manual dexterity Flashcards
professions where manual dexterity is a requirement
dentistry
surgery
what can result in mobility limitations?
neuromuscular and orthopedic disabilities - produce wide variations in the nature and extent of the remaining physical functions
causes of mobility limitations
wrist sprain or fractured arm;
dyspraxia;
arthritis;
muscular dystrophy;
multiple sclerosis;
cerebral palsy;
partial or total paralysis;
treatment to improve dexterity or recover dexterity
hand exercises
splints
what bones make up the human hand and wrist?
14 phalanges 5 metacarpals 8 carpals distal carpal row second and third metacarpals phalanges thumb
what are the fixed elements of the hand and wrist?
distal carpal row
second and third metacarpals
what are the mobile elements of the hands and wrists?
phalanges
thumb
what is the basis of precision?
basis of precision
what allows for an opposable thumb?
- the first metacarpal makes an angle of 45 degrees with the second metacarpal in the sagitattal plane and is independent
- this allows the thumb ray to oppose the other four digital rays
- the thumb can be moved independently of the rest of the fingers - rotary movemnt in which the thumb swings about its own axis
- helps to grasps things more easily, picking up small objects and eating with one hand
is the opposable thumb specific to humans?
- no
- chimps, gorillas orangutans, old world monkeys as well as some other animals such as opossums and giant pandas
- their thumbs are usually small, weak and relatively immobile
- apes and old world monkeys are the only ones that have hands that are capable of grasping objects
- opposable thumbs help monkeys and apes climbe trees as well as gather and eat their food
describe the fingers of chimps
-Elongated metacarpal and phalanges.
-Third and fourth metacarpals which absorb
the highest compression during knuckle
walking are especially robust
-short thumb
-Both proximal and middle phalanges are curved towards the palm to withstand
stress from gripping limbs during arboreal locomotion.
-The finger tips are cone-shaped and lack broad apical tufts.
-Thumb phalanges and metacarpals are
slender and the intrinsic muscles of the thumb, underlying the thenar region
of the palm are small.
-Thumb is week and relatively immobile.
describe the fingers of humans
-Relatively short metacarpals and phalanges
-Apart from the thickening of the fifth metacarpal and enlargement of its base,
the balance of strength and robusticity has shifted radially to the thumb, second
and third fingers.
-longer thumb
-Fingers have lost their curvature.
-The distal phalanges have gained large apical tufts to facilitate gripping with the finger ends.
-The intrinsic thumb muscles are largerand three additional muscles add strength and
control to thumb movements.
-The thumb metacarpal articulates with the
carpals in a saddle joint which in combination with remodelling in the
metacarapal-phalangeal joint allows full opposability.
differences in the thumb muscles in humans:
added:
- flexor pollicis brevis
- fist volar interosseous of henie
just longer in humans:
flexor pollicis longus
what are the two prehensile actions that come with the opposable thumb
power and precision grips
what is the precision grip?
throwing grip, writing, - tip of the thumb comes into play