Smahel Z, Klímová A
Chair of Anthropology and Human Genetics, Faculty of Science, Charles University, Prague, Czech Republic.
Acta Chir Plast. 2004;46(3):81-8.
Mobility of metacarpophalangeal joints (MP) of the three-phalangeal fingers was measured in university students (52 males and 49 females), senior citizens (30 males and 30 females), and pianists (21 males and 31 females). We consider the student data file to be a control group with hand mobility unchanged by external influence. Extension, flexion, and total abduction in this group are greater in the left than the right hand. Only extensions were greater in females compared to males. In seniors, all types of studied movements are, with the exception of total abduction in females, lesser that in the control group. The difference is more apparent in males than in females. Intersexual difference showing better MP joint mobility in females than males is thus greater in seniors than in students; however, greater mobility of MP joints in left compared to right hand is less noticeable. Compared to students, pianists show greater finger abduction, and--less markedly--also passive and active extensions, while we did not notice difference in finger flexion. Intersexual difference in MP joint mobility in pianists were not recorded, and better mobility on the left hand compared to the right hand was evident only in dorso-palmar movements in males (the exception was total finger abduction, which is greater for the left hand in males as well as in females). In the three studied series we did not register differences in interfinger abduction between the left and right hand or between sexes. Active dorso-palmar MP joint range of motion is greatest in the little finger and smallest in the index finger, smallest in seniors and greatest in pianists. In all three groups, the range is greater in the left than the right hand and in females compared to males.
在大学生(52名男性和49名女性)、老年人(30名男性和30名女性)以及钢琴家(21名男性和31名女性)中测量了三节指骨手指的掌指关节(MP)活动度。我们将学生数据文件视为手部活动度未受外部影响而改变的对照组。该组中,左手的伸展、屈曲和总外展比右手更大。与男性相比,仅女性的伸展更大。在老年人中,除女性的总外展外,所有研究的运动类型均比对照组小。男性的差异比女性更明显。因此,老年人中女性MP关节活动度比男性更好的两性差异比学生中更显著;然而,左手MP关节比右手活动度更大的情况不太明显。与学生相比,钢琴家的手指外展更大,被动和主动伸展也更明显,但我们未发现手指屈曲有差异。未记录到钢琴家MP关节活动度的两性差异,仅在男性的背掌运动中(除了总手指外展,男性和女性的左手总手指外展均更大),左手比右手的活动度更好明显。在三个研究系列中,我们未记录到左手和右手之间或两性之间的指间外展差异。主动背掌MP关节活动范围在小指中最大,在食指中最小,在老年人中最小,在钢琴家中最大。在所有三组中,该范围左手比右手更大,女性比男性更大。