Comparison of the Differences Between Dominant and Non-Dominant Upper Extremity Muscle Strength, Manual Dexterity and Joint Position Sense Between Genders in Healthy Young Adults

Year 2025, Volume: 13 Issue: 1, 28 - 35, 02.01.2025

Metehan Yana , Dalal Bouta , Musa Güneş

Abstract

Purpose: This study aims to compare hand grip strength (HGS), joint position sense (JPS), and manual dexterity between differences in dominant and non-dominant extremities according to gender. Material and Methods: Two hundred thirteen healthy young adults (107 males and 106 females) were included in the study. Participants' HGS was evaluated with the Jamar Dynamometer, shoulder JPS with the inclinometer, and upper extremity functional skill level with the Purdue Pegboard Test. Results: Grip strength and dexterity were statistically different between dominant and non-dominant extremities (p<0.01). In comparison by gender, the dominant and non-dominant hands of both males and females showed differences in HGS and dexterity (p <0.01), while there was no difference in JPS (p>0.05). There was a difference between HGS, dominant and non-dominant limbs, and males scored more than females in both hands (p<0.01). The hand functionality of females on both the dominant and non-dominant sides was higher than that of males (p<0.01). The difference results between dominant and non-dominant limb HGS (p=0.638), JPS (p>0.05), and manual dexterity (p=0.463) were similar between genders. Discussion: Grip strength and manual dexterity vary between genders. Additionally, the results are more functional in the dominant extremity. It is important to consider gender and dominance for hand function rehabilitation.

Keywords

Upper extremity, dominance, hand strength, proprioception, hand dexterity

Ethical Statement

The study was approved by the Non-Interventional Ethics Committee of Karabuk University (Decision no: 2023/1479)

Supporting Institution

This study was supported by Turkish Scientific and Technical Research Council

Project Number

1919B012300731

Sağlıklı Genç Erişkinlerde Cinsiyetler Arası Baskın ve Baskın Olmayan Üst Ekstremite Kas Kuvveti, Fonksiyon ve Eklem Pozisyon Hissi Arasındaki Farkların Karşılaştırılması

Abstract

Amaç: Bu çalışma, baskın ve baskın olmayan ekstremitelerdeki el kavrama kuvveti, eklem pozisyon hissi ve el becerisinin cinsiyete göre farklılıklarını karşılaştırmayı amaçlamaktadır. Gereç ve Yöntem: Çalışmaya 213 sağlıklı genç yetişkin (107 erkek ve 106 kadın) dahil edildi. Katılımcıların el kavrama kuvveti Jamar Dinamometresi, omuz eklem pozisyon hissi inklinometre ile ve üst ekstremite fonksiyonel beceri düzeyi Purdue Pegboard Testi ile değerlendirildi. Sonuçlar: Baskın ve baskın olmayan ekstremiteler arasında kavrama gücü ve el becerisi istatiksel olarak farklıydı (p<0,01). Cinsiyete göre karşılaştırıldığında hem erkek hem de kadınların baskın ve baskın olmayan elleri kavrama kuvveti ve el becerisi farklılıklar gösterirken (p<0,01), eklem pozisyon hissinde ise herhangi bir fark yoktu (p>0,05). Baskın ve baskın olmayan ekstremiteler arasında kavrama kuvvetinde fark vardı ve erkekler her iki elde de kadınlara göre daha fazla puan aldı (p<0,01). Kadınların hem baskın hem baskın olmayan taraftaki el fonksiyonelliği erkeklere göre daha yüksekti (p<0,01). Baskın ve baskın olmayan ekstremite kavrama kuvveti(p=0,638), eklem pozisyon hissi (p>0,05) ve el becerisi (p=0,463) arasındaki fark sonuçları cinsiyetler arasında benzerdi. Tartışma: Kavrama kuvveti ve el becerisi cinsiyete göre farklılık göstermektedir. Ayrıca baskın ekstremitede sonuçlar daha fonksiyoneldir. El fonksiyon rehabilitasyonunda cinsiyet ve baskınlığın dikkate alınması önemlidir.

