Kinematic instrumental analysis of the shoulder and elbow joint in normal conditions and with hypermobility of the joint in the gait cycle
- Authors: Vorontcova O.I.1, Udochkina L.A.2, Baranec M.S.1, Grechitaeva M.V.3, Goncharova L.A.2
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Affiliations:
- Astrakhan State University
- Astrakhan State Medical University
- Belgorod National Research University
- Issue: Vol 7, No 1 (2019)
- Pages: 35-42
- Section: Original papers
- URL: https://journals.rcsi.science/turner/article/view/10396
- DOI: https://doi.org/10.17816/PTORS7135-42
- ID: 10396
Cite item
Abstract
Background. There is evidence for violation or a complete change in the arm swing cycle during walking in a number of pathologic conditions.
Aim. We assess the functional state of the shoulder and elbow joints in normal conditions and with joint hypermobility syndrome (JHS) using the kinematic instrumental method of analyzing gait.
Material and methods. We studied 27 adolescent girls 12–15 years old with JHS and healthy subjects. A Vicon motion capture analysis system (Vicon, Oxford, Great Britain) was used to record biomechanical parameters.
Results. A decrease in limb movement amplitudes was noted in the shoulder joint around the frontal and sagittal axes in patients with JHS compared to the norm. During the arm swing cycle in the normal state, the shoulder is in a state of internal rotation, whereas in the girls with JHS, the shoulder is in a state of external rotation for most of the arm swing cycle. The elbow joint in the JHS subjects showed a significant increase in flexion angle of the forearm in the swing phase of 41.5° ± 0.90° and a decrease in this angle in the stance phase. The JHS group also showed a decrease in power of the muscles acting on the shoulder joint.
Conclusions. A common sign of changes in the range of motion of the links of the upper limb in the shoulder and elbow joints in subjects with JHS was decreased amplitude of their flexion and decreased power of the joints. In the adolescents with JHS in the shoulder joint, a significant decrease in the internal rotation angles and reduction of the limb was found.
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##article.viewOnOriginalSite##About the authors
Olga I. Vorontcova
Astrakhan State University
Email: aspuvorontsova@gmail.com
ORCID iD: 0000-0002-4037-3990
SPIN-code: 6255-7878
PhD, Associate Professor, the Head of Center of Collective Facilities “Three-dimensional study of the biomechanics of human movements”
Russian Federation, 20A, Tatishchev street, Astrakhan, 414056Larisa A. Udochkina
Astrakhan State Medical University
Author for correspondence.
Email: udochkin-lk@mail.ru
ORCID iD: 0000-0001-5016-0633
SPIN-code: 9142-4447
MD, PhD, Associate Professor, the Head of Department of Anatomy
Russian Federation, 121, Bakinskaya Street, Astrakhan, 414000Marina S. Baranec
Astrakhan State University
Email: marinka_bants@mail.ru
ORCID iD: 0000-0003-4496-7021
SPIN-code: 6158-5630
Specialist of Center of Collective Facilities “Three-dimensional study of the biomechanics of human movements”
Russian Federation, 20A, Tatishchev street, Astrakhan, 414056Marina V. Grechitaeva
Belgorod National Research University
Email: loza65@mail.ru
ORCID iD: 0000-0002-3712-1557
SPIN-code: 8576-6490
BD, PhD, Professor, Professor Department of Biology, Director of the Museum of Nature
Russian Federation, 85, Pobeda street, Belgorod, 308015Ludmila A. Goncharova
Astrakhan State Medical University
Email: sanomed@rambler.ru
ORCID iD: 0000-0002-1450-7158
SPIN-code: 8233-1743
MD, PhD, Professor, Professor Department of Pediatric Surgery
Russian Federation, 121, Bakinskaya Street, Astrakhan, Russia, 414000References
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