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- Schizophrenia & the hand: case studies -
THE TOP 10 HAND SIGNS
IN SCHIZOPHRENIA:
(Ranked by 'Log Odds Ratio' = LOR)
I - Back of hand: total lack of expression
[Schizophrenia hand sign 3-2: LOR = +4.22]
II - Excessive secondary creases
[Schizophrenia hand sign 9-7: LOR = +3.40]
III - Palmomental reflex
[Schizophrenia hand sign 2-6: LOR = +3.15]
IV - Pinky: immobility (ankylosis)
[Schizophrenia hand sign 2-2: LOR = +3.02]
V - Thumb: weak to total lack of expression
[Schizophrenia hand sign 5-5: LOR = +2.77]
VI - Visible nail fold plexus
[Schizophrenia hand sign 6-1: LOR = +2.74]
VII - Postural tremors, hands
[Schizophrenia hand sign 2-5: LOR = +2.72]
VIII - Sydney line
[Schizophrenia hand sign 9-2: LOR = +2.45]
IX - Nails: small & underdeveloped (rudimentary)
[Schizophrenia hand sign 7-1: LOR = +2.43]
X - Chaotic arrangement of secondary creases
[Schizophrenia hand sign 9-8: LOR = +2.32]
This TOP 10 shows that lines (see hand sign II, VIII and X) & motorics (see hand sign III & IV) represent the two most significant levels of the hand that play a role in schizophrenia;
additionally it is also interesting to see that three out of the TOP 10 hand signs relate to the fingertips (see hand sign II, VI and IX) - which could relate to the fact that sensory factors have also been recognized to represent a significant factor in schizophrenia!
NOTICE: Log Odds Ratios are calculated from the prevalence (%) among Schizophrenia patients & controls; more details are presented in the right column at the bottom of this page.
HAND SIGNS & HAND DIAGNOSTICS:
• Hand signs in SCHIZOPHRENIA!
• Hand signs in DIABETES MELLITUS!
• Hand signs in RHEUMATOID ARTHRITIS!
• Hand signs in PSORIASIS!
• Hand signs in DOWN SYNDROME!
_- Down syndrome case study 1
_- Down syndrome case study 2
• Hand signs in FRAGILE-X SYNDROME!
_- Fragile-X syndrome case study 1
_- Fragile-X syndrome case study 2
_(In people with autism 2% to 6% have Fragile-X syndrome!)
HAND TEST:
• MARFAN SYNDROME hand test!
BIG FIVE PERSONALITY DIMENSIONS:
• Hand constellations in Agreeableness!
• Hand constellations in Conscientiousness!
• Hand constellations in Extraversion!
• Hand constellations in Neuroticism!
• Hand constellations in Openness!
SIMIAN LINE INDEX:
INTRO: About the Simian Line (a.k.a. 'simian crease')
• HOW TO RECOGNIZE a 'complete' Simian Line?
• WHY PALM CREASE NAMED the Simian Line?
• BRIEF HISTORY of the Simian Line
• ETHNIC POPULATIONS & the Simian Line
• MEDICAL PROBLEMS & the Simian Line
• PSYCHOLOGY & the Simian Line
• PROJECTS related to the Simian Line
• SYNONYMS for the Simian Line
• FAMOUS Simian Line holders
MORE HAND DIAGNOSTICS:
• Understanding hand shape!
• The hand lines (palmar creases)
• The Sydney line
• Fingerprints (+ dermatoglyphics)
• The Hypothenar whorl
• What can finger length reveal?
