Journal Riphah College of Rehabilitation Sciences (Mar 2023)
Comparative Effectiveness of Resistance Training With and Without Finger Movement Exercises on Hand Grip Strength and Hand Function in Elderly Population: A Randomized Controlled Trial
Abstract
Background: Aging is an irreversible process and with ageing ability to perform daily tasks is reduced and loss of independence may occur. Loss of hand muscle strength and functioning are also important factors in ageing which affects the activities of daily living (ADLs). Objective: This study aimed to determine the effectiveness of finger movement exercises on handgrip strength and hand function among elderly individuals. Methodology: A quantitative study was carried out having a Randomized Controlled Trial design. 24 participants were selected from the community after screening the population and equally divided into two groups (Group A =12 & Group B =12). Group A received resistance exercises while Group B received resistance exercises along with finger movement exercises, including pinching, filliping, crooking, finger counting, and pressing. Handgrip strength was measured through a dynamometer, and hand function was measured through Dorouz Hand Index (DHI) before starting intervention and at the end of the intervention. These exercises were performed in 3 sessions per week for a total of 4 weeks. Results: According to the T-test measurements, In the treatment group, the right and left-hand grip strength p-value were 0.000, and the DHI p-value was 0.002. In the control group, the right and left-hand grip strength p-value were 0.000, and the DHI p-value was 0.001. A statistically significant difference was found in improving grip strength and function of the hand by comparing the pre-and post-treatment values within treatment and control groups. But there is no statistical difference between treatment and control groups in the improvement of grip strength and function of the hand. Conclusion: Finger movement exercises and Resistance training without Finger movement exercises in improving grip strength and hand function in the elderly population. Keywords: Aged, Hand, Hand Strength, Exercise Therapy, Resistance Training, Rehabilitation, Activities of Daily Living
