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Stability of Hand Grip Strength Across a Competitive Season in Elite Male and Female Ice Hockey Players

Stability of Hand Grip Strength Across a Competitive Season in Elite Male and Female Ice Hockey Players: A Prospective Longitudinal Observational Cohort Study

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07570784
Enrollment
150
Registered
2026-05-06
Start date
2026-09-01
Completion date
2027-12-31
Last updated
2026-06-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Grip Strength, Ice Hockey, Within-season Variability

Keywords

ice hockey, hand grip strength, within-season variability, test-retest reliability

Brief summary

This study examines how hand grip strength changes over the course of a competitive ice hockey season in elite male and female players. Hand grip strength is a simple and widely used measure of upper-body strength and functional capacity. It is often used in sports science and clinical settings, but it is unclear whether grip strength remains stable throughout a season or changes depending on training load, match exposure, and fatigue. In this study, elite ice hockey players from Swedish teams will have their grip strength measured at four timepoints during one season: pre-season, early season, mid-season, and late season. Both dominant and non-dominant hand strength will be assessed using a standardized dynamometer and protocol. The main purpose is to determine how much grip strength varies within individual players over time and whether a single measurement can be considered representative of a player's true strength level across a season. The study will also evaluate the reliability of grip strength measurements and whether observed changes are large enough to be meaningful in a clinical or performance context. No intervention is performed, and all measurements are non-invasive and conducted as part of routine testing environments within participating teams.

Detailed description

This is a prospective longitudinal observational cohort study designed to evaluate within-season variability and measurement stability of maximal isometric hand grip strength in elite ice hockey players. Hand grip strength is widely used as a surrogate marker of upper-limb strength and general neuromuscular capacity. Although its reliability has been well described in clinical and general athletic populations when measured using standardized protocols, limited evidence exists regarding its temporal stability in elite collision sport athletes over an entire competitive season. In particular, it remains unclear whether grip strength behaves as a stable individual characteristic or whether it is influenced by seasonal training load, match congestion, fatigue, or adaptation effects. The study will include elite male and female ice hockey players recruited from Swedish top-level teams. Participants will undergo repeated standardized grip strength assessments at four predefined timepoints across one competitive season: pre-season baseline, early mid-season, late mid-season, and pre-playoff/end-of-season phase. All measurements will be performed using a calibrated hand dynamometer following a standardized protocol based on established clinical measurement guidelines, including consistent body positioning, handle adjustment, and repeated maximal trials for both dominant and non-dominant hands. Mean values from repeated trials will be used for analysis. To reduce measurement variability, all testing will be conducted by trained assessors using harmonized instructions across participating teams. Where possible, testing sessions will be scheduled to minimize acute fatigue effects by ensuring a standardized recovery period following matches or high-intensity training sessions. The primary analytical focus is within-subject variability of grip strength across the season, quantified using measures of dispersion and reliability, including coefficient of variation (CV%), within-subject standard deviation, and intraclass correlation coefficients (ICC). Additional analyses will estimate measurement error (standard error of measurement) and minimal detectable change (MDC95) to determine the smallest meaningful change in grip strength that exceeds expected measurement noise. Longitudinal changes in grip strength across the season will be assessed using mixed-effects statistical models to account for repeated measures within individuals and potential group-level effects such as sex and playing level. The study does not involve any interventions, treatment allocation, or experimental manipulation. All assessments are non-invasive and conducted within routine team environments. The findings are intended to inform interpretation of grip strength in athletic monitoring, rehabilitation contexts, and performance evaluation, specifically whether single timepoint measurements can be reliably used for comparison against normative data or whether seasonality must be considered in clinical and performance decision-making.

Interventions

None listed

Sponsors

Dalarna County Council, Sweden
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Contracted elite ice hockey players in participating Swedish teams (SHL, HockeyAllsvenskan, SDHL or equivalent top division) * Male or female players competing at elite level * Available for testing at all predefined measurement timepoints across the season * Able to perform maximal hand grip strength testing * Provides informed consent

Exclusion criteria

* Acute hand or wrist injury at baseline preventing maximal grip strength testing * Any condition during the study period preventing completion of repeated grip strength assessments * Inability to participate in all scheduled measurement sessions * Refusal to participate

Design outcomes

Primary

MeasureTime frameDescription
Within-Subject Variability of Hand Grip StrengthFrom baseline (pre-season) to end of season (pre-playoff), up to 8 monthsWithin-subject variability of maximal isometric hand grip strength across a competitive season in elite ice hockey players, expressed as coefficient of variation (CV%) across repeated measurements.

Secondary

MeasureTime frameDescription
Test-Retest Reliability of Hand Grip StrengthFrom baseline (pre-season) to end of season (pre-playoff), up to 8 monthsReliability of repeated grip strength measurements across the season assessed using intraclass correlation coefficient (ICC).
Within-Subject Standard Deviation of Grip StrengthFrom baseline (pre-season) to end of season (pre-playoff), up to 8 monthsAbsolute within-player variability in grip strength across the competitive season.
Standard Error of Measurement (SEM)From baseline (pre-season) to end of season (pre-playoff), up to 8 monthsMeasurement error of grip strength across repeated seasonal assessments.
Minimal Detectable Change (MDC95)From baseline (pre-season) to end of season (pre-playoff), up to 8 monthsSmallest change in grip strength considered beyond measurement error with 95% confidence.
Seasonal Change in Grip StrengthFrom baseline (pre-season) to end of season (pre-playoff), up to 8 monthsSystematic changes in maximal grip strength across the competitive season assessed using longitudinal mixed-effects models.

Countries

Sweden

Contacts

CONTACTDaniel Muder, MD, PhD
danielmuder@email.com+46722027596
CONTACTTomas Hultgren, MD
tomas.hultgren@hotmail.com

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 6, 2026