Journal of Hand Therapy
Volume 19, Issue 4 , Pages 393-402 , October 2006

Strength Measurements of the Intrinsic Hand Muscles: A Review of the Development and Evaluation of the Rotterdam Intrinsic Hand Myometer

  • Ton A.R. Schreuders, PT, PhD

      Affiliations

    • Corresponding Author InformationCorrespondence and reprint requests to Ton A.R. Schreuders, PT, PhD, Erasmus MC—University Medical Center Rotterdam, Department of Rehabilitation Medicine, Room H014, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
    • ,
  • Ruud W. Selles, PhD
    • ,
  • Marij E. Roebroeck, PhD
    • ,
  • Henk J. Stam, MD, PhD, FRCP

References 

  1. Schreuders TA, Roebroeck ME, Jaquet JB, Hovius SE, Stam HJ. Measuring the strength of the intrinsic muscles of the hand in patients with ulnar and median nerve injuries: reliability of the Rotterdam Intrinsic Hand Myometer (RIHM). J Hand Surg [Am]. 2004;29:318–324
  2. Wadsworth CT, Krishnan R, Sear M, Harrold J, Nielsen DH. Intrarater reliability of manual muscle testing and hand-held dynametric muscle testing. Phys Ther. 1987;67:1342–1347
  3. Florence JM, Pandya S, King WM, et al. Intrarater reliability of manual muscle test (Medical Research Council scale) grades in Duchenne's muscular dystrophy. Phys Ther. 1992;72:115–122discussion 122–6
  4. Brandsma JW, Schreuders TA, Birke JA, Piefer A, Oostendorp R. Manual muscle strength testing: intraobserver and interobserver reliabilities for the intrinsic muscles of the hand. J Hand Ther. 1995;8:185–190
  5. Rosen B, Dahlin LB, Lundborg G. Assessment of functional outcome after nerve repair in a longitudinal cohort. Scand J Plast Reconstr Surg Hand Surg. 2000;34:71–78
  6. Jacquemin GL, Burns SP, Little JW. Measuring hand intrinsic muscle strength: normal values and interrater reliability. J Spinal Cord Med. 2004;27:460–467
  7. Vinci P, Esposito C, Perelli SL, Antenor JA, Thomas FP. Overwork weakness in Charcot-Marie-Tooth disease. Arch Phys Med Rehabil. 2003;84:825–827
  8. Videler AJ, Beelen A, Aufdemkampe G, de Groot IJ, Van Leemputte M. Hand strength and fatigue in patients with hereditary motor and sensory neuropathy (types I and II). Arch Phys Med Rehabil. 2002;83:1274–1278
  9. Akuthota V, Plastaras C, Lindberg K, Tobey J, Press J, Garvan C. The effect of long-distance bicycling on ulnar and median nerves: an electrophysiologic evaluation of cyclist palsy. Am J Sports Med. 2005;33:1224–1230
  10. Patterson JM, Jaggars MM, Boyer MI. Ulnar and median nerve palsy in long-distance cyclists. A prospective study. Am J Sports Med. 2003;31:585–589
  11. Capitani D, Beer S. Handlebar palsy—a compression syndrome of the deep terminal (motor) branch of the ulnar nerve in biking. J Neurol. 2002;249:1441–1445
  12. Burke FD, Lawson IJ, McGeoch KL, Miles JN, Proud G. Carpal tunnel syndrome in association with hand-arm vibration syndrome: a review of claimants seeking compensation in the Mining Industry. J Hand Surg [Br]. 2005;30:199–203
  13. Necking LE, Friden J, Lundborg G. Reduced muscle strength in abduction of the index finger: an important clinical sign in hand-arm vibration syndrome. Scand J Plast Reconstr Surg Hand Surg. 2003;37:365–370
  14. Necking LE, Lundborg G, Friden J. Hand muscle weakness in long-term vibration exposure. J Hand Surg [Br]. 2002;27:520–525
  15. Necking LE, Lundborg G, Lundstrom R, Thornell LE, Friden J. Hand muscle pathology after long-term vibration exposure. J Hand Surg [Br]. 2004;29:431–437
  16. Ardic F, Soyupek F, Kahraman Y, Yorgancioglu R. The musculoskeletal complications seen in type II diabetics: predominance of hand involvement. Clin Rheumatol. 2003;22:229–233
  17. Rosen B, Lundborg G. A model instrument for the documentation of outcome after nerve repair. J Hand Surg [Am]. 2000;25:535–543
  18. Strickland JW, Idler RS, Delsignore JL. Ulnar nerve repair. In:  Gelberman RH editors. Operative Nerve Repair and Reconstruction. Philadelphia: J.B. Lippincott Comp; 1991;p. 425–436
  19. Frykman GK. The quest for better recovery from peripheral nerve injury: current status of nerve regeneration research. J Hand Ther. 1993;6:83–88
  20. Kozin SH, Porter S, Clark P, Thoder JJ. The contribution of the intrinsic muscles to grip and pinch strength. J Hand Surg [Am]. 1999;24:64–72
