How Able Assess Helps Pharma and CROs to Integrate Grip Strength into Clinical Research and Healthcare

Calendar Icon June 26, 2025

Grip strength is an indispensable biomarker for clinical research and pharmaceutical companies.

Boy Holding Gripable Sensor, Pharma and CROs

In this guide, we outline how Pharma and Clinical Research Organisations (CROs) can access advanced data insights and re-define patient-centric trial solutions by integrating Able Assess.

Among other benefits it generates high-integrity clinical data, boosts patient engagement, and improves study retention.

Key Takeaways | Grip Strength and Able Assess for Pharma and CROs

  • Grip strength is an objective biomarker in observational and non-interventional studies for disease progression or recovery.
  • Able Assess supports the use of grip strength as a validated, scalable outcome across the clinical research continuum.
  • Grip strength measurement with Able Assess provides a functional, easy to measure endpoint for hybrid and remote decentralized and randomized controlled trials (RCTs) by tracking muscle strength, mobility, and treatment impact.
  • Able Assess fits seamlessly into standard care without added burden.

Evidence Supporting the Value of Grip Strength Data

Grip strength is increasingly recognized as an indispensable biomarker of overall health, including longevity and frailty.

It provides robust evidence supporting its role as an outcome marker across aging, cardiovascular health, diabetes, respiratory disease, oncology, functional decline, renal disease, and more. It can no longer be overlooked as a standard assessment.

There is sufficient evidence to show that grip strength is an important biomarker of health. It can identify a diverse range of health issues and acts as a vital sign throughout one’s lifespan (Vaishya, R et al.; Hand Grip Strength as a Proposed New Vital Sign of Health; 2024).

There is a predictive link between grip strength and all-cause mortality, future function, bone mineral density, fractures, cognition, and depression, as well as problems associated with hospitalization (Bohannon R; An Indispensable Biomarker For Older Adults; 2019).

The relation between grip strength and future mortality appears not only in older people, but also in middle-aged and young people (Sayer, Avan Aihie et al; Grip Strength and Mortality: A Biomarker of Ageing?; 2015).

GripAble Provides Superior Accuracy for Grip Strength Measurements

The GripAble sensor is part of the Able Assess solution for measuring grip strength.

Peer-reviewed research publications validate the superior accuracy and effectiveness of the GripAble sensor for hand grip strength measurement in real-world clinical settings.

The GripAble hand grip dynamometer offers a modernized approach to measuring grip strength with its digital and high-accuracy measurement system.

It has excellent interrater reliability in measuring grip strength, with studies endorsing GripAble as a reliable and valid tool for accurately assessing grip strength (Mutalib S. A.; GripAble: Interrater reliability and normative grip strength of UK population; 2024).

It is highly sensitive and robust, with other features including its portability, digital data tracking, remote assessments, longitudinal monitoring, risk stratification feature, and tele-rehabilitation.

This combination enables broad applicability in a range of clinical caseloads and environments (Mace M; GripAble: An accurate, sensitive and robust digital device for measuring grip strength; 2022).

Able Assess: Benefits for Pharma and CROs

Able Assess establishes grip strength as a powerful digital endpoint. It tracks changes in muscle strength through hand grip strength measurement, delivering advanced data insights to enhance research studies and clinical trials to redefine health outcomes tracking.

Benefits for Pharma and CROs include:

Clinical-grade precision

  • Able Assess provides unmatched accuracy, sensitivity, inter-rater, and test-retest reliability, enabling precise monitoring and reliable, regulatory-quality data.
  • It is designed for research and regulation-quality measurements, outperforming the incumbent gold-standard Jamar with superior sensitivity, accuracy, and reliability. Read our hand dynamometer guide for a full comparison.

Patient-friendly data capture

  • Able Assess offers a simple electronic clinical outcome assessment (eCOA) with a lightweight portable sensor and fully digital platform supporting remote patient assessments.

Flexible and scalable

  • It seamlessly supports in-clinic and remote use for decentralized studies and longitudinal patient monitoring.

Integration-ready 

  • Able Assess is the only fully digital grip strength solution on the market, designed to integrate seamlessly with existing data platforms, enabling harmonization with current reporting systems.

Operational efficiency

  • GripAble is the only hand dynamometer sensor with a digital data platform with capability for API integration.
  • It streamlines data collection for enhanced trial performance and operational efficiency.

Built for compliance

  • Able Assess demonstrates unmatched regulatory compliance, across internationally recognized quality, safety and data standards.
  • It meets the highest standards of international data, quality, safety, and regulatory standards to ensure secure, audit-ready performance.

HEOR, RWE/RWD, Population Health, and Registries

  • Able Assess provides a real-world measure of functional health, resilience, quality of life, and ability to perform Activities of Daily Living (ADLs).
  • It supports frailty, aging, and health economics and outcomes research (HEOR) with real-world evidence (RWE) and real-world data (RWD)

Post-Marketing and Label Expansion Studies

  • Able Assess delivers real-world functional outcomes to complement safety and efficacy data, highlighting broader value and patient-reported impact.

Case Study: Leveraging Able Assess in a Pioneering Decentralized RCT

Study design

  • This was a groundbreaking clinical trial to advance ME/CFS research and treatment. There is no known cause or cure for this condition with symptoms including extreme fatigue and impaired cognitive function.
  • Patients enrolled via decentralized methods for a more streamlined, patient-centric, inclusive approach, making it easier to take part from the comfort and familiarity of their own homes.
  • Traditional trial designs have been unsuitable for CFS patients, as the debilitating nature of the condition limits participation and therefore drug development.

Role of Able Assess

  • Able Assess is used to measure grip strength as a secondary outcome as part of an innovative virtual trial design involving remote monitoring.
  • It evaluates changes in muscle strength (peak force) and functional improvement at the start and end of both active and placebo treatment periods.

Impact

  • Able Assess provides an evidence-based functional dimension to evaluating drug efficacy.
  • It demonstrates the value of Able Assess in enhancing trial performance and enabling future innovations in digital endpoints.
  • A digital-forward, decentralized approach not only expands access but also exemplifies how technology can drive patient-empathetic trial design, ensuring those with unmet needs are finally included in the innovation pipeline.

Able Assess for Pharma and CROs

Able Care is a pioneering functional health company, leveraging its proprietary GripAble sensor and advanced data platform to integrate grip strength into clinical research and healthcare.

The Able Assess Grip Strength Platform has been designed for CRO integration:

  • Scalable and efficient: Designed to streamline operations for both in-hospital and decentralized studies, promoting proactive remote patient monitoring.
  • Seamlessly integrated: Flexibility to harmonize with existing CRO platforms, ensuring smooth adoption and compliance.
  • Best-in-class: The platform stands out against its competitors for superior clinical validation, operational efficiency, and regulatory compliance. 

Furthermore, the Able Assess Falls Risk Screening Platform is the world’s first platform to measure four key metrics for falls risk screening, including grip strength. It provides a standardized, scalable and low-cost solution for falls prevention.

For further reading, explore our extensive collection of studies including:

Partner with us in research or patient case studies to advance the knowledge of grip strength as a biomarker.

Please don’t hesitate to get in touch with us at hello@able-care.co or by using our contact form for more information.

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