Electromyographic analysis of the thumb: A study of isometric forces in pinch and grasp

William P. Cooney, Kai Nan An, Jasper R. Daube, Linda J. Askew

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

An electromyographic study of thumb muscles was performed on eight subjects by means of integrated polyelectromyography and simultaneous recordings of isometric flexion-extension, abduction-adduction, and prehensile pinch and grasp of the thumb. The integrated electromyographic signal proved to be an excellent index of thumb muscle activity, with a linear relationship found at low to middle levels of muscle strength. To facilitate understanding of thumb function, thumb muscles can be classified as primary or secondary on the basis of electrical potential activity. In isometric flexion, the flexor pollicis longus (FPL) was primary, whereas in extension, the extensor pollicis longus (EPL) and abductor pollicis longus were primary. In adduction, the adductor pollicis and EPL were primary and the FPL was secondary. In abduction, the abductor pollicis brevis and opponens pollicis were primary. The adductor pollicis, opponens pollicis, and FPL were nearly equal during pinch and grasp, with significant electrical activity increasing with greater force requirements. The first dorsal interosseous and EPL contributed secondarily in both pinch and grasp. When surgeons consider tendon transfers for nonfunctioning thumb muscles, the primary muscles should be replaced first to best restore pinch and grasp strength.

Original languageEnglish (US)
Pages (from-to)202-210
Number of pages9
JournalJournal of Hand Surgery
Volume10
Issue number2
DOIs
StatePublished - Jan 1 1985

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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