manugraphy® – Hand assessment.

 

Manugraphy - hand pressure assesment
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The manugraphy system* is an accurate and reliable system to measure the hand forces while gripping. Up to now, functional hand assessment could only quantify the total force, for example with a dynamometer.

The manugraphy system developed by novel offers a key advantage over the conventional systems: It is able to determine the force of each single finger and even the phalanges. The individual force contributed by each part of the hand – the finger, phalanx, or palm – is measured separately. These detailed information enable to achieve a truly objective biomechanical analysis of the hand.

In order to measure the local forces underneath the hand, 896 highly accurate force sensors are applied to the surface of two cylinders of different diameters, suitable for different hand sizes. Each single sensor is sampled 20 times per second by the manugraphy analyser, and the measured forces are allocated to the respective fingers, phalanges, ball of the hand, and thumb. In a dynamic measuring mode, it is possible to identify the current local forces as well as the average forces per gripping sequence. Subsequently, the whole measuring process in its dynamic course can be reproduced.

The data are displayed in 2D, 3D and in isobars, showing the absolute force of each sensor element. An acoustic signal that tells the subject when to grip and release allows for a standardised test procedure. With these detailed and objective functional analyses of the different hand areas, the user is able to compare different grasping actions.

The manugraphy software

The manugraphy software provides the user with a fast and extensive analysis of the persons hand function. A special database stores and organises the master data as well as the individual measurements, and makes a direct comparison of different situations possible.

hand pressure measurement - manugraphy

The manugraphy measurement software facilitates the configuration and selection of different measuring modes, for bigger and for smaller cylinders, for case-specific analyses, and for biofeedback training. Audio instructions lead the person through the gripping process, and give information on the gripping force. A standardised testing is guaranteed.

The measurement data are displayed online on the PC. With a 2D or 3D view of the local forces, the user is able to carry out an accurate functional analysis of both hand and fingers.

The contribution of each single finger and thumb to the total force is the most relevant information. By partitioning the measurement area into subareas for each finger and the palm of the hand, it is possible to accurately indicate the gripping force and its temporal variation. In this way, the user can evaluate functional changes of the hand load.

With the help of simultaneous videostreams, the  movements of the different fingers can be optically displayed and documented.

* Important note for users inside the EC: The manugraphy system is not certified as a medical device according to 93/42/EEC.

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manugraphy software novel.de

Force-time curves of each finger

hand pressure mapping with manugraphy

Scientific publications:

publication list utilized novel pressure and force measurement sensors

manugraphy journal articles

2024–20262 articles

2025

Dynamic hand and finger load distribution patterns in the first year following surgically treated distal radius fracture

Johannes Karnatz; Christoph Harms; Dagmar-Christiane Fischer; Thomas Mittlmeier

BMC Musculoskeletal Disorders · 26:486

Study details

System: novel manugraphy; sensor-coated cylinder; regional pressure-map analysis

Sample: 49 patients at 3 months; 38 at 6 months; 35 at 12 months

Data use: Primary measurements

Evidence of use: Full text reports repeated manugraphy measurements after fracture surgery and acknowledges novel for supplying the system and supporting data processing.

Electronic publication date: 2025-05-16

Notes: Some underlying results were previously presented in a Rostock dissertation; the dissertation is not counted as a second journal article.

2024

Force loss and distribution of load in the hands of patients with cubital tunnel syndrome

Angelina Garkisch; Kristina Rohmfeld; Dagmar-Christiane Fischer; Karl-Josef Prommersberger; Marion Mühldorfer-Fodor

Journal of Hand Surgery (European Volume) · 49(1):66–72

Study details

System: Manugraphy system (novel GmbH); 100-, 150- and 200-mm circumference cylinders

Sample: 27 patients with unilateral cubital tunnel syndrome

Data use: Primary measurements

Evidence of use: Methods explicitly identify novel Manugraphy, three sensor-covered cylinders and pliance software, alongside separate Jamar and pinch-force measurements.

Electronic publication date: 2023-09-11

Notes: Online 11 September 2023; January 2024 journal issue. Classified as manugraphy hardware use despite pliance analysis software.

2019–20235 articles

2023

Prospective analysis of grip strength and load distribution after surgical treatment of common diseases of the hand with novel’s manugraphy® system

Jasmin S. Grüner; Aijia Cai; Isabel Pingel; Raymund E. Horch; Justus P. Beier; Andreas Arkudas

Archives of Orthopaedic and Trauma Surgery · 143(10):6477–6485

Study details

System: novel manugraphy; cylinder size selected by hand length

Sample: 28 patients analysed: 9 carpal tunnel, 12 trigger finger and 7 Dupuytren

Data use: Primary measurements

Evidence of use: Full text explicitly names novel manugraphy and reports preoperative and postoperative regional force measurements over one year for three hand disorders.

