Prehension+Work Flashcards
What is prehension?
Ability of fingers and thumb to grasp and pick up objects
What are the elements of prehension?
- Area of contact involved
- Numbers of fingers involved
- Finger position
- Thumb position
- Wrist position
What happens to the wrist under radial nerve palsy?
Harder to extend wrist when fingers are flexed
What are the types of prehension?
- Grip
- Pinch
What are the types of grip?
- Power grip
- Precision grip
- Hook grip
- Cylindrical grip
- Lumbrical grip
What are the characteristics of power grip?
- Stability and larger force
- Wrist extension and ulnar deviation
- MP, PIP, DIP are flexed
- Thumb abducted around object
What are the characteristics of precision grip?
- Delicate control
- Thumb partially abducted
- Fingers partially flexed
- Force varies
- Grip modifies according to object
What are the characteristics of hook grip?
- Finger grasp
- PIP, DIP are flexed
- Thumb does not grip
What are the characteristics of cylindrical grip?
- Grasp large cylinder
- Thumb does not touch fingers
- Thumb abduction and opposition
- Finger flexion around object
What are the characteristics of lumbrical grip?
- Flexion of MP
- Extension of PIP and DIP
- Flexion of thumb MP with IP extension
What are the characteristics of tip pinch?
- Precision
- Opposition to fingertip
- Thumb MP and IP flexed
- Finger flexed
What are the characteristics of lateral pinch?
- Key pinch
- Thumb adducted
- Index flexed
What are the characteristics of palmar pinch?
- Pads of finger-thumb
- Thumb = opposition with IP in extension
- Finger DIP extension
How is prehension measured?
- Power grip = dynamometer
- Lateral-palmar-tip pinch = pinch meter
What is the most frequent pinch pattern?
Palmar pinch when holding an object (88%)
What are the most relevant prehension patterns for hand function?
- Palmar pinch (both hands)
- Lumbrical grasp (left hand)
- Cylindrical grasp (right hand)
What are the consequences of ulnar nerve palsy?
- Cause claw hand
- Intrinsic muscles are paralysed
- MP hyperextension
- PIP and DIP flexion
- Harder to pick up things with cylindrical grip and power grip
What are the consequences of median nerve palsy?
- Inability to oppose thumb
- Compensatory movement with thumb adductor
- Index finger flexes more
What are some worksite evaluation methods?
- Kinematic assessment
- Questionnaires
- Force evaluation
- Surface EMG
What variables are assessed during evaluation methods?
- Intensity of the exertion
- Frequency of exertion
- Duration per exertion
- Hand/wrist position
- Duration of the task per day
What is Dartfish?
Movement analysis software using imported video images
What are the risk factors for Work related musculoskeletal disorders (WRMD)?
- Work organization and technology
- Psychosocial factors
- Biomechanical factors
- Environmental
- Recent work changes
- Other employment
- Work history
What is extreme posture?
Flexed, extended, or twisting posture rather than neutral spine
What is prolonged static posture?
Muscles do not relax, posture held for >1 min