# Defining upper extremity dominance: The contributions of hand preference and grip strength

**Authors:** Mohamadreza Hatefi, Seyedeh Feriyal Mahdavi, Amirreza Abbasi, Farideh Babakhani, Hasan Sozen, Hasan Sozen, Hasan Sozen, Hasan Sozen

PMC · DOI: 10.1371/journal.pone.0336916 · 2025-11-25

## TL;DR

This study shows that hand preference and grip strength may not align, suggesting the need for task-specific definitions of upper extremity dominance.

## Contribution

The study introduces the idea that grip strength does not reliably indicate hand dominance, advocating for task-specific definitions.

## Key findings

- Writing and throwing hand preference showed a moderate, significant relationship.
- Grip strength dominance was not significantly associated with writing or throwing hand preference.
- Task-specific definitions of dominance are recommended for better accuracy in clinical and athletic contexts.

## Abstract

Upper extremity (UE) dominance is often defined by self-reported hand preference; however, this may not accurately reflect true functional or strength-based dominance. This study examined the relationship between writing hand, throwing hand, and maximal grip strength to assess how these measures align.

Thirty-four healthy, recreationally active college-aged individuals reported their preferred writing and throwing hands and completed standardized grip strength testing. Associations among the variables were analyzed using Phi coefficients and chi-square tests.

A moderate, significant relationship was found between writing and throwing hand preference (φ = 0.456; p = 0.008), indicating general consistency across these subjective measures. However, no significant association emerged between grip strength dominance and either writing (φ = 0.027; p = 0.876) or throwing hand (φ = 0.096; p = 0.574).

These results suggest that grip strength dominance may not correlate with commonly used indicators of hand preference, highlighting the need for task-specific definitions of dominance in clinical and athletic contexts. Consequently, employing such task-specific definitions allows for more accurate assessments and enhances the translational relevance of research findings in practical settings.

## Full-text entities

- **Diseases:** chronic pain (MESH:D059350), fatigue (MESH:D005221), musculoskeletal injury (MESH:D009140), arthritis (MESH:D001168), asymmetry (MESH:D005146), trauma (MESH:D014947), hand injury (MESH:D006230), neurological disorder (MESH:D009461)
- **Chemicals:** PONE-D-25-36856R2 (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

1 figure with captions in the complete paper: https://tomesphere.com/paper/PMC12646442/full.md

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Source: https://tomesphere.com/paper/PMC12646442