• The 5th finger (pinky)
• The fingernail tutor
• The fingernail tutor
• The hand sign tutor: 300+ hand signs! [via 9 hand levels]
How to make a Palm Reading Assessment for SCHIZOPHRENIA? Key-elements of the hand in schizophrenia in a nutshell: in general a slightly narrow hand featured with a lack of 'expression', plus a slight tendency towards typically 'feminine' characteristics can be described to represent a typical feature regarding the impression of the full hand. Additionally, fingers & palm usually display a-typical features which are most likely to manifest visually in specific at: the fingertips, the pinky finger & the major lines/dermatoglypics of the palm. Nearly always combined with a-typical features in the hand motorics. - Schizophrenia & the hand: phantom picture! - A positive diagnostic hand-assessment for schizophrenia [S.] requires a person to have all four requirements (no.1-4) listed below: -S. REQUIREMENT no.1: The person requires to have significant hand signs for schizophrenia in 4 of the 5 major perspectives of the hand, including: function, skin, palm & fingers. - D.S. REQUIREMENT no.2: The person requires to have at least 1 of the 7 hand signs that relate to the (major) lines [= level 8] + at least 1 of the 7 hand signs that relate to the hand motorics [= level 2]. - D.S. REQUIREMENT no.3: The person requires to have at least 1 of the 13 possible hand signs that relate directly to the fingers [= level 5] + at least 1 of the 10 possible hand signs that relate to the fingertips [= involving level 5, 7, 8, or 9]. - D.S. REQUIREMENT no.4: The person requires to have at least 5 out of the 47 listed hand signs. IMPORTANT: Only when all above REQUIREMENTS are fullfilled, then one can speak safely of 'confirmed' hand diagnosis for schizophrenia! Some of the 47 significant hand markers for schizophrenia that are listed below became known in medical science as a 'physical minor anomaly' (such as: the simian crease & Sydney line regarding the lines/flexion creases, and clinodactyly regarding the fingers/digits); additionally, all 7 hand signs listed for minor level 2 represent 'neurological soft signs'. In general all these individual visual & motoric hand signs can usually be described to represent harmless body characteristics when found in isolation; however, combinations of visual & motoric hand signs can be recognized to bare high significance. 1st major perspective: FUNCTION: • Level 1 - HAND BEHAVIORS in schizophrenia: 1-1: Decrease in expressive gestures (coverbal hand gestures). • Level 2 - HAND MOTORICS in schizophrenia: 2-1: Atypical handedness. 2-2: Pinky: immobility (ankylosis); 2-3: Impaired hand movement; 2-4: Impaired finger coordination; 2-5: Postural tremors, hands; 2-6: Palmomental reflex; 2-7: Palmar grasp reflex. 2nd major perspective: PROPORTION • Level 3 - HAND SHAPE in schizophrenia: 3-1: Conic handshape: long & narrow; 3-2: Back of hand: total lack of expression; • Level 4 - PALM SHAPE in schizophrenia: 4-1: Relatively small mount of venus (thenar hypotrophy). • Level 5 - FINGER SHAPES in schizophrenia: 5-1: Tapering/tapered fingers; 5-2: Spatulate fingertips; 5-3: Small distal phalanages (microphalangia); 5-4: Nail phalanges: ring finger >> middle finger (>3%). 