Electronic publication date: 2023-07-24

Notes: Uses the pre-existing 2018 Cai healthy comparison cohort; comparison participants are not a new independent cohort.

2023

Comparing Statistics and Machine Learning to Detect Insincere Grip Force Testing Using Manugraphy

Marion Mühldorfer-Fodor; Eren Cenik; Peter Hahn; Karl J. Prommersberger

Cureus · 15(1):e33837

Study details

System: Previously recorded Manugraphy cylinder data; seven anatomical regions

Sample: Reanalysis of the earlier 54-subject dataset

Data use: Secondary analysis of measured data

Evidence of use: The article explicitly reuses manugraphy measurements from a previous 54-subject study to compare statistical and machine-learning classifications of grip effort.

Electronic publication date: 2023-01-16

Notes: Secondary analysis of the 2018 maximal/submaximal-effort dataset; no new independent measurement cohort.

2022

Effect of a single proximal interphalangeal Joint Fusion of the Index, Middle or Ring Finger on the Grip and Finger Force and Load Distribution in the Hand

Polina Dimitrova; Angela Reger; Karl-Josef Prommersberger; Jörg van Schoonhoven; Marion Mühldorfer-Fodor

Handchirurgie · Mikrochirurgie · Plastische Chirurgie · 54(5):409–417

Study details

System: Manugraphy; three cylinder sizes

Sample: 10 patients with post-traumatic PIP-joint arthrodesis

Data use: Primary measurements

Evidence of use: The bilingual abstract explicitly states that grip force and load distribution were measured by manugraphy for the hand, individual fingers and phalanges.

Electronic publication date: 2022-08-29

Original title: Auswirkungen der Arthrodese eines einzelnen Mittelgelenkes von Zeige-, Mittel- oder Ringfinger auf Hand- und Fingerkraft sowie auf die Druckverteilung der Hand.

Language: German

Notes: English title is the PubMed translation; the article is in German.

2022

Influence of the flexor digitorum superficialis tendon transfer on grip strength

Angelina Garkisch; Stefanie Schmitt; Nicole Kim; Dagmar-C. Fischer; Karl-Josef Prommersberger; Marion Mühldorfer-Fodor

Journal of Hand Surgery (European Volume) · 47(4):405–409

Study details

System: Manugraphy cylinder measurements; two grip sizes

Sample: 10 patients; postoperative follow-up 5–128 months

Data use: Primary measurements

Evidence of use: The journal reports cylinder-based finger and phalangeal force testing and indexes manugraphy; the matching 2021 GMS abstract explicitly describes Manugraphie measurements.

Electronic publication date: 2021-12-03

Notes: Online 3 December 2021; journal issue April 2022. Conference record C002 reports 100-/200-mm circumferences; the journal abstract says 10-/20-cm diameters. This inconsistent wording is not treated as a hardware specification.

2021

Dynamic Manugraphy as a Promising Tool to Assess the Outcome of Limited Aponeurectomy in Patients With Dupuytren's Contracture

Angelina Garkisch; Thomas Mittlmeier; Axel Kalpen; Marion Mühldorfer-Fodor; Dagmar-C. Fischer; Alice Wichelhaus

Frontiers in Medicine · 7:604891

Study details

System: manugraphy system (novel, Munich); 200-mm circumference cylinder

Sample: 23 enrolled patients; 19 completed follow-up

Data use: Primary measurements

Evidence of use: Methods explicitly identify novel manugraphy, describing pressure maps and regional forces recorded before surgery and at three- and six-month follow-ups.

Electronic publication date: 2021-01-12

Notes: Published 12 January 2021. Although assigned to volume 7/eCollection 2020 and a DOI containing 2020, the publisher's citation year is 2021.

2013–20187 articles

2018

Effect of distal interphalangeal joint fusion of the index or middle finger on the grip or finger force and load distribution in the hand

Marion Mühldorfer-Fodor; Angela Reger; Thomas Pillukat; Thomas Mittlmeier; Jörg van Schoonhoven; Karl-Josef Prommersberger

Handchirurgie · Mikrochirurgie · Plastische Chirurgie · 50(3):174–183

Study details

System: Manugraphy; three cylinder sizes; regional hand and finger load analysis

Sample: 10 patients: 2 with index-finger and 8 with middle-finger distal interphalangeal joint fusion

Data use: Primary measurements

Evidence of use: The PubMed bilingual abstract explicitly reports postoperative manugraphy in ten patients, using three cylinder sizes to assess total grip force, finger forces and hand load distribution against the opposite hand.

Electronic publication date: 2018-07-25

Original title: Auswirkungen der Versteifung des Zeige- bzw. Mittelfingerendgelenkes auf Hand- und Fingerkraft sowie auf die Druckverteilung.

Language: German

Notes: PubMed records the June 2018 issue and electronic article date 25 July 2018. English title shown; the article is in German.

