Requirements for upper extremity motions during activities of daily living
Requirements for upper extremity motions during activities of daily living
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DOI：
10.1016/j.clinbiomech.2005.02.006
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发表时间：
2005-07-01
影响因子：
1.8
通讯作者：
van der Helm, FCT
中科院分区：
文献类型：
--
作者：
Magermans, DJ;Chadwick, EKJ;van der Helm, FCT
背景内假体植入后，尽管疼痛得到缓解，但上肢功能仍然有限。上肢运动学可以提供肩关节成形术后的功能。与选择日常生活活动相关的活动范围数据可以帮助临床医生评估肩肘关节置换术的结果。对24名健康女性受试者在进行8项活动范围任务和5项日常生活活动时，用电磁跟踪装置测量肩肘运动。测量肩、肘关节角度。已经获得了具有上肢关节角度的数据集。大盂肱关节旋转被发现的任务，需要高仰角。肱骨的大轴向旋转被发现用于两种日常生活任务的活动：会阴护理任务和梳头任务。在以下任务中可以看到较大的肘关节屈曲：梳头、洗腋窝和用勺子吃饭。这项研究显示了一个合适的方法来描述运动和日常生活活动的范围，并可以作为一个起点，用于开发一个数据库的日常生活活动是如何在一个更大的人口进行，哪些关节角度需要执行这些tasks.Results可用于识别肩关节损伤患者上肢功能的限制。(c)2005爱思唯尔有限公司保留所有权利。
Background. Functioning of the upper extremity after implantation of an endoprosthesis remains limited despite the achieved pain relief. Upper extremity kinematics can give insight into function after shoulder arthroplasty. Data on ranges of motion related to the performance of a selection of activities of daily living can aid the clinician in evaluating the outcome of the shoulder and elbow arthroplasties.Methods. Cross-sectional descriptive study of range of motion and activities of daily living kinematics, conducted on non-impaired subjects.The shoulder and elbow motions of 24 healthy female subjects are measured with an electromagnetic tracking device while performing 8 range of motion tasks and five activities of daily living. The angles of shoulder and elbow are calculated during these tasks.Results. A data set with upper extremity joint angles has been obtained. Large glenohumeral rotations are found for the tasks that require high elevation angles. Large axial rotations of the humerus are found for two of the activities of daily living tasks: the perineal care task and the hair-combing task. Large elbow flexions were seen in the following tasks: combing hair, washing the axilla and eating with a spoon.Interpretation. This study shows a suitable method to describe range of motion and activities of daily living and can serve as a starting point for developing a database on how activities of daily living are performed in a larger population and which joint angles are required to perform these tasks.Results can be used to identify restrictions in upper extremity functioning in patients with shoulder impairments. (c) 2005 Elsevier Ltd. All rights reserved.