Deanna H Gates1, Lisa Smurr Walters2, Jeffrey Cowley3, Jason M Wilken4, Linda Resnik5. 1. Deanna H. Gates, PhD, is Assistant Professor, School of Kinesiology, University of Michigan, Ann Arbor; gatesd@umich.edu. 2. Lisa Smurr Walters, OTR, CHT, is Occupational Therapist, Center for the Intrepid, Department of Orthopaedics and Rehabilitation, San Antonio Military Medical Center, Ft. Sam Houston, TX. 3. Jeffrey Cowley, MS, is Graduate Student, School of Kinesiology, University of Michigan, Ann Arbor. 4. Jason M. Wilken, PT, PhD, is Director, Military Performance Laboratory, Center for the Intrepid, Department of Orthopaedics and Rehabilitation, San Antonio Military Medical Center, Ft. Sam Houston, TX. 5. Linda Resnik, PT, PhD, is Research Career Scientist, Providence VA, and Professor (Research), Health Services, Policy and Practice, Brown University, Providence, RI.
Abstract
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°/0°/105° for humeral plane angle (horizontal abduction-adduction), 0°-108° for humeral elevation, -55°/0°/79° for humeral rotation, 0°-121° for elbow flexion, -53°/0°/13° for forearm rotation, -40°/0°/38° for wrist flexion-extension, and -28°/0°/38° for wrist ulnar-radial deviation. Peak trunk ROM was 23° lean, 32° axial rotation, and 59° 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.
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°/0°/105° for humeral plane angle (horizontal abduction-adduction), 0°-108° for humeral elevation, -55°/0°/79° for humeral rotation, 0°-121° for elbow flexion, -53°/0°/13° for forearm rotation, -40°/0°/38° for wrist flexion-extension, and -28°/0°/38° for wrist ulnar-radial deviation. Peak trunk ROM was 23° lean, 32° axial rotation, and 59° 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.
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