The role of the scapulo-thoracic and gleno-humeral joints in upper-limb motion in children with hemiplegic cerebral palsy Sylvain Brochard, Mathieu Lempereur,

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Presentation transcript:

The role of the scapulo-thoracic and gleno-humeral joints in upper-limb motion in children with hemiplegic cerebral palsy Sylvain Brochard, Mathieu Lempereur, Linda Mao, Olivier Rémy-Néris Clinical Biomechanics Volume 27, Issue 7, Pages 652-660 (August 2012) DOI: 10.1016/j.clinbiomech.2012.04.001 Copyright © 2012 Elsevier Ltd Terms and Conditions

Fig. 1 Description of the protocol. Reflective markers were placed on C7 (7th cervical vertebra), IJ (incisura jugularis), T8 (8th thoracic vertebra), PX (processus xyphoideus) and lateral and medial epicondyles. A cluster of four markers was fixed on the arm. An acromion marker cluster (AMC) of three 14mm markers was positioned on the flat surface of the acromion. A scapula locator, placed over the angulus acromius, angulus inferius and trigonum spinae, was used to calibrate the initial scapula position in the AMC frame, with the arm at rest. Clinical Biomechanics 2012 27, 652-660DOI: (10.1016/j.clinbiomech.2012.04.001) Copyright © 2012 Elsevier Ltd Terms and Conditions

Fig. 2 Description of the scapulo-thoracic (ST) (above) and gleno-humeral (GH) (below) joint rotations and matched Euler sequences and directions. Clinical Biomechanics 2012 27, 652-660DOI: (10.1016/j.clinbiomech.2012.04.001) Copyright © 2012 Elsevier Ltd Terms and Conditions

Fig. 3 Abduction task. Mean (and standard deviation) kinematics of the thoraco humeral (TH), scapulo-thoracic (ST) and gleno-humeral (GH) joints for the TD (black line) and HCP children (gray line). The results of ST and GH kinematics above 120° of TH elevation have to be considered cautiously because of the soft tissue artifacts which can occur around the AMC. Clinical Biomechanics 2012 27, 652-660DOI: (10.1016/j.clinbiomech.2012.04.001) Copyright © 2012 Elsevier Ltd Terms and Conditions

Fig. 4 Flexion task. Mean (and standard deviation) kinematics of the thoraco humeral (TH), scapulo-thoracic (ST) and gleno-humeral (GH) joints for the TD (black line) and HCP children (gray line). The results of ST and GH kinematics above 120° of TH elevation have to be considered cautiously because of the soft tissue artifacts which can occur around the AMC. Clinical Biomechanics 2012 27, 652-660DOI: (10.1016/j.clinbiomech.2012.04.001) Copyright © 2012 Elsevier Ltd Terms and Conditions

Fig. 5 Hand to head task. Mean (and standard deviation) kinematics of the thoraco humeral (TH), scapulo-thoracic (ST) and gleno-humeral (GH) joints for the TD (black line) and HCP children (gray line). Clinical Biomechanics 2012 27, 652-660DOI: (10.1016/j.clinbiomech.2012.04.001) Copyright © 2012 Elsevier Ltd Terms and Conditions

Supplementary file 3 Hand to contralateral shoulder task. Mean (and standard deviation) kinematics of the thoraco humeral (TH), scapulo-thoracic (ST) and gleno-humeral (GH) joints for the TD (black line) and HCP children (gray line). Clinical Biomechanics 2012 27, 652-660DOI: (10.1016/j.clinbiomech.2012.04.001) Copyright © 2012 Elsevier Ltd Terms and Conditions

Supplementary file 4 Hand to back pocket task. Mean (and standard deviation) kinematics of the thoraco humeral (TH), scapulo-thoracic (ST) and gleno-humeral (GH) joints for the TD (black line) and HCP children (gray line). Clinical Biomechanics 2012 27, 652-660DOI: (10.1016/j.clinbiomech.2012.04.001) Copyright © 2012 Elsevier Ltd Terms and Conditions

Supplementary file 5 Horizontal adduction task. Mean (and standard deviation) kinematics of the thoraco humeral (TH), scapulo-thoracic (ST) and gleno-humeral (GH) joints for the TD (black line) and HCP children (gray line). Clinical Biomechanics 2012 27, 652-660DOI: (10.1016/j.clinbiomech.2012.04.001) Copyright © 2012 Elsevier Ltd Terms and Conditions