Capacity Assessment of Prosthetic Performance for the Upper Limb (CAPPFUL): Characterization of Normative Kinematics and Performance
Autor: | Brian Joseph Prejean, Kimberly Kontson, Dan Conyers, Kasey Rogner Pool, Alec Boyle, John M. Miguelez, Christopher James Bollinger, Logan A Ruhde, Tiffany Ryan |
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Rok vydání: | 2020 |
Předmět: |
030506 rehabilitation
medicine.medical_specialty Movement Elbow Artificial Limbs Physical Therapy Sports Therapy and Rehabilitation Kinematics Upper Extremity 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Humans Medicine Range of Motion Articular Shoulder Joint business.industry Rehabilitation Work (physics) Torso Repeatability Physical Functional Performance Healthy Volunteers Biomechanical Phenomena medicine.anatomical_structure Neurology Upper limb Shoulder joint Neurology (clinical) 0305 other medical science business Range of motion 030217 neurology & neurosurgery |
Zdroj: | PM&R. 12:870-881 |
ISSN: | 1934-1563 1934-1482 |
DOI: | 10.1002/pmrj.12298 |
Popis: | Evaluation of maladaptive compensatory movement is important to objectively identify the impact of prosthetic rehabilitative intervention on body mechanics. The Capacity Assessment of Prosthetic Performance for the Upper Limb (CAPPFUL) scores this type of compensation by comparing movements of the prosthesis user to movements of individuals with intact, sound upper limbs (ULs). However, expected movements of individuals with sound, intact ULs have not been studied for the set of tasks performed in the CAPPFUL.To enhance the scoring approach for the maladaptive compensatory movement domain of the CAPPFUL by defining normative kinematic movement and characterizing variability and repeatability.Clinical measurement.Laboratories at the U.S. Food and Drug Administration (FDA) and University of Texas-Arlington.Convenience sample of 20 participants with no upper limb (UL) disability or impairment.Not applicable.Kinematic trajectories, range of motion, maximum angle, and completion time were calculated. Repeatability and intersubject variability were assessed by calculating Pearson's correlation coefficient (R), adjusted coefficient of multiple correlation (CMCadj), and max SD (SDmax) for nine joint angles at the elbow, shoulder, neck, and torso.For most joints evaluated, repeatability was lower (R 0.8) for CAPPFUL 3-Zip vest, CAPPFUL 7-Cut w/ knife, and CAPPFUL 8-Squeeze water, implying inconsistent approaches within a subject from trial to trial for a given task. For most tasks, the joint angle SDmax across all participants was20°. The approach for completing CAPPFUL 1 - Weights in crate and CAPPFUL 4 - Pick up dice was generally similar across participants (CMCadj0.4). For other tasks, however, different approaches across participants at the torso and shoulder joint can be seen.This work established the expected movements of individuals with sound, intact ULs for tasks performed in the CAPPFUL that can be used to inform consistent, standardized scoring of the maladaptive compensatory movement domain. |
Databáze: | OpenAIRE |
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