Arches of the hand in reach to grasp

Topographically, the hand is described by its anterior (palmar) and posterior (dorsal) surfaces that encompass a hollow cavity that changes its shape during hand preshaping and grasping according to the object to be grasped. The hollow cavity has been described as consisting of three arches that run in different directions: transverse, longitudinal and oblique, spanning the anterior surface of the hand. Although described anatomically, the modulation in the palmar arches has not been investigated kinematically during actual grasping. In this study, we describe and compare biomechanical formulations of the palmar arch, specifically, the distal transverse and the oblique arches. In addition, we introduce another biomechanical formulation of the palmar arch, called the kinematic transverse arch that takes account of the thenar and hypothenar involvement in arch formation. Hand shape modulation during two natural power-grasping tasks was studied in eight healthy adults. Results showed a significant influence of the overall contribution of thenar and hypothenar movement during hand shape modulation. While there was relatively more thenar contribution during transport shaping, more hypothenar contribution was evident during preshaping and contact shaping-the two phases of grasping during which the hand establishes contact with the object. The advantage of the new formulation is that it better described the contributions from thenar and hypothenar movement to palmar arch formation which may be a more accurate depiction of hand preshaping during grasping.