Grip Force Control in Individuals with Hand Osteoarthritis

Individuals with hand osteoarthritis (OA) experience pain and stiffness that could result in significant limitations in the performance of everyday activities involving upper extremities. The purpose of the study was to evaluate grip force control in individuals with hand OA during the lifting of an object. The study design used was a case-control study. Ten females with hand OA and a group of age-matched females performed two functional tasks: lifting an instrumented object vertically while the load was suddenly changed and lifting and placing the object on a shelf. Load Force Peak, Grip force at liftoff, Grip Force Peak, Time Lag, and Latency were measured and analyzed. Individuals with hand OA were able to modulate the magnitude and temporal parameters of grip force; however, they applied higher grip forces (at liftoff [p = 0.002]; Grip Force Peak [p = 0.039]) and demonstrated a longer Latency (p = 0.015) to manipulate the instrumented object when compared with the control subjects. The Load Force Peak and Time Lag were not significantly different between the two groups. Detailed information about how individuals with hand OA perform prehension activities of daily living will help to better understand the limitations of grip force control in these individuals. J HAND THER. 2011;24:345-55.