Doctor of Philosophy / The aims of the Thesis were: to investigate and quantify the factors influencing the production of maximum isometric grip strength force in a sample of Australian teenagers when using JamarTM-like handgrip dynamometers; to determine the reliability of this measure over long and short retest intervals; to establish a database of anthropometric and strength values for this group and prediction equations for premorbid strengths to aid assessment of recovery in those with upper limb pathologies. The history of these handgrip dynamometers demonstrates that they have been employed in one form or another for over three hundred years and are still widely used today in hand rehabilitation and medical examinations. Many new types of dynamometers have been constructed subsequent to the ubiquitous JamarTM and have all been briefly reviewed here. Handedness (dominance) was thought to be a possible factor influencing grip strength performance and was later evaluated. But first, the Edinburgh Handedness Inventory was tested with 658 teenagers and 64 adults and confirmed to be a valid tool for assessing handedness. Its validity was improved by substituting the tasks of sweeping and opening the lid of a box for hammering and use of a screwdriver. Its excellent reliability (ICC = .78, p < 0.01) was confirmed with 45 teenagers and 45 adults. There were 235 teenagers who performed maximal isometric grip strength tests and from the results a local database was created. It was confirmed that the grip strength difference in males and females becomes significant after the age of 13 years, and that the average teenaged male is stronger than the average teenaged female by 11.2 Kg force (p < .01). Height, weight, BMI, hand dimensions, past upper limb injuries, degrees of handedness and exercise levels were measured and compared with known norms to establish that the grip strength tested sample of teenagers was representative of urban teenagers in Australia. The influence of handedness on maximal grip strength in dominant and non-dominant hands was unable to be completely ascertained due to the vast majority of the sample of teenagers being right-handed. Only 13 of the 235 teenagers used their left hand for most tasks, with another 20 using their left hands for a small majority of tasks. There was a grip strength bias towards the dominant hand of 2.63 kg force (p < .01). The most accurate way to predict the grip strength of one hand is by knowing the grip strength of the other hand. Prediction models found that 90% (R2 adj .902) and 70% (R2adj .702) of the variance in one hand could be accounted for by the grip strength of their other hand for male and female teenagers, respectively. Prediction equations were also created to assist in estimating the pre-morbid grip strength of teenagers suffering from bilateral hand injuries. If for the males, measurements for height and hand surface area were entered into these models, the grip strength of the dominant and non-dominant hands could be estimated with 62.6 and 63.5% of the variance between the real and predicted scores accounted for, respectively. For the females the prediction models using height and hand surface area could only account for 33.9 and 42.8% of the variances, with no other independent variables improving the prediction equations. The reliability of the maximal grip strength performance of 154 of these teenagers was retested after one or four weeks. A number of sub-group permutations were created for age, gender, retest time interval and handedness groups. The measures of grip strength for males were highly reliable with ICC (3,1) values ranging from .91 to .97. These measures were significantly higher than that obtained from the females, where reliability values ranged from .69 to .83. Handedness played a significant part in grip strength reliability. The dominant hand of right-handed teenagers achieved an ICC (3,1) of .97, as contrasted with the non-dominant hand of left-handers who attained a very poor ICC (3,1) of .27. The shape of the hands of the males did not influence their grip strength or their reliability values, which ranged from .954 to .973. The shape of female hands did not affect their ability to generate maximal grip strength, only its reliability. The females with hands shaped squarer-than-average had mean grip strength reliability values of ICC (3,1) at only .48, in contrast to those with longer-than-average hands who achieved a mean ICC (3,1) of .92. The handle shape of the dynamometer may disadvantage square-handed females, and this should be further investigated.

