“…Furthermore, atrophy of these muscles alerts clinicians to medical diseases such as leprosy, poliomyelitis, Guillain–Barre syndrome, amyotrophic lateral sclerosis, rheumatoid arthritis, hand-arm vibration syndrome, and diabetes (Videler, Beelen, Aufdemkampe, de Groot, & Van Leemputte, 2002; Vinci, Esposito, Perelli, Antenor, & Thomas, 2003). A few researchers have reported that increased IHMS improves the functional status of the patient and recommended that the method/device used for evaluation of IHMS should be accurate and reliable (Cortez et al, 2011; Hsu, Tang, & Jan, 2000). In clinical practice, IHMS is frequently assessed by the Medical Research Council (MRC) scale, Intrins-o-meter, and Rotterdam Intrinsic Hand Myometer (RIHM; Pataky, Savescu, Latash, & Zatsiorsky, 2007; Xu et al, 2010).…”