Characterisation of the healthy and pathological hand
Abstract:
The
ability of the hands to grasp and manipulate is of vital importance for
the development of daily human activities. A key part of this ability
lies in the complexity of the hand kinematics, with 25 predominant
degrees of freedom. Any biomechanical model that claims to be used in
the study of human hand behaviour must rely on a suitable kinematic
model. Some researchers have performed partial studies of the
kinematics of healthy hand joints, but to date there is no work that
has attempted to quantitatively describe the position and orientation
of the different joint rotation axes that define the hand kinematics.
Moreover, the identification of changes in the kinematic behaviour of
the pathological hand are of great interest for the diagnosis of hand
diseases as well as for monitoring and control of clinical
rehabilitation of the hand; this is a field of research that has been
very little explored to date. In particular, it would be especially
interesting to replace radiographic analyses by experimental kinematic
analyses. Today, doctors and therapists use mobility analyses for
diagnosing hand diseases and to establish the level of affection. But
these analyses are manual and qualitative.
The project starts from the group’s previous experience in grasp
biomechanics and in the development of a biomechanical model of the
whole hand. The objective is to go a step further, generating the
required information to get a more accurate and correct kinematic model
to simulate hand pathologies and associated restoring surgery. Also,
the objective is generating valuable information contributing to the
generation of tools for the diagnosis, monitoring and rehabilitation of
hand disorders.
The ultimate goals of the project can be summarized as: 1) Kinematic
characterisation of the healthy hand by obtaining. The position and
orientation of the rotation axes of the different joints will be
obtained in a parametric way; this will be used to improve the existing
biomechanical and ergonomic models. 2) Kinematic characterisation of
the pathological hand. Prospectively, the rotation axes of the healthy
and pathological hand will be compared to identify changes that may be
used in the diagnosis and monitoring of hand diseases. 3) Dimensional
reduction of the pathological hand kinematics. Again in a prospective
manner, the hand movements while grasping and manipulating on a number
of typical daily life activities will be registered in both the healthy
and pathological hands. The kinematics of these movements will be
reduced using principal component analysis. The postural patterns
(principal components) obtained will be studied and compared to detect
changes in these patterns that may be used in the diagnosis and
monitoring of hand diseases.