Hydraulic 5-level pinch gauge is available in clinic mode (gauge facing clinician) and feedback mode (gauge facing patient). Adjustable handle fits all size hands for accurate and repeatable pinch measurements. 5-position strength test protocols (MVE and MMVE) now can be used for pinch measurements. Easy to adjust paddle accommodates to any size hand (other pinch gauges only have one pinch width). Pinch width without paddle is the same width as standard pinch gauges, both mechanical and hydraulic. 5 pinch positions permits MVE and MMVE protocols to be used with tip, palmar and key tests.