Range of Motion Requirements for Upper-Limb Activities of Daily Living

Am J Occup Ther. 2016 Jan-Feb;70(1):7001350010p1-7001350010p10. doi: 10.5014/ajot.2016.015487.

Abstract

Objective: We quantified the range of motion (ROM) required for eight upper-extremity activities of daily living (ADLs) in healthy participants.

Method: Fifteen right-handed participants completed several bimanual and unilateral basic ADLs while joint kinematics were monitored using a motion capture system. Peak motions of the pelvis, trunk, shoulder, elbow, and wrist were quantified for each task.

Results: To complete all activities tested, participants needed a minimum ROM of -65°/0°/105° for humeral plane angle (horizontal abduction-adduction), 0°-108° for humeral elevation, -55°/0°/79° for humeral rotation, 0°-121° for elbow flexion, -53°/0°/13° for forearm rotation, -40°/0°/38° for wrist flexion-extension, and -28°/0°/38° for wrist ulnar-radial deviation. Peak trunk ROM was 23° lean, 32° axial rotation, and 59° flexion-extension.

Conclusion: Full upper-limb kinematics were calculated for several ADLs. This methodology can be used in future studies as a basis for developing normative databases of upper-extremity motions and evaluating pathology in populations.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Activities of Daily Living*
  • Biomechanical Phenomena
  • Elbow Joint / physiopathology*
  • Female
  • Forearm / physiopathology
  • Hip Joint / physiopathology
  • Humans
  • Male
  • Pronation / physiology
  • Range of Motion, Articular*
  • Rotation
  • Shoulder Joint / physiopathology*
  • Spine / physiopathology
  • Task Performance and Analysis
  • Upper Extremity / physiopathology*
  • Wrist Joint / physiopathology
  • Young Adult