally, the relationship between
the handgrip strength and cough strength was tested by using Spearman
correlation analysis and the descriptive statistics were presented median and
interquartile ranges. Results: A
total of 90 participants (37 female, 53 male) with a median age of 21 years
and median body mass index of 22.14 kg/m2 were included in the study.
The median grip strength was 46 kg and the median cough strength was found as
537.50 L/dk. A positive, strong, significant relationship (rho=0.750,
p<0.001) was found between handgrip strength and peak expiratory flow value during
cough maneuver. Conclusion: According
to the results that were obtained from this study, the grip strength
which is an important indicator of the peripheral muscle strength was found
related to cough strength. Future studies, might investigate the utility of
grip strength on cough effectiveness in healthy individuals and patients with a
respiratory problem.




References

  • 1. Bahat G, Tufan A, Ozkaya H, Tufan F, Akpinar TS, Akin S, et al. Relation between hand grip strength, respiratory muscle strength and spirometric measures in male nursing home residents. Aging Male. 2014;17(3):136-140.
  • 2. Fink JB. Forced expiratory technique, directed cough, and autogenic drainage. Respir Care. 2007;52(9):1210-1221; discussion 1221-1213.
  • 3. Shah MD, Shah SM. The applied physiology of cough. Indian J Pediatr. 2001;68 Suppl 2:S3-10.
  • 4. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-423.
  • 5. Bittner EA, Martyn JA, George E, Frontera WR, Eikermann M. Measurement of muscle strength in the intensive care unit. Crit Care Med. 2009;37(10 Suppl):S321-330.
  • 6. Bohannon RW. Muscle strength: clinical and prognostic value of hand-grip dynamometry. Curr Opin Clin Nutr Metab Care. 2015;18(5):465-470.
  • 7. Leong DP, Teo KK, Rangarajan S, Kutty VR, Lanas F, Hui C, et al. Reference ranges of handgrip strength from 125,462 healthy adults in 21 countries: a prospective urban rural epidemiologic (PURE) study. J Cachexia Sarcopenia Muscle. 2016;7(5):535-546.
  • 8. Enright PL, Kronmal RA, Manolio TA, Schenker MB, Hyatt RE. Respiratory muscle strength in the elderly. Correlates and reference values. Cardiovascular Health Study Research Group. Am J Respir Crit Care Med. 1994;149(2 Pt 1):430-438.
  • 9. Shin HI, Kim DK, Seo KM, Kang SH, Lee SY, Son S. Relation Between Respiratory Muscle Strength and Skeletal Muscle Mass and Hand Grip Strength in the Healthy Elderly. Ann Rehabil Med. 2017;41(4):686-692.
  • 10. Colucci DB, Fiore JF, Jr., Paisani DM, Risso TT, Colucci M, Chiavegato LD, et al. Cough impairment and risk of postoperative pulmonary complications after open upper abdominal surgery. Respir Care. 2015;60(5):673-678.
  • 11. Yildirim M, Ozyurek S, Avci E, Karadibak D, Derici S. Preoperative pulmonary function testing predicts cough effectiveness early after laparoscopic bariatric surgery Bariatric Surgical Practice and Patient Care. 2017;12(1):25-28.
  • 12. Anderson JL, Hasney KM, Beaumont NE. Systematic review of techniques to enhance peak cough flow and maintain vital capacity in neuromuscular disease: the case for mechanical insufflation–exsufflation. Physical Therapy Reviews. 2005;10(1):25-33.
  • 13. Quanjer PH, Lebowitz MD, Gregg I, Miller MR, Pedersen OF. Peak expiratory flow: conclusions and recommendations of a Working Party of the European Respiratory Society. Eur Respir J Suppl. 1997;24:2S-8S.
  • 14. Nunn AJ, Gregg I. New regression equations for predicting peak expiratory flow in adults. BMJ. 1989;298(6680):1068-1070.
  • 15. Fess EE. Clinical assessment recommendations. In: Casanova JS, (ed.). Grip strength. Second ed. Chicago: American Society of Hand Therapists, 1992, p. 41-45.
  • 16. Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006;92(1):11-15.
  • 17. Mathiowetz V, Kashman N, Volland G, Weber K, Dowe M, Rogers S. Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil. 1985;66(2):69-74.
  • 18. Larson JL, Covey MK, Vitalo CA, Alex CG, Patel M, Kim MJ. Maximal inspiratory pressure. Learning effect and test-retest reliability in patients with chronic obstructive pulmonary disease. Chest. 1993;104(2):448-453.
  • 19. Jardim JR, Camelier A, Dal Corso S, Rodrigues JE. Strength and endurance of the respiratory and handgrip muscles after the use of flunisolide in normal subjects. Respir Med. 2007;101(7):1594-1599.
  • 20. Toussaint M, Boitano LJ, Gathot V, Steens M, Soudon P. Limits of effective cough-augmentation techniques in patients with neuromuscular disease. Respir Care. 2009;54(3):359-366.
  • 21. Efstathiou ID, Mavrou IP, Grigoriadis KE. Correlation Between Maximum Inspiratory Pressure and Hand-Grip Force in Healthy Young and Middle-Age Individuals. Respir Care. 2016;61(7):925-929.
  • 22. Evans JA, Whitelaw WA. The assessment of maximal respiratory mouth pressures in adults. Respir Care. 2009;54(10):1348-1359.
  • 23. Tzanis G, Vasileiadis I, Zervakis D, Karatzanos E, Dimopoulos S, Pitsolis T, et al. Maximum inspiratory pressure, a surrogate parameter for the assessment of ICU-acquired weakness. BMC Anesthesiol. 2011;11:14.
  • 24. De Jonghe B, Bastuji-Garin S, Durand MC, Malissin I, Rodrigues P, Cerf C, et al. Respiratory weakness is associated with limb weakness and delayed weaning in critical illness. Crit Care Med. 2007;35(9):2007-2015.
  • 25. Sillanpaa E, Stenroth L, Bijlsma AY, Rantanen T, McPhee JS, Maden-Wilkinson TM, et al. Associations between muscle strength, spirometric pulmonary function and mobility in healthy older adults. Age (Dordr). 2014;36(4):9667.
  • 26. Cichosz SL, Vestergaard ET, Hejlesen O. Muscle grip strength is associated to reduced pulmonary capacity in patients with diabetes. Prim Care Diabetes. 2017.
  • 27. Sahin G, Ulubas B, Calikoglu M, Erdogan C. Handgrip strength, pulmonary function tests, and pulmonary muscle strength in fibromyalgia syndrome: is there any relationship? South Med J. 2004;97(1):25-29.

