The use of kinematic and parametric information to highlight lack of movement and compensation in the upper extremities during activities of daily living
The use of kinematic and parametric information to highlight lack of movement and compensation in the upper extremities during activities of daily living
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DOI：
10.1016/j.gaitpost.2009.11.007
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发表时间：
2010-03-01
期刊：
影响因子：
2.4
通讯作者：
Barnhill, Tom
中科院分区：
文献类型：
--
作者：
Murgia, Alessio;Kyberd, Peter;Barnhill, Tom
上肢运动学和步态分析的研究中常见的一个问题是将运动学测量的证据转化为关于患者状态的易于解释的信息，例如补偿量或缺乏运动。在这项研究中，可以帮助快速和清晰地识别有限的手腕运动和补偿的参数来自运动学数据。一组6名受试者（A组）无手损伤，平均年龄32.5岁SD 10.7岁，另一组5名受试者（B组），平均年龄34.2岁SD 16.8岁，患有桡骨远端骨折，在日常生活的循环活动期间进行测试。活动模拟翻页。胸部，肩部，肘部和手腕的角度进行了测量，在这项任务中使用的运动捕捉系统。B组的主动活动范围（AROM）普遍低于A组，尤其是肘关节旋后和腕关节运动，B组的腕关节屈曲/伸展在统计学上更小（P = 0.02）。考虑到腕部缺乏运动以及肩部抬高、旋转和肘部旋前/旋后补偿的其他参数被证明在识别标准范围之外的B组受试者方面更有用，并且可以为临床医生提供快速有效的工具，可以缩短分析过程并帮助做出更明智的治疗决定。(C)2009 Elsevier B. V.保留所有权利。
A problem that is common to the study of upper limb kinematics and gait analysis is the translation of the evidence from kinematic measurements into easily interpretable information on the status of the patient, such as the amount of compensation or lack of motion. In this study parameters that can be helpful in the rapid and clear identification of limited wrist motion and compensation were derived from kinematic data. A group of six subjects (group A) with no hand impairment, average age 32.5 ys SD 10.7 ys, and another group of five subjects (group B), average age 34.2 ys SD 16.8 ys, having suffered from distal radius fracture were tested during a cyclic activity of daily living. The activity simulated page turning. Thorax, shoulder, elbow and wrist angles were measured during this task using a motion capture system. Corresponding angle ranges were also calculated.The active range of motion (AROM) found for Group B was generally lower than that of Group A, particularly for elbow supination and wrist movements, with wrist flexion/extension statistically smaller for group B (P = 0.02). Additional parameters that took into account lack of movements at the wrist and compensation from shoulder elevation, rotation and elbow pronation/supination proved to be more useful at identifying those subjects of group B outside the normative range and can provide clinicians with a rapid and efficient tool that can shorten the analysis process and help make more informed decisions on therapeutic treatments. (C) 2009 Elsevier B.V. All rights reserved.