Abstract
Study Design
Cross-sectional research design.
Introduction
Current assessment of hand function is not focused on evaluating the real abilities
required for autonomy.
Purpose of the Study
To quantify the relevance of grasp types for autonomy to guide hand recovery and its
assessment.
Methods
Representative tasks of the International Classification of Functioning, Disability
and Health activities in which the hands are directly involved were recorded. The
videos were analyzed to identify the grasps used with each hand, and their relevance
for autonomy was determined by weighting time with the frequency of appearance of
each activity in disability and dependency scales. Relevance is provided globally
and distinguished by hand (right-left) and bimanual function. Significant differences
in relevance are also checked.
Results
The most relevant grasps are pad-to-pad pinch (31.9%), lumbrical (15.4%), cylindrical
(12%), and special pinch (7.3%) together with the nonprehensile (18.6%) use of the
hand. Lumbrical grasp has higher relevance for the left hand (19.9% vs 12%) while
cylindrical grasp for the right hand (15.3% vs 7.7%). Relevancies are also different
depending on bimanual function.
Discussion
Different relative importance was obtained when considering dependency vs disability
scales. Pad-to-pad pinch and nonprehensile grasp are the most relevant grasps for
both hands, whereas lumbrical grasp is more relevant for the left hand and cylindrical
grasp for the right one. The most significant difference in bimanual function refers
to pad-to-pad pinch (more relevant for unimanual actions of the left hand and bimanual
actions of the right).
Conclusions
The relative importance of each grasp type for autonomy and the differences observed
between hand and bimanual action should be used in medical and physical decision-making.
Level of Evidence
N/A.
Keywords
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References
- Evaluation of Hand Functionality during Activities of Daily Living (ADL): a review.in: Lively S.T. Activities of Daily Living, Adl: Cultural Differences, Impacts of Disease and Long-term Health Effects. Nova Science Pub Inc, New York2015: 103-132
- Ergonomic evaluation of biomechanical hand function.Saf Health Work. 2015; 6: 9-17
- Hand injuries and occupational accidents. Statistics and prevention.Ann Chir la main organe Off des sociétés Chir la main. 1983; 2: 368-370
- Grasp modelling with a biomechanical model of the hand.Comput Methods Biomech Biomed Engin. 2012; 17: 297-310
- A kinematic model of the human hand to evaluate its prehensile capabilities.J Biomech. 1992; 25: 149-162
- Hand posture prediction using neural networks within a biomechanical model.Int J Adv Robot Syst. 2012; 9: 139https://doi.org/10.5772/52057
- Evaluation of human prehension using grasp quality measures.Int J Adv Robot Syst. 2012; 9: 112https://doi.org/10.5772/51907
Podobnik J, Mihelj M, Munih M. Upper limb and grasp rehabilitation and evaluation of stroke patients using HenRiE device. In: 2009 Virtual Rehabilitation International Conference. IEEE; 2009:173–178.
- An artificial grasping evaluation system for the paralysed hand.Med Biol Eng Comput. 2000; 38: 275-280
- Human Hand Function.Oxford University Press, Inc, New York2006
- Validity and reliability of the Purdue Pegboard Test in carpal tunnel syndrome.Muscle Nerve. 2011; 43: 171-177
- Arthritis hand function test: inter-rater reliability among self-trained raters.Arthritis Care Res. 1995; 8: 10-15
- Intra- and inter-rater reliability of the Sollerman hand function test in patients with chronic stroke.Disabil Rehabil. 2007; 29: 145-154
- Quantitative assessment based on kinematic measures of functional impairments during upper extremity movements: a review.Clin Biomech. 2014; 29: 719-727
- Functional range of motion of the joints of the hand.J Hand Surg Am. 1990; 15: 240-243
- The functional range of motion of the finger joints.J Hand Surg Eur Vol. 2016; 41 (Vol May 1, 2016): 386-391
- Essential motion of metacarpophalangeal joints during activities of daily living.J Hand Ther. 2013; 26: 69-74
- Outcome measures for hand function naturally reveal three latent domains in older adults: strength, coordinated upper extremity function, and sensorimotor processing.Front Aging Neurosci. 2015; 7: 108
- Maximal grip force in chronic stroke subjects and its relationship to global upper extremity function.Clin Rehabil. 1999; 13: 354-362
- Establishing a standardized clinical assessment tool of pathologic and prosthetic hand function: normative data, reliability, and validity.Arch Phys Med Rehabil. 2002; 83: 776-783
- Upper limb prosthetic outcome measures: review and content comparison based on International Classification of Functioning, Disability and Health.Prosthet Orthot Int. 2010; 34: 109-128
- Discapacidad/Dependencia Unificación de criterios de valoración y clasificación.in: Ministerio Sociales M de T y A Discapacidad S de E de SSF y IMSERSO Ministerio de Trabajo y Asuntos Sociales - IMSERSO, Madrid2004: 161
- Reliability of three disability scales for detection of independence loss in Parkinson's disease.Parkinsons Dis. 2016; 2016: 1-6
- Towards a Common Language for Functioning, Disability and Health: ICF The International Classification of Functioning, Disability and Health.World Heal Organ, Geneva2002
- Requirements for upper extremity motions during activities of daily living.Clin Biomech (Bristol, Avon). 2005; 20: 591-599
- Valid and reliable instruments for arm-hand assessment at ICF activity level in persons with hemiplegia: a systematic review.BMC Neurol. 2012; 12: 21
- An introductory study of common grasps used by adults during performance of activities of daily living.J Hand Ther. 2014; 27: 1-28
- Frequency of hand use in healthy older persons.Aust J Physiother. 2005; 51: 119-122
- The inclusion of activities of daily living in flexor tendon rehabilitation: a survey.J Hand Ther. 2014; 27: 23-29
- Adaptation in serious games for upper-limb rehabilitation: an approach to improve training outcomes.User Model User-adapt Interact. 2015; 25: 65-98
- Computer game-based upper extremity training in the home environment in stroke persons: a single subject design.J Neuroeng Rehabil. 2014; 11: 35
JHT Read for Credit
Quiz: #530
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- #1.The authors use the term autonomy to mean
- a.the right to choose one’s own way to perform grasp activities
- b.true functional independence
- c.equivalent to sufficiency
- d.grasping a sense of self
- a.
- #2.The concept of autonomy makes the process of _________________ problematic
- a.selecting appropriate ADL tasks to include in an evaluation battery
- b.grading grip scores
- c.choosing the proper radius on the JAMAR dynamometer
- d.patient communication
- a.
- #3.Tested activities were chosen from those identified by the
- a.WHO
- b.ASHT
- c.IFSHT
- d.ICF
- a.
- #4.In the study the author uses the term EGA which stands for
- a.Early Grip Activities
- b.Easy Grasping Actions
- c.Elementary Grasp Actions
- d.Errors in Grip Activities
- a.
- #5.The author feels traditional grasp assessment tools do not focus sufficiently on the importance of the development of normal living
- a.false
- b.true
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article Info
Publication History
Published online: March 21, 2017
Accepted:
February 6,
2017
Received in revised form:
December 6,
2016
Received:
May 17,
2016
Footnotes
This research was funded by the Universitat Jaume I through projects P1·1B2013-33 and P1-1B2014-10 and by both the Spanish Ministry of Research and Innovation and the European Union (European Regional Development Funds) through project DPI2014-52095-P .
Identification
Copyright
© 2017 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
