Journal article
Defining functional shoulder range of motion for activities of daily living
Journal of shoulder and elbow surgery, v 21(9), pp 1177-1183
01 Sep 2012
PMID: 22047785
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction: The range of motion (ROM) in the wrist and elbow required for daily activities has been reported to be less than the normal anatomic ROM. This functional ROM has not been defined for the shoulder. Many shoulder outcome assessment tools use specific functional tasks of daily living to score functional results of treatment. This study quantified the total shoulder ROM required to perform the functional tasks of the American Shoulder and Elbow Surgeon (ASES), Simple Shoulder Test (SST), and University of Pennsylvania (U-Penn) Shoulder Score (PSS).
Materials and methods: The FASTRAK electromagnetic tracking system (Colchester, VT, USA) was used to test 40 shoulders in 20 volunteers with no shoulder pathology found on physical examination. Three sensors were used: 1 each on the T3 spinous process, the scapular spine, and the arm over the distal humerus. Subjects performed each functional task of the ASES, SST, and PSS while flexion, extension, abduction, adduction, external rotation, and internal rotation were recorded.
Results: Average shoulder motions required to perform the 10 functional tasks were flexion, 121 degrees +/- 6.7 degrees; extension, 46 degrees +/- 5.3 degrees; abduction, 128 degrees +/- 7.9 degrees; cross-body adduction, 116 degrees +/- 9.1 degrees; external rotation with the arm 90 degrees abducted, 59 degrees +/- 10 degrees; and internal rotation with the arm at the side, 102 degrees +/- 7.7 degrees.
Conclusion: Although attaining full motion is a reasonable goal of all shoulder treatment, our results indicate that less ROM is required to perform the functional tasks used in common outcome tools.
Level of evidence: Basic Science Study, Kinesiology Study. (C) 2012 Journal of Shoulder and Elbow Surgery Board of Trustees.
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Details
- Title
- Defining functional shoulder range of motion for activities of daily living
- Creators
- Surena Namdari - University of PennsylvaniaGautam Yagnik - DRMC Orthopaedics, DuBois, PA, USAD. David Ebaugh - Drexel UniversitySameer Nagda - Anderson Orthopaedic ClinicMatthew L. Ramsey - Rothman InstituteGerald R. Williams - Rothman InstituteSamir Mehta - University of Pennsylvania
- Publication Details
- Journal of shoulder and elbow surgery, v 21(9), pp 1177-1183
- Publisher
- Elsevier
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000307806100012
- Scopus ID
- 2-s2.0-84865105307
- Other Identifier
- 991019276220704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Sport Sciences
- Surgery