  21. Brandsma JW. Manual muscle strength testing and dynamometry for bilateral ulnar neuropraxia in a surgeon. J Hand Ther. 1995;8:191–194
  22. Lovett RW, Martin EG. Certain aspects of infantile paralysis with a description of a method of muscle testing. JAMA. 1916;66:
  23. Zachary RB. Results of nerve suture. London, UK: Her Majesty's Stationary Office. Peripheral Nerve Injuries. Medical Research Council Report Series No. 282, 1954, pp. 354–88.
  24. Medical Research Council. Special Report series no 282. London: Her Majesty's Stationary Office.
  25. Brandsma JW, Schreuders TA. Sensible manual muscle strength testing to evaluate and monitor strength of the intrinsic muscles of the hand: a commentary. J Hand Ther. 2001;14:273–278
  26. van der Ploeg RJ, Oosterhuis HJ, Reuvekamp J. Measuring muscle strength. J Neurol. 1984;231:200–203
  27. Trumble TE, Kahn U, Vanderhooft E, Bach AW. A technique to quantitate motor recovery following nerve grafting. J Hand Surg [Am]. 1995;20:367–372
  28. Fess EE. Grip strength. In:  Casanova JS editors. Clinical Assessment Recommendations. Chicago: American Society of Hand Therapists; 1992;p. 41–46
  29. Dvir Z. Grade 4 in manual muscle testing: the problem with submaximal strength assessment. Clin Rehabil. 1997;11:36–41
  30. Schwartz S, Cohen ME, Herbison GJ, Shah A. Relationship between two measures of upper extremity strength: manual muscle test compared to hand-held myometry. Arch Phys Med Rehabil. 1992;73:1063–1068
  31. Dellon AL. A numerical grading scale for peripheral nerve function. J Hand Ther. 1993;6:152–160
  32. MacDermid JC. Measurement of health outcomes following tendon and nerve repair. J Hand Ther. 2005;18:297–312
  33. Mannerfelt LG. Studies on the hand in ulnar nerve paralysis. A clinical–experimental investigation in normal and anomalous innervation. Acta Orthop Scand. 1966;87:61–86
  34. Mannerfelt LG. Studies on ulnar nerve compression neuropathies with a new computerised instrument—the intrins-o-meter. Scand J Plast Reconstr Surg Hand Surg. 1997;31:251–260
  35. Boatright JR, Kiebzak GM, O'Neil DM, Peindl RD. Measurement of thumb abduction strength: normative data and a comparison with grip and pinch strength. J Hand Surg [Am]. 1997;22:843–848
  36. Liu F, Carlson L, Watson HK. Quantitative abductor pollicis brevis strength testing: reliability and normative values. J Hand Surg [Am]. 2000;25:752–759
  37. Ketchum LD, Thompson D, Pocock G, Wallingford D. A clinical study of forces generated by the intrinsic muscles of the index finger and the extrinsic flexor and extensor muscles of the hand. J Hand Surg [Am]. 1978;3:571–578
  38. Schreuders TA, Roebroeck M, van der Kar TJ, Soeters JN, Hovius SE, Stam HJ. Strength of the intrinsic muscles of the hand measured with a hand-held dynamometer: reliability in patients with ulnar and median nerve paralysis. J Hand Surg [Br]. 2000;25:560–565
  39. Roebroeck ME, Harlaar J, Lankhorst GJ. Reliability assessment of isometric knee extension measurements with a computer-assisted hand-held dynamometer. Arch Phys Med Rehabil. 1998;79:442–448
  40. MacDermid JC, Stratford P. Applying evidence on outcome measures to hand therapy practice. J Hand Ther. 2004;17:165–173
  41. Schreuders TA, Roebroeck ME, Jaquet JB, Hovius SE, Stam HJ. Long-term outcome of muscle strength in ulnar and median nerve injury: comparing manual muscle strength testing, grip and pinch strength dynamometers and a new intrinsic muscle strength dynamometer. J Rehabil Med. 2004;36:273–278
  42. Sollerman C, Ejeskar A. Sollerman hand function test. A standardised method and its use in tetraplegic patients. Scand J Plast Reconstr Surg Hand Surg. 1995;29:167–176
  43. Schreuders TA, Roebroeck ME, Goumans J, van Nieuwenhuijzen JF, Stijnen TH, Stam HJ. Measurement error in grip and pinch force measurements in patients with hand injuries. Phys Ther. 2003;83:806–815

 The authors hereby state that they have no personal interest in the Rotterdam Intrinsic Hand Myometer.

PII: S0894-1130(06)00174-8

doi: 10.1197/j.jht.2006.07.024

Journal of Hand Therapy
Volume 19, Issue 4 , Pages 393-402 , October 2006

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