Format

Send to

Choose Destination

See 1 citation found by title matching your search:

J Hand Ther. 2002 Jul-Sep;15(3):242-50.

Simultaneous bilateral testing: validation of a new protocol to detect insincere effort during grip and pinch strength testing.

Author information

1
Industrial Rehabilitation Consultants, Hopedale, Illinois, USA. ds@x-rts.com

Abstract

The detection of feigned weakness in hand grip strength assessment is difficult. The authors review several proposed methods and their weaknesses. A comparison of unilateral testing and simultaneous bilateral testing with the Jamar dynamometer and the Baseline pinch gauge is demonstrated as a solution. An experiment involved 100 asymptomatic subjects who were tested twice, once under instructions to give a full effort and once under instructions to feign weakness. Seven statistical criteria of noncompliance were chosen. Defining noncompliance as failing two or more of the seven criteria, 99% of the instructed noncompliant subjects were correctly classified as noncompliant. No subjects were incorrectly classified as noncompliant during instructed compliant testing. Twelve subjects failed on a single criterion. On retesting, all but one were correctly classified. One subject in the instructed noncompliant group passed all criteria. Accuracy was 99.5%, including retesting of the 12 "gray-zone" subjects.

PMID:
12206327
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center