The primary goal of this manuscript is to provide a functional perspective on hand physical examination. Therefore, the key points that are considered necessary to make a functional approach to the hand were compiled from bibliographic sources and the experience of the authors. Since it is an anatomical structure with high relevance for functionality, it is commented that it represents 33 % of the functionality of an upper extremity, for this it is relevant to know how to approach it based on the functionality, which is why the evaluation of the hand and fingers is essential, emphasizing their mobility, performing quantitative and qualitative measurements such as the use of indices of mobility and the useof a finger goniometer, the measurement of force can be measured in the same ways with the use of manual muscle examination and hand dynamometry, respectively, and thus consider biomechanical concepts such as the use of levers .For these reasons, it is necessary to implement an assessment of the hand and fingers focused on functionality, keeping in mind the factors that could modify the examination and thus be able to report an assessment more oriented to the patient's deficiencies and needs. Keywords: Hand; fingers; functionality; strength; evaluation