Shoulder and elbow range of motion for the performance of activities of daily living: A systematic review |
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Authors: | AM Oosterwijk MK Nieuwenhuis CP van der Schans LJ Mouton |
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Institution: | 1. Research group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences Groningen, Groningen, the Netherlands;2. Association of Dutch Burn Centers, Burn Center Martini Hospital, Groningen, the Netherlands;3. Department of Rehabilitation, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands;4. Association of Dutch Burn Centers, Burn Center Martini Hospital, Groningen, the Netherlands;5. Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands;6. Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands |
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Abstract: | The loss of range of motion (ROM) in the upper extremities can interfere with activities of daily living (ADL) and, therefore, many interventions focus on improving impaired ROM. The question, however, is what joint angles are needed to naturally perform ADL. The present review aimed to compile and synthesize data from literature on shoulder and elbow angles that unimpaired participants used when performing ADL tasks. A search was conducted in PubMed, Cochrane, Scopus, CINAHL, and PEDro. Studies were eligible when shoulder (flexion, extension, abduction, adduction) and/or elbow (flexion, extension) angles were measured in unimpaired participants who were naturally performing ADL tasks, and angles were provided per task. Thirty-six studies involving a total of 66 ADL tasks were included. Results demonstrated that unimpaired participants used up to full elbow flexion (150°) in personal care, eating, and drinking tasks. For shoulder flexion and abduction approximately 130° was necessary. Specific ADL tasks were measured often, however, almost never for tasks such as dressing. The synthesized information can be used to interpret impairments on the individual level and to establish rehabilitation goals in terms of function and prevention of secondary conditions due to excessive use of compensatory movements. |
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Keywords: | Contracture range of motion recovery of function self-care upper extremity |
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