Öz
Amaç: Bu çalışmada, 18-25 yaş
arası sağlıklı bireylerde üst ekstremite ile ilgili morfometrik ölçümlerin
incelenmesi ve tüm vücut yüzey alanı ile el ve el ayası alanının hesaplanması
amaçlandı.
Materyal ve Metod: El izi ölçümleri
alındıktan sonra, 18-25 yaşları arasındaki 407 yetişkin bireyin (243 kadın; 164
erkek) uzunluk ve genişlik ölçümleri yapıldı ve el-el ayası indeksleri
hesaplandı. Ayrıca, kulaç uzunluğu, boy uzunluğu ve vücut ağırlığı ölçüldü.
Total vücut yüzey alanı, DuBois Formülü kullanılarak hesaplandı ve el-el ayası
alanı hesaplandı. El-el ayasının total vücut yüzey alanına oranları belirlendi.
Bulgular: Kadınlarda yaş, vücut
ağırlığı, boy uzunluğu, BKİ ve kulaç uzunluğu ortalama değerleri sırasıyla;
19,68±2,42 yıl, 55,96±8,32 kg, 164,12±5,93 cm, 20,79±3,03 kg/m2 ve 1,60±0,06 cm
olarak bulundu. Aynı değerler erkeklerde sırasıyla; 20,22±3,40 yıl, 71,48±11,98
kg, 176,96±6,26 cm, 22,80±3,44 kg/m2 ve 1,77±0,05 cm olarak ölçüldü. Ayrıca, boy
uzunluğu, vücut ağırlığı, vücut kitle indeksi ve kulaç uzunluğu ölçümlerinde
cinsiyetler arasında anlamlı farklılık bulundu. Toplam vücut yüzey alanı
kadınlarda ve erkeklerde sırasıyla 1.88±0.16 m2 ve 1.60±0.12 m2 olarak
hesaplandı. Ayrıca, erkeklerde el alanı sağ ve sol tarafta sırasıyla
156.31±11.25 m2 ve 154.71±11.92 m2 olarak bulundu. Aynı parametre kadınlarda
sırasıyla sağ ve sol tarafta 128.15±11.14 m2 ve 125.56±10.80 m2 olarak ölçüldü.
Erkeklerde el ayası alanı sağ ve sol tarafta sırasıyla 88.30±8.11 m2 ve
87.52±8.61 m2 olarak değerlendirildi. Aynı ölçümler kadınlarda sağ ve sol
tarafta sırasıyla 71.51±6.19 m2 ve 70.24±1.60 m2 olarak bulundu. Bununla
birlikte, toplam vücut yüzey alanı, el alanı, el ayası alanı, el-el ayası yüzey
alanı oranı cinsiyetler arasında anlamlı farklılık vardır. El indeksi
kadınlarda 42,33±2,97 (sağda), 41,67±2,91 (solda) bulunurken, erkeklerde aynı
değerler 41,95±3,56 (sağda) ve 42,03±2,64 (solda) olarak belirlendi.
Sonuç: Bu çalışmada sunulan
değerlendirmeler, anatomik parametreler hakkında temel bilgiler sağlayabilir.
Ayrıca kadın ve erkek popülasyon için el bölgesinde gerçekleşmesi düşünülen
cerrahi işlemlerin planlanmasında dikkate alınabilir. Ayrıca, toplam vücut
yüzey alanı, el-el ayası yüzey alan oranları, el, el ayası alanı değerleri
yanık bölgesi, yanık boyutu ve yaralanma düzeyini belirlemeye yardımcı olur.
Ölçüm sonuçları arasındaki farklılıkların ise cinsiyet, yaş, ırk, etnik
gruplar, coğrafi durumlar gibi bazı faktörlere bağlı olabileceğini
söyleyebiliriz.
Anahtar Kelimeler
Kaynakça
- 1. Yücel AH. Anatomi Atlası ve Ders Kitabı. 8 th ed. Adana: Akademisyen Press; 2018.
- 2. Gökmen F G. Sistematik Anatomi. İzmir: İzmir Güven Kitabevi Press; 2003
- 21. Goon DT, Toriola AL, Musa DI, Akusu S. The relationship between arm span and stature in Nigerian adults. Kinesiology 2011; 43(1):38-43.
- 4. Pal A, Aggarwal P, Bharati S, Panda M, Datta I, Roy P. Anthropometric measurements of the hand length and their correlation with the stature in Eastern Indian population. National Journal Of Medical Research 2014; 4(4): 303-5.
- 5. Barut Ç, Demirel P, Kıran S. Evaluation of hand anthropometric measurements and grip strength in basketball volleyball and handball players. Anatomy 2008; 2: 56-9.
