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Chapter 2. Prehension

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<strong>Chapter</strong> 2 - <strong>Prehension</strong> 35<br />

In terms of the prehensile classifications, palm opposition is used<br />

in the coal hammer grasp, cylindrical grasp, and spherical grasp,<br />

where the palm (VF1) is in opposition to the fingers and thumb (VF2).<br />

Pad opposition is used in precision grasps such as palmar pinch and<br />

tip prehension, where the thumb (VF1) is in opposition to one or more<br />

fingers (VF2). Finally, side opposition is used in lateral prehension,<br />

between the thumb (VF1) and the radial side of the fingers (VF2). It<br />

is also used in the adduction grip, where one digit (VF1) is in opposi-<br />

tion to another digit (VF2).<br />

In addition to VF1 and VF2, which apply forces in opposition to<br />

each other, a virtual finger can apply a force to counteract a task-re-<br />

lated force or torque. This is called a virtual finger three (VF3), and it<br />

is seen in the gravity-dependent grasps. For example, a waiter hold-<br />

ing a tray on the flat of the hand in a platform grip is using the whole<br />

hand as a VF3. Holding a suitcase in a hook grip is using the four<br />

fingers as VF3. A third virtual figer can also counteract a torque that<br />

arises in the task. For example, in the mug task (Figure <strong>2.</strong>6), some<br />

fingers were pressed against the outside of the handle opposing the<br />

mug as it rotates into the hand. Since these fingers act as a virtual fin-<br />

ger that counteracts a task-related torque, they are VF3.<br />

<strong>2.</strong>3.3 Combined oppositions<br />

Napier stressed that grasp postures showed combinations of<br />

power and precision, especially because tasks usually had both as-<br />

pects, saying that ‘although in most prehensile activities either preci-<br />

sion or power is the dominant characteristic, the two concepts are not<br />

mutually exclusive’ (Napier, 1956, p. 906). He pointed out that some<br />

postures exhibit both power and precision characteristics in what he<br />

called a combined giD: a precision grip (pad opposition) in the radial<br />

fingers can work in combination with a power grip (palm opposition)<br />

in the ulnar fingers. Patkin (198 1) used a similar term, double griD.<br />

An example of a combined grip would be tying a knot in a cord.<br />

Tension is maintained on the cord (power activities) by the ring and<br />

little fingers, while manipulation of the knot (precision activities) is<br />

performed by the thumb, index, and middle fingers. Another example<br />

from surgery is where instruments are tucked into the palm by the ring<br />

and little fingers9 (palm opposition) so that the radial digits can per-<br />

form some other task (sensing tissue thickness or using pad opposi-<br />

tion).<br />

%atkin (198 1) called this the ulnar storam.

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