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

    Author(s)
    Reid, Siobhan
    Elliott, Catherine
    Alderson, Jacqueline
    Lloyd, David
    Elliott, Bruce
    Griffith University Author(s)
    Lloyd, David
    Year published
    2010
    Metadata
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    Abstract
    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 yearsᱮ18) and seven children with CP (spastic hemiplegia) (m=11.14 yearsᱮ86) completed upper limb motion analysis on two occasions separated by at least one week. Participants performed three trials of four functional tasks, where 3D ...
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    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 yearsᱮ18) and seven children with CP (spastic hemiplegia) (m=11.14 yearsᱮ86) 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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    Journal Title
    Gait & Posture
    Volume
    32
    Issue
    1
    DOI
    https://doi.org/10.1016/j.gaitpost.2010.02.015
    Subject
    Biomechanics
    Mechanical Engineering
    Clinical Sciences
    Human Movement and Sports Sciences
    Publication URI
    http://hdl.handle.net/10072/39735
    Collection
    • Journal articles

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