“An optimal grip size may influence the force with which a player hits the ball, but variations in grip size are unlikely to be contributing factors in overuse injuries such as tennis elbow ...
The right grip size makes a huge difference in how a tennis racquet performs. A too-small grip requires more muscle strength to keep the racquet from twisting in your hand. Prolonged use of a grip that's too small can contribute to tennis elbow problems. A grip that's too large inhibits wrist snap on serves, makes changing grips more difficult and also requires more muscle strength.
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A tennis racquet’s grip size measures the circumference or distance around the handle, ...
"An optimal grip size may influence the force with which a player hits the ball, but variations in grip size are unlikely to be contributing factors in overuse injuries such as tennis elbow ...
Grips sizes are typically offered in the range of 4 1/8″ to 4 5/8″ in increments of 1/8″ with the most common grip size being 4 3/8″. If your measurement is in between grip sizes, consider choosing a racket with the lower grip size because a racket’s grip size is much easier to increase than decrease.
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The best tennis racquet grip size for you will be the one where your index finger fits snugly within this gap. If there is too much room, the grip is too small and if it’s too tight the grip is too large. Avoid holding the grip too tight, because you might end up with tennis elbow or forearm injury.
However a grip size that is too small will mean that a tennis player must grip the racket harder to generate the force necessary to stabilise the racket head on impact with the ball, this increased effort means a greater workload is placed on the muscles around the wrist and elbow which can sometimes lead to overuse injuries.
"A grip that is either too big or too small for the player's hand is not a factor in whether or not a player may develop tennis elbow." "Clinicians who treat patients with tennis elbow often tell them to try a different grip size in order to eliminate muscle fatigue...our study demonstrates that those recommendations have no scientific basis."