Abstract
Grip strength testing is a common tool in healthcare evaluation due its predictive ability for a range of concerns including nutritional status, fall risk, and frailty. With respect to frailty, grip strength is one of the Fried criteria, which is the most widely used frailty assessment tool. One problem with maximal grip strength testing is that values might underestimate maximal force due to problems with motivation or discomfort associated with the maximal test. An innovative serious game using the Grip-ball dynamometer was designed to measure grip strength in comparison to the frailty threshold of Fried. Discomfort levels were assessed using a visual-analogue scale for the Serious Game, the Grip-ball in a standard test, and the Jamar dynamometer, which is the gold standard for grip-strength testing. Discomfort was significantly higher for the Jamar, which had a 95% confidence interval of 6.2-7.5, in comparison to 1.5-2.4 for the Grip-ball and 0.7-1.3 for the Serious Game. The Serious Game was able to identify individuals who were not able to produce sufficient grip force to pass the Fried threshold for frailty, while improving comfort levels for the users when compared to a Jamar dynamometer.
The original version of this chapter was inadvertently published with an incorrect chapter pagination 903–906 and DOI 10.1007/978-3-319-32703-7_176. The page range and the DOI has been re-assigned. The correct page range is 909–912 and the DOI is 10.1007/978-3-319-32703-7_177. The erratum to this chapter is available at DOI: 10.1007/978-3-319-32703-7_260
An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-319-32703-7_260
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References
L. P. Fried, C. M. Tangen, J. Walston, A. B. Newman, C. Hirsch, J. Gottdiener, et al., “Frailty in older adults: evidence for a phenotype,” J Gerontol A-Biol, vol. 56, pp. M146-M157, 2001.
R. Jaber, A. Chkeir, D. J. Hewson, and J. Duchêne, “A new device to assess gait velocity at home,” in XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013, 2013, pp. 1503-1506.
K. Norman, N. Stobaus, M. C. Gonzalez, J. D. Schulzke, and M. Pirlich, “Hand grip strength: outcome predictor and marker of nutritional status,” Clin Nutr, vol. 30, pp. 135-42, 2011.
J. Desrosiers, R. Hebert, G. Bravo, and E. Dutil, “Comparison of the Jamar dynamometer and the Martin vigorimeter for grip strength measurements in a healthy elderly population,” Scand J Rehabil Med, vol. 27, pp. 137-43, 1995.
L. Richards and P. Palmiter-Thomas, “Grip strength measurement: a critical review of tools, methods and clinical utility,” Physical and Rehabilitation Medicine, vol. 8, pp. 87-109, 1996.
R. Jaber, D. J. Hewson, and J. Duchene, “Design and validation of the Grip-ball for measurement of hand grip strength,” Medical Engineering & Physics, vol. 34, pp. 1356-1361, Nov 2012.
A. Chkeir, R. Jaber, D. J. Hewson, and J. Duchene, “Reliability and validity of the Grip-Ball dynamometer for grip-strength measurement,” Conference proceedings : … Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference, vol. 2012, pp. 1996-9, 2012 2012.
A. Chkeir, R. Jaber, D. J. Hewson, and J. Duchene, “Estimation of grip force using the Grip-ball dynamometer,” Med Eng Phys, vol. 35, pp. 1698-1702, Nov 2013.
K. Kelley, “The effects of nonnormal distributions on confidence intervals around the standardized mean difference: bootstrap and parametric confidence intervals,” Educ Psychol Meas, vol. 65, pp. 51-69, 2005.
A. Chkeir, R. Jaber, D. J. Hewson, J. Y. Hogrel, and J. Duchêne, “Effect of Different Visual Feedback Conditions on Maximal Grip- Strength Assessment,” in XIII Mediterranean Conference on Medical and Biological Engineering and Computing 2013. vol. 41, L. M. Roa Romero, Ed., ed: Springer International Publishing, 2014, pp. 1127-1131.
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Chkeir, A., Voilmy, D., Duchêne, J., Hewson, D.J. (2016). Does the Use of a Serious Game and the Grip-Ball Decrease Discomfort in Older People When Assessing Maximal Grip-Strength?. In: Kyriacou, E., Christofides, S., Pattichis, C. (eds) XIV Mediterranean Conference on Medical and Biological Engineering and Computing 2016. IFMBE Proceedings, vol 57. Springer, Cham. https://doi.org/10.1007/978-3-319-32703-7_177
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DOI: https://doi.org/10.1007/978-3-319-32703-7_177
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