|
|
|
Start of C5. Grip Strength
|
| |
C550
Before we go on to the next section, I would like to check if you are a proxy respondent. Are you [R's name]?
BEFORE WE GO ON TO THE NEXT SECTION, I WOULD LIKE TO CHECK IF YOU ARE A PROXY RESPONDENT. ARE YOU [R'S NAME]?
1 Yes
5 No
|
| |
If Before we go on to the next section, I would like to check if you are a proxy respondent. Are you [R's name]? = 1 Yes »
|
|
| |
|
| |
C501
Now I would like to measure the strength of your hand in a gripping action. Which is your dominant hand?
NOW I WOULD LIKE TO MEASURE THE STRENGTH OF YOUR HAND IN A GRIPPING ACTION. WHICH IS YOUR DOMINANT HAND?
1 Right hand
3 Left hand
5 Both hands equally dominant
|
| |
|
| |
C502
I will ask you to squeeze this handle as hard as you can, just for a couple of seconds and then let go. I will take alternately two measurements from your right and left hands. Are you willing to do this test?
I WILL ASK YOU TO SQUEEZE THIS HANDLE AS HARD AS YOU CAN, JUST FOR A COUPLE OF SECONDS AND THEN LET GO. I WILL TAKE ALTERNATELY TWO MEASUREMENTS FROM YOUR RIGHT AND LEFT HANDS. ARE YOU WILLING TO DO THIS TEST?
1 Yes
3 Willing but unable to do the test
5 No
|
| |
|
| |
If I will ask you to squeeze this handle as hard as you can, just for a couple of seconds and then let go. I will take alternately two measurements from your right and left hands. Are you willing to do this test? = 1 Yes »
|
|
| |
|
|
| |
|
C503
Before we begin, I'd like to make sure it is safe for you to do this test. Have you had any surgery within the last six months, or experienced any swelling, inflammation, severe pain, or injury in one or both hands that might prevent you from gripping?
BEFORE WE BEGIN, I'D LIKE TO MAKE SURE IT IS SAFE FOR YOU TO DO THIS TEST. HAVE YOU HAD ANY SURGERY WITHIN THE LAST SIX MONTHS, OR EXPERIENCED ANY SWELLING, INFLAMMATION, SEVERE PAIN, OR INJURY IN ONE OR BOTH HANDS THAT MIGHT PREVENT YOU FROM GRIPPING?
1 No apparent restriction
3 Yes, recent surgery
5 Yes, sever pain
7 Yes, swelling or inflammation
9 Other problems
|
| |
|
|
| |
|
If Before we begin, I'd like to make sure it is safe for you to do this test. Have you had any surgery within the last six months, or experienced any swelling, inflammation, severe pain, or injury in one or both hands that might prevent you from gripping? != 1 No apparent restriction »
|
|
| |
|
|
|
| |
|
|
C504
Which hand hurts?
WHICH HAND HURTS?
1 R is unable to use both hands
3 R is unable to use right hand
5 R is unable to use left hand
|
| |
|
|
|
| |
If Before we begin, I'd like to make sure it is safe for you to do this test. Have you had any surgery within the last six months, or experienced any swelling, inflammation, severe pain, or injury in one or both hands that might prevent you from gripping? != 1 No apparent restriction or Which hand hurts? = 1 R is unable to use both hands »
|
|
| |
|
|
| |
|
C505
[IWER: Why didn't R complete the grip strength test?] (Select all that apply.)
1 R felt it would not be safe
2 IWER felt it would not be safe
3 R refused
4 R tried but was unable to complete the test
5 R did not understand the instructions
6 R had surgery, injury or swelling on both hands in the past six months
7 Others
|
| |
|
|
| |
|
If [IWER: Why didn't R complete the grip strength test?] (Select all that apply.) = 7 Others »
|
|
| |
|
|
|
| |
|
|
C506
If others, please specify.
