A Device for Assessment of Hand and Wrist Coronal Plane Strength

[+] Author and Article Information
Mark Carl Miller

Allegheny General Hospital, Pittsburgh, PA 15212 and  University of Pittsburgh, Pittsburgh, PA 15261mcmiller@wpahs.org

Manoj Nair, Mark E. Baratz

 Allegheny General Hospital, Pittsburgh, PA 15212

J Biomech Eng 127(6), 998-1000 (Jul 18, 2005) (3 pages) doi:10.1115/1.2049336 History: Received April 01, 2005; Revised July 18, 2005

Diagnostic and rehabilitative assessments of hand function commonly omit measurement of twisting strength even though many activities of daily living require turning handles, lids, and objects of many sizes. A simple device to quantify twisting strength was designed and constructed to establish normative data and test hypotheses about hand function. The instrument is easy to use and includes an electronic torsional load cell and disks of several sizes. Tests were conducted on the dominant and nondominant hands of 64 normal subjects and 13 arthritic patients with arthritis of the thumb carpometacarpal joint. Hands were tested with disks ranging in diameter from 2.5to12.5cm. A three-way repeated measures analysis showed that gender (p<0.001), handedness (p<0.001), and disk size (p<0.001) had significant effects. There was no difference between radial and ulnar deviation strengths (p=0.365). The arthritic group had significantly reduced strength (p<0.02). Nine subjects were tested twice, with 1day between tests: no differences occurred between the first and second testing (p=0.930). The ability to distinguish the test groups with reproducible results proves that the device fulfills all basic requirements; continued testing and development are warranted.

Copyright © 2005 by American Society of Mechanical Engineers
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Grahic Jump Location
Figure 1

The scientific version of the device with the five disks

Grahic Jump Location
Figure 2

Torque applied by normal male (n=18) and female (n=46) subjects to the disks in ulnar and radial deviation using the dominant hand

Grahic Jump Location
Figure 3

Torque applied by normal male (n=18) and female (n=46) subjects to the disks in ulnar and radial deviation using the nondominant hand

Grahic Jump Location
Figure 4

Torque applied by normal subjects (n=64) and arthritic patients (n=13) in ulnar and radial deviation using the dominant hand



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