An Integrated Movement Analysis Framework to Study Upper Limb Function: A Pilot Study.

The functional capabilities of individuals with upper limb disabilities are assessed throughout rehabilitation and treatment regimens using functional outcome measures. For the upper limb amputee population, there are none which quantitatively take into account the quality of movement while an individual is performing tasks. In this paper, we demonstrate the use of an integrated movement analysis framework, based on motion capture and ground reaction force data, to capture quantitative information about how subjects complete a commonly used functional outcome measure, the Box and Blocks Test (BBT). In order to test the usefulness of the integrated movement analysis framework in capturing the quality of movements during task performance, a motion restriction was induced in able-bodied participants that reproduces some of the limitations imposed by conventional prosthetics. Each subject performed the BBT under normal conditions and also under the motion restriction condition. The motion capture and ground force plates captured movement that significantly differed between the two conditions, with the largest differences seen in shoulder motion, in the range of motions of head tilt and elbow flexion, and in the area of the center of pressure trajectory. These preliminary results show the feasibility of incorporating standardized, quantitative movement analysis into the assessment of function for those with an upper limb disability.