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