Sağlıklı Kişilerde Kavrama Kuvveti ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship between Handgrip Strength and Cough Strength in Healthy Individuals

Year 2018, Volume: 5 Issue: 1, 39 - 43, 15.02.2018
https://doi.org/10.17681/hsp.364936

Abstract


Amaç: Bu
çalışmanın amacı sağlıklı bireylerde kavrama kuvveti ile öksürme kuvveti
arasındaki ilişkiyi incelemekti.
Gereç ve Yöntemler: 18-25 yaş arasındaki sağlıklı üniversite
öğrencilerinin demografik bilgileri kaydedildi. Periferal kas kuvvetinin
belirlenmesi amacıyla dominant el kavrama kuvveti (kg) hidrolik el
dinamometresi (Jamar) kullanılarak ölçüldü. Öksürme kuvveti taşınabilir bir Pefmetre
cihazı kullanılarak (L/dk) bireyler derin inspirasyonu takiben öksürme
manevrasıyla ulaştıkları pik ekspiratuar akış değerinin ölçülmesiyle oturma
pozisyonunda iken değerlendirildi. Her iki kuvvet değeri için üç ölçüm
tekrarlanarak en yüksek değer analiz için kaydedildi. Veriler normal
dağılmadığından, kavrama kuvveti ile öksürme kuvveti arasındaki ilişki Spearman
korelasyon analizi kullanılarak test edildi ve tanımlayıcı istatistikler median
ve çeyreklerarası aralık olarak gösterildi.
Bulgular: Çalışmaya ortanca yaşları 21 yıl ve ortanca
beden kütle indeksi 22.14 kg/m2 olan toplam 90 kişi (37 kadın, 53
erkek) alındı. Katılımcıların kavrama kuvveti ortanca değeri 46 kg, öksürme
kuvveti değeri ise 537.50 L/dk olarak bulundu. Kavrama kuvveti (rho=0.750,
p<0.001) ile öksürme manevrası sırasındaki pik ekspiratuar akış  değeri arasında pozitif yönde, güçlü, anlamlı
bir ilişki saptandı.
Sonuç: Bu çalışmanın sonuçlarına göre periferik
kas kuvvetinin önemli göstergelerinden biri olan kavrama kuvveti sağlıklı
bireylerde öksürme kuvveti ile ilişkili bulunmuştur. İleri çalışmalar, sağlıklı
ve solunumsal bir probleme sahip hastalarda öksürme etkinliğinin belirlenmesinde
kavrama kuvvetinin kullanımını inceleyebilir. 




