CN111700591A

CN111700591A - Hand function vector evaluation method based on columnar grasping

Info

Publication number: CN111700591A
Application number: CN202010607357.1A
Authority: CN
Inventors: 毛家祺; 项洁; 胡小红
Original assignee: Affiliated Hospital of Xuzhou Medical University
Current assignee: Affiliated Hospital of Xuzhou Medical University
Priority date: 2020-03-18
Filing date: 2020-06-29
Publication date: 2020-09-25

Abstract

The invention discloses a hand function vector evaluation method based on columnar grasping, which comprises the following steps: step S1, manufacturing columnar pressure mud; step S2, establishing a hand function force line, grasping the columnar pressure mud manufactured in the step S1, and leaving a marking force line on the pressure mud; and step S3, transversely cutting along the marking force line on the columnar pressure mud, comparing the cross sections, and evaluating the hand function condition. By adopting the method, the strength degree of each finger can be known, and the early rehabilitation treatment can be referred, namely the smaller the cross-sectional area under the same pressure, the larger the strength. Meanwhile, the strength condition of the finger fine joint can be analyzed by referring to the shape of the cross section area.

Description

Hand function vector evaluation method based on columnar grasping

Technical Field

The invention relates to a hand function vector evaluation method based on columnar grasping.

Background

The problems of hand function mainly existing in clinic include abnormal tension increase, weakness of partial muscles, insufficient joint movement, compensation of related muscles under functional movement and the like. The human muscle fascia lines comprise front surface lines, rear surface lines, side line, spiral lines, functional lines, arm lines (shallow back arm lines, deep back arm lines, shallow front arm lines and deep front arm lines) and front deep lines, each muscle fascia line consists of a plurality of or even more than ten muscle fascia 'rails' and a skeletal 'station', and the lesion of a certain 'rail' on one muscle fascia line can cause the lesion of other 'rails' on the muscle fascia line, which is incompatible with 'foot therapy for head disease and right therapy for left disease'; when a certain part of a body is diseased, the change of a standing posture and a walking posture is caused by compensation of an adjacent part, the possible diseased part of a patient can be deduced through posture and gait assessment, the diseased part of the patient can be finally determined by combining physical examination and imaging examination, a basis is provided for clinical accurate medical treatment, and the thought is widened for pain diagnosis and treatment of medical workers.

Currently, several methods are generally used for clinical assessment of finger function:

the first is a hand-held press. The advantage is that the numerical value of high strength can be measured accurately, but this kind of electronic equipment can't be appraised to weak grip strength, also can't be to specific joint morphology analysis.

The second is to hold the air bag pressure gauge by hand and test the pressure by removing a portion of the gas by grip strength, which, although accurate, still cannot morphologically analyze the recovery changes of a particular delicate joint.

Disclosure of Invention

In view of the above problems in the prior art, the present invention provides a hand function vector evaluation method based on columnar grasping.

In order to achieve the above object, the present invention provides a hand function vector evaluation method based on columnar grasping, comprising the following steps:

step S1, manufacturing columnar pressure mud;

step S2, establishing a hand function force line, grasping the columnar pressure mud manufactured in the step S1, and leaving a marking force line on the pressure mud;

and step S3, transversely cutting along the marking force line on the columnar pressure mud, comparing the cross sections, and evaluating the hand function condition.

As a modification, in step S1, for patients with different degrees, plastic muds with different colors are used to form columnar pressure muds with different grip resistances.

As an improvement, the height of the columnar pressure mud is 10-15cm, and the diameter of the columnar pressure mud is 3-5 cm.

As an improvement, the height of the columnar pressure mud is 12cm, and the diameter of the columnar pressure mud is 3.5 cm.

In step S2, a functional line of the hand is established, specifically, the functional line of the hand is marked with a fluorescent pen based on the functional line in the anatomical train.

Compared with the prior art, the invention utilizes the plastic mud with different pressures to prepare the columnar pressure mud with different grip resistances, establishes a functional force line at the palm of the tested patient, marks the functional force line, then orders the tested patient to grasp the columnar pressure mud to the maximum extent of the hand function, can see the marked force line of each finger after the columnar pressure mud is shaped, and crosscuts the marked force line to obtain the cross section area, can know the strength degree of each finger by comparing the cross section areas, and can also refer to early-stage rehabilitation treatment, namely the smaller the cross section area is under the same pressure mud, the larger the strength is. Meanwhile, the strength condition of the finger fine joint can be analyzed by referring to the shape of the cross sectional area.

