Grip Test (Grip Test)

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General Information
Background
Author/s or Creator/s
Hogrel, Jean-Yves
Objectives
The forearm ischemic exercise test is one of the clinical tools which is commonly used for the detection of some muscle metabolic disorders. This clinical test generally consists in performing a grip exercise under ischemic conditions associated with regular blood sampling for biochemical analyses. Forearm ischemic exercise test presents many drawbacks. The Grip Test is a non ischemic test for the evaluation of lactate and ammonia production following a standardized contraction. Since it is not ischemic and short, the Grip Test can be performed in safe conditions and provides an efficient screening test in muscle diseases with abnormal energy metabolism. Moreover, it can be used for the follow-up of patients. The Grip Test is composed of a MIE analog grip handle and a devoted software (Institut de Myologie) managing the test, the patient database and the reports.
Category of Outcome Measure
Pathology
Impairment
Functional
 
Disease Type
  Used Validated
Muscle   X
Chronology of Development
1998: following the ischemic forearm exercise test stop due to deleterious effects in several patients, it was decided to design a new test which should be non-ischemic. 1999: after many tests for the protocole parameter tuning, the definitive Grip Test has be set up. 2003: first use in a clinical protocol aiming to assess the lactate metabolism in HAART treated and naive HIV-infected patients. 2006: use in MyoTox : prospective, pilot study evaluating the impact of nucleosidic analogues withdrawal in HIV infected patients presenting a myopathic syndrom under antiretroviral treatment. 2007: pathophysiological protocol on the Glycogenosis type III (15 patients). 2009: detection of a new glycogenosis defect (phosphoglucomutase 1 deficiency). 2009: about 1000 patients have underwent the Grip Test
Time Information
Time to Recall
At Assessment
Recall Period
Not Applicable
Time to Complete
30 minutes
Application
Mode of Assessment
Administered by trained evaluator
 
Age Group
Adolescents (12 to 15 Years)
Adults (16 Years and Over)
chidren from 5
Age Related Limitations
Must be able to understand what is a maximal exercise.
Languages
  Original Definitive Validated Translation Informal Translation
English UK   X  
English US   X  
French   X  
Conditions of Use and Contact Information
Conditions of Use
Payment of Academic/Non Profit Research Fee
 
Copyright Owner
Institut de Myologie for the software
Contact Name
Jean-Yves Hogrel
Organisation Name
Institut de Myologie
Postal Address
GH Pitié-Salpêtrière, Bâtiment Babinski, 47/83 Bd de l'Hôpital
URL (Web Address)
www.institut-myologie.org
Email Address
jy.hogrel @ institut-myologie.org
Phone
+33142165880
Quantitative Muscle Testing
Total Number of Muscles Tested (Bilateral)
Unknown
Total Number of Muscles Tested (Unilateral)
1
Actual Muscles Tested
  Proximal Distal Not Defined
Hand Grip   X  
Myometer
Hand Held
Scale of Measurement
Newtons
 
Sum Score Calculations
Unknown
Sub-Score Calculations
Unknown
Scoring Range
Unknown
Device
Device Name
MIE Pinch-Grip Handle
Product Number
Unknown
Description
Analog grip handle (full scale: 100 daN; precision: 0.1% FSO)
Purpose/Use
The handle is used with a specific software for the managment of the Grip Test for the assessment of grip strength.
Organisation Name
MIE Medical Research Ltd
Address
6 Mortley Moor Road; Leeds LS124JF; UK
Web Address (URL)
www.mie-uk.com
Email
Unknown
Phone
+44(113)2793710
Instruction Manual Availability
An instruction manual is available
Reference 1
Type of Reference
Key Reference
Reference Details
Hogrel J-Y, Laforêt P, Ben Yaou R, Chevrot M, Eymard B, Lombès A. A non-ischemic forearm exercise test for the screening of patients with exercise intolerance. Neurology, 56:1733-1738, 2001.
Web Address (URL)
Unknown
Reference File ID
Not Applicable
Other Information
Unknown
Reference 2
Type of Reference
Miscellaneous
Reference Details
Ghosn J, Guiguet M, Jardel C, Benyaou R, Zeller V, Simon A, Valantin M-A, Amellal B, Assoumo L, Hogrel J-Y, Costagliola D, Katlama C, Lombès A. Muscle and liver lactate metabolism in HAART-treated and naive HIV-infected patients: the MITOVIR study. Antivir Ther, 10:543-550, 2005.
Web Address (URL)
Unknown
Reference File ID
Not Applicable
Other Information
Unknown
Reference 3
Type of Reference
Miscellaneous
Reference Details
Stojkovic T, Vissing J, Petit F, Piraud M, Orngreen MC, Andersen G, Claeys KG, Wary C, Hogrel J-Y, Laforêt P. Muscle glycogenosis due to phosphoglucomutase 1 deficiency. N Engl J Med, 361:425-427, 2009.
Web Address (URL)
Unknown
Reference File ID
Not Applicable
Other Information
Unknown