Tenodesis grasp: Difference between revisions

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'''Tenodesis grasp''' is a functional grasp pattern that is often used by individuals with [[spinal cord injury]] at the C6 or C7 level. This grasp pattern is achieved through the use of wrist extension to create finger flexion and wrist flexion to create finger extension.  
{{Short description|A passive hand grasp mechanism}}
 
== Tenodesis grasp ==
 
[[File:Wrist_related_tenodesis_effect,_second_step.JPG|thumb|right|Illustration of the wrist position in tenodesis grasp]]
 
The '''tenodesis grasp''' is a passive hand grasp mechanism that occurs due to the natural biomechanics of the [[wrist]] and [[finger]] tendons. It is particularly significant in individuals with certain levels of [[spinal cord injury]] where active finger flexion is impaired.


== Mechanism ==
== Mechanism ==


The tenodesis grasp works on the principle of [[tenodesis]] action. When the wrist is extended, the fingers and thumb flex (close) due to the increased tension on the finger flexor tendons. Conversely, when the wrist is flexed, the fingers and thumb extend (open) due to the decreased tension on the finger flexor tendons. This action allows individuals with certain types of spinal cord injuries to grasp and release objects.
The tenodesis grasp relies on the anatomical relationship between the [[extensor]] and [[flexor]] tendons of the hand. When the wrist is extended, the fingers naturally flex due to the tension in the flexor tendons. Conversely, when the wrist is flexed, the fingers tend to extend. This phenomenon is due to the passive tension in the tendons and is utilized in rehabilitation to enable grasping in individuals with limited hand function.


== Use in Rehabilitation ==
== Clinical significance ==
The tenodesis grasp is particularly important for individuals with [[tetraplegia]] resulting from cervical [[spinal cord injury]]. These individuals often lack voluntary control over their finger muscles but can still achieve a functional grasp by using wrist extension to passively flex the fingers. This allows them to hold objects and perform daily activities with greater independence.


In [[rehabilitation]], the tenodesis grasp is often used to improve functional independence in individuals with spinal cord injuries. Occupational therapists may train patients to use this grasp pattern to perform activities of daily living, such as eating, dressing, and writing.
== Rehabilitation ==


== Limitations ==
In rehabilitation, therapists often teach patients how to use the tenodesis grasp effectively. This involves strengthening the wrist extensors and training the patient to use wrist movements to control finger position. Adaptive devices and splints may also be used to enhance the effectiveness of the tenodesis grasp.


While the tenodesis grasp can improve functional independence, it has some limitations. The strength of the grasp is limited by the strength of the wrist extensors. Additionally, the grasp is less precise than a normal hand grasp and may not be suitable for all tasks.
== Related pages ==
 
== See Also ==


* [[Spinal cord injury]]
* [[Spinal cord injury]]
* [[Tetraplegia]]
* [[Rehabilitation]]
* [[Rehabilitation]]
* [[Occupational therapy]]
* [[Biomechanics]]
* [[Tenodesis]]


[[Category:Medical terms]]
[[Category:Hand]]
[[Category:Rehabilitation]]
[[Category:Rehabilitation medicine]]
[[Category:Spinal cord injury]]
[[Category:Spinal cord injury]]
[[Category:Occupational therapy]]
{{stub}}

Latest revision as of 14:47, 22 February 2025

A passive hand grasp mechanism


Tenodesis grasp[edit]

Illustration of the wrist position in tenodesis grasp

The tenodesis grasp is a passive hand grasp mechanism that occurs due to the natural biomechanics of the wrist and finger tendons. It is particularly significant in individuals with certain levels of spinal cord injury where active finger flexion is impaired.

Mechanism[edit]

The tenodesis grasp relies on the anatomical relationship between the extensor and flexor tendons of the hand. When the wrist is extended, the fingers naturally flex due to the tension in the flexor tendons. Conversely, when the wrist is flexed, the fingers tend to extend. This phenomenon is due to the passive tension in the tendons and is utilized in rehabilitation to enable grasping in individuals with limited hand function.

Clinical significance[edit]

The tenodesis grasp is particularly important for individuals with tetraplegia resulting from cervical spinal cord injury. These individuals often lack voluntary control over their finger muscles but can still achieve a functional grasp by using wrist extension to passively flex the fingers. This allows them to hold objects and perform daily activities with greater independence.

Rehabilitation[edit]

In rehabilitation, therapists often teach patients how to use the tenodesis grasp effectively. This involves strengthening the wrist extensors and training the patient to use wrist movements to control finger position. Adaptive devices and splints may also be used to enhance the effectiveness of the tenodesis grasp.

Related pages[edit]