References

  • 1. Bahat G, Tufan A, Ozkaya H, Tufan F, Akpinar TS, Akin S, et al. Relation between hand grip strength, respiratory muscle strength and spirometric measures in male nursing home residents. Aging Male. 2014;17(3):136-140.
  • 2. Fink JB. Forced expiratory technique, directed cough, and autogenic drainage. Respir Care. 2007;52(9):1210-1221; discussion 1221-1213.
  • 3. Shah MD, Shah SM. The applied physiology of cough. Indian J Pediatr. 2001;68 Suppl 2:S3-10.
  • 4. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-423.
  • 5. Bittner EA, Martyn JA, George E, Frontera WR, Eikermann M. Measurement of muscle strength in the intensive care unit. Crit Care Med. 2009;37(10 Suppl):S321-330.
  • 6. Bohannon RW. Muscle strength: clinical and prognostic value of hand-grip dynamometry. Curr Opin Clin Nutr Metab Care. 2015;18(5):465-470.
  • 7. Leong DP, Teo KK, Rangarajan S, Kutty VR, Lanas F, Hui C, et al. Reference ranges of handgrip strength from 125,462 healthy adults in 21 countries: a prospective urban rural epidemiologic (PURE) study. J Cachexia Sarcopenia Muscle. 2016;7(5):535-546.
  • 8. Enright PL, Kronmal RA, Manolio TA, Schenker MB, Hyatt RE. Respiratory muscle strength in the elderly. Correlates and reference values. Cardiovascular Health Study Research Group. Am J Respir Crit Care Med. 1994;149(2 Pt 1):430-438.
  • 9. Shin HI, Kim DK, Seo KM, Kang SH, Lee SY, Son S. Relation Between Respiratory Muscle Strength and Skeletal Muscle Mass and Hand Grip Strength in the Healthy Elderly. Ann Rehabil Med. 2017;41(4):686-692.
  • 10. Colucci DB, Fiore JF, Jr., Paisani DM, Risso TT, Colucci M, Chiavegato LD, et al. Cough impairment and risk of postoperative pulmonary complications after open upper abdominal surgery. Respir Care. 2015;60(5):673-678.
  • 11. Yildirim M, Ozyurek S, Avci E, Karadibak D, Derici S. Preoperative pulmonary function testing predicts cough effectiveness early after laparoscopic bariatric surgery Bariatric Surgical Practice and Patient Care. 2017;12(1):25-28.
  • 12. Anderson JL, Hasney KM, Beaumont NE. Systematic review of techniques to enhance peak cough flow and maintain vital capacity in neuromuscular disease: the case for mechanical insufflation–exsufflation. Physical Therapy Reviews. 2005;10(1):25-33.
  • 13. Quanjer PH, Lebowitz MD, Gregg I, Miller MR, Pedersen OF. Peak expiratory flow: conclusions and recommendations of a Working Party of the European Respiratory Society. Eur Respir J Suppl. 1997;24:2S-8S.
  • 14. Nunn AJ, Gregg I. New regression equations for predicting peak expiratory flow in adults. BMJ. 1989;298(6680):1068-1070.
  • 15. Fess EE. Clinical assessment recommendations. In: Casanova JS, (ed.). Grip strength. Second ed. Chicago: American Society of Hand Therapists, 1992, p. 41-45.
  • 16. Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006;92(1):11-15.
  • 17. Mathiowetz V, Kashman N, Volland G, Weber K, Dowe M, Rogers S. Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil. 1985;66(2):69-74.
  • 18. Larson JL, Covey MK, Vitalo CA, Alex CG, Patel M, Kim MJ. Maximal inspiratory pressure. Learning effect and test-retest reliability in patients with chronic obstructive pulmonary disease. Chest. 1993;104(2):448-453.
  • 19. Jardim JR, Camelier A, Dal Corso S, Rodrigues JE. Strength and endurance of the respiratory and handgrip muscles after the use of flunisolide in normal subjects. Respir Med. 2007;101(7):1594-1599.
  • 20. Toussaint M, Boitano LJ, Gathot V, Steens M, Soudon P. Limits of effective cough-augmentation techniques in patients with neuromuscular disease. Respir Care. 2009;54(3):359-366.
  • 21. Efstathiou ID, Mavrou IP, Grigoriadis KE. Correlation Between Maximum Inspiratory Pressure and Hand-Grip Force in Healthy Young and Middle-Age Individuals. Respir Care. 2016;61(7):925-929.
  • 22. Evans JA, Whitelaw WA. The assessment of maximal respiratory mouth pressures in adults. Respir Care. 2009;54(10):1348-1359.
  • 23. Tzanis G, Vasileiadis I, Zervakis D, Karatzanos E, Dimopoulos S, Pitsolis T, et al. Maximum inspiratory pressure, a surrogate parameter for the assessment of ICU-acquired weakness. BMC Anesthesiol. 2011;11:14.
  • 24. De Jonghe B, Bastuji-Garin S, Durand MC, Malissin I, Rodrigues P, Cerf C, et al. Respiratory weakness is associated with limb weakness and delayed weaning in critical illness. Crit Care Med. 2007;35(9):2007-2015.
  • 25. Sillanpaa E, Stenroth L, Bijlsma AY, Rantanen T, McPhee JS, Maden-Wilkinson TM, et al. Associations between muscle strength, spirometric pulmonary function and mobility in healthy older adults. Age (Dordr). 2014;36(4):9667.
  • 26. Cichosz SL, Vestergaard ET, Hejlesen O. Muscle grip strength is associated to reduced pulmonary capacity in patients with diabetes. Prim Care Diabetes. 2017.
  • 27. Sahin G, Ulubas B, Calikoglu M, Erdogan C. Handgrip strength, pulmonary function tests, and pulmonary muscle strength in fibromyalgia syndrome: is there any relationship? South Med J. 2004;97(1):25-29.
There are 27 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section RESEARCH ARTICLE
Authors