- 6. Del Prado-Lu JL. Anthropometric measurement of Filipino manufacturing workers. International Journal of Industrial Ergonomics 2007; 37: 497-503.
- 7. Dey S, Kapoor AK. Sex determination from hand dimensions for forensic identification. Int J Res Med Sci 2015;3(6):1466–72.
- 8. Karadayı B, Kaya A, Koç H, Varlık E, Özaslan A. Türkiye popülasyonunda el ve el bilek ölçümleri kullanılarak cinsiyetin belirlenmesi. Journal of Forensic Medicine 2014; 2(28): 132-9.
- 8. Karadayı B, Kaya A, Koç H, Varlık E, Özaslan A. Türkiye popülasyonunda el ve el bilek ölçümleri kullanılarak cinsiyetin belirlenmesi. Journal of Forensic Medicine 2014; 2(28): 132-9.
- 10. Uluöz E. Investigation of physical anthropometric and somatotype characteristic on underelite female volleyball players according to playing positions. Journal of New World Sciences Academy 2011; 4(6): 206-13.
- 11. Komandur S, Johnson PW, Storch RL, Yo MG. Relation between index finger width and hand width anthropometric measures. In Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Minnesota, USA, Sept 2009:823- 26.
- 12. Malli MS, Vyas BM, Gosai P, Gupta S. Estimation of height of the person by using arm span and hand length measurements. Gujarat medical journal. 2015;1(70):105-7.
- 13. Kaur M, Singh B, Mahajan A, Khurana BS, Kaur A, Batra APS. Anthropometric measurements of hand length for estimation of stature in North Indians. International journal of applied biology and pharmaceutical technology. 2013;4(2):251-5.
- 14. Anuar FS, Soni G. A study of anthropometric measurement of hand length and their correlation with stature of university students. Malaysian Journal of Forensic Sciences, 2018, 8(1):32-38.
- 15. Hanson L, Sperling L, Gard G, Ipsen S, Vergara CO. Swedish anthropometrics for product and workplace design. Applied Ergonomics 2009; 40: 797-806.
- 16. Numan AI, Idris MO, Zirahei JV, Amaza DS, Dalori MB. Prediction of stature from hand anthropometry: a comparative study in the three major ethnic groups in Nigeria. British Journal of Medicine & Medical Research 2013; 3(4): 1062-73.
- 17. Abdrahman NI, Dawal SZ, Nukman Y, Kamıl NSM. Anthropometric measurements among four Asian countries in designing sitting and standing workstations. Indian Academy of Sciences 2018; 43(10): 1-10.
- 18. Chuan TK, Hartono M, Kumar N. Anthropometry of the Singaporean and Indonesian populations. International Journal of Industrial Ergonomics 2010; 40: 757-66.
- 19. Klamklay J, A Sungkhapong, N Yodpijit, PE Patterson. Anthropometry of the southern Thai population. International Journal of Industrial Ergonomics 2008; 38 (1): 111-8.
- 20. Arifi F, Bjelica D, Sermaxhaj S, Gardasevic J, Kezunovic M, Popovic S. Stature and its estimation utilizing arm span measurements in Kosovan adults: national survey. Int. J. Morphol 2017;35(3):1161-7.
- 22. Popović S, Bjelica D, Tanase GD. Body height and its estimation utilizing arm span measurements in Bosnian and Herzegovinian adults. Monten J Sports Sci. Med 2015; 4(1): 29–36.
- 23. Alam T, Singh S, Rai R, Shaheen S. Correlation between stature and arm span: a prospective regional study in Eastern Uttar Pradesh. Annals of International Medical and Dental Research 2016; 2(3): 56-60.
- 24. Malli MS, Vyas BM, Gosai P, Gupta S. Estimation of height of the person by using arm span and hand length measurements. Gujarat Medıcal Journal 2015; 70(1): 105-7.
- 25. Sah RP, Kumar A, Bhaskar RK. Body height and its estimation utilizing arm span measurements in population of Birgunj Area of Nepal: an anthropometric study. Journal of College of Medical Sciences 2013; -9(4): 9-14.
- 26. Buffa R, Marini E, Cabras S, Scalas G, Floris G. Patterns of hand variation – new data on a Sardinian sample. Coll Antropol 2007;31(1):325–30.
- 27. Jee SC, Bahn S, Yun MH. Determination of sex from various hand dimensions of Koreans. Forensic Science International 2015; 257: 521-31.
- 28. Aboul-Hagag KE, Mohamed SA, Hilal MA, Mohamed EA. Determination of sex from hand dimensions and index/ring finger length ratio in Upper Egyptians. Egyptian Journal of Forensic Sciences 2011; 1: 80–6.