5-5: Thumb: weak to total lack of expression; 5-6: Thumb: small + short; 5-7: Thumb: extraordinary long (above 2nd knuckl); 5-8: Index finger: extraordinary long (equal or longer than middle finger); 5-9: 'Female' finger ratio (2D:4D digit ratio > 1); 5-10: Middle finger: proximal interphalangeal joint poorly defined; 5-11: Pinky: curved inwards (clinodactyly); 5-12: Pinky: extraordinary short; 5-13: Pinky: extraordinary long. 3rd major perspective: SKIN • Level 6 - SKIN RELATED QUALITIES in schizophrenia: 6-1: Nail fold: visible nail fold plexus (subpapillary plexus); 6-2: Skin: red/blue coloured + cold. • Level 7 - FINGERNAILS in schizophrenia: 7-1: Nails: small & underdeveloped (rudimentary); 7-2: Nails: excessively curved outwards (hyperconvex fingernails); 7-3: Nail middle finger: eponychium growth over lunula. • Level 8 - DERMATOGLYPHICS in schizophrenia: 8-1: Fingers: fingerprint type asymmetries (at least 3 out of 5 fingers); 8-2: Fingers: extralimital triradii; 8-3: Palm: ridge dissociation ('string of pearl type'). 8-4: Palm: whorl or multiple loops on hypothenar; 8-5: Palm: multiple triradii on the hypothenar; 8-6: Palm: pattern on the mount of venus / mouse thumb (thenar); 8-7: Palm: pattern on mount of mars; 8-8: Palm: missing c triradius / merging of triradius b and triradius c; 8-9: Palm: abortive c line; 8-10: Palm: large ab ridge count fluctuating asymmetry: [LABRC-RABRC] > 5. • Level 9 - (MAJOR) LINES in schizophrenia: 9-1: Simian crease; 9-2: Sydney line; 9-3: Short head line; 9-4: Broken head line (broken proximal transverse crease) 9-5: Broken heart line (broken distal transverse crease) 9-6: Indistinct / fragmented primary creases; 9-7: MINOR LINES: Excessive secondary creases; 9-8: MINOR LINES: Chaotic arrangement of secondary creases. 4th & 5th major perspectives: PALM & FINGERS The major perspectives 'PALM' & 'FINGERS' can be derived seperately from the first three perspectives (= function, proportion & skin). NOTICE: About 0.5% of the world population suffers on symptoms that relate to Schizophrenia; the formerly known sub-types of schizophrenia (e.g. paranoid type, disorganized type, catatonic type & undifferentiated type) were dropped DSM-5 work group in the summer of 2013. The 'phantom picture' for schizophrenia presented above displays only a some of the hand signs listed above; more details about the prevalence of all 47 hand signs in schizophrenia populations AND the general population are presented below (outside the box). Additionally, there are three schizophrenia cases available:
(A more detailed analysis for these cases will be available later) The hand in DIABETES MELLITUS The hand in RHEUMATOID ARTHRITIS The hand in PSORIASIS The hand in FRAGILE-X SYNDROME More about Schizophrenia + related studies of the hand |
Prevalence: Schizophrenic patients: ??.? %; controls - ??.? % 34
LOG ODDS RATIO: +?.?? | ||
Prevalence: Schizophrenic patients: 20 %; controls - 3.8 % 24,25
LOG ODDS RATIO: +1.84 | ||
Prevalence: Schizophrenic patients: 2.0 %; controls - 0 % 5
LOG ODDS RATIO: +3.01 | ||
Prevalence: Schizophrenic patients: ? %; controls - ? % 21-23
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients: ??.? %; controls - ??.? % 32
LOG ODDS RATIO: +?.?? | ||
Prevalence: Schizophrenic patients: 21.6 %; controls - 1.8 % 31
LOG ODDS RATIO: +2.72 | ||
Prevalence: Schizophrenic patients: 10.5 %; controls - 0.5 % 30 (results summarized from 8 studies!)
LOG ODDS RATIO: +3.15 | ||
Prevalence: Schizophrenic patients: 8.0 %; controls - 2.8 % 30 (results summarized from 8 studies!)
