scholarly journals Three-Dimensional Joint Range of Motion Measurements from Skeletal Coordinate Data

1993 ◽  
Vol 18 (6) ◽  
pp. 687-691 ◽  
Author(s):  
Shun-Hwa Wei ◽  
Kevin J. McQuade ◽  
Gary L. Smidt
2019 ◽  
Vol 47 (6) ◽  
pp. 1434-1440 ◽  
Author(s):  
Dayana P. Rosa ◽  
Paula R. Camargo ◽  
John D. Borstad

Background: Altered glenohumeral joint range of motion can be caused by increased humeral retroversion (HR) and/or posterior capsule tightness (PCT). To make informed clinical decisions, it is vital to understand how HR and PCT alterations, individually and in combination, affect joint range of motion measurements. Purpose: To evaluate the effect of experimental tissue alterations on clinical range of motion measures. Study Design: Controlled laboratory study. Methods: Five clinical measurements were quantified in 8 fresh-frozen cadavers under 4 experimentally created conditions: baseline (no alterations), HR condition (20° increase in HR by transecting the bone), PCT condition (20% decrease in length via thermal energy), and PCT + HR combined. Clinical measurements included bicipital forearm angle, low flexion, glenohumeral internal and external rotation, and horizontal adduction. All measurements were taken by the same blinded tester. Separate 1-factor repeated measures analyses of variance were used to evaluate the effect of the alterations on each clinical measurement. Results: There was a significant main effect of condition for bicipital forearm angle ( P = .02, F = 4.03), low flexion ( P = .02, F = 3.86), internal rotation ( P = .03, F = 3.65), and external rotation ( P < .001, F = 15.15) but not for horizontal adduction ( P = .29, F = 1.33). The HR condition resulted in a decreased bicipital forearm angle of 16.1° and 15.8° as compared with the PCT and PCT + HR conditions, respectively. When compared with baseline, the PCT + HR condition decreased the low flexion test by 13.5°, and the HR condition decreased internal rotation range of motion by 14.2°. All conditions increased external rotation when compared with baseline. Conclusion: Greater measurement changes were noted in both HR conditions, suggesting that bony alterations influence motion to a greater extent than posterior capsule alterations. Clinical Relevance: Clinicians should be aware that humeral retroversion will influence the measurement of posterior shoulder tightness.


Author(s):  
Fatih Bağcıer ◽  
Ozan Volkan Yurdakul ◽  
Gamze Deniz ◽  
Ahmet Akbulut ◽  
Yusuf Çelik

Aim: To evaluate the effect of adding dry needling treatment to conventional rehabilitation on pain, range of motion, and functionality on hemiplegic shoulder pain. Methods: A total of 38 patients with hemiplegic shoulder pain were divided into two groups. A multimodal rehabilitation protocol including physical therapy methods and exercise treatments was applied to both groups (5 sessions per week for a total of 15 sessions). In addition to the rehabilitation, three sessions of dry needling treatment were applied for dry needling group. Pain with visual analog scale, range of motion with a goniometer, functionality was evaluated by quick disability of the arm, shoulder, and hand and fugl meyer assessment upper extremity. Evaluations were made before treatment, after treatment, and at the third month of treatment. Results: Patients aged from 30-60 years (mean±SD=53.1± 5.3). The average duration of HSP was 6.7±1 months. While a significant improvement was observed in both groups in all parameters after the treatment, a statistical superiority was found in the dry needling group (p<0.05). At the 3rd month follow-up, there was no difference in pain and functionality parameters between the groups, while flexion and abduction measurements were higher in the dry needling group (p <0.05). Conclusion: Adding dry needling treatment to conventional rehabilitation did not show any difference except for some joint range of motion measurements in the subacute period.


2005 ◽  
Vol 95 (6) ◽  
pp. 564-572 ◽  
Author(s):  
RobRoy L. Martin ◽  
Thomas G. McPoil

This article reviews the existing range-of-motion measurement literature related to ankle dorsiflexion and plantarflexion to determine whether the reliability of ankle range-of-motion measurements can be defined, how the characteristics of the study population or clinician affect reliability, and the level of responsiveness for these measures. A MEDLINE search was performed through February 2004, and 11 articles met the inclusion criteria established for this review. Ample evidence was found for intrarater reliability for ankle dorsiflexion and plantarflexion range of motion. Although some evidence for interrater reliability of dorsiflexion was found, little evidence for interrater reliability of plantarflexion range of motion was uncovered. On the basis of the current literature, the responsiveness of ankle joint range-of-motion measurements is uncertain and requires further studies using patient populations. (J Am Podiatr Med Assoc 95(6): 564–572, 2005)


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