Bain G I, Polites N, Higgs B G, Heptinstall R J, McGrath A M
Department of Orthopaedics and Trauma, University of Adelaide, Adelaide, Australia Discipline of Anatomy and Pathology, University of Adelaide, Adelaide, Australia Department of Orthopaedics and Trauma, Modbury Public Hospital, Adelaide, Australia Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, Australia
Department of Surgery, Westmead Hospital, Sydney, Australia.
J Hand Surg Eur Vol. 2015 May;40(4):406-11. doi: 10.1177/1753193414533754. Epub 2014 May 23.
The purpose of this study was to measure the functional range of motion of the finger joints needed to perform activities of daily living. Using the Sollerman hand grip function test, 20 activities were assessed in ten volunteers. The active and passive range of motion was measured with a computerized electric goniometer. The position of each finger joint was evaluated in the pre-grasp and grasp positions. The functional range of motion was defined as the range required to perform 90% of the activities, utilizing the pre-grasp and grasp measurements. The functional range of motion was 19°-71°, 23°-87°, and 10°-64° at the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints, respectively. This represents 48%, 59%, and 60% of the active motion of these joints, respectively. There was a significant difference in the functional range of motion between the joints of the fingers, with the ulnar digits having greater active and functional range. The functional range of motion is important for directing indications for surgery and rehabilitation, and assessing outcome of treatment.
本研究的目的是测量进行日常生活活动所需的手指关节功能活动范围。使用索勒曼手握力功能测试，对10名志愿者的20项活动进行了评估。使用计算机化电动测角仪测量主动和被动活动范围。在抓握前和抓握位置评估每个手指关节的位置。功能活动范围定义为利用抓握前和抓握测量值进行90%活动所需的范围。掌指关节、近端指间关节和远端指间关节的功能活动范围分别为19°-71°、23°-87°和10°-64°。这分别占这些关节主动活动的48%、59%和60%。手指关节之间的功能活动范围存在显著差异，尺侧手指的主动和功能活动范围更大。功能活动范围对于指导手术和康复指征以及评估治疗结果很重要。
