Clinical measurement of the dart throwing motion of the wrist: variability, accuracy and correction

J Hand Surg Eur Vol. 2018 Sep;43(7):723-731. doi: 10.1177/1753193418773329. Epub 2018 May 12.

Abstract

Despite being functionally important, the dart throwing motion is difficult to assess accurately through goniometry. The objectives of this study were to describe a method for reliably quantifying the dart throwing motion using goniometric measurements within a healthy population. Wrist kinematics of 24 healthy participants were assessed using goniometry and optical motion tracking. Three wrist angles were measured at the starting and ending points of the motion: flexion-extension, radial-ulnar deviation and dart throwing motion angle. The orientation of the dart throwing motion plane relative to the flexion-extension axis ranged between 28° and 57° among the tested population. Plane orientations derived from optical motion capture differed from those calculated through goniometry by 25°. An equation to correct the estimation of the plane from goniometry measurements was derived. This was applied and differences in the orientation of the plane were reduced to non-significant levels, enabling the dart throwing motion to be measured using goniometry alone.

Keywords: Dart throwing motion; clinical assessment; goniometry; kinematics; wrist.

MeSH terms

  • Adult
  • Arthrometry, Articular
  • Biomechanical Phenomena / physiology
  • Female
  • Healthy Volunteers
  • Humans
  • Male
  • Range of Motion, Articular / physiology*
  • Wrist Joint / physiology*