Scapulohumeral rhythm in shoulders with reverse shoulder arthroplasty measured with a new portable three-dimensional scapular kinematics assessment system

Reina, Micaela; Fiumana, G.; Mantovani, Matteo; D'Antonio, Lucio; Porcellini, Giuseppe

doi:10.1016/j.jse.2022.12.007

Cited by 6 publications

(13 citation statements)

References 23 publications

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“…Details of the selected papers are summarized in Table 1 and Table 2 . Only studies reporting quantitative results on scapular kinematics are included in Table 2 [ 36 , 37 , 38 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the included studies, ten articles used from three to five M-IMUs for unilateral upper limb monitoring [ 36 , 41 , 42 , 43 , 44 , 45 , 46 , 49 , 50 ], while only four authors used from five to seven for bilateral monitoring [ 37 , 38 , 47 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Moreover, in the study of Höglund et al, two different positioning techniques to track upper limb motion were evaluated and compared: a total of four M-IMUs were placed centred on the lateral and dorsal distal end of both the upper arm and forearm [ 20 ]. In all the reviewed articles, the thorax sensor was placed on the chest under the jugular notch [ 35 , 36 , 37 , 38 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 ]. Its role was crucial because data from scapular M-IMUs are used for tracking rotational and translational movements of the scapula with respect to the thorax M-IMUs [ 17 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the literature, two different positioning techniques were described for scapular M-IMUs ( Figure 2 ). The most common M-IMU positioning to track 3D scapular kinematics was to align the x-axis of the sensor with the cranial edge of the scapular spine [ 35 , 36 , 38 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ]. In particular, the scapula M-IMU was placed over the central third between the angulus acromialis (AA) and the trigonum spinae (TS) by palpating the scapular spine from the most lateral part of the acromion to the most medial aspect of the scapula [ 35 , 36 , 38 , 42 , 43 , 44 , 45 , 46 , 47 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…A bilateral configuration of wearable M-IMUs was used for evaluating 3D scapular rotations in 14 patients after primary reverse total shoulder arthroplasty [48]. The results showed a greater contribution of scapular movement in pathological shoulders than in the contralateral healthy shoulder (pathological vs. healthy side at 90 • -120 • of flexion (mean ± std): tilt, 28.9 • ± 7.5 • vs. 22.0 • ± 8.9 • ; MLR, 34.1 • ± 9.9 • vs. 31.4 • ± 13.0 • ; IER, −12.7 • ± 9.0 • vs. −8.7 • ± 8.6 • ) [48]. Similarly, for elevations in the frontal plane, these results showed how a greater ST contribution is essential to ensure the same level of humeral elevation [48].…”

Section: Application In a Clinical Scenariomentioning

confidence: 99%

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Monitoring Scapular Kinematics through Wearable Magneto-Inertial Measurement Units: State of the Art and New Frontiers

Antonacci,

Longo,

Nazarian

et al. 2023

Sensors

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Monitoring shoulder kinematics, including the scapular segment, is of great relevance in the orthopaedic field. Among wearable systems, magneto-inertial measurement units (M-IMUs) represent a valid alternative for applications in unstructured environments. The aim of this systematic literature review is to report and describe the existing methods to estimate 3D scapular movements through wearable systems integrating M-IMUs. A comprehensive search of PubMed, IEEE Xplore, and Web of Science was performed, and results were included up to May 2023. A total of 14 articles was included. The results showed high heterogeneity among studies regarding calibration procedures, tasks executed, and the population. Two different techniques were described, i.e., with the x-axis aligned with the cranial edge of the scapular spine or positioned on the flat surface of the acromion with the x-axis perpendicular to the scapular spine. Sensor placement affected the scapular motion and, also, the kinematic output. Further studies should be conducted to establish a universal protocol that reduces the variability among studies. Establishing a protocol that can be carried out without difficulty or pain by patients with shoulder musculoskeletal disorders could be of great clinical relevance for patients and clinicians to monitor 3D scapular kinematics in unstructured settings or during common clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Application In a Clinical Scenariomentioning

confidence: 99%

See 3 more Smart Citations

Monitoring Scapular Kinematics through Wearable Magneto-Inertial Measurement Units: State of the Art and New Frontiers

Antonacci,

Longo,

Nazarian

et al. 2023

Sensors

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Breaking the operator variability in Kibler’s scapular dyskinesis assessment

D’Antonio,

Fiumana,

Reina

et al. 2024

Musculoskelet Surg

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Introduction Alterations of scapular kinematics are generically reported as scapular dyskinesis (SD), and are a nonspecific response to various shoulder pathologies. The most widely used classification is Kibler’s (K), which is, however, characterized by poor sensitivity. To overcome this limit, using a 3D motion analysis system, we identified a specific pattern for each type of SD according to Kibler. Materials and methods We analyzed 34 patients with a total of 68 shoulders who came to our observation for shoulder pain. All patients underwent clinical examination, video-recording and motion analysis with SHoW Motion 3D kinematic tracking system (SM). Three independent observers classified SD into K types I, II and III. Only patients with concordant classification among the 3 operators were studied to identify a characteristic graphic pattern by type of SD. Results Typical patterns emerged from the examination with SM. K. type 1 consists of decreased or reversed posterior tilt and increased protraction in flexion–extension (FE) in early degrees of motion. K. type 2 consists of increased protraction and marked reversal of lateral rotation in abduction–adduction (Ab–Ad) in early degrees of movement. K. type 3 has been subdivided into two subgroups: K. type 3-A, composed of patients with massive rotator cuff lesions, shows an increase in all scapular movements in both FE and Ab–Ad. K. type 3-B, composed of patients with scapular stiffness and/or impingement, presents a slight increase in posterior tilt and lateral rotation in the final grades of FE and Ab–Ad. Conclusions The SM system allows reproducible dynamic analyses with low intra- and intra- operator variability. In our study, we demonstrated its applicability in the classification of SD. It also provides an objective and quantitative assessment of motor pattern alteration that is essential in the follow-up of patients to evaluate the effectiveness of rehabilitation and/or surgical treatment. Level of Evidence 3 According to "The Oxford 2011 Levels of Evidence".

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Kinematic stabilization after the Latarjet procedure: beyond the triple blocking effect

Galasso,

Mercurio,

Mancuso

et al. 2024

Journal of Shoulder and Elbow Surgery

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Scapulohumeral rhythm in shoulders with reverse shoulder arthroplasty measured with a new portable three-dimensional scapular kinematics assessment system

Cited by 6 publications

References 23 publications

Monitoring Scapular Kinematics through Wearable Magneto-Inertial Measurement Units: State of the Art and New Frontiers

Monitoring Scapular Kinematics through Wearable Magneto-Inertial Measurement Units: State of the Art and New Frontiers

Breaking the operator variability in Kibler’s scapular dyskinesis assessment

Kinematic stabilization after the Latarjet procedure: beyond the triple blocking effect

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