Feasibility of Force-Sensing Finger Assessment in Elite Fencers: A Pilot Study with Clinical Translational Potential

<b>Background</b>: Grip control is a critical determinant of fencing performance, requiring both stability and precision. Traditional measures of hand strength, such as dynamometry, provide only a global estimate and cannot capture finger-specific load distribution. Yet, upper-extremity overuse syndromes, tendinopathies of the wrist and digital flexors are common in fencers, underscoring the need for more granular assessments that may inform clinical practice, especially in prehension contexts. <b>Methods</b>: This pilot study included eight elite épée fencers from the Polish National Team (age: 23.9 ± 4.9 years; training experience: >10 years) tested using a novel épée handle instrumented with five force-sensitive resistors (FSRs) embedded beneath each finger. Participants performed two 5-s maximal voluntary contractions (MVCs) for each of the three conditions-Pinch (thumb + index), Trio (middle + ring + small), and Whole (all digits). Standard handheld dynamometry was also performed to provide a global reference measure. <b>Results</b>: Maximal grip strength measured with a dynamometer (65.3 ± 11.7 kgf) was substantially higher than finger-specific forces captured with the FSR handle (14.4 ± 4.4 kgf). Isolated Pinch contractions (83.0 ± 29.2 N) were significantly stronger than their integrated contribution within the Whole-hand condition (54.7 ± 16.3 N; Z = 2.52, <i>p</i> = 0.012), whereas Trio forces did not differ significantly (<i>p</i> = 0.263). On average, radial digits (thumb + index) contributed ~39% and ulnar digits (middle, ring, small) ~61% of Whole output, with the thumb and middle finger producing the largest forces. <b>Conclusions</b>: This pilot study demonstrates the feasibility of using an FSR-instrumented épée handle to capture finger-specific grip contributions in elite fencers. Despite limited statistical power (n = 8), the observed effects provide initial quantitative evidence for sport-specific, digit-level assessment, showing potential clinical utility in detecting maladaptive load-transfer mechanisms and informing rehabilitation and injury-prevention programs.

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Publication Details

Journal
Journal of Clinical Medicine
Published
2025-10-17
DOI
https://doi.org/10.3390/jcm14207335
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
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article

Feasibility of Force-Sensing Finger Assessment in Elite Fencers: A Pilot Study with Clinical Translational Potential

Anna Akbaş, Michal E. Pawlowski
Journal of Clinical Medicine
Orthopedic Surgery and Rehabilitation
article

Feasibility of Force-Sensing Finger Assessment in Elite Fencers: A Pilot Study with Clinical Translational Potential

Anna Akbaş, Michal E. Pawlowski
article en

Abstract

<b>Background</b>: Grip control is a critical determinant of fencing performance, requiring both stability and precision. Traditional measures of hand strength, such as dynamometry, provide only a global estimate and cannot capture finger-specific load distribution. Yet, upper-extremity overuse syndromes, tendinopathies of the wrist and digital flexors are common in fencers, underscoring the need for more granular assessments that may inform clinical practice, especially in prehension contexts. <b>Methods</b>: This pilot study included eight elite épée fencers from the Polish National Team (age: 23.9 ± 4.9 years; training experience: >10 years) tested using a novel épée handle instrumented with five force-sensitive resistors (FSRs) embedded beneath each finger. Participants performed two 5-s maximal voluntary contractions (MVCs) for each of the three conditions-Pinch (thumb + index), Trio (middle + ring + small), and Whole (all digits). Standard handheld dynamometry was also performed to provide a global reference measure. <b>Results</b>: Maximal grip strength measured with a dynamometer (65.3 ± 11.7 kgf) was substantially higher than finger-specific forces captured with the FSR handle (14.4 ± 4.4 kgf). Isolated Pinch contractions (83.0 ± 29.2 N) were significantly stronger than their integrated contribution within the Whole-hand condition (54.7 ± 16.3 N; Z = 2.52, <i>p</i> = 0.012), whereas Trio forces did not differ significantly (<i>p</i> = 0.263). On average, radial digits (thumb + index) contributed ~39% and ulnar digits (middle, ring, small) ~61% of Whole output, with the thumb and middle finger producing the largest forces. <b>Conclusions</b>: This pilot study demonstrates the feasibility of using an FSR-instrumented épée handle to capture finger-specific grip contributions in elite fencers. Despite limited statistical power (n = 8), the observed effects provide initial quantitative evidence for sport-specific, digit-level assessment, showing potential clinical utility in detecting maladaptive load-transfer mechanisms and informing rehabilitation and injury-prevention programs.

Journal of Clinical MedicineVol. 14(20)
Akademii Wychowania Fizycznego im. Jerzego Kukuczki w Katowicach (PL)
Openalex Percentile: Top 54%
Orthopedic Surgery and Rehabilitation
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