Kapandji 1986 - The Kapandji Score

Summary

The article describes a practical clinical method to evaluate thumb opposition and counter-opposition (reposition) movements.

Previous methods relied on measuring angles using reference planes, which is complex. This new method uses the hand itself as the reference system.

Opposition is graded 1-10 based on the thumb tip contacting specific locations on the index to little fingers and palm.

Counter-opposition is graded 1-4 based on how high the thumb can actively lift off a table, using the MP joints of the other hand as a gauge.

The advantages are simplicity, no special equipment needed, and a single numeric score to document thumb function.

The method assesses the integrated range of motion of the thumb joints during these important functional tasks.

It can track outcomes before and after hand surgery and other treatments.