Assessing Shoulder Biomechanics of Healthy Elderly Individuals During Activities of Daily Living Using Inertial Measurement Units: High Maximum Elevation Is Achievable but Rarely Used

作者：Ryan M. Chapman, Michael T. Torchia, John‐Erik Bell, Douglas W. Van Citters · 发表于：Journal of Biomechanical Engineering · 年份：2019 · DOI：10.1115/1.4042433 · 被引用次数：33 · 研究领域：Shoulder Injury and Treatment、Musculoskeletal pain and rehabilitation、Sports injuries and prevention

Current shoulder clinical range of motion (ROM) assessments (e.g., goniometric ROM) may not adequately represent shoulder function beyond controlled clinical settings. Relative inertial measurement unit (IMU) motion quantifies ROM precisely and can be used outside of clinic settings capturing "real-world" shoulder function. A novel IMU-based shoulder elevation quantification method was developed via IMUs affixed to the sternum/humerus, respectively. This system was then compared to in-laboratory motion capture (MOCAP) during prescribed motions (flexion, abduction, scaption, and internal/external rotation). MOCAP/IMU elevation were equivalent during flexion (R2 = 0.96, μError = 1.7 deg), abduction (R2 = 0.96, μError = 2.9 deg), scaption (R2 = 0.98, μError = -0.3 deg), and internal/external rotation (R2 = 0.90, μError = 0.4 deg). When combined across movements, MOCAP/IMU elevation were equal (R2 = 0.98, μError = 1.4 deg). Following validation, the IMU-based system was deployed prospectively capturing continuous shoulder elevation in 10 healthy individuals (4 M, 69 ± 20 years) without shoulder pathology for seven consecutive days (13.5 ± 2.9 h/day). Elevation was calculated continuously daily and outcome metrics included percent spent in discrete ROM (e.g., 0-5 deg and 5-10 deg), repeated maximum elevation (i.e., >10 occurrences), and maximum/average elevation. Average elevation was 40 ± 6 deg. Maximum with >10 occurrences and maximum were on average 145-150 deg and 169 ± 8 deg,...