An Instrumental Kit for a Comprehensive Assessment of Functional Recovery

  • Velio Macellari
  • Sandra Morelli
  • Claudia Giacomozzi
  • Giorgio De Angelis
  • Giovanni Maccioni
  • Mariano Paolizzi
  • Daniele Giansanti


Impairment of, or damage to, the upper limbs, as well as central or peripheral neuropathies, may limit hand function. This creates severe disabilities since it reduces the capacity to manipulate objects and work tools and interface with the environment, which are fundamental motor tasks in daily life. “Hand assessment” is a term commonly used to describe evaluation of hand and wrist function. It involves analysis of kinetic and kinematic properties while investigating fine-motor abilities, such as hand-wrist posture, finger posture, pinch and various grasp tasks (firm, different prehensile grasp of objects daily life, work tools grasp, etc.), as well as hand endurance and how these abilities affect hand function. Hand assessment is important in different fields of application, from clinics, occupational therapy and rehabilitation to biomechanics research.


Virtual Reality Grip Force Interphalangeal Joint Precision Grip Hand Force 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Koppelaar E, Wells R (2005) Comparison of measurement methods for quantifying hand force. Ergonomics 48:983–1007PubMedCrossRefGoogle Scholar
  2. 2.
    Greig M, Wells R (2004) Measurement of prehensile grasp capabilities by a force and moment wrench: methodological development and assessment of manual workers. Ergonomics 47:41–58PubMedCrossRefGoogle Scholar
  3. 3.
    Morose T, Greig M, Wells R (2004) Utility of using a force and moment wrench to describe hand demand. Occupational Ergonomics 4:1–10CrossRefGoogle Scholar
  4. 4.
    Radhakrishnan S, Nagaravindra M (1993) Analysis of hand forces in health and disease during maximum isometric grasping cylinders. Med Biol Eng Comp 31:372–376CrossRefGoogle Scholar
  5. 5.
    Reilmann R, Gordon AM, Henningsen H (2001) Initiation and development of fingertip forces during whole-hand grasping. Exp Brain Res 140:443–452PubMedCrossRefGoogle Scholar
  6. 6.
    Santello M, Soechting JF (2000) Force synergies for multifingered grasping. Exp Brain Res 133:457–467PubMedCrossRefGoogle Scholar
  7. 7.
    Inmann A, Haugland M (2001) An instrumented object for evaluation of lateral hand grasp during functional tasks. J Med Eng Technol 25:207–211PubMedCrossRefGoogle Scholar
  8. 8.
    Hermsdörfer J, Mai N, Marquardt C (1992) Evaluation of precision grip using pneumatically controlled loads. J Neurosci Methods 45:117–126PubMedCrossRefGoogle Scholar
  9. 9.
    Li ZM, Latash ML, Zatsiorsky VM (1998) Force sharing among fingers as a model of the redundancy problem. Exp Brain Res 119:276–286PubMedCrossRefGoogle Scholar
  10. 10.
    Li ZM, Zatsiorsky VM, Li S et al (2001) Bilateral multifinger deficits in symmetric key-pressing tasks. Exp Brain Res 140:86–94PubMedCrossRefGoogle Scholar
  11. 11.
    Bechtol CO (1954) Grip test; use of a dynamometer with adjustable handle spacing. J Bone Joint Surg 832:820–824Google Scholar
  12. 12.
    Mathiowetz V, Weber K, Volland G, Kashman N (1984) Reliability and validity of grip and pinch strength evaluations. J Hand Surg [Am] 9:222–226Google Scholar
  13. 13.
    Weiss PL, August S, Peters G, Sampalis J (1994) Using the Exos Handmaster to measure digital range of motion: reliability and validity. Med Eng Phys 16:323–328PubMedCrossRefGoogle Scholar
  14. 14.
    Rempel D, Dennerlein J, Mote CD Jr, Armstrong T (1994) A method of measuring fingertip loading during keyboard use. J Biomech 27:1101–1104PubMedCrossRefGoogle Scholar
  15. 15.
    Darling WG, Cole KJ, Miller GF (1994) Coordination of index finger movements. J Biomech 27:479–491PubMedCrossRefGoogle Scholar
  16. 16.
    Hahn P, Krimmer H, Hradetzky A, Lanz U (1995) Quantitative analysis of the linkage between the interphalangeal joints of the index finger. An in vivo study. J Hand Surg [Br] 20:696–699Google Scholar
  17. 17.
    Somia NN, Rash GS, Wachowiak MP, Gupta A (1998) The initiation and sequence of digital joint motion: a three-dimensional motion analysis. J Hand Surg [Br] 23:792–795CrossRefGoogle Scholar
  18. 18.
    Gupta A, Rash GS, Somia NN et al (1998) The motion path of the digits. J Hand Surg [Am] 23:1038–1042CrossRefGoogle Scholar
  19. 19.
    Kessler GD, Hodges L, Walker N (1995) Evaluation of the Cyber Glove as a whole hand input device. ACM Trans Comput Hum Interact 2:263–283CrossRefGoogle Scholar
  20. 20.
    Williams NW, Penrose JMT, Caddy CM et al (2000) A goniometric glove for clinical hand assessment. J Hand Surg [Br] 25:200–207CrossRefGoogle Scholar
  21. 21.
    urdea G, Popescu V, Hentz V, Colbert K (2000) Virtual reality-based orthopedic telerehabilitation. IEEE Trans Rehabil Eng 8:430–432CrossRefGoogle Scholar
  22. 22.
    Jack D, Boian R, Merians AS et al (2001) Virtual reality-enhanced stroke rehabilitation. IEEE Trans Neural Syst Rehabil Eng 9:308–318PubMedCrossRefGoogle Scholar
  23. 23.
    Popescu V, Burdea G, Bouzit M et al (1999) PC-based telerehabilitation system with force feedback. Stud Health Technol Inform 62:261–267PubMedGoogle Scholar
  24. 24.
    Heck H, Buhler Ch, Suppelna G et al (1997) Development of a System for Hand Assessment — An Overview of the HATS Project. AAATE’97, The 4th European Congress for the Advancement of Assistive Technology, 29 September–2 October 1997, GreeceGoogle Scholar
  25. 25.
    Heck H, Buhler CH, Topping M (1998) A system for computer-based hand assessment. Proceedings 6th European congress on research in rehabilitation, Berlin, pp 40–43Google Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Velio Macellari
    • 1
  • Sandra Morelli
    • 1
  • Claudia Giacomozzi
    • 1
  • Giorgio De Angelis
    • 1
  • Giovanni Maccioni
    • 1
  • Mariano Paolizzi
    • 1
  • Daniele Giansanti
    • 1
  1. 1.Department of Technology and HealthIstituto Superiore di SanitáRomeItaly

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