Range of Motion in Older Women

Kalscheur, Jean A.; Emery, Lynnda J.; Costello, Patricia S.

doi:10.1300/j148v16n01_06

Cited by 4 publications

(9 citation statements)

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“…In similar studies, decreases in shoulder ROM with increasing age have also been reported (Clarke et al 1975, Kalscheur et al 1999, whereas others have not found significant age-related changes. For example, the study conducted by Bell and Hoshizaki (1981) found significant age-related differences in shoulder ROM for both genders, whereas Walker et al (1984) reported that changes in ROM with age were statistically but not clinically significant because they fell within the accepted boundaries of potential goniometric measurement error.…”

Section: Previous Research On Shoulder Rom In Older Peoplementioning

confidence: 61%

“…In Boone and Azen' s (1979) study, variability in ROM explained by the age variable (R 2 ) was low, supporting the contention that other variables had an impact on the outcome. Furthermore, Kalscheur et al (1999) found a statistically significant reduction in shoulder abduction, internal rotation and external rotation with age, but the value for R 2 was as low as 18%. In two other studies (Desrosiers et al 1995, Fiebert et al 1995, the effects of gender, hand dominance, work history, current activity level and self-perceived health on shoulder ROM were considered.…”

Section: Other Factors Having An Impact On Rommentioning

confidence: 84%

“…Accurate normative data would allow therapists to determine the actual loss of mobility that a person might have at the shoulder joint by subtracting the measured joint motion from the values of normal shoulder ROM for people of different ages in the general population. A comparison of the two measures would provide differentiation between changes in function related to ageing and changes in function related to disease, illness or injury (Kalscheur et al 1999). Additionally, establishing normative data might provide evidence to support the current clinical opinion that ROM decreases with age (Germain and Blair 1983).…”

Section: Effect Of Age On Rommentioning

confidence: 95%

“…The impact of normal ageing on the musculoskeletal components of the shoulder complex provides further evidence to suggest that the norms set by the AAOS are not relevant for older people (Kalscheur et al 1999). Kalscheur et al (1999) stated that ROM generally decreases with age owing to changes in the musculoskeletal system, including loss of tissue elasticity and decreased muscle mass. This was supported by Fiebert et al (1995), who suggested that joint capsules, ligaments, muscles and tendons shortened as part of normal ageing, causing decreased ROM.…”

Section: Effect Of Age On Rommentioning

confidence: 99%

“…With increasing age, people are less likely to participate as fully or as often in physical activities apart from self-care or household management tasks. It is probable that this limited daily use of shoulder flexion and abduction at end range, together with age-related musculoskeletal changes (Kalscheur et al 1999), limits available ROM.…”

Section: A Study Bymentioning

confidence: 99%

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Active and Passive Shoulder Range of Motion in Healthy Older People

McIntosh¹,

McKenna²,

Gustafsson³

2003

British Journal of Occupational Therapy

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This study was conducted to determine the effect of increasing age on four shoulder movements and to explore the need for normative data for shoulder range of motion (ROM) in people aged 50 years and older. Forty-one participants were conveniently recruited according to four age categories: 50–59 years, 60–69 years, 70–79 years and 80 years and over. Goniometric measurement of bilateral active and passive ROM for flexion, abduction, internal rotation and external rotation was analysed using paired sample t-tests and compared with the norms of the American Academy of Orthopaedic Surgeons (AAOS) using one sample t-tests. Passive ROM was greater than active ROM for all movements (p<0.001). Active and passive ROM were significantly (p<0.01) lower than the AAOS norms, except for passive external rotation (p = 0.07). The General Linear Model procedure was used to determine the effect of age, gender, activity level, work history and body mass index on active ROM. The results showed that age (p = 0.001) and work history (p = 0.012) significantly influenced flexion, work history (p = 0.008) significantly influenced abduction and gender (p = 0.018) significantly influenced internal rotation. None of the independent variables influenced active external rotation. Preliminary normative data are presented as percentiles by age and work history for clinical reference. Comparing patients' ROM measurements with age-related and activity-related norms will assist occupational therapists in establishing realistic goals during rehabilitation.

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Section: Previous Research On Shoulder Rom In Older Peoplementioning

confidence: 61%

Section: Other Factors Having An Impact On Rommentioning

confidence: 84%

Section: Effect Of Age On Rommentioning

confidence: 95%

Section: Effect Of Age On Rommentioning

confidence: 99%

Section: A Study Bymentioning

confidence: 99%

See 3 more Smart Citations

Active and Passive Shoulder Range of Motion in Healthy Older People

McIntosh¹,

McKenna²,

Gustafsson³

2003

British Journal of Occupational Therapy

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Gender Differences in Range of Motion in Older Adults

Kalscheur

Costello

Emery

2004

Physical & Occupational Therapy In Geriatrics

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Shoulder Joint Range of Motion in Healthy Adults Aged 20 to 49 Years

Gill¹,

Gustafsson²,

Hawcroft³

et al. 2006

British Journal of Occupational Therapy

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Studies of adults aged 50 years and older have shown that shoulder range of motion (ROM) is significantly less than the norms reported by the American Academy of Orthopaedic Surgeons (AAOS) and decreases with age. However, there has been little investigation of the shoulder ROM of younger adults. The aims of this study were to measure the ROM of healthy younger Australian adults aged 20 to 49 years to (1) pool with data on healthy older Australian adults aged 50 years and older from the study by McIntosh et al (2003) to provide shoulder ROM values across the adult life span; (2) compare their shoulder ROM with AAOS norms; and (3) determine the effect of background factors (age, gender, body mass index [BMI] and current activity level) on active shoulder ROM. Goniometric measurement of bilateral passive and active shoulder flexion, abduction, internal rotation and external rotation of 72 participants was compared with the AAOS norms using one-sample t-tests. The effect of the background factors on shoulder ROM was analysed using univariate General Linear Models. Significantly lower active and passive ROM (p≤0.001) for all movements compared with AAOS norms was found. Active shoulder flexion, abduction and internal rotation were not significantly affected by any of the background factors. Decreased active external rotation was found for males (p = 0.020) and for older (p = 0.048) and less active (p = 0.048) participants. This study highlights the inaccuracies of the AAOS norms for younger adults aged 20 to 49 years and shows that age, gender, BMI and current activity level do not consistently have an impact on active shoulder ROM in this age group. The relevance of the AAOS norms to other joints needs investigation.

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Range of Motion in Older Women

Cited by 4 publications

References 0 publications

Active and Passive Shoulder Range of Motion in Healthy Older People

Active and Passive Shoulder Range of Motion in Healthy Older People

Gender Differences in Range of Motion in Older Adults

Shoulder Joint Range of Motion in Healthy Adults Aged 20 to 49 Years

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