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One digit interruption: the altered force patterns during functionally cylindrical grasping tasks in patients with

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Trigger digit (TD) affects hand function by altering subtle force coordination. Even single-digit involvement in TD patients changes how fingers work together during grasping tasks.

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Area of Science:

  • Biomechanics
  • Hand Surgery
  • Occupational Therapy

Background:

  • Trigger digit (TD) significantly impacts daily and occupational hand tasks.
  • Limited understanding exists regarding TD's effect on fine motor control and inter-digit force coordination.
  • Investigating force patterns during grasping is crucial for understanding TD's functional deficits.

Purpose of the Study:

  • To compare force patterns during cylindrical grasp between trigger digit patients and healthy individuals.
  • To identify differences in force generation and coordination among affected digits in TD patients.
  • To explore the impact of single-digit TD involvement on overall hand manipulation.

Main Methods:

  • Forty-two TD patients (single digit involvement) and 12 healthy controls participated.
  • Participants performed two tasks: holding and drinking, using natural grasping with minimal force.
  • Force coordination was analyzed using Pearson correlation coefficients and independent t-tests.

Main Results:

  • All TD groups exhibited altered thumb-to-finger force correlation patterns.
  • Patients with index finger involvement showed increased index finger force during holding.
  • TD patients with thumb or middle finger involvement demonstrated higher index finger contribution during drinking.

Conclusions:

  • Even isolated trigger digit involvement disrupts subtle inter-digit force coordination during simple hand tasks.
  • Altered force patterns in TD patients suggest compensatory mechanisms and potential secondary injuries.
  • Findings inform future research on TD-related injuries and treatment strategies.