The Impact of Forearm Stretching and Tendon Gliding Exercises on Writing Speed and Grip Strength in Young Adults: A Randomized Controlled Trial


Authors : Shilpachandran.K; Prasanth.K

Volume/Issue : Volume 10 - 2025, Issue 6 - June


Google Scholar : https://tinyurl.com/3ax5c73d

DOI : https://doi.org/10.38124/ijisrt/25jun1132

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Contemporary academic requirements tend to induce extended use of hands in writing and computer tasks, possibly influencing muscular efficiency and endurance. Preventive exercises like forearm stretching and gliding of the tendons can increase grip strength and writing quality, but empirical evidence in healthy young adults is limited.

Keywords : Grip Strength, Writing Speed, Tendon Gliding, Forearm Stretching, Young Adults, Randomized Controlled Trial.

References :

  1. MacDermid JC, Strength and function in patients with carpal tunnel syndrome. J Hand Ther. 2001;14(1):1–7. Doi:10.1016/S0894-1130(01)80043-1
  2. Akhtar N, Bansal S, Najam A. Effect of tendon gliding exercises on pain and grip strength in patients with carpal tunnel syndrome. Int J Physiother Res. 2015;3(1):847-850. Doi:10.16965/ijpr.2015.103
  3. Pandekar A, Patil R. Effect of tendon gliding and forearm stretching exercises on handwriting speed in college students. Int J Health Sci Res. 2019;9(4):115–120.
  4. Hanten WP, Chen WY, Austin AA, et al. Maximum grip strength in normal subjects between the ages of 20 and 64 years. J Hand Ther. 1999;12(3):193–200. Doi:10.1016/S0894-1130(99)80045-3
  5. Page P. Current concepts in muscle stretching for exercise and rehabilitation. Int J Sports Phys Ther. 2012;7(1):109–119.
  6. Coppieters MW, Alshami AM. Longitudinal excursion and strain in the median nerve during novel nerve gliding exercises for carpal tunnel syndrome. J Orthop Res. 2007;25(7):972–980. Doi:10.1002/jor.20379
  7. JW, Krause DA, Hollman JH, Harmsen WS, Laskowski ER. The influence of gender and age on grip and pinch strength in healthy adults. J Hand Ther. 2006;19(3):206–211. Doi:10.1197/j.jht.2006.02.001
  8. Norkin CC, White DJ. Measurement of Joint Motion: A Guide to Goniometry. 5th ed. Philadelphia, PA: F.A. Davis Company; 2016.
  9. Levangie PK, Norkin CC. Joint Structure and Function: A Comprehensive Analysis. 5th ed. Philadelphia, PA: F.A. Davis Company; 2011.
  10. American Society of Hand Therapists. Clinical Assessment Recommendations. 3rd ed. Chicago: ASHT; 2015.
  11. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 6th ed. Philadelphia, PA: F.A. Davis Company; 2012.
  12. Agrawal RP, Gupta R, Bansal P. Tendon gliding exercises as an adjunct to conservative management of carpal tunnel syndrome: A randomized clinical trial. J Clin Diagn Res. 2013;7(5):861–863. Doi:10.7860/JCDR/2013/5080.2951
  13. tSault JD. The effects of exercise on grip strength in healthy adults: A review. Physiother Theory Pract. 2008;24(6):419–429. Doi:10.1080/09593980802231963
  14. tSu CY, Lin JH, Chien TH, Cheng KF. Grip strength and forearm muscle thickness in different tasks and arm postures. Clin Biomech (Bristol, Avon). 2006;21(6):617–623. Doi:10.1016/j.clinbiomech.2006.01.005
  15. tMathiowetz V, Kashman N, Volland G, et al. Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil. 1985;66(2):69–74.
