Cited by 312Orthopedic Surgery and RehabilitationMusculoskeletal pain and rehabilitationReliability and Agreement in Measurement

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Minimal clinically important difference for grip strength: a systematic review

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Bohannon, Richard W·2019·Journal of Physical Therapy Science

DOI 10.1589/jpts.31.75PMC PMC6348186

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Abstract

[Purpose] The minimal clinically important difference (MCID) in grip strength is critical to interpreting changes in hand strength over time. This review was undertaken to summarize extant descriptions of the MCID for grip strength. [Methods] A search of 3 bibliographic databases as well as a hand search were completed to identify articles reporting the MCID for grip forces obtained by dynamometry. [Results] Of 38 unique articles identified as potentially relevant, 4 met the inclusion and exclusion criteria of this review. The MCIDs ranged from 0.04 kg to 6.5 kg. However, only a single study used receiver operating characteristic curve analysis and had an associated area under the curve exceeding 0.70. That study reported an MCID of 6.5 kg, which was similar to the MCIDs of another included study and minimal detectable changes reported elsewhere. [Conclusion] Additional, more rigorous, studies are needed to identify MCIDs for grip strength. In the meantime changes of 5.0 to 6.5 kg may be reasonable estimates of meaningful changes in grip strength.

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Authors: Bohannon, R. W.
Affiliations: Campbell University (US)
Corresponding author: Bohannon, Richard W
ORCID: Bohannon, Richard W
Venue: Journal of Physical Therapy Science
Publisher: Society of Physical Therapy Science
Published: 2019
Volume: 31
Issue: 1
Pages: 75-78
ISSN: 0915-5287 (ISSN-L)
2187-5626
DOI: 10.1589/jpts.31.75
PMC: PMC6348186
OpenAlex: W2910191954
Cited by: 312
References: 17
Citations by year: 2026: 53 · 2025: 72 · 2024: 49 · 2023: 40 · 2022: 36 · 2021: 32 · 2020: 24 · 2019: 6
FWCI: 5.05
Type: journal article
Language: en
Open access: diamond
doi.org
Locations: Journal of Physical Therapy Science (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
PubMed Central (publishedVersion, cc-by-nc-nd)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
Keywords: minimal clinically important difference, grip strength, dynamometry, receiver operating characteristic, minimal detectable change, hand function

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Minimal clinically important difference for grip strength: a systematic review

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