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Three-dimensional shoulder kinematic...

Rundquist, Peter James.

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Three-dimensional shoulder kinematics in subjects with idiopathic loss of shoulder range of motion.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Three-dimensional shoulder kinematics in subjects with idiopathic loss of shoulder range of motion./
Author:	Rundquist, Peter James.
Description:	241 p.
Notes:	Source: Dissertation Abstracts International, Volume: 64-04, Section: B, page: 1711.
Contained By:	Dissertation Abstracts International64-04B.
Subject:	Health Sciences, Rehabilitation and Therapy. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3087784

Three-dimensional shoulder kinematics in subjects with idiopathic loss of shoulder range of motion.
Rundquist, Peter James.

Three-dimensional shoulder kinematics in subjects with idiopathic loss of shoulder range of motion. - 241 p.

Source: Dissertation Abstracts International, Volume: 64-04, Section: B, page: 1711.

Thesis (Ph.D.)--University of Minnesota, 2003.

<italic>Purpose</italic>. This investigation was performed to describe the three-dimensional (3D) humerus to scapula motion in subjects with idiopathic loss of shoulder motion, to determine if a consistent pattern of motion loss was present, and to evaluate functional status in these subjects. <italic> Subjects</italic>. Twenty-five (22 female) symptomatic and 25 (21 female) control subjects were tested. <italic>Methods</italic>. Groups were matched by upper extremity activity level. Subjects moved their shoulder in abduction, flexion, rotation, and scapular plane abduction. External and internal rotation were tested with the arm at the side and abducted as close to 90° as possible. Electromagnetic tracking sensors monitored the 3-D position of the humerus and scapula. Subjects completed the shoulder rating questionnaire. <italic> Data analysis</italic>. A Chi-square analysis was performed to compare upper extremity activity. Demographic and symptomatic subjects' non-involved shoulders to the non-involved subjects' shoulders comparisons were done through t-tests. The involved and non-involved shoulders were compared through matched-pairs t-tests. Descriptive statistics were calculated for each motion. Chi-square analyses of pattern differences were performed. An all-ways regression and multiple regression were performed to predict Shoulder Rating Questionnaire scores. <italic>Results summary</italic>. There was no significant demographic difference between the groups or between the symptomatic subjects' non-involved and controls' shoulders. The involved shoulders demonstrated significantly less motion than the non-involved for all motions. There was a significant difference in motion loss patterns between the involved and non-involved shoulders with the arm at the side. History of bilateral involvement, flexion, scapular plane abduction, and external rotation predicted 62% of the Shoulder Rating Questionnaire scores. <italic>Conclusion</italic>. Symptomatic subjects' non-involved shoulders were not significantly different than control subjects'. Subjects' involved shoulder demonstrated substantial kinematic deficits during humerus to scapula motion. There was a significant difference in loss of motion pattern with the arm adducted. Motion and bilateral involvement predicted Shoulder Rating Questionnaire scores. <italic>Relevance</italic>. There has been no 3-D evaluation of peak glenohumeral motion in subjects with idiopathic loss of shoulder motion. Shoulder motion and pattern analysis may aid in quantifying idiopathic loss of shoulder motion. This type of analysis may aid in assessment of treatment effectiveness or the development of preventive interventions.Subjects--Topical Terms:

1017926
Health Sciences, Rehabilitation and Therapy.

Three-dimensional shoulder kinematics in subjects with idiopathic loss of shoulder range of motion.
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035 $a (UnM)AAI3087784
035 $a AAI3087784
040 $a UnM $c UnM
100 1 $a Rundquist, Peter James. $3 1943384
245 1 0 $a Three-dimensional shoulder kinematics in subjects with idiopathic loss of shoulder range of motion.
300 $a 241 p.
500 $a Source: Dissertation Abstracts International, Volume: 64-04, Section: B, page: 1711.
500 $a Adviser: Paula M. Ludewig.
502 $a Thesis (Ph.D.)--University of Minnesota, 2003.
520 $a <italic>Purpose</italic>. This investigation was performed to describe the three-dimensional (3D) humerus to scapula motion in subjects with idiopathic loss of shoulder motion, to determine if a consistent pattern of motion loss was present, and to evaluate functional status in these subjects. <italic> Subjects</italic>. Twenty-five (22 female) symptomatic and 25 (21 female) control subjects were tested. <italic>Methods</italic>. Groups were matched by upper extremity activity level. Subjects moved their shoulder in abduction, flexion, rotation, and scapular plane abduction. External and internal rotation were tested with the arm at the side and abducted as close to 90° as possible. Electromagnetic tracking sensors monitored the 3-D position of the humerus and scapula. Subjects completed the shoulder rating questionnaire. <italic> Data analysis</italic>. A Chi-square analysis was performed to compare upper extremity activity. Demographic and symptomatic subjects' non-involved shoulders to the non-involved subjects' shoulders comparisons were done through t-tests. The involved and non-involved shoulders were compared through matched-pairs t-tests. Descriptive statistics were calculated for each motion. Chi-square analyses of pattern differences were performed. An all-ways regression and multiple regression were performed to predict Shoulder Rating Questionnaire scores. <italic>Results summary</italic>. There was no significant demographic difference between the groups or between the symptomatic subjects' non-involved and controls' shoulders. The involved shoulders demonstrated significantly less motion than the non-involved for all motions. There was a significant difference in motion loss patterns between the involved and non-involved shoulders with the arm at the side. History of bilateral involvement, flexion, scapular plane abduction, and external rotation predicted 62% of the Shoulder Rating Questionnaire scores. <italic>Conclusion</italic>. Symptomatic subjects' non-involved shoulders were not significantly different than control subjects'. Subjects' involved shoulder demonstrated substantial kinematic deficits during humerus to scapula motion. There was a significant difference in loss of motion pattern with the arm adducted. Motion and bilateral involvement predicted Shoulder Rating Questionnaire scores. <italic>Relevance</italic>. There has been no 3-D evaluation of peak glenohumeral motion in subjects with idiopathic loss of shoulder motion. Shoulder motion and pattern analysis may aid in quantifying idiopathic loss of shoulder motion. This type of analysis may aid in assessment of treatment effectiveness or the development of preventive interventions.
590 $a School code: 0130.
650 4 $a Health Sciences, Rehabilitation and Therapy. $3 1017926
650 4 $a Biology, Animal Physiology. $3 1017835
690 $a 0382
690 $a 0433
710 2 0 $a University of Minnesota. $3 676231
773 0 $t Dissertation Abstracts International $g 64-04B.
790 1 0 $a Ludewig, Paula M., $e advisor
790 $a 0130
791 $a Ph.D.
792 $a 2003
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3087784