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Why the final scene works so well, and leaves such a sense of terror, is as follows:-
The hand doesn't shoot out of the rubble to an accompanying crash in the soundtrack and the quickfire in-your-face edits modern filmakers are so fond of. Instead it is a subtle revealation, and the ensuing "scream" by the surviving girl as she wakes from her dream is very disturbing - the kind of raw, desperate scream they perfected in the 70s and have forgotten how to do today.
The musical loop that kicks in here is also very simple, but off balance and suggestive - it also goes on for about four or five times too many for comfort, adding to the clammy terror.
When it suddenly stops, the credits slowly roll to a calm, peaceful soundtrack - messing with the viewer once again and leaving them shaken.
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