scholarly journals Influence of Wrist Position on the Metacarpophalangeal Joint Motion of the Index Through Small Finger

Hand ◽  
2017 ◽  
Vol 14 (2) ◽  
pp. 259-263 ◽  
Author(s):  
David Latz ◽  
Christos Koukos ◽  
Petra Boeckers ◽  
Pascal Jungbluth ◽  
Erik Schiffner ◽  
...  

Background: The metacarpophalangeal joints exhibit range of motion that is influenced by wrist position. Synergistic motion occurs between the wrist and the metacarpophalangeal joints with different static wrist positions affecting joints’ motion capability. The aim of this study was to determine how different wrist positions influence the active range of motion of the index through small finger metacarpophalangeal joints. Methods: The active range of motion of the index through small finger metacarpophalangeal joints of 31 healthy subjects was measured in flexion/extension and radial/ulnar deviation in 5 different flexion/extension wrist positions, using biaxial electrogoniometers. Results: There was a difference in range of motion of all fingers depending on the wrist position. The minimum metacarpophalangeal joint range of motion was found in 80° wrist extension, the maximum in neutral wrist position. For the index finger, flexion/extension was 84.7° (±8.6°) to 25.9° (±10.2°) and radial/ulnar deviation was 32.1° (±11.3°) to 22.6° (±12.8°). For the middle finger, flexion/extension was 84.8° (±8.5°) to 25.9° (±10.1°) and radial/ulnar deviation 28.8° (±11.1°) to 22.1° (±8.9). The fourth finger showed a range of motion for flexion/extension of 87.2° (±11.5°) to 22.8° (±11.6°) and radial/ulnar deviation of 8.1° (±5.8°) to 32.3° (±12.4°). The highest range of motion was measured at the fifth finger with flexion/extension of 84.0° (±8.6°) to 32.1°(±16.8°) and radial/ulnar deviation of 15.1° (±12.9°) up to 54.6° (±18.7°). Conclusions: The range of motion of the index through small finger metacarpophalangeal joints was significantly influenced by wrist position. The highest metacarpophalangeal joint range of motion of all fingers was conducted in neutral wrist positions. Apart from ergonomic implications, we conclude that metacarpophalangeal joint motion should be assessed under standardized wrist positions.

2021 ◽  
Vol 25 (3) ◽  
pp. 164-171
Author(s):  
Izzet Kırkaya ◽  
Celil Kaçoğlu ◽  
Beyza Şenol

Background and Study Aim. The aim of this study was to analyse reliability and validity of accelerometer-based Iphone® Level application for measuring lower extremity active flexion and extension joint range of motion. Material and Methods. Thirty physically healthy students enrolled in sport sciences (11 males, 19 females, 21.2±1.5 years, Body mass 64.4±10.0 kg, Height 1.68±0.8 m, Fat percentage 21.2±7.8 %, 22.5±2.6 kg/m2) participated in the measurements of hip, knee, and ankle joint range of motion twice through Universal goniometer and Iphone® Level applications. The same experienced measurer carried out blind study of plantarflexion, dorsiflexion and knee flexion/extension, hip flexion/extension joint range of motion three times for each measurement methods and the other researcher recorded the results. For simultaneous validity analysis Pearson coefficient of correlation was used to decide the level of adaptation between the two intraclass correlation coefficient and Cronbach’s alpha values. Bland-Altman graphics were utilized for level of agreement between these two different methods. Results. The results of Pearson coefficient of correlation analysis revealed a positive correlation between the measurement values of joint range of motion performed through Universal goniometer and Level App (r2 = 0.44-0.94, p <0.05). Bland-Altman graphics showed a good agreement among Cronbach Alpha values and intraclass correlation coefficient in the confidence range of %95, and universal goniometers and Level App application. Conclusions. The results of this study revealed that goniometric measurements using Iphone® Level App is a good reliable method for measuring lower extremity active range of motion compared to universal goniometer.


2021 ◽  
Vol 1 ◽  
pp. 760-765
Author(s):  
Hanindya Putra Pradana ◽  
Firman Faradisi

AbstractStroke is a disease caused by an acute neurological deficit in blood vesseldisorders leading to the brain that occur suddenly and can cause physical disability or death.The common complain are mobility impairment or decreased range of movement of the extremities.This study aimed to increase the range of movement of the extremities by doing Range on Motion exercises in families who have a history of stroke.There are two post-stroke patients involved in this study and give the Range of Motion exercise.The method used is to measure the degree of joint range of motion before performing ROM exercises then ROM exercises ranging from flexion, extension, hyperextension, adduction, abduction, and so on then measure the degree of joint range of motion with a goniometer measuring instrument and the results are recorded on the observation sheet.Goniometer was used to measurement the range of movement of the extremities.Range of Motion was performed for 7 days, each movement of 10 seconds duration.The results show that the range of movement increased in both patients. Accordingly, the Range of Motion exercises proved can increase the range of movement of the extremities in stroke patients.Families are expected to doing the Range of Motion exercise independently at home.Keywords:Range of motion; Range of movement; Stroke. AbstrakStroke adalah penyakit yang disebabkan oleh defisit neurologis akut pada gangguan pembuluh darah menuju otak yang terjadi secara tiba-tiba dan dapat menyebabkan kecacatan fisik atau kematian.Keluhan yang sering dikeluhkan adalah gangguan mobilitas atau penurunan jangkauan gerak ekstremitas. Penelitian ini bertujuan untuk meningkatkan jangkauan gerak ekstremitas dengan melakukan latihan Range on Motion pada keluarga yang memiliki riwayat stroke.Ada dua pasien pasca stroke yang terlibat dalam penelitian ini dan memberikan latihan Range of Motion.Metode yang dilakukan mengukur derajat rentang gerak sendi sebelum dilakukan latihan ROM kemudian latihan ROM mulai dari gerakan fleksi, ekstensi, hiperekstensi, addukksi, abduksi, dan lain sebagainya kemudian mengukur kembali derajat rentang gerak sendi dengan alat ukur goniometer dan hasilnya catat dilembar observasi.Goniometer digunakan untuk mengukur jangkauan gerakan ekstremitas.ROM dilakukan selama 7 hari, setiap gerakan durasi 10 detik.Hasil penelitian menunjukkan bahwa rentang gerak meningkat pada kedua pasien. Dengan demikian, latihan Range of Motion terbukti dapat meningkatkan jangkauan gerak ekstremitas pada pasien stroke. Keluarga diharapkan melakukan latihan Range of Motion secara mandiri di rumah.Kata kunci:Range of motion; Rentang gerak; Stroke.


1993 ◽  
Vol 42 (2) ◽  
pp. 635-638
Author(s):  
Takeshi Arizono ◽  
Hideya Kawamura ◽  
Tomotaro Yamaguchi ◽  
Hiromasa Miura ◽  
Katsusada Honda ◽  
...  

2005 ◽  
Vol 10 (1) ◽  
pp. 42-43
Author(s):  
Robert D. Kersey

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