- 29. Ibeachu PC, Abu EC, Didia BC. Anthropometric sexual dimorphism of hand length, breadth and hand indices of university of Port Harcourt students. Asian Journal of Medical Sciences 2011; 3(8): 146-150.
- 30. Ibrahim MAB, Khalifa AM, Hagras AM, Alwakid NI. Sex determination from hand dimensions and index/ring finger length ratio in North Saudi population: Medico-legal view. Egyptian Journal of Forensic Sciences 2016; 6(4): 435-44.
The Determination of Upper Extremity Anthropometric Measurements in Healthy Subjects Aged Between 18-25 Years
Öz
Background: The present
study was aimed to analyze the morphometric measurements of upper extremity
dimensions and estimate the total body surface area, hand and palm area in
healthy subjects aged between 18-25 years.
Materials and Methods: After taking
hand tracing, the length and width measurements were performed, and hand-palm
indexes were calculated from 407 adult subjects (243 females; 164 males) aged
18 to 25 years. Also, arm span, height and weight were measured. Additionally,
total body surface area was calculated using DuBois Formula and hand and palm
area was estimated from hand tracing and the percent of hand and palm surface
area were formulated.
Results: In females,
the mean values of age, weight, height, BMI and arm span were found as
19.68±2.42 years, 55.96±8.32 kg, 164.12±5.93 cm and 20.79±3.03 kg/m2 and 1.60±0.06
m, respectively, whereas the same values were 20.22±3.40 years, 71.48±11.98 kg,
176.96±6.26 cm, 22.80±3.44 kg/m2, and 1.76±0.05 m, respectively in males.
Moreover, the significant difference was found between measurements such as
height, weight, body mass index and arm span and gender. Total body surface
area was estimated as 1.88±0.16 m2 and 1.60±0.12 m2 in males and females,
respectively. Also, hand area of males was found as 156.31±11.25 m2 and
154.71±11.92 m2 in right and left side, respectively, whereas the corresponding
value of females was measured as 128.15±11.14 m2 and 125.56±10.80 m2 in right
and left side, respectively. Palm area of males was estimated 88.30±8.11 m2 and
87.52±8.61 m2 in right and left side, respectively. The same values of females
were 71.51±6.19 m2 and 70.24±1.60 m2 in right and left side, respectively.
However, there were significant difference in measurements of hand area, palm
area, total body surface area, the percents of hand and palm surface area
between gender. The hand index was found as 42.33±2.97 (right), 41.67±2.91
(left) in females, whereas the same values were established as 41.95±3.56
(right) and 42.03±2.64 (left) in males.
Conclusions: The
observations presented in present study, can provide principal knowledge about
anatomic parameters. They need to be taken into consideration when surgical
procedures are performed in hand region for female and male population. Also,
the total body surface area, the percents of hand and palm surface area, hand
and palm area values help to determine burns area, or extent of burn and
wounds. Moreover, we can say that differences between measurements can depend
on some factors such as gender, age, race, ethnic groups, geographical
situations.
Kaynakça
- 1. Yücel AH. Anatomi Atlası ve Ders Kitabı. 8 th ed. Adana: Akademisyen Press; 2018.
- 2. Gökmen F G. Sistematik Anatomi. İzmir: İzmir Güven Kitabevi Press; 2003
- 21. Goon DT, Toriola AL, Musa DI, Akusu S. The relationship between arm span and stature in Nigerian adults. Kinesiology 2011; 43(1):38-43.
- 4. Pal A, Aggarwal P, Bharati S, Panda M, Datta I, Roy P. Anthropometric measurements of the hand length and their correlation with the stature in Eastern Indian population. National Journal Of Medical Research 2014; 4(4): 303-5.
- 5. Barut Ç, Demirel P, Kıran S. Evaluation of hand anthropometric measurements and grip strength in basketball volleyball and handball players. Anatomy 2008; 2: 56-9.
- 6. Del Prado-Lu JL. Anthropometric measurement of Filipino manufacturing workers. International Journal of Industrial Ergonomics 2007; 37: 497-503.
- 7. Dey S, Kapoor AK. Sex determination from hand dimensions for forensic identification. Int J Res Med Sci 2015;3(6):1466–72.
- 8. Karadayı B, Kaya A, Koç H, Varlık E, Özaslan A. Türkiye popülasyonunda el ve el bilek ölçümleri kullanılarak cinsiyetin belirlenmesi. Journal of Forensic Medicine 2014; 2(28): 132-9.
- 8. Karadayı B, Kaya A, Koç H, Varlık E, Özaslan A. Türkiye popülasyonunda el ve el bilek ölçümleri kullanılarak cinsiyetin belirlenmesi. Journal of Forensic Medicine 2014; 2(28): 132-9.
