Repeatability of upper limb kinematics for children with and without cerebral palsy

Background: There is increasing demand for a standardised and reliable protocol for the objective assessment of upper limb motion in clinical populations. This paper describes the repeatability of a three-dimensional (3D) kinematic model and protocol to assess upper limb movement for children with a...

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Main Authors: Reid, S., Elliott, Catherine, Alderson, J., Lloyd, D., Elliott, B.
Format: Journal Article
Published: Elsevier BV 2010
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/26877
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author Reid, S.
Elliott, Catherine
Alderson, J.
Lloyd, D.
Elliott, B.
author_facet Reid, S.
Elliott, Catherine
Alderson, J.
Lloyd, D.
Elliott, B.
author_sort Reid, S.
building Curtin Institutional Repository
collection Online Access
description Background: There is increasing demand for a standardised and reliable protocol for the objective assessment of upper limb motion in clinical populations. This paper describes the repeatability of a three-dimensional (3D) kinematic model and protocol to assess upper limb movement for children with and without cerebral palsy (CP). Methods: Ten typically developing (TD) children (m=10.5   years±1.18) (m=10.5   years±1.18) and seven children with CP (spastic hemiplegia) (m=11.14   years±1.86) (m=11.14   years±1.86) completed upper limb motion analysis on two occasions separated by at least one week. Participants performed three trials of four functional tasks, where 3D joint angles were calculated at the thorax, shoulder, elbow and wrist. Within and between-day repeatability was assessed using coefficients of multiple determination (CMD).Findings: There were distinct kinematic patterns for both groups for each functional task. In relation to their peers, children with CP consistently displayed reduced elbow extension, and compensatory patterns at the shoulder and thorax. High within and between-day CMD scores were revealed for specific rotations, with the highest being obtained at joints with large ranges of motion. Interpretation: The chosen tasks delineate the upper limb kinematic patterns of those with and without CP. The model has high within and between-day repeatability particularly where joint rotations demonstrate a large range of movement. 3D motion analysis is a feasible assessment tool for use with clinical populations.
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spelling curtin-20.500.11937-268772017-09-13T15:30:00Z Repeatability of upper limb kinematics for children with and without cerebral palsy Reid, S. Elliott, Catherine Alderson, J. Lloyd, D. Elliott, B. CMD Kinematics Upper limb Cerebral palsy Repeatability Background: There is increasing demand for a standardised and reliable protocol for the objective assessment of upper limb motion in clinical populations. This paper describes the repeatability of a three-dimensional (3D) kinematic model and protocol to assess upper limb movement for children with and without cerebral palsy (CP). Methods: Ten typically developing (TD) children (m=10.5   years±1.18) (m=10.5   years±1.18) and seven children with CP (spastic hemiplegia) (m=11.14   years±1.86) (m=11.14   years±1.86) completed upper limb motion analysis on two occasions separated by at least one week. Participants performed three trials of four functional tasks, where 3D joint angles were calculated at the thorax, shoulder, elbow and wrist. Within and between-day repeatability was assessed using coefficients of multiple determination (CMD).Findings: There were distinct kinematic patterns for both groups for each functional task. In relation to their peers, children with CP consistently displayed reduced elbow extension, and compensatory patterns at the shoulder and thorax. High within and between-day CMD scores were revealed for specific rotations, with the highest being obtained at joints with large ranges of motion. Interpretation: The chosen tasks delineate the upper limb kinematic patterns of those with and without CP. The model has high within and between-day repeatability particularly where joint rotations demonstrate a large range of movement. 3D motion analysis is a feasible assessment tool for use with clinical populations. 2010 Journal Article http://hdl.handle.net/20.500.11937/26877 10.1016/j.gaitpost.2010.02.015 Elsevier BV restricted
spellingShingle CMD
Kinematics
Upper limb
Cerebral palsy
Repeatability
Reid, S.
Elliott, Catherine
Alderson, J.
Lloyd, D.
Elliott, B.
Repeatability of upper limb kinematics for children with and without cerebral palsy
title Repeatability of upper limb kinematics for children with and without cerebral palsy
title_full Repeatability of upper limb kinematics for children with and without cerebral palsy
title_fullStr Repeatability of upper limb kinematics for children with and without cerebral palsy
title_full_unstemmed Repeatability of upper limb kinematics for children with and without cerebral palsy
title_short Repeatability of upper limb kinematics for children with and without cerebral palsy
title_sort repeatability of upper limb kinematics for children with and without cerebral palsy
topic CMD
Kinematics
Upper limb
Cerebral palsy
Repeatability
url http://hdl.handle.net/20.500.11937/26877