  16. Langer D, Jacquet LM, Langer J. Reliability of a simple test of handwriting speed in children and young adults. J Educ Psychol. 2010;102(2):498–504. Doi:10.1037/a0018723
  17. De-la-Llave-Rincón AI, Fernández-de-las-Peñas C, Ortega-Santiago R, Ambite-Quesada S, Arroyo-Morales M. Positive effects of neural mobilization on pain and pressure pain sensitivity in women with neck pain: A randomized controlled trial. J Rehabil Med. 2012;44(8):625–629. Doi:10.2340/16501977-1009
  18. Hsiao MY, Hung CY, Chang KV, Han DS. Grip strength in various positions and relationship with elbow flexion force. J Phys Ther Sci. 2015;27(10):3249–3252. Doi:10.1589/jpts.27.3249
  19. Nambudiri AM, Thomas C. Prevention of overuse injuries in students: The role of ergonomic education. Physiother Pract Res. 2018;39(2):83–88.
  20. Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: A cross sectional study. Eur Spine J. 2007;16(5):679–686. Doi:10.1007/s00586-006-0269-7
  21. Nambi G, Sangeetha A, Devi SS. Effects of neural tissue mobilization on grip strength in asymptomatic subjects. J Bodyw Mov Ther. 2013;17(3):363–367. doi:10.1016/j.jbmt.2012.08.003
  22. Pinar L, Skempes D, Lurati K. The effects of a tendon and nerve gliding program on symptoms and hand function in carpal tunnel syndrome patients. Int J Ther Rehabil. 2010;17(3):134–142. doi:10.12968/ijtr.2010.17.3.46952
  23. Kitis A, Buker N, Taylor NF. The effectiveness of splinting and exercise in the conservative treatment of carpal tunnel syndrome: A randomized controlled trial. J Hand Ther. 2010;23(2):155–162. doi:10.1016/j.jht.2009.10.002
  24. Newman P, Fortescue C, Hine P. Tendon and nerve gliding exercises in people with carpal tunnel syndrome: A systematic review. JBI Libr Syst Rev. 2011;9(33):1303–1323. doi:10.11124/jbisrir-2011-40
  25. Evers S, Nieskens K, Lecloux M. Effects of upper limb tendon gliding and stretching in computer users: A pilot study. Work. 2015;52(3):597–602. doi:10.3233/WOR-152182
  26. Michlovitz SL, LaStayo PC, Alzner S, Watson E. Distal upper extremity splinting: Static splinting. Orthop Phys Ther Clin N Am. 2001;10(2):189–205.
  27. Vanti C, Conti C, Ferrari S, Guccione AA, Pillastrini P. Effect of neurodynamic mobilization on median nerve mechanosensitivity and hand function in patients with carpal tunnel syndrome. J Manipulative Physiol Ther. 2012;35(5):385–394. doi:10.1016/j.jmpt.2012.05.004
  28. Peterson DE, Bombardier C, Leong A. The role of exercise in hand rehabilitation. Clin Rheumatol. 2000;19(1):14–19. doi:10.1007/s100670050021
  29. Ranganathan VK, Siemionow V, Liu JZ, Sahgal V, Yue GH. From mental power to muscle power—gaining strength by using the mind. Neuropsychologia. 2004;42(7):944–956. doi:10.1016/j.neuropsychologia.2003.11.018
  30. Seradge H, Jia YC, Owens W. In vivo measurement of carpal tunnel pressure in the functioning hand. J Hand Surg Am. 1995;20(5):855–859. doi:10.1016/S0363-5023(05)80431-1
  31. Schreuders TA, Roebroeck ME, Jaquet JB, Hovius SE. Measuring strength and recording grip and pinch strength. J Hand Ther. 2003;16(4):324–331. doi:10.1197/S0894113003000722
  32. Bohannon RW. Hand-grip dynamometry predicts future outcomes in aging adults. J Geriatr Phys Ther. 2008;31(1):3–10. doi:10.1519/00139143-200831010-00002
  33. Lins CA, Neto HP, Amorim AB, Macedo LB. Stretching and strengthening exercises improve the symptoms of carpal tunnel syndrome: Systematic review and meta-analysis. Clin Rehabil. 2016;30(11):1049–1058. doi:10.1177/0269215515615713
