Three-dimensional motion analysis of the voluntary elbow movement in subjects with spasticity

The purpose of this study was to quantitatively compare the difference in voluntary upper extremity movements between subjects with and without spasticity. Eight normal subjects (mean 26.7/spl plusmn/2.8 years, four males and four females) and seven subjects with spasticity (mean 25.9/spl plusmn/4.3 years, three males and four females) were involved in this study. The subjects sat in an adjustable chair and performed two voluntary tasks involving the elbow joint. Task A was to move the hand between two touch-plates which were mounted 28 cm apart on the surface of the table. Task B was to flex and extend the elbow joint in the sagittal plane with the forearm in neutral position. Reflective markers were attached on the shoulder, the elbow and the wrist. A Peak5 video-based motion analysis system was used to record the positions of the markers in the three-dimensional (3-D) space during the movement tasks. A set of quantitative parameters were used to document the elbow movement. The results revealed that in comparison to normal subjects, subjects with spasticity exhibited a higher average jerk, a larger standard deviation of the coordinates of the markers along the movement path, a larger standard deviation of the angle between the plane of the elbow joint and the horizontal plane, and a longer 3-D path length. The characteristics of spastic elbow movement and the usage of quantitative parameters were discussed.