The effect of finger joint hypomobility on precision grip force.

Autor: Campos Cde S Jr; Department of Physical Therapy, Center of Health Sciences and Sport, Santa Catarina State University, Santa Catarina, Brazil., Bracht MA, Santos MJ
Jazyk: angličtina
Zdroj: Journal of hand therapy : official journal of the American Society of Hand Therapists [J Hand Ther] 2013 Oct-Dec; Vol. 26 (4), pp. 323-9; quiz 329. Date of Electronic Publication: 2013 Jul 16.
DOI: 10.1016/j.jht.2013.05.007
Abstrakt: Study Design: Repeated measures experiment.
Introduction: Traumatic injuries and certain other diseases of the hand typically affect mobility of the finger joints. Decreased mobility may alter grip force control while one is grasping and lifting objects. However, the effect of finger joint hypomobility on grip force control has not yet been systematically investigated.
Purpose of the Study: The aim of this study was to investigate the effects of limited finger joint mobility, without other associated symptoms like pain, or sensory/proprioceptive deficits, on precision grip force control.
Methods: Fifteen healthy subjects performed a pinching and lifting task of an object equipped with a force sensor and an accelerometer, via opposition of the thumb and index finger, in the following experimental conditions: unrestricted finger joint movement (UJM), restricted finger flexion (RFF), restricted finger extension (RFE), mock restricted flexion (MRF), mock restricted extension (MRE). The following pinch force variables were measured and analyzed: grip force at lift off, grip force peak, load force peak, latency, and static force.
Results: A significant increase in latency (F = 4.41, p < 0.01) was noted during RFE relative to UJM and MRF conditions. There were no statistically-significant differences between the conditions among the other variables of precision grip force control.
Conclusions: Limited joint mobility of the thumb and index finger may cause temporal changes in precision grip force control, which can lead to reduced manual dexterity. Restoring range of motion might be an important priority to improve thumb-index pinch force control during manipulative tasks.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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