Seher Özyürek 0000-0002-8586-7214

Burçin Aktar This is me 0000-0002-5753-7138

Publication Date February 15, 2018
Published in Issue Year 2018 Volume: 5 Issue: 1

Cite

APA Özyürek, S., & Aktar, B. (2018). Sağlıklı Kişilerde Kavrama Kuvveti ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship between Handgrip Strength and Cough Strength in Healthy Individuals. Sağlık Bilimleri Ve Meslekleri Dergisi, 5(1), 39-43. https://doi.org/10.17681/hsp.364936
AMA Özyürek S, Aktar B. Sağlıklı Kişilerde Kavrama Kuvveti ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship between Handgrip Strength and Cough Strength in Healthy Individuals. HSP. February 2018;5(1):39-43. doi:10.17681/hsp.364936
Chicago Özyürek, Seher, and Burçin Aktar. “Sağlıklı Kişilerde Kavrama Kuvveti Ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship Between Handgrip Strength and Cough Strength in Healthy Individuals”. Sağlık Bilimleri Ve Meslekleri Dergisi 5, no. 1 (February 2018): 39-43. https://doi.org/10.17681/hsp.364936.
EndNote Özyürek S, Aktar B (February 1, 2018) Sağlıklı Kişilerde Kavrama Kuvveti ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship between Handgrip Strength and Cough Strength in Healthy Individuals. Sağlık Bilimleri ve Meslekleri Dergisi 5 1 39–43.
IEEE S. Özyürek and B. Aktar, “Sağlıklı Kişilerde Kavrama Kuvveti ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship between Handgrip Strength and Cough Strength in Healthy Individuals”, HSP, vol. 5, no. 1, pp. 39–43, 2018, doi: 10.17681/hsp.364936.
ISNAD Özyürek, Seher - Aktar, Burçin. “Sağlıklı Kişilerde Kavrama Kuvveti Ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship Between Handgrip Strength and Cough Strength in Healthy Individuals”. Sağlık Bilimleri ve Meslekleri Dergisi 5/1 (February 2018), 39-43. https://doi.org/10.17681/hsp.364936.
JAMA Özyürek S, Aktar B. Sağlıklı Kişilerde Kavrama Kuvveti ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship between Handgrip Strength and Cough Strength in Healthy Individuals. HSP. 2018;5:39–43.
MLA Özyürek, Seher and Burçin Aktar. “Sağlıklı Kişilerde Kavrama Kuvveti Ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship Between Handgrip Strength and Cough Strength in Healthy Individuals”. Sağlık Bilimleri Ve Meslekleri Dergisi, vol. 5, no. 1, 2018, pp. 39-43, doi:10.17681/hsp.364936.
Vancouver Özyürek S, Aktar B. Sağlıklı Kişilerde Kavrama Kuvveti ile Öksürme Kuvveti Arasındaki İlişkinin İncelenmesi / Investigation of the Relationship between Handgrip Strength and Cough Strength in Healthy Individuals. HSP. 2018;5(1):39-43.