Journal article
Three-dimensional shoulder complex kinematics in individuals with upper extremity impairment from chronic stroke
Disability and rehabilitation, v 34(5), pp 402-407
2012
PMID: 22351959
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To evaluate shoulder complex kinematics in persons with chronic upper extremity (UE) impairments due to stroke and determine if kinematics predicts motor function based on the Fugl-Meyer Motor Assessment (FMA).
Sixteen stroke survivors with chronic UE impairments (age range = 46-80 years, male = 8, female = 8, mean (SD) 66 (40) months post-stroke) performed the UE portion of the FMA with the shoulder/elbow subscale (FM_se) documented. Three-dimensional kinematics of the shoulder complex was collected with the Motion Monitor™ (Innsport, Chicago, IL, USA). Participants performed three repetitions of arm elevation in the frontal, sagittal and self-selected planes. The third repetition was analyzed. Scapular and humeral kinematics were calculated in the self-selected plane. Scapulohumeral rhythm was analyzed at peak elevation. Backward stepwise regression analysis predicted kinematic contributions to the FM_se.
Mean (SD) FM_se score was 25.3 1(10.9). Peak humeral elevation ranged from 45.6° to 129.2° (median 106.7°). Scapulohumeral rhythm was 4.1:1 when humeral elevation ranged from 45° to 50°, 1.5:1 from 80° to 95° and 2.1:1 from 105° to 130°. Humeral elevation, scapular upward rotation and scapular internal rotation predicted 65.4% of FM_se score variability.
Persons with chronic UE impairments from stroke demonstrated reduced peak elevation and altered scapulohumeral rhythm. Three predictors of the FM_se were humeral elevation, scapular upward rotation and scapular internal rotation.
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Details
- Title
- Three-dimensional shoulder complex kinematics in individuals with upper extremity impairment from chronic stroke
- Creators
- Peter J Rundquist - University of IndianapolisMichelle Dumit - University of IndianapolisJeannie Hartley - University of IndianapolisKendall Schultz - University of IndianapolisMargaret A Finley - University of Indianapolis
- Publication Details
- Disability and rehabilitation, v 34(5), pp 402-407
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University; Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000299085700004
- Scopus ID
- 2-s2.0-84855932590
- Other Identifier
- 991019520540504721
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- Web of Science research areas
- Rehabilitation