Quantitative Testing of Muscle Strength: Issues and Practical Options for the Geriatric Population

Although manual muscle testing is undoubtedly the method used most frequently to quantify the muscle strength of older individuals, it lacks sensitivity and responsiveness. These limitations can be overcome through the use of quantitative methods. This review presents basic information on three quan

• Publication year

  2002

• Venue

  Topics in Geriatric Rehabilitation

• Publication date

  2002-12-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1097/00013614-200212000-00003
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

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• No concepts are published for this paper.

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• Hand strength: normative values.

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• Clinical assessment Recommendations

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• Normal grip strength.

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