Ahmed Almoosa* and Ahmed Alhamed

Rehabilitation Department, Ministry of National Guard-Health Affairs, Saudi Arabia

*Corresponding Author: Ahmed Almoosa, Rehabilitation Department, Ministry of National Guard-Health Affairs, Saudi Arabia.

Received: January 29, 2024; Published: October 14, 2024

Abstract

Objective: The five –rung and rapid exchange grip (REG) tests are common methods used by clinicians to detect sincerity of effort. The purpose of this systematic review was to examine the effectiveness of fine-rung and rapid exchange grip tests.

Methods: Electronic database searches were carried out using Medline/Pubmed, CINHAL, Proquest and EMBASE from 1983to 2011. A total of sixteen met the inclusion criteria, eight studies on five-rung and eight on rapid exchange.

Results: A review of studies that utilizes five-rung and rapid exchange test reveals that shape of the curve is not related to the effort but rather strength dependent, because men had significantly greater standard deviation than women, and uninjured hand had significantly greater standard deviation than injured hand. In regards to rapid exchange test the studies reported variation in the administration and interpretation of test. The rapid exchange test the results suggested significant inconsistencies in the administration procedures and interpretation of test. There were significant variation in test methods in hand switch rate, handle setting, cueing, number of grip, rest breaks and comparative testing used to interpret the test. We found that lack of standardization of rapid exchange test may influence the outcome of test and may falsely label a patient as insincere.

Conclusion: The findings of the present study did not find that either five rung and rapid exchange test were effective in detecting sincerity of effort.

 Keywords: Five-Rung; Rapid Exchange; Sincerity of Effort; Grip Strength; Jamar Dynamometer

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Citation

Citation: Ahmed Almoosa and Ahmed Alhamed. “The Effectiveness of Five-Rung and Rapid Exchange Grip Tests in Detecting Sincerity of Effort Using the Jamar Dynamometer: A Systematic Review”.Acta Scientific Medical Sciences 8.11 (2024): 71-87.

Copyright

Copyright: © 2024 Ahmed Almoosa and Ahmed Alhamed. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.