Keywords

Üst ekstremite, el becerisi, baskınlık, el gücü, propriyosepsiyon

Ethical Statement

Bu Çalışma Karabük Üniversitesi Girişimsel Olmayan Etik Kurulu tarafından onaylandı (Karar no: 2023/1479)

Supporting Institution

Bu çalışma Türkiye Bilimsel ve Teknik Araştırma Kurumu tarafından desteklenmiştir.

Project Number

1919B012300731

References

• Adam, A., Luca, C. J. De, & Erim, Z. (1998). Hand dominance and motor unit firing behavior. J Neurophysiol, 80(3), 1373–1382. https://doi.org/10.1152/jn.1998.80.3.1373
• Amo-Setién, F. J., Leal-Costa, C., Abajas-Bustillo, R., González-Lamuño, D., & Redondo-Figuero, C. (2020). Factors associated with grip strength among adolescents: an observational study. J Hand Ther, 33(1), 96–102. https://doi.org/10.1016/j.jht.2018.10.005
• Angst, F., Drerup, S., Werle, S., Herren, D. B., Simmen, B. R., & Goldhahn, J. (2010). Prediction of grip and key pinch strength in 978 healthy subjects. BMC Musculoskelet Disord, 11(1), 94. https://doi.org/10.1186/1471-2474-11-94
• Armstrong, C. A., & Oldham, J. A. (1999). A Comparison of dominant and non-dominant hand strengths. J Hand Surg Br, 24(4), 421–425. https://doi.org/10.1054/JHSB.1999.0236
• Atasavun Uysal, S., Ekinci, Y., Çoban, F., & Yakut, Y. (2019). Investigation of Turkish reliability of the Edinburgh Hand Preference Questionnaire. JETR, 6(2), 112–118.
• Bhat, A. K., Jindal, R., & Acharya, A. M. (2021). The influence of ethnic differences based on upper limb anthropometry on grip and pinch strength. J Clin Orthop Trauma, 21, 101504. https://doi.org/10.1016/J.JCOT.2021.101504
• Björklund, M., Crenshaw, A. G., Djupsjöbacka, M., & Johansson, H. (2000). Position sense acuity is diminished following repetitive low-intensity work to fatigue in a simulated occupational setting. Eur J Appl Physiol, 81(5), 361–367. https://doi.org/10.1007/s004210050055
• Dağ, F., & Erdoğan, A. T. (2020). Gender and age differences in absolute and relative handgrip strength of the Turkish population aged 8–27 years. Hand Surg Rehabil, 39(6), 556–563. https://doi.org/10.1016/j.hansur.2020.06.005
• Dallinga, J. M., van der Does, H. T., Benjaminse, A., & Lemmink, K. A. (2016). Dynamic postural stability differences between male and female players with and without ankle sprain. Phys Ther Sport, 17, 69–75. https://doi.org/10.1016/j.ptsp.2015.05.002
• Demiroğlu, M., Özkan, K., Gür, V., Öztürk, K., Özkut, A., & Aykut, S. (2017). Effect of hand dominance in grip and pinch strength and reference values in adults. Medical Journal of Bakirkoy, 13(4), 184–189. https://doi.org/10.5350/BTDMJB.20170517064703
• Echalier, C., Uhring, J., Ritter, J., Rey, P. B., Jardin, E., Rochet, S., et al. (2019). Variability of shoulder girdle proprioception in 44 healthy volunteers. Orthop Traumatol Surg Res, 105(5), 825–829. https://doi.org/10.1016/j.otsr.2019.01.019
• Emery, K., & Côté, J. N. (2012). Repetitive arm motion-induced fatigue affects shoulder but not endpoint position sense. Exp Brain Res, 216(4), 553–564. https://doi.org/10.1007/s00221-011-2959-6
• Gay, A., Harbst, K., Kaufman, K. R., Hansen, D. K., Laskowski, E. R., & Berger, R. A. (2010). New method of measuring wrist joint position sense avoiding cutaneous and visual inputs. J Neuroeng Rehabil, 7(5). https://doi.org/10.1186/1743-0003-7-5
