MHealth muscles tests more accurate.

Doctors test the strenght of intrinsic hand muscles by letting the patient pull an push at their hand and fingers. Is this an accurate methode? No, a team of bioengineering students from Rice University developed a device to measure thenar, hypothenar, interosseus and lumbrical muscles.

Graduates Caterina Kaffes, Matthew Miller, Neel Shah and Shuai “Steve” Xu invented PRIME, or Peg Restrained Intrinsic Muscle Evaluator, for their senior project. “Twenty percent of all ER admissions are hand-related. Neuromuscular disorders like spinal cord injuries, Lou Gehrig’s, diabetes, multiple sclerosis-all these diseases affect the intrinsic hand muscles,” said Xu. PRIME, was created to replace the common test. The real goal is to quantify finger/muscle strength for a more accurate diagnosis for carpal tunnel syndrome evaluation and other disorders.

“U.S. surgeons perform over 500,000 procedures for carpal tunnel each year. $2 billion per year is spent treating this disease but up to 20 percent of all surgeries need to be redone. Our invention can be used across the spectrum of care from diagnosis to outcome measurements,” said Xu.

The device has three elements: a pegboard restraint, a force transducer enclosure and a PDA custom-programmed to capture measurements. In a five-minute test, a doctor uses pegs to isolate a patient’s individual fingers. “You wouldn’t think it works as well as it does, but once you are pegged in, you can’t move anything but the finger we want you to,” Miller said. A loop is fitted around the finger, and when the patient moves it, the amount of force generated is measured. “PRIME gets the peak force,” Xu said. “Then the doctor can create a patient-specific file with all your information, time-stamped, and record every single measurement.”