Upper limb joint mobility ranges during activities of daily living determined by three-dimensional motion analysis
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2007, Vol 9, Issue 4
Abstract
Background. Analysis of hand therapy programmes used in various hand therapy centres shows that the programmes primarily aim to restore a maximum range of motion, although basic activities of daily living do not often require full joint mobility. This report of our investigations, which commenced in 2003, presents the results of an evaluation of the range of motion in the joints of the upper limb, including both proximal and hand joints, during selected daily activities. Material and method. Right-handed students of physical therapy were examined using a three-dimensional motion analysis system in the Biokinetics Laboratory of the Division of Biomechanics at the University of Physical Education in Kraków. Spatial registration of movement focused on three daily activities that primarily involve the upper limb, namely, natural movements associated with combing, closing a zip fastener and answering a telephone call. Angular changes in the joints recorded in three movement planes were used as analysis inputs.Results. The range of motion in the analysed joints during daily activities never reached the respective maximal values, usually centring around the middle point of the ranges. Conclusions. Mobility ranges in the proximal joints are wider than those in the joints of the hand. Three-dimensional motion analysis is a very useful tool for the measurement, registration and analysis of joint mobility during activities of daily living.
Authors and Affiliations
Marek Pieniążek , Wiesław Chwała , Jakub Szczechowicz , Maria Pelczar – Pieniążek
Keywords
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