Die Dynamik der Bewegungsabläufe der Fingergelenke beim Faustschluss

Autor: S. Bauknecht, J. Gülke, Martin Mentzel, A. Benlic, Nikolaus Wachter, D. Gulkin
Rok vydání: 2011
Předmět:
Zdroj: Handchirurgie · Mikrochirurgie · Plastische Chirurgie. 43:147-154
ISSN: 1439-3980
0722-1819
DOI: 10.1055/s-0031-1271804
Popis: The purpose of this study was to analyse motion patterns of the finger joints dynamically while making a fist. 10 subjects were examined using the TUB-sensor glove, which was equipped with 14 joint angle sensors. The median time it takes the finger joints to complete flexion until reaching the state of a closed fist ranges between 0.5 to 1.0 s. A specific pattern can be seen for every finger. The PIP and DIP joints appear to be linked, with the DIP trailing the PIP joint. At the thumb the IP is trailing the MCP joint. The MCP joint shows more variation at the beginning of flexion: while in some cases it initiates movement in a finger, in other cases its flexion falls behind the PIP joint movements. The completion of flexion is achieved by the MCP joints, with the PIP and DIP joints reaching their end of motion first. The range of motion (ROM) at the MCP joints shows a finger-dependent median of 79-97°. At the PIP joints the median lies between 87° and 90°, at the DIP joints between 52° and 68°. At the thumb it is 21° for the MCP and 24° for the IP joint. The linkage between PIP and DIP joints can also be seen when analysing the ROM. The coupling ratio amounts to 0.77 at the index finger, 0.75 at the middle and ring finger and 0.57 at the small finger.
Databáze: OpenAIRE