Doctor of Philosophy / The aims of the Thesis were: to investigate and quantify the factors influencing the production of maximum isometric grip strength force in a sample of Australian teenagers when using JamarTM-like handgrip dynamometers; to determine the reliability of this measure over long and short retest intervals; to establish a database of anthropometric and strength values for this group and prediction equations for premorbid strengths to aid assessment of recovery in those with upper limb pathologies. The history of these handgrip dynamometers demonstrates that they have been employed in one form or another for over three hundred years and are still widely used today in hand rehabilitation and medical examinations. Many new types of dynamometers have been constructed subsequent to the ubiquitous JamarTM and have all been briefly reviewed here. Handedness (dominance) was thought to be a possible factor influencing grip strength performance and was later evaluated. But first, the Edinburgh Handedness Inventory was tested with 658 teenagers and 64 adults and confirmed to be a valid tool for assessing handedness. Its validity was improved by substituting the tasks of sweeping and opening the lid of a box for hammering and use of a screwdriver. Its excellent reliability (ICC = .78, p < 0.01) was confirmed with 45 teenagers and 45 adults. There were 235 teenagers who performed maximal isometric grip strength tests and from the results a local database was created. It was confirmed that the grip strength difference in males and females becomes significant after the age of 13 years, and that the average teenaged male is stronger than the average teenaged female by 11.2 Kg force (p < .01). Height, weight, BMI, hand dimensions, past upper limb injuries, degrees of handedness and exercise levels were measured and compared with known norms to establish that the grip strength tested sample of teenagers was representative of urban teenagers in Australia. The influence of handedness on maximal grip strength in dominant and non-dominant hands was unable to be completely ascertained due to the vast majority of the sample of teenagers being right-handed. Only 13 of the 235 teenagers used their left hand for most tasks, with another 20 using their left hands for a small majority of tasks. There was a grip strength bias towards the dominant hand of 2.63 kg force (p < .01). The most accurate way to predict the grip strength of one hand is by knowing the grip strength of the other hand. Prediction models found that 90% (R2 adj .902) and 70% (R2adj .702) of the variance in one hand could be accounted for by the grip strength of their other hand for male and female teenagers, respectively. Prediction equations were also created to assist in estimating the pre-morbid grip strength of teenagers suffering from bilateral hand injuries. If for the males, measurements for height and hand surface area were entered into these models, the grip strength of the dominant and non-dominant hands could be estimated with 62.6 and 63.5% of the variance between the real and predicted scores accounted for, respectively. For the females the prediction models using height and hand surface area could only account for 33.9 and 42.8% of the variances, with no other independent variables improving the prediction equations. The reliability of the maximal grip strength performance of 154 of these teenagers was retested after one or four weeks. A number of sub-group permutations were created for age, gender, retest time interval and handedness groups. The measures of grip strength for males were highly reliable with ICC (3,1) values ranging from .91 to .97. These measures were significantly higher than that obtained from the females, where reliability values ranged from .69 to .83. Handedness played a significant part in grip strength reliability. The dominant hand of right-handed teenagers achieved an ICC (3,1) of .97, as contrasted with the non-dominant hand of left-handers who attained a very poor ICC (3,1) of .27. The shape of the hands of the males did not influence their grip strength or their reliability values, which ranged from .954 to .973. The shape of female hands did not affect their ability to generate maximal grip strength, only its reliability. The females with hands shaped squarer-than-average had mean grip strength reliability values of ICC (3,1) at only .48, in contrast to those with longer-than-average hands who achieved a mean ICC (3,1) of .92. The handle shape of the dynamometer may disadvantage square-handed females, and this should be further investigated.

Discordance in bone mass between young adult swimmers and soccer players may be a direct result of differences in bone loading patterns that influence bone mineralization during growth. Our aim was to evaluate whether sports participation (soccer and swimming) had an independent effect on bone mass accrual at the hip and lumbar spine in adolescent female athletes. We recruited boys and girls 10 to 14-years of age from Corvallis, Albany, Sweet Home, Salem, Eugene, and the greater Portland area. Bone mineral content (BMC, g) and bone mineral density (BMD, g/cm²) of the proximal left hip, spine, and whole body were assessed by dual energy x-ray absorptiometry (Hologic QDR 4500A; Hologic Inc., Waltham, MA, USA). We used ANCOVA and report that baseline BMC and BMD values of girl soccer players at the greater trochanter were significantly higher compared to controls and the swim group, and femoral neck BMC was significantly greater than the swimmers. At baseline, all boy groups were similar at the hip and spine. After 12-months, ANCOVA was also used to assess absolute change for BMC and BMD at the hip and spine. The girl soccer players had significantly more BMC and BMD at the greater trochanter as well as total hip BMD and lumbar spine BMC compared to the swimmers, but not the controls. The girl control group showed a significantly greater 12-month change for femoral neck and greater trochanter BMC than swimmers. Overall, the girl swimmers demonstrated a lower accumulation of bone mass during the 12-month study period. As for the boys, soccer players had a significantly higher 12-month change for femoral neck BMC than swimmers, but were similar at the spine. There were no differences between the boy control subjects and the swimmers for 12-month change values at the hip and spine. While preliminary and limited by the small sample size, our results indicate that after controlling for growth, soccer players gained significantly more BMC at the femoral neck than swimmers. Furthermore, exposing the young skeleton to impact loading exercise has site-specific benefits at the hip whereas prolonged training in a non-weight bearing environment may compromise skeletal acquisition. / Graduation date: 2004