Range of Motion Requirements for Upper-Limb Activities of Daily Living

Range of Motion Requirements for Upper-Limb Activities of Daily Living
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DOI:
10.5014/ajot.2016.015487
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发表时间:
2016-01-01
影响因子:
2.9
通讯作者:
Resnik, Linda
Resnik, Linda
中科院分区:
医学4区
文献类型:
--
作者:
Gates, Deanna H.;Walters, Lisa Smurr;Resnik, Linda

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OBJECTIVE.我们对健康受试者的8种上肢日常生活活动(ADL)所需的运动范围(ROM)进行了量化。15名右利手参与者完成了几个双手和单方面的基本ADL,同时使用运动捕捉系统监测关节运动学。每项任务的骨盆、躯干、肩、肘和腕的峰值运动都被量化。为了完成所有测试活动,参与者需要肱骨平面角的最小ROM为-65度/0度/105度(水平外展内收),肱骨抬高0度-108度,肱骨旋转-55度/0度/79度,肘屈曲0度-121度,前臂旋转-53度/0度/13度,腕关节屈曲伸展-40度/0度/38度,腕关节尺桡骨偏斜-28度/0度/38度。躯干活动度峰值为倾斜23 °、轴向旋转32 °和屈伸59 °。计算了几种ADL的全上肢运动学。这种方法可以在未来的研究中作为开发上肢运动规范数据库和评估人群病理学的基础。
OBJECTIVE. We quantified the range of motion (ROM) required for eight upper-extremity activities of daily living (ADLs) in healthy participants.METHOD. Fifteen right-handed participants completed several bimanual and unilateral basic ADLs while joint kinematics were monitored using a motion capture system. Peak motions of the pelvis, trunk, shoulder, elbow, and wrist were quantified for each task.RESULTS. To complete all activities tested, participants needed a minimum ROM of -65 degrees/0 degrees/105 degrees for humeral plane angle (horizontal abduction adduction), 0 degrees-108 degrees for humeral elevation, -55 degrees/0 degrees/79 degrees for humeral rotation, 0 degrees-121 degrees for elbow flexion, -53 degrees/0 degrees/13 degrees for forearm rotation, -40 degrees/0 degrees/38 degrees for wrist flexion extension, and -28 degrees/0 degrees/38 degrees for wrist ulnar radial deviation. Peak trunk ROM was 23 degrees lean, 32 degrees axial rotation, and 59 degrees flexion-extension.CONCLUSION. Full upper-limb kinematics were calculated for several ADLs. This methodology can be used in future studies as a basis for developing normative databases of upper-extremity motions and evaluating pathology in populations.