  34. Aggarwal A, Gupta A. Influence of stretching exercises on handgrip strength and hand function in computer operators. Indian J Occup Environ Med. 2012;16(3):121–123. doi:10.4103/0019-5278.107080
  35. Sarrafzadeh J, Nateghi H, Bagheri H. The effects of stretching on grip strength in the short term. Iranian J Rehabil Res Nurs. 2014;1(2):40–44.
  36. Baumeister J, Reinecke K, Weiss M. Modified cortical activity following stretching. Neurosci Lett. 2008;441(2):143–147. doi:10.1016/j.neulet.2008.06.039
  37. Johnson EW. Practical Guide to Range of Motion Assessment. Philadelphia, PA: Lippincott Williams & Wilkins; 2002.
  38. Dierks TA, Davis IS. The effects of running in an exerted state on lower extremity kinematics and joint timing. J Biomech. 2007;40(15):3562–3567. doi:10.1016/j.jbiomech.2007.06.004
  39. de Krom MC, Knipschild PG, Kester AD, Spaans F. Risk factors for carpal tunnel syndrome. Am J Epidemiol. 1990;132(6):1102–1110. doi:10.1093/oxfordjournals.aje.a115748
  40. Szabo RM. Entrapment neuropathies. Semin Neurol. 2000;20(2):221–226. doi:10.1055/s-2000-5819
  41. McKeon PO, Ingersoll CD. Neural gliding techniques for the treatment of carpal tunnel syndrome. J Sport Rehabil. 2000;9(3):237–246. doi:10.1123/jsr.9.3.237
  42. Nordin M, Frankel VH. Basic Biomechanics of the Musculoskeletal System. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012.
  43. Gabel CP, Moran RW, Burkett B, Wing R. The development and validation of a stretching compliance questionnaire. Physiother Theory Pract. 2009;25(3):205–220. doi:10.1080/09593980802443742
  44. Palmer DH. Prevention of cumulative trauma disorders in computer users. J Occup Rehabil. 1993;3(2):77–88. doi:10.1007/BF01078753
  45. Veröffentlichung Holtermann A, Hansen JV, Burr H, Søgaard K, Mortensen OS. Prognostic factors for long-term sickness absence among employees with neck–shoulder and low-back pain. Scand J Work Environ Health. 2010;36(1):34–41. doi:10.5271/sjweh.2870
  46. Bialosky JE, Bishop MD, Penza CW, George SZ. Placebo mechanisms of manual therapy: A neurophysiological perspective. Phys Ther. 2011;91(5):765–773. doi:10.2522/ptj.20100338
  47. 47. Abenhaim L, Rossignol M. Musculoskeletal disorders and the workplace. Clin Orthop Relat Res. 1998;351:77–84.
  48. 48. Wang RY, Lin PY, Li CH, Chien KL, Hsieh CL. Effects of stretching and strengthening exercises on grip strength and muscular endurance. Kaohsiung J Med Sci. 2006;22(9):440–446. doi:10.1016/S1607-551X(09)70343-2
  49. Nussbaumer S, Leunig M, Glatthorn JF, et al. Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion. Phys Ther Sport. 2010;11(2):61–66. doi:10.1016/j.ptsp.2010.01.002
  50. McGee SR. Evidence-Based Physical Diagnosis. 4th ed. Philadelphia, PA: Elsevier; 2018.

Contemporary academic requirements tend to induce extended use of hands in writing and computer tasks, possibly influencing muscular efficiency and endurance. Preventive exercises like forearm stretching and gliding of the tendons can increase grip strength and writing quality, but empirical evidence in healthy young adults is limited.

Keywords : Grip Strength, Writing Speed, Tendon Gliding, Forearm Stretching, Young Adults, Randomized Controlled Trial.

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