Movement detection at the distal joint of the human thumb and fingers.
To determine whether proprioceptive acuity is the same at all digits, particularly when postured as in a 'grasp', we imposed 10 degrees movements at the distal joint of the thumb, index and ring finger, at three velocities; 1.25 degrees/s, 2.5 degrees/s and 5 degrees/s. The test joint was initially flexed by 25 degrees and the joints proximal to the test joint were maintained in a standard posture for each study. When in a grasp posture that disengaged the extensor muscles at the distal joint of the finger, movement detection at the thumb was superior to that at the fingers for all velocities. However, when the fingers were positioned so that all proprioceptive inputs were able to contribute (i.e. cutaneous, joint and both flexor and extensor muscle afferents), proprioceptive acuity was similar for the three digits. Loss of local cutaneous (and joint) inputs by digital anaesthesia significantly impaired performance at all digits, suggesting a critical role for cutaneous input in normal proprioceptive sensibility at all distal joints of the digits. Anaesthesia of the extensor muscle afferents innervating the thumb did not affect its proprioceptive acuity. Thus, for the thumb, the extensor muscle afferents do not provide critical information. The greater change in muscle fascicle length for the thumb's long flexor muscle (3% per 10 degrees) compared with that in the finger flexor muscles (e.g. 0.1% per 10 degrees) could contribute to the thumb's performance. There appears to be less redundancy of muscle and non-muscle signals for the fingers than for the thumb, because a reduction in either cutaneous or muscle input significantly impaired acuity at the fingers. Overall, when the hand is in a grasping posture, irrespective of the contribution of local cutaneous inputs, the long flexor acting on the thumb may contribute more to its proprioceptive acuity than the long finger flexors contribute to acuity at the fingers.
Refshauge
K M
KM
School of Physiotherapy, The University of Sydney, Australia.
Kilbreath
S L
SL
Gandevia
S C
SC
D000293:Adolescent; D000328:Adult; D005260:Female; D005384:Finger Joint / Q000502:physiology*; D018737:Hand Strength / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009068:Movement / Q000502:physiology*; D009407:Nerve Block; D011187:Posture / Q000502:physiology; D011434:Proprioception / Q000502:physiology*; D013933:Thumb