LOG ODDS RATIO: +1.10 | ||
Prevalence: Schizophrenic patients: 48-96 %; controls - 34-62 % 5,7
LOG ODDS RATIO: +1.02 | ||
Prevalence: Schizophrenic patients: 40 %; controls: 0 % 7
LOG ODDS RATIO: +4.22 | ||
Prevalence: Schizophrenic patients: ? %; controls - ? % 6
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients: 3 %; controls - 0 % 17
LOG ODDS RATIO: +1.86 | ||
Prevalence: Schizophrenic patients - 42.4 %; controls - 21.7 % 5
LOG ODDS RATIO: +0.98 | ||
Prevalence: Schizophrenic patients - ? %; controls - ? % 6
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients: 52.9 %; controls: 12.0 % (source: handresearch.com)
LOG ODDS RATIO: +2.11 | ||
Prevalence: Schizophrenic patients: 80 %; controls - 20 % 7
LOG ODDS RATIO: +2.77 | ||
Prevalence: Schizophrenic patients: 15.1-20.0 %; controls - 0-10.0 % 5-7
LOG ODDS RATIO: +1.40 (average) | ||
Prevalence: Schizophrenic patients: 2.6-4.5 %; controls - 0-2.2 % 4,5
LOG ODDS RATIO: +1.19 (average) | ||
Prevalence: Schizophrenic patients: ? %; controls - ? % 4
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients: 33.1 %; controls - 10.8 % 5,18-20
LOG ODDS RATIO: +1.41 | ||
Prevalence (including borderline cases): Schizophrenic patients: 78.9 %; controls: 35.7 % 33
LOG ODDS RATIO: +1.69 | ||
Prevalence: Schizophrenic patients: 68 %; controls - 41 % 17
LOG ODDS RATIO: +1.12 | ||
Prevalence: Schizophrenic patients: 13.4 %; controls - 5.0-10.0 % 5
LOG ODDS RATIO: +0.65 (average) | ||
Prevalence: Schizophrenic patients: 44.5 %; controls - 12.5 % 5
LOG ODDS RATIO: +1.72 | ||
Prevalence: Schizophrenic patients: 20-70 %; controls - 3-7 % 26
LOG ODDS RATIO: +2.74 (average) | ||
Prevalence: Schizophrenic patients: ? %; controls - ? % 5
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients: 18.8 %; controls - 2.0 % 5
LOG ODDS RATIO: +2.43 | ||
Prevalence: Schizophrenic patients: 15 %; controls - 3 % 17
LOG ODDS RATIO: +1.74 | ||
Prevalence: Schizophrenic patients: 24.0 %; controls: 14.9 % 33
LOG ODDS RATIO: +0.62 | ||
Prevalence: Schizophrenic patients: ? %; controls - ? % 15,27-29
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients: 6.6 %; controls - 1.5 % 10
LOG ODDS RATIO: +1.53 | ||
Prevalence: Schizophrenic patients: 10.5-22.65 %; controls - 6.5-7.3 % 1,2,11
LOG ODDS RATIO: +0.99 (average) | ||
Prevalence: Schizophrenic patients: 15.9 %; controls - 7.7 % 1,12,13
LOG ODDS RATIO: +0.82 | ||
Prevalence: Schizophrenic patients: 15.9 %; controls - 7.7 % 1
LOG ODDS RATIO: +0.82 | ||
Prevalence: Schizophrenic patients: 19.8 %; controls - 8.3 % 1
LOG ODDS RATIO: +1.00 | ||
Prevalence: Schizophrenic patients: 19.8 %; controls - 8.3 % 1
LOG ODDS RATIO: +1.00 | ||
Prevalence: Schizophrenic patients - ? %; controls - ? % 6
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients - 1.5 %; controls - 0.5 % 1
LOG ODDS RATIO: +1.11 | ||
Prevalence: Schizophrenic patients - ? %; controls - ? % 14-16
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients: 10.0-53.0 %; controls - 1.2-7.9 % 1-5
LOG ODDS RATIO: +2.27 (average) | ||
Prevalence: Schizophrenic patients: 15.0 %; controls - 1.5 % 1-3
LOG ODDS RATIO: +2.45 | ||
Prevalence: Schizophrenic patients: 24.0 %; controls: 14.9 % 33
LOG ODDS RATIO: +1.02 | ||
Prevalence: Schizophrenic patients - 26.9 %; controls - 19.0 % 5,6
LOG ODDS RATIO: +0.45 | ||
Prevalence: Schizophrenic patients - ? %; controls - ? % 6
LOG ODDS RATIO: ? (unknown) | ||
Prevalence: Schizophrenic patients - 30.7 %; controls - 6.7 % 7
LOG ODDS RATIO: +1.82 | ||
Prevalence: Schizophrenic patients - 15.0-40.0 %; controls - 0-2.5 % 7-9
LOG ODDS RATIO: +3.40 (average) | ||
Prevalence: Schizophrenic patients - 7.3-95.3 %; controls - 0-18.8 % 7
LOG ODDS RATIO: +2.32 (average) | ||
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