• Haidar, S. G., Kumar, D., Bassi, R. S., & Deshmukh, S. C. (2004). Average versus maximum grip strength: which is more consistent? J Hand Surg Br, 29(1), 82–84. https://doi.org/10.1016/j.jhsb.2003.09.012
• Halpern, C. A., & Fernandez, J. E. (1996). The effect of wrist and arm postures on peak pinch strength. J Hum Ergol, 25(5), 115–130.
• Halpern, D. F. (2001). Sex difference research: cognitive abilities. In J. Worell (Ed.), Encyclopedia of women and gender: sex similarities and differences and the impact of society on gender (1st Edition, pp.963–971). San Diego, Calif.: Academic Press
• Ihalainen, S., Kuitunen, S., Mononen, K., & Linnamo, V. (2016). Determinants of elite‐level air rifle shooting performance. Scand J Med Sci Sports, 26(3), 266–274. https://doi.org/10.1111/sms.12440
• James, S., Ziviani, J., Ware, R. S., & Boyd, R. N. (2015). Relationships between activities of daily living, upper limb function, and visual perception in children and adolescents with unilateral cerebral palsy. Dev Med Child Neurol, 57(9), 852–857. https://doi.org/10.1111/dmcn.12715
• Jerosch, J., & Prymka, M. (1996). Proprioception and joint stability. Knee Surg Sports Traumatol Arthrosc, 4(3), 171–179. https://doi.org/10.1007/BF01577413
• Kumar C G, S., Syed, N., Sirajudeen, M. S., & Karthikbabu, S. (2012). Position sense acuity across shoulder rotational range of motion in healthy young subjects. J Musculoskelet Res, 15(03), 1250014. https://doi.org/10.1142/S0218957712500145
• Lawrence, E. L., Fassola, I., Werner, I., Leclercq, C., & Valero-Cuevas, F. J. (2014). Quantification of dexterity as the dynamical regulation of instabilities: comparisons across gender, age, and disease. Front Neurol, 5, 53. https://doi.org/10.3389/fneur.2014.00053
• Lee, J. E., Kim, K. W., Paik, N. J., Jang, H. C., Chang, C. B., Baek, G. H., et al. (2012). Evaluation of factors influencing grip strength in elderly koreans. J Bone Metab, 19(2), 103–110. https://doi.org/10.11005/jbm.2012.19.2.103
• Lee, K. S., & Hwang, J. (2019). Investigation of grip strength by various body postures and gender in Korean adults. Work, 62(1), 117–123. https://doi.org/10.3233/WOR-182846
• Lephart, S. M., Warner, J. J. P., Borsa, P. A., & Fu, F. H. (1994). Proprioception of the shoulder joint in healthy, unstable, and surgically repaired shoulders. J Shoulder Elbow Surg, 3(6), 371–380. https://doi.org/10.1016/S1058-2746(09)80022-0
• Lubiatowski, P., Ogrodowicz, P., Wojtaszek, M., & Romanowski, L. (2019). Bilateral shoulder proprioception deficit in unilateral anterior shoulder instability. J Shoulder Elbow Surg, 28(3), 561–569. https://doi.org/10.1016/j.jse.2018.08.034
• Nicolay, C. W., & Walker, A. L. (2005). Grip strength and endurance: ınfluences of anthropometric variation, hand dominance, and gender. Int Ind Ergon, 35(7), 605–618. https://doi.org/10.1016/J.ERGON.2005.01.007
• Nor Julahah, J., Ummi Noor Nazahiah, A., M. Asyraf, C.D., Norashiken, O., & Ahmad Faizal, S. (2020). Investigation on young adult hand grip strength. Malaysian Journal of Public Health Medicine, 20(Special1), 45–50. https://doi.org/10.37268/mjphm/vol.20/no.Special1/art.667
• Oldfield, R. C. (1971). The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia, 9(1), 97-113.
