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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2007; 17(1): 20-27
DOI: 10.1055/s-2007-940011
Wissenschaft und Forschung

© Georg Thieme Verlag KG Stuttgart · New York

The Intrinsic Muscles of the Hand

Function, Assessment and Principles for Therapeutic InterventionTiefe HandmuskulaturFunktion, Assessment und Grundlagen der therapeutischen InterventionT. A. R. Schreuders 1 , J. W. Brandsma 3 , H. J. Stam 2
  • 1Erasmus MC - University Medical Center Rotterdam, Department of Rehabilitation Medicine, Rotterdam, The Netherlands
  • 2Green Pastures Hospital, Pokhara, Nepal
  • 3ALERT Training Division, Addis Ababa, Ethiopia
Further Information

Publication History

eingegangen: 4. Oktober 2005

angenommen: 18. Mai 2006

Publication Date:
09 March 2007 (online)

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Abstract

This article reviews the functional anatomy of the intrinsic muscles of the fingers (palmar interossei, dorsal interossei, hypothenar and lumbrical muscles) and discusses the pathokinesiology of the hand with intrinsic muscle paralysis and its consequences for Activities for Daily Living. The assessment of muscle strength: manual and instrumental and principles for therapeutic intervention are also discussed.

Zusammenfassung

Die Arbeit bietet einen Überblick über die Anatomie der tiefen Handmuskel (Mm. interossei palmares et dorsales, Hypothenar- und Lumbrikalmuskel) und diskutiert die pathologische Kinesiologie der Hand mit Parese der tiefen Muskulatur und die Konsequenzen für die Aktivitäten des täglichen Lebens. Darüber hinaus werden manuelle und apparative Methoden der Handkraftmessung diskutiert sowie therapeutische Prinzipien bei Verletzungen der tiefen Handmuskulatur erörtert.

Key words

hand muscles - muscular function - assessment - anatomy - rehabilitation

Schlüsselwörter

Handmuskel - Muskelfunktion - Assessment - Anatomie - Rehabilitation

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Korrespondenzadresse

Dr. med. T. A. R. Schreuders

Erasmus MC - University Medical Center Rotterdam

Department of Rehabilitation

Medicine Room H014

Dr. Molewaterplein 40

3015 GD Rotterdam, The Netherlands

Phone: +31/10/463 28 67

Fax: +31/10/463 38 43

Email: a.schreuders@erasmusmc.nl