A JAMAR hydraulic hand dynamometer (Lafayette Instruments, Lafayette, IN, USA) was used to assess dominant handgrip strength. Participants were asked to sit upright in a stable, unarmed, four-legged chair with thighs horizontal and knees at 90°. The dominant hand was selected. Participants kept their flexed elbow tight to the waist, upper arm vertical, lower arm horizontal, and the other arm relaxed. The device was squeezed as hard as possible on setting #2 [38 (link)] and then released. The average value of 3 repeats was recorded [18 (link)]. Muscle strength data were collected by 3 observers, and their reliabilities have been published previously (CCCs ranging from 0.64 for inter-rater to 0.94 for intra-rater reliability [7 (link)]).
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