Complex thumb motions and their potential clinical value in identifying early changes in function

Vocelle, Amber R.; Shafer, Gail; Bush, Tamara Reid

doi:10.1016/j.clinbiomech.2020.01.004

Cited by 12 publications

(20 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A significant reduction in AROM has been observed in flexion/extension of those joints more affected by HOA [1,2], namely, thumb CMC, finger MCP, thumb IP and finger PIP joints (except for the little finger). These AROM limitations are in accordance with previous studies [27,38]. The AROM of the palmar arch, the measurement of which is a novelty, is also significantly reduced.…”

Section: Discussionsupporting

confidence: 92%

Hand kinematics in osteoarthritis patients while performing functional activities

Gracia-Ibáñez

Agost

Bayarri-Porcar

et al. 2022

Disability and Rehabilitation

View full text Add to dashboard Cite

Hand kinematics in osteoarthritis patients while performing functional activitiesPurpose: To identify the impact of kinematic limitations on hand osteoarthritis patients' ability to perform daily living activities.Method: An experiment was performed on 33 patients and 32 healthy subjects. Active ranges of motion (AROM) of 16 hand joint angles were measured, together with scores of different hand tests of dexterity (Box and Block, Nine Hole Peg, Kapandji) and function (Sollerman Hand Function, SHFT). Functional ranges of motion (FROM) were recorded during SHFT tasks. Results by task are also reported. Results: Patients' AROM is limited in flexion of thumb carpometacarpal and interphalangeal, and finger metacarpophalangeal and proximal interphalangeal joints, and in palmar arch. Patients scored worse in gross dexterity and opposition, but only Kapandji score was correlated with AROM limitations. Pain is mostly reported in patients with limited extension of finger metacarpophalangeal and proximal interphalangeal joints. Patients used significantly different FROM in almost all the joints, and needed more time to accomplish the SHFT tasks. Conclusion: AROM measurements can be used as indicators for early diagnosis.Patients use specific strategies to accomplish each task, arising from AROM limitations; some tasks with very extreme postures. The tasks where precision or force are required for thumb are the most affected ones.

show abstract

Section: Discussionsupporting

confidence: 92%

Hand kinematics in osteoarthritis patients while performing functional activities

Gracia-Ibáñez

Agost

Bayarri-Porcar

et al. 2022

Disability and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Smaller distances indicated the thumb was closer to the fifth MCP joint (better opposition ability). Equation 1 was used to calculate thumb joint angles (vectors shown in Table 1) [23]. The motion capture frame of interest in which the maximum opposition, or minimum distance between the two markers, was identified and the corresponding CMC, MCP, and interphalangeal (IP) joint angles were calculated.…”

Section: Methodsmentioning

confidence: 99%

“…PCA minimized the total distances between the positions of the distal-most first metacarpal marker and a plane in three dimensions. The total area encompassed by the projections of the marker position onto that plane for each thumb revolution was computed and normalized to the respective individual’s first metacarpal length [23]. Circumduction was completed five times to calculate the area enclosed.…”

Section: Methodsmentioning

confidence: 99%

“…Capturing standard clinical and complex multi-planar motion datasets have the potential to reveal new motion trends and provide better understanding of joint function [4,23,28,29]. Motion capture data allow for more advanced assessments, including the calculation of multiple joint angles simultaneously and the evaluation of shape changes in motion patterns.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Complex motions embedded in a hand exercise regimen – effects on thumb function in participants with carpometacarpal osteoarthritis: A pilot study

Vocelle,

Shafer,

Bush

2023

J. Clin. Trans. Sci.

Self Cite

View full text Add to dashboard Cite

Objective: The goal of this pilot study was to identify changes associated with completion of a unique six-week hand exercise program in persons with carpometacarpal osteoarthritis. Methods: Twenty-four individuals, aged 55–80, with doctor-diagnosed carpometacarpal osteoarthritis participated in the study. Movement data from standard clinical motions and complex multi-planar motions were obtained using a motion capture system at three-time points: an initial visit, after two weeks of hand exercises, and after completion of the six-week exercise program. Results: This exercise program produced trends of improvement in complex multi-planar motions. Specifically, joint angle changes were seen during opposition and the formation of an “okay sign” that was included as part of the exercise program. Conclusion: Through the use of motion capture, changes were identified in thumb joint function after exercise. Specifically, motions associated with the more complex multi-planar tasks showed changes in individual joint contributions following the six-week exercise intervention. The results suggest that further exploration of this exercise program, particularly the inclusion of complex multi-planar tasks during osteoarthritis treatment and associated evaluations, should be considered in future clinical studies.

show abstract

“…The suitable marker layout for finger capture depends on the specific applications. finger movements, especially for intricate thumb rotations [122,121,13]. In this case, multiple tiny markers are placed onto a single finger segment to capture its detailed rigid motion (see Figure 1(d)).…”

Section: Optical Marker-based Approachesmentioning

confidence: 99%

Virtual hands in VR

Jörg

Mueller

et al. 2020

SIGGRAPH Asia 2020 Courses

View full text Add to dashboard Cite

Complex thumb motions and their potential clinical value in identifying early changes in function

Cited by 12 publications

References 52 publications

Hand kinematics in osteoarthritis patients while performing functional activities

Hand kinematics in osteoarthritis patients while performing functional activities

Complex motions embedded in a hand exercise regimen – effects on thumb function in participants with carpometacarpal osteoarthritis: A pilot study

Virtual hands in VR

Contact Info

Product

Resources

About