示指关节活动空间及其应用

doi:10.3969/j.issn.1006-9771.2021.11.003

Abstract

Abstract:

Objective To measure the space of motion of index finger with and without injury, to apply it in rehabilitation.Methods Thirty healthy undergraduate volunteers (controls) and three undergraduate volunteers with recent index finger injury (patients) were asked to flex, extend, adduct, abduct and ring the index finger independently and combined with middle finger, twice for a motion with an interval of 30 seconds. The index finger movement trajectory was recorded with a high-definition camera, and analyzed the range of flexion, extension, adduction, abduction and ring rotation motion with MATLAB. The movement space and defect of the injured fingers were drawn.Results The ranges of independent flexion-extension and adduction-abduction reduced 26.5% and 24.6% in the patients compared with those of the controls, respectively. The defects of ring rotation space were very different with the degrees of recovery, and the maximum loss happened on 160°, 70° and 170°.Conclusion Loss in index fingers motion space in range and direction may help for rehabilitation assessment.

Key words: index finger, range of motion, injury

WANG Feng-li,CHEN Zhi-xiang,RUAN Jing,HE Sheng-min. Space of Range of Motion of Index Finger and Application[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1253-1259.

Figures/Tables 9

References 27

[1]	SWANSON A B, HAGERT C G, SWANSON G D. Evaluation of impairment of hand function[J]. J Hand Surg Am, 1983, 8(5 Pt 2):709-722. doi: 10.1016/S0363-5023(83)80253-6
[2]	杨荣. 手指屈指运动联合综合康复训练改善脑卒中后偏瘫患者活动功能的效果[J]. 双足与保健, 2017, 26(20):25-26.
	YANG R. Effects of finger flexor movement and comprehensive rehabilitation training on activity function in patients with post-stroke hemiplegia[J]. Biped Health, 2017, 26(20):25-26.
[3]	王锦. 手指屈指运动联合综合康复训练对脑卒中后偏瘫患者手指活动度和上肢功能的影响[J]. 中国全科医学, 2017, 20(S1):180-182.
	WANG J. Effect of finger flexion combined with comprehensive rehabilitation on finger movement and upper limb function in patients with hemiplegia after stroke[J]. Chin Gener Prac, 2017, 20(S1):180-182.
[4]	崔俊涛, 张红结. 手指屈指运动联合康复训练治疗脑卒中偏瘫临床观察[J]. 实用中医药杂志, 2020, 36(5):658-659.
	CUI J T, ZHANG H J. Clinical observation of finger flexor exercise combined with rehabilitation training in treatment of hemiplegia after stroke[J]. J Prac Tradit Chin Med, 2020, 36(5):658-659.
[5]	赵裕沛, 费飞, 杨德华, 等. 面向手部康复应用的数据手套技术研究[J]. 仪器仪表学报, 2017, 38(10):2415-2421.
	ZHAO Y P, FEI F, YANG D H, et al. Research on data glove for hand rehabilitation[J]. Chin J Sci Instr, 2017, 38(10):2415-2421.
[6]	崔憧遥. 手指康复机器人的分析与研究[D]. 哈尔滨:哈尔滨理工大学, 2018.
	CUI C Y. Analysis and research of finger rehabilitation robot[D]. Harbin: Harbin University of Science and Technology, 2018.
[7]	高品操, 唐芳, 杨义, 等. 智能康复训练系统对脑卒中患者上肢及手功能的效果[J]. 中国康复理论与实践, 2020, 26(10):1198-1203.
	GAO P C, TANG F, YANG Y, et al. Effect of intelligent rehabilitation training system on upper limb and hand function of patients with stroke[J]. Chin J Rehabil Theory Pract, 2020, 26(10):1198-1203.
[8]	刘远文, 潘翠环, 叶正茂, 等. 虚拟现实机器手对脑卒中患者手运动功能及日常生活活动的效果[J]. 中国康复理论与实践, 2017, 23(1):19-22.
	LIU Y W, PAN C H, YE Z M, et al. Effect of virtual reality robotic hand on hand motor function and activities of daily living of patients after stroke[J]. Chin J Rehabil Theory Pract, 2017, 23(1):19-22.
[9]	牛宝山. 手指康复机器人机械结构及控制系统设计[D]. 秦皇岛:燕山大学, 2020.
	NIU B S. Desing of mechanical structure and control system for finger rehabilitation robot[D]. Qinhuangdao: Yanshan University, 2020.
[10]	SOUBEYRAND M, ASSABAH B BÉGIN M, et al. Pronation and supination of the hand: anatomy and biomechanics[J]. Hand Surg Rehabil, 2017, 36(1):2-11. doi: 10.1016/j.hansur.2016.09.012
[11]	信琴琴, 陈志翔, 冯晓霞, 等. 基于多线谱驱动的虚拟人手运动及约束控制[J]. 计算机科学, 2014, 41(1):126-129, 151.
