Grasp
Grasp
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DOI:
10.1080/08998280.2000.11927702
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发表时间:
2000-10
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BUMC PROCEEDINGS 2000;13:343–348 In seeking a short, sharp title for this essay, I vacillated between grip and grasp. When consulting Dr. Dorland’s Dictionary, I was surprised to find the primary definition of grip was “French, grippe influenza.” I therefore chose grasp, even though it does not appear in the good doctor’s dictionary. Despite the fact that the skeletal and muscular elements of the human hand are very nearly matched in many species, praise of our own human hand and its abilities is a very natural human weakness. In fact, the history of human civilization is replete with special studies of the hand. Galen (AD 129–199) devoted a large part of his De Usu Partium to the anatomy and physiology of the hand. Throughout the centuries, mystical properties have been imputed to the hand, and many gullible people have had their lives directed by the pronouncements of palmists. Sir Charles Bell, in the first chapter of his fascinating fourth Bridgewater treatise—written >160 years ago—asserted that there is in the hand “a universal plan extending through all animated nature and which has prevailed in the earliest condition of the world, and that on the most comprehensive study of those subjects, we everywhere behold prospective design” (1). In the second half of the 20th century, the writings of John R. Napier, an anthropologist-physician, are preeminent. His book Hands, first published in 1980 and now in its third edition, is the book to be recommended to nonspecialists interested in the evolutionary, functional, and behavioral aspects of the hand. The best comparison and differentiation between nonhuman primates’ hands and our own lies in the manner in which the hand is able to grasp something. The anthropoids’ grip is strong and secure, but its range of function will remain small because of its less developed thumb. It is at best a “power grip,” but it does not have the “precision grip” of the human hand, which has achieved excellent refinement in prehensility. This, however, does not mean that the human hand has lost the more primitive ability of the power grip or any other movement of the primate foot-hand. Essentially, the anatomical structure of our hand is no different from that in a gorilla, with the exception of the opposability of the thumb. What has changed is that over time, a strong hand remained strong but acquired more intricate capabilities. Monkeys are basically quadrupedal; man is fully bipedal. Our upright walk makes all the difference. During the last century, many discoveries have led to the understanding of the origins of our hands and their capabilities. Grasp