• Oxford Grice, K., Vogel, K. A., Le, V., Mitchell, A., Muniz, S., & Vollmer, M. A. (2003). Adult norms for a commercially available Nine Hole Peg Test for finger dexterity. Am J Occup Ther, 57(5), 570–573. https://doi.org/10.5014/ajot.57.5.570
• Park, C. H., & Son, H. H. (2022). Comparison of grip force, coordination, and dexterity between dominant and non-dominant hand according to gender. PNF and Movement, 20(1), 73–81. https://doi.org/https://doi.org/10.21598/JKPNFA.2022.20.1.73
• Pedersen, J., Lönn, J., Hellström, F., Djupsjöbacka, M., Johansson, H. (1999). Localized muscle fatigue decreases the acuity of the movement sense in the human shoulder. Med Sci Sports Exerc, 31(7), 1047–1052. https://doi.org/10.1097/00005768-199907000-00019
• Rule, K., Ferro, J., Hoffman, A., Williams, J., Golshiri, S., Padre, R., et al. (2021). Purdue manual dexterity testing: a cohort study of community-dwelling elderly. J Hand Ther, 34(1), 116–120. https://doi.org/10.1016/j.jht.2019.12.006
• Sell, T. C., Lovalekar, M. T., Nagai, T., Wirt, M. D., Abt, J. P., & Lephart, S. M. (2018). Gender differences in static and dynamic postural stability of soldiers in the Army’s 101st airborne division (air assault). J Sport Rehabil, 27(2), 126–131. https://doi.org/10.1123/jsr.2016-0131
• Shrestha, P., Maskey, S., Shrestha, S., & Jha, R. K. (2023). Correlation between hand grip strength and anthropometric measurement among undergraduate medical students. Journal of Kathmandu Medical College, 12(1), 60-64. https://doi.org/10.3126/jkmc.v12i1.56694
• Stijic, M., Petrovic, K., Schwingenschuh, P., Koini, M., & Schmidt, R. (2023). The Purdue Pegboard Test: normative data from 1,355 healthy people from Austria. Am J Occup Ther, 77(3). https://doi.org/10.5014/ajot.2023.050023
• Takla, M. K. N., Mahmoud, E. A. K., & El-Latif, N. A. (2018). Jebsen Taylor Hand Function test: gender, dominance, and age differences in healthy Egyptian population. Bulletin of Faculty of Physical Therapy, 23(2), 85–93. https://doi.org/10.4103/bfpt.bfpt_11_18
• Tiffin, J., & Asher, E. J. (1948). The Purdue Pegboard: norms and studies of reliability and validity. J Appl Psychol, 32(3), 234–247. https://doi.org/10.1037/h0061266
• Ünlüer, N. Ö., Ozkan, T., Yaşa, M. E., Ateş, Y., & Anlar, Ö. (2019). An investigation of upper extremity function in patients with multiple sclerosis, and its relation with shoulder position sense and disability level. Somatosens Mot Res, 36(3), 189–194. https://doi.org/10.1080/08990220.2019.1644998
• van Wijk, C. H., & Meintjes, W. (2015). Grooved Pegboard for adult employed South Africans: normative data and human immunodeficiency virus associations. South African Journal of Psychology, 45(4), 521–535. https://doi.org/10.1177/0081246315587692
• Wang, Y. C., Bohannon, R. W., Kapellusch, J., Garg, A., & Gershon, R. C. (2015). Dexterity as measured with the 9-Hole Peg Test (9-HPT) across the age span. J Hand Ther, 28(1), 53–60. https://doi.org/10.1016/j.jht.2014.09.002
• Yancosek, K. E., & Howell, D. (2009). A narrative review of dexterity assessments. J Hand Ther, 22(3), 258–270. https://doi.org/10.1016/j.jht.2008.11.004
• Yim, S. Y., Cho, J. R., & Lee, I. Y. (2003). Normative data and developmental characteristics of hand function for elementary school children in Suwon area of Korea: grip, pinch and dexterity study. J Korean Med Sci, 18(4), 552. https://doi.org/10.3346/jkms.2003.18.4.552