Evidence map›Paper›PMID 39920213›Full record

SynthesisScientific reports2025

A comprehensive scoping review and meta-analysis of upper limb strength asymmetry.

Ryan C A Foley, Danny H Callaghan, Garrick N Forman, Jeffrey D Graham, Michael W R Holmes, Nicholas J La Delfa

Abstract readScoping ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ryan C A FoleyDepartment of Kinesiology, Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada.
Danny H CallaghanDepartment of Kinesiology, Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada.
Garrick N FormanDepartment of Kinesiology, Faculty of Applied Health Sciences, Brock University, St Catharine's, ON, Canada.
Jeffrey D GrahamDepartment of Kinesiology, Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada.
Michael W R HolmesDepartment of Kinesiology, Faculty of Applied Health Sciences, Brock University, St Catharine's, ON, Canada.
Nicholas J La DelfaDepartment of Kinesiology, Faculty of Health Sciences, Ontario Tech University, Oshawa, ON, Canada. nicholas.ladelfa@ontariotechu.ca.

Funding

Natural Sciences and Engineering Research Council of Canada RGPIN/005157-2020
6 · The paper itself

Abstract

The "10% rule" of handedness asserts the dominant hand is 10% stronger than the non-dominant hand. Primarily derived from handgrip data, it is unclear if a generalized asymmetry exists across the upper limb. Understanding how strength asymmetry may be affected by handedness, sex, and exertion type has important implications for ergonomics design, sports performance, and clinical rehabilitation. The purpose of this study was to systematically synthesize currently available evidence examining upper limb strength asymmetry. 10,061 results were retrieved, and 174 studies remained after title/abstract screening. 87 studies were synthesized. Results are compiled by exertion type and manner of asymmetry comparison (i.e. right/left, dominant/non-dominant). Asymmetry ratios were calculated to examine the effects of handedness, exertion side, arm region, and sex. Strength differences were most frequently reported for grip exertions (n = 49). 25 studies reported other joint strength asymmetries. Overall, the right limb was 6.7% stronger than the left limb (n = 9342) and the dominant limb was 11.6% stronger than the non-dominant limb (n = 9327), though strength asymmetry varied across joints and movements (2.1% to 19.5%). This research demonstrates that the 10% rule is a good approximation for upper limb strength asymmetry. However, several factors, including joint, movement type, and sex, can affect this relationship.

Indexed as

Functional LateralityHand StrengthMuscle StrengthUpper ExtremityFemaleHumansMaleFunctional strengthGrip strengthHandednessJoint strengthStrength asymmetryUpper extremity

Identifiers

PMID39920213
PMCPMC11806048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.