	XIN Q Q, CHEN Z X, FENG X X, et al. Movement drive and control constraints of virtual hand based on multi-curve spectrum[J]. Comput Sci, 2014, 41(1):126-129, 151.
[12]	吕璐璐, 顾凡彬, 刘小林, 等. 手功能状态的评估方法与装备[J]. 中华手外科杂志, 2021, 37(1):78-80.
	LÜ L L, GU F B, LIU X L, et al. Evaluation method and equipment of hand function status[J]. Chin J Hand Surg, 2021, 37(1):78-80.
[13]	RESNIK L, BORGIA M, SILVER B, et al. Systematic review of measures of impairment and activity limitation for persons with upper limb trauma and amputation[J]. Arch Phys Med Rehabil, 2017, 98(9):1863-1892. doi: 10.1016/j.apmr.2017.01.015
[14]	SLOTA G P, ENDERS L R, SEO N J. Improvement of hand function using different surfaces and identification of difficult movement post stroke in the Box and Block Test[J]. Appl Ergon, 2014, 45(4):833-838. doi: 10.1016/j.apergo.2013.10.014
[15]	祁凤英, 张广飞. 基于镜像运动神经元理论的模仿运动训练对中风偏瘫患者上肢功能、手部运动及表面肌电图的影响[J]. 临床医学研究与实践, 2020, 5(4):106-108.
	QI F Y, ZHANG G F. Effects of simulated exercise training based on mirror motor neuron theory on upper limb function, hand movement and surface electromyography of hemiplegia patients after stroke[J]. Clin Med Res Prac, 2020, 5(4):106-108.
[16]	FRANCK J A, SMEETS R J, SEELEN H A. Evaluation of a functional hand orthosis combined with electrical stimulation adjunct to arm-hand rehabilitation in subacute stroke patients with a severely to moderately affected hand function[J]. Disabil Rehabil, 2019, 41(10):1160-1168. doi: 10.1080/09638288.2017.1423400
[17]	WU Y T, CHEN K H, BAN S L, et al. Evaluation of leap motion control for hand rehabilitation in burn patients: an experience in the dust explosion disaster in Formosa Fun Coast[J]. Burns, 2019, 45(1):157-164. doi: 10.1016/j.burns.2018.08.001
[18]	朱西昆. 手指康复训练系统的设计与实现[D]. 郑州:郑州大学, 2020.
	ZHU X K. Design and implementation of finger rehabilitation training system[D]. Zhengzhou: Zhengzhou University, 2020.
[19]	NINKOVIĆ M, WEISSENBACHER A, PRATSCHKE J, et al. Assessing the outcome of hand and forearm allotransplantation using the Action Research Arm Test[J]. Am J Phys Med Rehabil, 2015, 94(3):211-221. doi: 10.1097/PHM.0000000000000151
[20]	周深, 李娇, 喻洪流, 等. 基于Web的康复设备监控系统设计与实现[J]. 中国康复理论与实践, 2019, 25(10):1209-1213.
	ZHOU S, LI J, YU H L, et al. Design and implementation of rehabilitation equipment monitoring system based on Web[J]. Chin J Rehabil Theory Pract, 2019, 25(10):1209-1213.
[21]	肖阳, 徐秀林, 翟艺, 等. 基于虚拟现实技术的手功能康复评估训练系统的设计[J]. 中国康复理论与实践, 2016, 22(3):341-344.
	XIAO Y, XU X L, ZHAI Y, et al. Develepment of hand function rehabilitation evaluation and training system based on virtual reality technology[J]. Chin J Rehabil Theory Pract, 2016, 22(3):341-344.
[22]	BISHOP L, GORDON A M, KIM H. Hand robotic therapy in children with hemiparesis: a pilot study[J]. Am J Phys Med Rehabil, 2017, 96(1):1-7. doi: 10.1097/PHM.0000000000000537
[23]	DEVRIMSEL G, TURKYILMAZ A K, BEYAZAL M S, et al. Assessment of hand function and disability in fibromyalgia[J]. Z Rheumatol, 2019, 78(9):889-893. doi: 10.1007/s00393-018-0558-7
[24]	宋奇. 基于ROS的手部运动功能评测及康复训练系统设计[D]. 郑州:郑州大学, 2019.
	SONG Q. Design of hand motor function evaluation and rehabilitation training system based on ROS[D]. Zhengzhou: Zhengzhou University, 2019.
[25]	付桢, 姜荣荣, 潘翠环, 等. 康复机器手辅助下任务导向训练对脑卒中手功能的效果[J]. 中国康复理论与实践, 2017, 23(3):338-344.
	FU Z, JIANG R R, PAN C H, et al. Effects of robot-assisted task-oriented training on hand function after stroke[J]. Chin J Rehabil Theory Pract, 2017, 23(3):338-344.
[26]	PARK J H, KIM H C, LEE J H, et al. Development of Korean Academy of Medical Sciences guideline for rating physical disability of upper extremity[J]. J Korean Med Sci, 2009, 24(Suppl 2):288-298.
[27]	ELLIS B, BRUTON A. A study to compare the reliability of composite finger flexion with goniometry for measurement of range of motion in the hand[J]. Clin Rehabil, 2002, 16(5):562-570. doi: 10.1191/0269215502cr513oa