2018

Force distribution of a cylindrical grip differs between dominant and nondominant hand in healthy subjects

Aijia Cai; I. Pingel; D. Lorz; J. P. Beier; R. E. Horch; A. Arkudas

Archives of Orthopaedic and Trauma Surgery · 138(9):1323–1331

Study details

System: Manugraphy system; 150- or 200-mm circumference cylinder according to hand size

Sample: 40 healthy right-handed subjects

Data use: Primary measurements

Evidence of use: The primary abstract describes instrumented-cylinder measurements and indexes Manugraphy system as a keyword; the 2023 Grüner article identifies this earlier comparison cohort.

Electronic publication date: 2018-07-10

Notes: Author order follows PubMed and the publisher-linked RWTH record; one institutional listing incorrectly puts Cai last. The 2023 surgical-outcomes article uses this pre-existing reference cohort.

2018

Influence of Maximal or Submaximal Effort on the Load Distribution of the Hand Analyzed by Manugraphy

Marion Mühldorfer-Fodor; Eren Cenik; Peter Hahn; Thomas Mittlmeier; Jörg van Schoonhoven; Karl Josef Prommersberger

The Journal of Hand Surgery (American Volume) · 43(10):948.e1–948.e9

Study details

System: 200-mm Manugraphy cylinder

Sample: 54 healthy subjects; bilateral testing on two days

Data use: Primary measurements

Evidence of use: Subjects performed maximal and submaximal grip tests with a Manugraphy cylinder; the hand's contact area was divided into seven anatomical regions.

Electronic publication date: 2018-03-16

Notes: The 2023 machine-learning article reanalyses this dataset; the two publications are not independent cohorts.

2018

Parameters influencing hand grip strength measured with the manugraphy system

Alice Wichelhaus; Christoph Harms; Julia Neumann; Steffen Ziegler; Günther Kundt; Karl Josef Prommersberger; Thomas Mittlmeier; Marion Mühldorfer-Fodor

BMC Musculoskeletal Disorders · 19:54

Study details

System: novel manugraphy; 150- and 200-mm circumference cylinders

Sample: 152 healthy adults: 76 women and 76 men

Data use: Primary measurements

Evidence of use: Full methods describe the novel measuring cylinders, calibrated capacitive sensors and repeated bilateral testing alongside an electronic Jamar dynamometer.

Electronic publication date: 2018-02-14

Notes: Possible cohort overlap with the 2014 validation and 2017 load-distribution papers.

2017

Load distribution of the hand during cylinder grip analyzed by Manugraphy

Marion Mühldorfer-Fodor; Steffen Ziegler; Christoph Harms; Julia Neumann; Günther Kundt; Thomas Mittlmeier; Karl Josef Prommersberger

Journal of Hand Therapy · 30(4):529–537

Study details

System: Manugraphy system (novel, Munich); three pressure-matrix cylinders

Sample: 152 healthy volunteers; three cylinder sizes; three testing days

Data use: Primary measurements

Evidence of use: The methods explicitly identify the novel Manugraphy system and describe seven-region and phalangeal analyses during cylinder gripping.

Electronic publication date: 2017-02-28

Notes: Counted in 2017, the journal issue year. The DOI contains 2016 and some reference lists/manufacturer listings use 2016. Possible cohort overlap with the 2014 and 2018 validation-related articles.

2015

The Effect of Midcarpal Versus Total Wrist Fusion on the Hand's Load Distribution During Gripping

Marion Mühldorfer-Fodor; Angela Reger; Jörg van Schoonhoven; Thomas Mittlmeier; Karl Josef Prommersberger

The Journal of Hand Surgery (American Volume) · 40(11):2183–2190

Study details

System: Manugraphy system; three cylinder sizes

Sample: 12 patients with total wrist fusion and 12 with midcarpal fusion

Data use: Primary measurements

Evidence of use: The study measured total grip force and seven regional loads in operated and contralateral hands with the Manugraphy system.

Electronic publication date: 2015-09-26

Notes: A later Yearbook summary with the same title is not counted as an additional experiment.

2014

Grip force monitoring on the hand: Manugraphy system versus Jamar dynamometer

Marion Mühldorfer-Fodor; Steffen Ziegler; Christoph Harms; Julia Neumann; Alessandra Cristalli; Axel Kalpen; Günther Kundt; Thomas Mittlmeier; K. J. Prommersberger

Archives of Orthopaedic and Trauma Surgery · 134(8):1179–1188

Study details

System: novel manugraphy; 150- and 200-mm circumference cylinders

Sample: 152 healthy volunteers; two centres; three testing days

Data use: Primary measurements

Evidence of use: The methods explicitly name novel Manugraphy and describe repeated grip testing against a digital Jamar dynamometer using two instrumented cylinders.

Electronic publication date: 2014-06-17

Notes: Possible cohort overlap with the 2017 load-distribution and 2018 influential-parameters articles; do not add participant counts as independent samples.

Brochures & Catalogues:

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