IF OTHERS, PLEASE SPECIFY.
|
| |
|
|
|
| |
If Which hand hurts? = 5 R is unable to use left hand or Before we begin, I'd like to make sure it is safe for you to do this test. Have you had any surgery within the last six months, or experienced any swelling, inflammation, severe pain, or injury in one or both hands that might prevent you from gripping? = 1 No apparent restriction »
|
|
| |
|
|
| |
|
C507
Now, I'm going to measure your RIGHT HAND. Please put your elbow onto your side and make a right angle around your elbow. Make sure the scale of the dynamometer is set to zero. Ready? Squeeze it now. (unit: Kg.) [IWER: R is asked to take off his/her ring or watch for safety.] FIRST READING
NOW, I'M GOING TO MEASURE YOUR RIGHT HAND. PLEASE PUT YOUR ELBOW ONTO YOUR SIDE AND MAKE A RIGHT ANGLE AROUND YOUR ELBOW. MAKE SURE THE SCALE OF THE DYNAMOMETER IS SET TO ZERO. READY? SQUEEZE IT NOW. (UNIT: KG.)
____________ FIRST READING
|
| |
|
|
| |
|
C508
Now, I'm going to measure your RIGHT HAND again. Please set the scale of the dynamometer to zero, Squeeze it now. (unit: Kg.) SECOND READING
NOW, I'M GOING TO MEASURE YOUR RIGHT HAND AGAIN. PLEASE SET THE SCALE OF THE DYNAMOMETER TO ZERO, SQUEEZE IT NOW. (UNIT: KG.)
___________ SECOND READING
|
| |
|
|
| |
If Which hand hurts? = 3 R is unable to use right hand »
|
|
| |
|
|
| |
|
C509
Now, I'm going to measure your LEFT HAND, Please put your elbow onto your side and make a right angle around your elbow. Make sure the scale of the dynamometer is set to zero. Ready? Squeeze it now. (unit: Kg.) [IWER: R is asked to take off his/her ring or watch for safety.] FIRST READING
NOW, I'M GOING TO MEASURE YOUR LEFT HAND, PLEASE PUT YOUR ELBOW ONTO YOUR SIDE AND MAKE A RIGHT ANGLE AROUND YOUR ELBOW. MAKE SURE THE SCALE OF THE DYNAMOMETER IS SET TO ZERO. READY? SQUEEZE IT NOW. (UNIT: KG.)
_________________ FIRST READING
|
| |
|
|
| |
|
C510
Now, I'm going to measure your LEFT HAND again, Please set the scale of the dynamometer to zero. Squeeze it now. (unit: Kg.) SECOND READING
NOW, I'M GOING TO MEASURE YOUR LEFT HAND AGAIN, PLEASE SET THE SCALE OF THE DYNAMOMETER TO ZERO. SQUEEZE IT NOW. (UNIT: KG.) SECOND READING
|
| |
|
|
| |
If Which hand hurts? = 5 R is unable to use left hand or Which hand hurts? = 3 R is unable to use right hand »
|
|
| |
|
|
| |
|
C511
[IWER: What was R's position for this test?]
1 standing
3 sitting
5 lying down
|
| |
|
|
| |
|
C512
[IWER: Did R receive a support while performing this test?]
1 Yes
5 No
|
| |
|
|
| |
C513
[IWER: How much effort did R give to this measurement?]
[IWER: HOW MUCH EFFORT DID R GIVE TO THIS MEASUREMENT?]
1 R gave full effort
2 R was prevented from giving full effort by illness, pain, symptoms or discomfort
3 R did not appear to give full effort without an obvious reason
4 R did not measure for a personal reason
|
| |
|
|
|
|
| |
|
| |
C551
[IWER: Section C5-GRIP STRENGTH cannot be done by a proxy respondent.]
[IWER: SECTION C5-GRIP STRENGTH CANNOT BE DONE BY A PROXY RESPONDENT.]
1 CONTINUE
|
| |
|
|
End of C5. Grip Strength
|
