02375nas a2200337   4500000000100000008004100001260001700042653003100059653001500090653001000105653001100115653000900126653001800135653001100153653002600164653001200190653000900202653001600211653002300227653002800250653002400278100001500302700001600317700001400333245007300347300001100420490000700431050001800438520156700456022001402023       2002                            d  c2002 Oct-Dec10aActivities of Daily Living10aAdolescent10aAdult10aFemale10aHand10aHand Strength10aHumans10aIsometric Contraction10aleprosy10aMale10aMiddle Aged10aMuscle Contraction10aPsychomotor Performance10aRegression Analysis1 aRajkumar P1 aPremkumar R1 aRichard J00aGrip and pinch strength in relation to function in denervated hands.  a319-280 v74  aRAJKUMAR 20023 a<p>A study was conducted in the Schieffelin Leprosy Research and Training Centre, Karigiri, Tamil Nadu, from March to September 2000 to find out the relationship between grip and pinch strengths and basic activities of daily living (BADL) in leprosy patients. Sixty-two patients (mean age: 36.1 years) suffering from impairment of motor nerve function in one or both hands were included in the study. Grip strength and pinch strength, namely pulp-to-pulp pinch strength, lateral pinch strength, tripod pinch strength, were measured using a hydraulic hand dynamometer and a pinch gauge. BADL was assessed using Karigiri activities of daily living rating scale. Frequency table, mean, median, range, standard deviation, correlation and multiple regressions were used in analysis. The results showed that there was a highly significant correlation (p < 0.001) between the grip and pinch strength and BADL. Multiple regression analysis showed only tripod pinch strength had a significant, independent influence on the BADL. Other two pinch strengths and grip strength were not significant. These results suggest that there is a significant relationship between the grip and pinch strengths and BADL. The tripod pinch strength is the most important hand strength contributing to the problems in BADL. In a measure of association between impairment and disability, the results revealed that out of 62 patients with physical impairment of the hand, 59 (95.2%) had experienced disabilities. This indicated that, despite impairment, 4.8% do not have any disabilities.</p>  a0254-9395