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  4. Kinematic analysis of the daily activity of drinking from a glass in a population with cervical spinal cord injury

Kinematic analysis of the daily activity of drinking from a glass in a population with cervical spinal cord injury

Journal of NeuroEngineering and Rehabilitation, 2010 · DOI: 10.1186/1743-0003-7-41 · Published: August 20, 2010

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study uses three-dimensional kinematic analysis to examine how people with different levels of cervical spinal cord injury perform the everyday task of drinking from a glass, compared to individuals without such injuries. The study focuses on movement times, velocities, and joint angles of the shoulder, elbow, and wrist to identify differences between those with C6 tetraplegia, C7 tetraplegia, and a control group. The findings aim to provide insights for tailoring therapeutic interventions and designing assistive devices like wearable robots, specifically to aid individuals with cervical spinal cord injuries in performing activities of daily living.

Study Duration
Not specified
Participants
24 (8 subjects with C6 tetraplegia, 8 subjects with C7 tetraplegia and 8 control subjects)
Evidence Level
Not specified

Key Findings

  • 1
    Subjects with C6 tetraplegia performed the drinking task at a slower velocity and with more prolonged phases compared to the control group.
  • 2
    The most significant differences among the groups were observed in the wrist movements.
  • 3
    Wrist palmar flexion was greater in C6 and C7 tetraplegia groups during the back transport phase, while maximum wrist dorsal flexion occurred during the forward transport phase to optimize the tenodesis effect for grasping.

Research Summary

This study aimed to compare kinematic data of upper limb movements during a drinking task among individuals with C6 tetraplegia, C7 tetraplegia, and a control group. The results indicated that individuals with C6 tetraplegia exhibited slower movement velocities and longer phase durations during the drinking task compared to the control group and those with C7 tetraplegia. Wrist movements showed the most significant differences, with increased palmar flexion in tetraplegia groups during back transport and greater dorsal flexion during forward transport to maximize the tenodesis effect.

Practical Implications

Tailored Therapy

Detailed knowledge of movement patterns in different SCI levels allows for specifically adapted therapeutic recommendations.

Assistive Device Design

Identified movement patterns can inform the design of wearable robots to compensate for upper limb functional deficits in cervical SCI.

Clinical Assessment

Kinematic analysis provides objective measures to assess upper limb function, complementing traditional subjective scales.

Study Limitations

  • 1
    Limited number of participants
  • 2
    Lack of a scanning unit view from above to offer the best visibility of the markers in the three space planes
  • 3
    Wide confidence intervals for measurements

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