组别	n	单指运动范围		双指运动范围
组别	n	屈伸	内收-外展	屈伸	内收-外展
健康组	30	-32.3~68.4	0~40.2	-34.1~75.3	0~45.6
患者组	3	-22.7~51.3	0~30.3	-25.3~62.0	0~36.7
缺失		26.5%	24.6%	20.2%	19.5%

组别	n	单屈曲(^o)	失能值(%)	双屈曲(^o)	失能值(%)
健康组	30	68.4	12	75.3	6
患者组	3	51.3	24	62	18

Space of Range of Motion of Index Finger and Application

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 9

References 27

Related Articles 15

Metrics

Comments

Recommended 0

[1]	LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110.
[2]	LIU Dong, XU Zihan, LI Jiang, JU Ping. Effect of high-frequency repetitive transcranial magnetic stimulation in M1 region combined with dorsolateral prefrontal cortex on electroencephalogram θ frequency band amplitude of patients with neuropathic pain after spinal cord injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 87-94.
[3]	LIU Yang, ZHANG Peng, HUANG Ying, CHEN Han, XU Chen, LI Min. Path analysis of mediating effect of perceived stress affecting impact of event in rehabilitation patients with traumatic injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 954-960.
[4]	LI Fang, HUO Su, DU Jubao, LIU Xiuzhen, LI Xiaoshuang, SONG Weiqun. Effect of transcranial direct current stimulation combined with task-oriented rehabilitation training on forelimb motor dysfunction in rats with spinal cord injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 777-781.
[5]	LIU Ning, LIU Yuquan, ZHU Bin, YU Lingjia, TAN Haining, YANG Yong, LI Xiang. Application of International Standards for Neurological Classification of Spinal Cord Injury in China: a bibliometrics re-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 808-815.
[6]	WANG Yiji, ZHOU Hongjun, HE Zejia, LIU Genlin, ZHENG Ying, HAO Chunxia, WEI Bo, KANG Haiqiong, ZHANG Ying, LU Xiaolei, YUAN Yuan, MENG Qianru. Relationship between symmetry of lower limb function and gait symmetry in patients with incomplete spinal cord injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 639-645.
[7]	YUAN Yuan, ZHOU Hongjun, CONG Xinying, LIU Genlin, WEI Bo, ZHENG Ying, HAO Chunxia, ZHANG Ying, WANG Yiji, KANG Haiqiong, LU Xiaolei, MENG Qianru. Relationship between impairment and magnetic resonance imaging finding in patients with traumatic cervical spinal cord injury after surgery [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 725-730.
[8]	KANG Xiaoyu, LIU Lixu, WANG Wenzhu, WANG Yunlei. Effects of pramipexole combined with levodopa on cognitive and mitochondrial function of rats after global cerebral ischemia-reperfusion injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 533-540.
[9]	JIANG Le, DU Liangjie, HUANG Fubiao. Mood states and cognitive performance in patients with complete spinal cord injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 576-581.
[10]	GUO Shuang, XIE Yongqi, ZHANG Liang, ZHANG Chunjia, PENG Run, YANG Degang, YANG Mingliang. Related factors and prediction model for neurological outcome of dance-associated pediatric spinal cord injury without radiographic abnormality [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 582-589.
[11]	XU Hanlin, HU Guojiong, ZHENG Shaocheng, ZENG Xiaowen, ZENG Xianhua, SHAO Wenqi. Correlation between knee hyperextension gait and lower limb muscle activation in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 151-155.
[12]	ZHANG Yuan, YANG Jian. Exercise rehabilitation interventions for people with spinal cord injury and their health benefits: a systematic review of systematic reviews based on ICD-11 and ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1377-1385.
[13]	SHI Xiaoyu, YANG Jian. Adaptive physical activity and its health benefits for patients with spinal cord injury based on ICF: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1395-1404.
[14]	FU Wenjuan, HOU Jianhua, YU Xiaonan, CHEN Tianyong. Relationship of common dyadic coping to marital satisfaction and quality of life for patients with brain injury and their spouses in a rehabilitation facility: using common fate model [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1446-1453.
[15]	HU Qingkui, YIN Hang, JIA Shaohui, LIU Hui. Prevalence, types, risk factors and intervention strategies of sport injury for Paralympic athletes: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(10): 1154-1163.