School of Health Sciences, University of Liverpool, L69 3GB, UK.
ORLAU, RJAH Orthopaedic Hospital, Oswestry, Shropshire SY10 7AG, UK.
Gait Posture. 2022 Jul;96:93-101. doi: 10.1016/j.gaitpost.2022.05.018. Epub 2022 May 20.
Upper-limb movement analysis could improve our understanding of function, pathological mechanisms and inform rehabilitation and surgical decision-making. Despite the potential benefits, the use of clinical upper-limb motion analysis is not well established and it is not clear what the barriers to clinical motion analysis are.
What is current practice for assessment of the upper-limb and what are the barriers currently limiting upper-limb motion analysis being routinely used in clinical practice?
A web-based questionnaire was used to collect responses through international professional movement analysis society coordinators over an 18 month-period.
A total of 55 responses were received and 75% of laboratories performed some form of upper-limb assessment. In total 44% of laboratories performed upper-limb assessments for clinical purposes and only 33% did 3D-movement analysis. The most commonly seen patient groups were those with neurological injury e.g. cerebral palsy (adults and children) and normal controls for comparative purposes. Barriers to upper-limb motion analysis were the availability of standard reference tasks, protocols, software, funding and clinical need. Practice was variable with no universally identified approaches to upper-limb movement analysis. Differences in practice were also identified between laboratories accredited by the Clinical Movement Analysis Society of the UK and Ireland and other international professional societies and affiliate laboratories.
These findings may be used to inform the development of practice standards and progress the use of clinical motion analysis in the upper-limb. This study provides a summary and describes current practice, potentially providing access to peer support and experience for laboratories with an identified clinical need looking to conduct upper-limb assessment. A national picture (UK and Ireland) for practice regarding upper-limb assessment in this sub-population is presented. We have laid out further work which is needed to establish standards of practice or consensus initiatives for enhancing clinical upper-limb motion analysis.
上肢运动分析可以帮助我们更好地理解功能、病理机制，并为康复和手术决策提供信息。尽管有潜在的好处，但临床上肢运动分析的应用尚未得到广泛认可，也不清楚限制临床上肢运动分析常规应用的障碍是什么。
目前评估上肢的方法是什么，目前限制上肢运动分析在临床实践中常规应用的障碍是什么？
通过国际专业运动分析协会协调员在 18 个月的时间内，使用在线问卷调查收集回复。
共收到 55 份回复，75%的实验室进行了某种形式的上肢评估。共有 44%的实验室出于临床目的进行上肢评估，只有 33%的实验室进行 3D 运动分析。最常见的患者群体是患有神经损伤的患者，如脑瘫（成人和儿童）和正常对照组用于比较目的。上肢运动分析的障碍是标准参考任务、协议、软件、资金和临床需求的可用性。实践存在差异，没有普遍认同的上肢运动分析方法。英国和爱尔兰临床运动分析协会认证的实验室与其他国际专业协会和附属实验室之间也存在实践差异。
这些发现可用于为制定实践标准提供信息，并促进临床运动分析在上肢中的应用。本研究总结并描述了当前的实践情况，为有临床需求并希望进行上肢评估的实验室提供了同行支持和经验。呈现了该子群体在英国和爱尔兰的上肢评估实践的全国性情况。我们已经规划了进一步的工作，以建立实践标准或共识倡议，以增强临床上肢运动分析。