- 10. Uluöz E. Investigation of physical anthropometric and somatotype characteristic on underelite female volleyball players according to playing positions. Journal of New World Sciences Academy 2011; 4(6): 206-13.
- 11. Komandur S, Johnson PW, Storch RL, Yo MG. Relation between index finger width and hand width anthropometric measures. In Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Minnesota, USA, Sept 2009:823- 26.
- 12. Malli MS, Vyas BM, Gosai P, Gupta S. Estimation of height of the person by using arm span and hand length measurements. Gujarat medical journal. 2015;1(70):105-7.
- 13. Kaur M, Singh B, Mahajan A, Khurana BS, Kaur A, Batra APS. Anthropometric measurements of hand length for estimation of stature in North Indians. International journal of applied biology and pharmaceutical technology. 2013;4(2):251-5.
- 14. Anuar FS, Soni G. A study of anthropometric measurement of hand length and their correlation with stature of university students. Malaysian Journal of Forensic Sciences, 2018, 8(1):32-38.
- 15. Hanson L, Sperling L, Gard G, Ipsen S, Vergara CO. Swedish anthropometrics for product and workplace design. Applied Ergonomics 2009; 40: 797-806.
- 16. Numan AI, Idris MO, Zirahei JV, Amaza DS, Dalori MB. Prediction of stature from hand anthropometry: a comparative study in the three major ethnic groups in Nigeria. British Journal of Medicine & Medical Research 2013; 3(4): 1062-73.
- 17. Abdrahman NI, Dawal SZ, Nukman Y, Kamıl NSM. Anthropometric measurements among four Asian countries in designing sitting and standing workstations. Indian Academy of Sciences 2018; 43(10): 1-10.
- 18. Chuan TK, Hartono M, Kumar N. Anthropometry of the Singaporean and Indonesian populations. International Journal of Industrial Ergonomics 2010; 40: 757-66.
- 19. Klamklay J, A Sungkhapong, N Yodpijit, PE Patterson. Anthropometry of the southern Thai population. International Journal of Industrial Ergonomics 2008; 38 (1): 111-8.
- 20. Arifi F, Bjelica D, Sermaxhaj S, Gardasevic J, Kezunovic M, Popovic S. Stature and its estimation utilizing arm span measurements in Kosovan adults: national survey. Int. J. Morphol 2017;35(3):1161-7.
- 22. Popović S, Bjelica D, Tanase GD. Body height and its estimation utilizing arm span measurements in Bosnian and Herzegovinian adults. Monten J Sports Sci. Med 2015; 4(1): 29–36.
- 23. Alam T, Singh S, Rai R, Shaheen S. Correlation between stature and arm span: a prospective regional study in Eastern Uttar Pradesh. Annals of International Medical and Dental Research 2016; 2(3): 56-60.
- 24. Malli MS, Vyas BM, Gosai P, Gupta S. Estimation of height of the person by using arm span and hand length measurements. Gujarat Medıcal Journal 2015; 70(1): 105-7.
- 25. Sah RP, Kumar A, Bhaskar RK. Body height and its estimation utilizing arm span measurements in population of Birgunj Area of Nepal: an anthropometric study. Journal of College of Medical Sciences 2013; -9(4): 9-14.
- 26. Buffa R, Marini E, Cabras S, Scalas G, Floris G. Patterns of hand variation – new data on a Sardinian sample. Coll Antropol 2007;31(1):325–30.
- 27. Jee SC, Bahn S, Yun MH. Determination of sex from various hand dimensions of Koreans. Forensic Science International 2015; 257: 521-31.
- 28. Aboul-Hagag KE, Mohamed SA, Hilal MA, Mohamed EA. Determination of sex from hand dimensions and index/ring finger length ratio in Upper Egyptians. Egyptian Journal of Forensic Sciences 2011; 1: 80–6.
- 29. Ibeachu PC, Abu EC, Didia BC. Anthropometric sexual dimorphism of hand length, breadth and hand indices of university of Port Harcourt students. Asian Journal of Medical Sciences 2011; 3(8): 146-150.
- 30. Ibrahim MAB, Khalifa AM, Hagras AM, Alwakid NI. Sex determination from hand dimensions and index/ring finger length ratio in North Saudi population: Medico-legal view. Egyptian Journal of Forensic Sciences 2016; 6(4): 435-44.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Aralık 2019 |
| Gönderilme Tarihi | 26 Eylül 2019 |
| Kabul Tarihi | 3 Aralık 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 16 Sayı: 3 |
Harran Üniversitesi Tıp Fakültesi Dergisi / Journal of Harran University Medical Faculty