Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect

Range of motion (ROM) measurements are essential for the evaluation for and diagnosis of adhesive capsulitis of the shoulder (AC). However, taking these measurements using a goniometer is inconvenient and sometimes unreliable. The Kinect (Microsoft, Seattle, WA, USA) is gaining attention as a new mo...

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Main Authors:	Lee, Seung Hak, Yoon, Chiyul, Chung, Sun Gun, Kim, Hee Chan, Kwak, Youngbin, Park, Hee-won, Kim, Keewon
Format:	Online
Language:	English
Published:	Public Library of Science 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4479560/

id	pubmed-4479560
recordtype	oai_dc
spelling	pubmed-44795602015-06-29 Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect Lee, Seung Hak Yoon, Chiyul Chung, Sun Gun Kim, Hee Chan Kwak, Youngbin Park, Hee-won Kim, Keewon Research Article Range of motion (ROM) measurements are essential for the evaluation for and diagnosis of adhesive capsulitis of the shoulder (AC). However, taking these measurements using a goniometer is inconvenient and sometimes unreliable. The Kinect (Microsoft, Seattle, WA, USA) is gaining attention as a new motion detecting device that is nonintrusive and easy to implement. This study aimed to apply Kinect to measure shoulder ROM in AC; we evaluated its validity by calculating the agreement of the measurements obtained using Kinect with those obtained using goniometer and assessed its utility for the diagnosis of AC. Both shoulders of 15 healthy volunteers and affected shoulders of 12 patients with AC were included in the study. The passive and active ROM of each were measured with a goniometer for flexion, abduction, and external rotation. Their active shoulder motions for each direction were again captured using Kinect and the ROM values were calculated. The agreement between the two measurements was tested with the intraclass correlation coefficient (ICC). Diagnostic performance using the Kinect ROM was evaluated with Cohen’s kappa value. The cutoff values of the limited ROM were determined in the following ways: the same as passive ROM values, reflecting the mean difference, and based on receiver operating characteristic curves. The ICC for flexion/abduction/external rotation between goniometric passive ROM and the Kinect ROM were 0.906/0.942/0.911, while those between active ROMs and the Kinect ROMs were 0.864/0.932/0.925. Cohen’s kappa values were 0.88, 0.88, and 1.0 with the cutoff values in the order above. Measurements of the shoulder ROM using Kinect show excellent agreement with those taken using a goniometer. These results indicate that the Kinect can be used to measure shoulder ROM and to diagnose AC as an alternative to goniometer. Public Library of Science 2015-06-24 /pmc/articles/PMC4479560/ /pubmed/26107943 http://dx.doi.org/10.1371/journal.pone.0129398 Text en © 2015 Lee et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Lee, Seung Hak Yoon, Chiyul Chung, Sun Gun Kim, Hee Chan Kwak, Youngbin Park, Hee-won Kim, Keewon
spellingShingle	Lee, Seung Hak Yoon, Chiyul Chung, Sun Gun Kim, Hee Chan Kwak, Youngbin Park, Hee-won Kim, Keewon Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect
author_facet	Lee, Seung Hak Yoon, Chiyul Chung, Sun Gun Kim, Hee Chan Kwak, Youngbin Park, Hee-won Kim, Keewon
author_sort	Lee, Seung Hak
title	Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect
title_short	Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect
title_full	Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect
title_fullStr	Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect
title_full_unstemmed	Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect
title_sort	measurement of shoulder range of motion in patients with adhesive capsulitis using a kinect
description	Range of motion (ROM) measurements are essential for the evaluation for and diagnosis of adhesive capsulitis of the shoulder (AC). However, taking these measurements using a goniometer is inconvenient and sometimes unreliable. The Kinect (Microsoft, Seattle, WA, USA) is gaining attention as a new motion detecting device that is nonintrusive and easy to implement. This study aimed to apply Kinect to measure shoulder ROM in AC; we evaluated its validity by calculating the agreement of the measurements obtained using Kinect with those obtained using goniometer and assessed its utility for the diagnosis of AC. Both shoulders of 15 healthy volunteers and affected shoulders of 12 patients with AC were included in the study. The passive and active ROM of each were measured with a goniometer for flexion, abduction, and external rotation. Their active shoulder motions for each direction were again captured using Kinect and the ROM values were calculated. The agreement between the two measurements was tested with the intraclass correlation coefficient (ICC). Diagnostic performance using the Kinect ROM was evaluated with Cohen’s kappa value. The cutoff values of the limited ROM were determined in the following ways: the same as passive ROM values, reflecting the mean difference, and based on receiver operating characteristic curves. The ICC for flexion/abduction/external rotation between goniometric passive ROM and the Kinect ROM were 0.906/0.942/0.911, while those between active ROMs and the Kinect ROMs were 0.864/0.932/0.925. Cohen’s kappa values were 0.88, 0.88, and 1.0 with the cutoff values in the order above. Measurements of the shoulder ROM using Kinect show excellent agreement with those taken using a goniometer. These results indicate that the Kinect can be used to measure shoulder ROM and to diagnose AC as an alternative to goniometer.
publisher	Public Library of Science
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4479560/
_version_	1613239782726434816

Measurement of Shoulder Range of Motion in Patients with Adhesive Capsulitis Using a Kinect

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