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Testing protocol: pinch, Mechanical pinch gauges hydraulic pinch gauges – 3B Scientific Baseline Pinch Gauge 50 lb. User Manual

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7

Testing Protocol: Pinch

PATIENT START

POSITION

PLACEMENT OF

PINCH GAUGE

POSITION OF

THERAPIST

TEST

LATERAL (KEY)

PINCH

(RIGHT/LEFT)

CHUCK PINCH

(PALMER)

(RIGHT/LEFT)

PULP PINCH

(TIP)

(RIGHT/LEFT ON

EACH FINGER)

- seated or upright
- test arm at side with

elbow flexed 90°

- palm facing inward

Pinch gauge between

flexed PIP joint of

index finger and

thumb.

In front of patient, to

the side, stabilizing

pinch gauge.

Have patient squeeze,

hold and release.

- seated or upright
- test arm at side with

elbow flexed 90°

- palm facing down

Pinch gauge between

thumb and the index

and middle fingers.

In front of patient, to

the side, stabilizing

pinch gauge.

Have patient squeeze,

hold and release.

- seated or upright
- test arm at side with

elbow flexed 90°

- palm facing down
- test finger on button

Pinch gauge between

thumb and test finger

(make sure other

fingers do not

interfere).

In front of patient, to

the side, stabilizing

pinch gauge.

Have patient squeeze,

hold and release.

Palmer (chuck pinch)

Tip (pulp pinch)

Key (lateral pinch)

Tip (pulp pinch)

Key (lateral pinch)

Mechanical Pinch Gauges

Hydraulic Pinch Gauges

2

Mechanical Pinch Gauge – The finger pinch gauge can be used to measure pinch strength. It
is calibrated in pounds and kilograms of force. Apply pinch force at the pinch groove while hold-
ing the pinch gauge between your thumb and finger(s). When force is applied further toward the
tip the reading will be slightly higher. When force is applied further toward the rear the reading
will be slightly lower.

The gauge must be “zeroed” before each pinch test. Grasp the knurled ring of the dial indicator
and rotate it until the zero on the dial indicator is directly under the black pointer.

The red maximum pointer must be reset before each pinch test. Rotate the small knurled knob
on top of the dial indicator in a counterclockwise direction until it rests against the black pointer
at the zero marking. The red maximum pointer will remain at the subject's maximum reading until
it is reset.

Use the pinch gauge to perform the three basic pinch tests:
• Tip Pinch (thumb-index pulp pinch) - thumb tip to index fingertip
• Key Pinch (lateral pinch) - thumb pad to lateral aspect of middle phalanx of index finger
• Palmer Pinch (chuck pinch) - thumb pad to pads of the index and middle fingers

NORMS FOR ADULT GRIP STRENGTH performance of all subjects (pounds)

men

women

age

hand

mean

SD

low-high

mean

SD

low-high

20-24

dominant

121.0

20.6

91-167

70.4

14.5

46-95

non-dominant

104.5

21.8

71-150

61.0

13.1

33-88

25-29

dominant

120.8

23.0

78-158

74.5

13.9

48-97

non-dominant

110.5

16.2

77-139

63.5

12.2

48-97

30-34

dominant

121.8

22.4

70-170

78.7

19.2

46-137

non-dominant

110.4

21.7

64-145

68.0

17.7

36-115

35-39

dominant

119.7

24.0

76-176

74.1

10.8

50-99

non-dominant

112.9

21.7

73-157

66.3

11.7

49-91

40-44

dominant

116.8

20.7

84-165

70.4

13.5

38-103

non-dominant

112.8

18.7

73-157

62.3

13.8

35-94

45-49

dominant

109.9

23.0

65-155

62.2

15.1

39-100

non-dominant

100.8

22.8

58-160

56.0

12.7

37-83

50-54

dominant

113.6

18.1

79-151

65.8

11.6

38-87

non-dominant

101.9

17.0

70-143

57.3

10.7

35-76

55-59

dominant

101.1

26.7

59-154

57.3

12.5

33-86

non-dominant

83.2

23.4

43-128

47.3

11.9

31-76

60-64

dominant

89.7

20.4

51-137

55.1

10.1

37-77

non-dominant

76.8

20.3

27-116

45.7

10.1

29-66

65-69

dominant

91.1

20.6

56-131

49.6

9.7

35-74

non-dominant

76.8

19.8

43-117

41.0

8.2

29-63

70-75

dominant

75.3

21.5

32-108

49.6

11.7

33-78

non-dominant

64.8

18.1

32-93

41.5

10.2

23-67

75+

dominant

65.7

21.1

40-135

42.6

11.0

25-65

non-dominant

55.0

17.0

31-119

37.6

8.9

24-61

ALL

dominant

104.3

28.3

32-176

62.8

17.0

25-137

non-dominant

93.1

27.6

27-160

53.9

15.7

23-115