Sadeghifar A R, Karbalaeikhani A, Saied A R
Kerman University of Medical Sciences, Kerman, Iran.
AJA University of Medical Sciences, Emam Reza Hospital, Tehran, Iran.
J Back Musculoskelet Rehabil. 2020;33(5):743-747. doi: 10.3233/BMR-170916.
The effect of the absence or presence of the Palmaris longus tendon on pinch and grip strength was investigated in this study. Similarly, the effect of the presence or absence of the fifth superficial flexor digitorum on grip strength in the hand was studied. The aim of the present study was to assess the combined effect of these anatomical variations on pinch and grip strength.
In this cross-sectional study, 523 volunteers and their 1046 hands were enrolled. Each hand was assessed for the presence or absence of the Palmaris longus tendon and for variations in the fifth superficial flexor digitorum function. Then the grip and pinch power of the hands were measured with the Jammar Dynamometer.
The presence or absence of Palmaris longus had no effect on grip strength in the individuals studied. Likewise, variations in fifth superficial flexor digitorum function had no effect on grip and pinch strengths. But the results of statistical testing showed the effect of the presence of Palmaris longus on pinch strength (25.38 lbs in hands with Palmaris present vs 24.43 lbs in hands without Palmaris). Pinch and grip power was higher in men than in women and in the right hand than in the left.
Based on the findings of the present study, it seems that absence of the Palmaris longus tendon is associated with a reduction in pinch strength but has no effect on grip strength, and the variations in the fifth superficial flexor digitorum (flexor digitorum superficialis, or FDS) have no effect on pinch and grip strengths.
本研究调查了掌长肌腱的有无对捏力和握力的影响。同样,也研究了小指浅屈肌的有无对手部握力的影响。本研究的目的是评估这些解剖变异对捏力和握力的综合影响。
在这项横断面研究中,招募了523名志愿者及其1046只手。对每只手评估掌长肌腱的有无以及小指浅屈肌功能的变异情况。然后用贾马尔测力计测量手部的握力和捏力。
在所研究的个体中,掌长肌的有无对握力没有影响。同样,小指浅屈肌功能的变异对握力和捏力也没有影响。但统计检验结果显示掌长肌的存在对捏力有影响(有掌长肌的手捏力为25.38磅,无掌长肌的手捏力为24.43磅)。男性的捏力和握力高于女性,右手的高于左手。
基于本研究的结果,掌长肌腱的缺失似乎与捏力降低有关,但对握力没有影响,并且小指浅屈肌(指浅屈肌,或FDS)的变异对捏力和握力没有影响。