Kinematic analysis of the upper limb: a useful tool in children with cerebral palsy

Fitoussi, F.; Diop, Amadou Gallo; Maurel, Nathalie; Laassel, E.M.; Penneçot, Georges-François

doi:10.1097/01202412-200607000-00003

Cited by 48 publications

(58 citation statements)

References 16 publications

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“…Upper limbs kinematics have been widely studied in healthy and pathologic children during functional movement (10-23) but few of them focused on children with obstetrical brachial plexus palsy (13,14,23). To our knowledge, this is the first study that quantifies the 3D scapulothoracic, scapulohumeral and elbow joints mobility during the Mallet score functional…”

Section: Discussionmentioning

confidence: 99%

“…The fixation was reinforced by adhesive tape above the sensors. Anatomical frames were defined for trunk, humerus and forearm as previously described (23,24). For the scapula, the anatomical frame was defined using the Trigonum Spinae Scapulae (TS), the Angulus Inferior (AI), Angulus Acromialis (AA) and according to ISB recommendations (19).…”

Section: Kinematic Analysismentioning

confidence: 99%

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Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy

Herisson

Maurel

Diop

et al. 2017

Clinical Biomechanics

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Abstract:Background: The physical signs of obstetrical brachial plexus palsy range from temporary upper-limb dysfunction to a lifelong impairment and deformity in one arm. The aim of this study was to analyze the kinematics of the upper limb and to evaluate the contribution of glenohumeral and scapulothoracic joints of obstetrical brachial plexus palsy children.Methods: Six children participated in this study: 2 males and 4 females with a mean age of 11.7 years. Three patients had a C5, C6 lesion and 3 had a C5, C6, C7 lesion. They were asked to perform the five tasks based on the Mallet scale and the kinematic data were collected using the Fastrak electromagnetic tracking device. ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P T 2Findings: The scapulothoracic protraction and posterior tilt were significantly increased in the involved limb during the tasks Hand to mouth (p=0.006 and p=0.015 respectively). he scapulothoracic Protraction/glenohumeral Elevation ratio was significantly increased in the involved limb during the hand to neck task (p=0.041) and the elevation task (p=0.015). The ratios of scapulothoracic Tilt on the three glenohumeral excursion angles were significantly increased during the hand to mouth task (p≤0.041). The scapulothoracic Mediolateral/glenohumeral Elevation ratio was significantly increased in the involved limb during the elevation task (p=0.038). The glenohumeral elevation excursion was significantly decreased in the involved limb during the hand to neck task (p<0.001) and the elevation task (p=0.0003).Interpretation: This study gives us information about the greater contribution of the scapulothoracic joint to shoulder motion for affected arm of obstetrical brachial plexus palsy patients compared to their unaffected arm. Kinematic analysis could be useful in shoulder motion evaluation during the Mallet score and to evaluate outcomes after surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Kinematic Analysismentioning

confidence: 99%

Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy

Herisson

Maurel

Diop

et al. 2017

Clinical Biomechanics

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“…2b). This metric was computed during functional movements (Ellis et al, 2008;Jaspers et al, 2011;Ronnqvist and Rosblad, 2007) and complete ADL (Aizawa et al, 2010;de los Reyes-Guzmán et al, 2010;Fitoussi et al, 2006;Kim et al, 2014;Murgia et al, 2010;Murphy et al, 2006Murphy et al, , 2011Namdari et al, 2012;Petuskey et al, 2007;Van Andel et al, 2008). This metric was expressed in degrees.…”

Section: Neuromuscular Capability (Functional Range Of Motion)mentioning

confidence: 99%

Quantitative assessment based on kinematic measures of functional impairments during upper extremity movements: A review

Reyes-Guzmán¹,

Dimbwadyo-Terrer²,

Trincado-Alonso³

et al. 2014

Clinical Biomechanics

161

154

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Background: Quantitative measures of human movement quality are important for discriminating healthy and pathological conditions and for expressing the outcomes and clinically important changes in subjects' functional state. However the most frequently used instruments for the upper extremity functional assessment are clinical scales, that previously have been standardized and validated, but have a high subjective component depending on the observer who scores the test. But they are not enough to assess motor strategies used during movements, and their use in combination with other more objective measures is necessary. The objective of the present review is to provide an overview on objective metrics found in literature with the aim of quantifying the upper extremity performance during functional tasks, regardless of the equipment or system used for registering kinematic data. Methods: A search in Medline, Google Scholar and IEEE Xplore databases was performed following a combination of a series of keywords. The full scientific papers that fulfilled the inclusion criteria were included in the review. Findings: A set of kinematic metrics was found in literature in relation to joint displacements, analysis of hand trajectories and velocity profiles. These metrics were classified into different categories according to the movement characteristic that was being measured. Interpretation: These kinematic metrics provide the starting point for a proposed objective metrics for the functional assessment of the upper extremity in people with movement disorders as a consequence of neurological injuries. Potential areas of future and further research are presented in the Discussion section.

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“…We postulated that the Culmer et al 25 tasks could be adapted for children with CP and produce similar kinematic measures as previous laboratory based studies 2,3,20 . We This feasibility study was designed to: (i) test the capability of CPKAT to capture high quality kinematic data in a non-laboratory setting; (ii) compare the findings to previous kinematic evaluations in the CP population; (iii) investigate whether CPKAT could detect differences between the impaired and unimpaired arms of children with unilateral CP.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, kinematic evaluation can improve planning for more appropriately-targeted treatments 2,19,20 (e.g. by analyzing compensatory movement strategies and considering the kinematics within the context of surgery or pharmaceutical anti-spasticity treatment 19 ).…”

Section: Introductionmentioning

confidence: 99%

The Cerebral Palsy Kinematic Assessment Tool (CPKAT): feasibility testing of a new portable tool for the objective evaluation of upper limb kinematics in children with cerebral palsy in the non-laboratory setting

Preston

Weightman

Culmer

et al. 2014

Disability and Rehabilitation: Assistive Technology

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Kinematic analysis of the upper limb: a useful tool in children with cerebral palsy

Cited by 48 publications

References 16 publications

Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy

Shoulder and elbow kinematics during the Mallet score in obstetrical brachial plexus palsy

Quantitative assessment based on kinematic measures of functional impairments during upper extremity movements: A review

The Cerebral Palsy Kinematic Assessment Tool (CPKAT): feasibility testing of a new portable tool for the objective evaluation of upper limb kinematics in children with cerebral palsy in the non-laboratory setting

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