Doğan Mert, Koçak Mertcan, Onursal Kılınç Özge, Ayvat Fatma, Sütçü Gülşah, Ayvat Ender, Kılınç Muhammed, Ünver Özgür, Aksu Yıldırım Sibel
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Department of Mechatronics Engineering, Faculty of Engineering, Izmır Katip Celebi University, Izmir, Turkey.
Gait Posture. 2019 May;70:141-147. doi: 10.1016/j.gaitpost.2019.02.024. Epub 2019 Feb 25.
Functional range of motion is defined as the required range of motions for individuals to maintain maximal independence, along with optimal conditions for activities of daily living. Intervention plans for rehabilitation are directed towards the acquisition of anatomical range of motion. However, this isn't always possible based on person's etiology, prognosis, or severity of disease.
The aim of this study is to determine functional range of motion during different unilateral, bilateral symmetrical and bimanual asymmetrical tasks of activities of daily living.
Participants completed nine basic activities of daily living (hand to head, hanging jacket, eating, wallet placement to back pocket, washing hands and face, removing belt, water pouring, brushing teeth) linked according to International Classification of Functioning, Disability and Health, while joint kinematics of the trunk and upper extremity were recorded with inertial measurement units. Peak values of mean joint angles were determined for each activities of daily living. MVN BIOMECH Awinda MTW2-3A7G6 sensors (Xsens Technologies B.V. Enschede, Netherlands) were used for 3D kinematic analysis of activities.
Forty-six healthy subjects (right-dominant) were included in this study. Range of motion requirements of all activities were defined 37.85° extension, 91.18° flexion, 1.25° adduction, 39.45° abduction, 63.6° internal rotation, 21.8° external rotation in the dominant shoulder, 124.17° flexion in the dominant elbow, 40.29° extension, 23.66° flexion, 18.31° supination, 12.56° pronation, 18.27 ulnar deviation and, 18.36° radial deviation in the dominant wrist. Maximum trunk range of motions were found to be 29.75° flexion in C7-T1, 10.74° flexion in T12-L1, and 24.16° flexion in L5-S1.
It is thought that the results of this research will contribute to the determination of normative data needed for surgical interventions, technological rehabilitation devices and task-spesific rehabilitation programs which based patient's motor skill level.
功能活动范围被定义为个体维持最大程度独立以及实现日常生活活动最佳条件所需的活动范围。康复干预计划旨在实现解剖学活动范围。然而，基于个体的病因、预后或疾病严重程度，这并非总是可行的。
本研究的目的是确定在日常生活活动的不同单侧、双侧对称和双手不对称任务期间的功能活动范围。
参与者根据《国际功能、残疾和健康分类》完成九项基本日常生活活动（手至头部、挂外套、进食、将钱包放入后口袋、洗手和洗脸、解腰带、倒水、刷牙），同时使用惯性测量单元记录躯干和上肢的关节运动学数据。确定每项日常生活活动的平均关节角度峰值。MVN BIOMECH Awinda MTW2-3A7G6传感器（荷兰恩斯赫德的Xsens Technologies B.V.公司）用于活动的三维运动学分析。
本研究纳入了46名健康受试者（右利手）。所有活动的活动范围要求确定为：优势肩伸展37.85°、屈曲91.18°、内收1.25°、外展39.45°、内旋63.6°、外旋21.8°，优势肘屈曲124.17°，伸展40.29°、屈曲23.66°，旋前18.31°、旋后12.56°，优势腕尺偏18.27°、桡偏18.36°。发现躯干最大活动范围为C7-T1节段屈曲29.75°、T12-L1节段屈曲10.74°、L5-S1节段屈曲24.16°。
本研究结果被认为将有助于确定基于患者运动技能水平的手术干预、技术康复设备和特定任务康复计划所需的规范数据。