Drawings

FIG. 1 is a schematic view of an evaluation flow in example 1 of the present invention; in the figure, A is columnar pressure mud, B is a functional force line marked on a hand, C is gripping columnar pressure mud, and D is transverse cutting of the gripped columnar pressure mud;

FIG. 2 is a schematic cross-sectional view showing a comparison in example 1 of the present invention; in the figure, E1 is the cross section of the columnar pressure mud before the gripping, E2 is the cross section of the columnar pressure mud before the training of the patient, and E3 is the cross section of the columnar pressure mud after the training for one week.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below. It should be understood, however, that the description herein of specific embodiments is only intended to illustrate the invention and not to limit the scope of the invention.

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs, and the terms used herein in the specification of the present invention are for the purpose of describing particular embodiments only and are not intended to limit the present invention.

A hand function vector evaluation method based on columnar grasping comprises the following steps:

step S1, manufacturing columnar pressure mud;

As a modification, in step S1, for patients with different degrees, plastic mud (e.g., plasticine) with different colors is used to form columnar pressure mud with different grip resistances.

Example 1

As shown in fig. 1 and 2, a hand function vector evaluation method based on columnar grasping includes the following steps:

step S1, selecting plastic mud with different colors to represent different grip resistances according to different hand function conditions of patients with different degrees, and making into columnar pressure mud with height of 12cm and diameter of 3.5 cm;

step S2, marking a functional line on the hand by using a fluorescent pen on a functional line in an anatomical train (author (American), Thomaswymers, China published in Beijing scientific and technical publishers), grasping the selected columnar pressure mud, then forming, and observing the functional line left on the columnar pressure mud;

The specific application case is as follows:

1. the patient in the department of rehabilitation is Ma Chi, the anterior canthus is crooked after two months, the limbs are weak, CT shows the subarachnoid hemorrhage, the cerebral hemorrhage is diagnosed, the clinical indication is stably transferred to the department of rehabilitation medicine for further rehabilitation after the neurology carries out two weeks of treatment. The functional grasping condition of the hand is initially evaluated by entering the department, the minimum viscosity pressure mud is generated, only the middle finger generates pressure, the evaluation surface area is 2.968 pi square centimeters, the evaluation is performed again in the same body position after one week, the middle finger is improved to 2.766 pi square centimeters, the bending degree of each fine joint is intuitively reflected, and the grasping force is generated by other fingers.

2. The patient of the rehabilitation department is Liza, the limb is weak before three days, dizziness and numbness occur, the left brain is subjected to multi-infarct by CT, the cerebral infarction is diagnosed, the clinical indication is stably transferred to the rehabilitation medical department for further rehabilitation after the emergency treatment is carried out for one week. The functional grasping condition of the hand is preliminarily evaluated by entering the department, the minimum viscosity pressure mud is generated, the pressure is generated on the index finger and the middle finger, the surface areas are respectively evaluated to be 2.308 and 2.226 pi square centimeters, the surface areas are evaluated again in the same body position after one week, the index finger and the middle finger are improved to be 1.766 and 1.573 pi square centimeters, the bending degree of each fine joint is intuitively reflected, and the grasping force is generated on other fingers.

By adopting the evaluation method, the fine joints which are cylindrically grasped by the clinical rehabilitation hand functions can be positioned and quantified, and the grasping condition of each joint can be intuitively reflected.

The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents or improvements made within the spirit and principle of the present invention should be included in the scope of the present invention.

Claims

1. A hand function vector evaluation method based on columnar grasping is characterized by comprising the following steps:

step S1, manufacturing columnar pressure mud;

2. The method for evaluating a hand function vector based on cylindrical grasping as claimed in claim 1, wherein in step S1, different color plastic muds are used to make the cylindrical pressure muds with different grasping resistance for different degrees of patients.

3. The column grip-based hand function vector assessment method according to claim 2, wherein the height of the column pressure mud is 10-15cm, and the diameter is 3-5 cm.

4. The column grip-based hand function vector assessment method according to claim 3, wherein said column of pressure mud has a height of 12cm and a diameter of 3.5 cm.

5. The method for evaluating a hand function vector based on a bar grip according to claim 1, wherein a hand function line is established in step S2, and the hand function line is marked with a fluorescent pen based on a function line in the anatomical train.