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Use of the Kinect sensor measured three-dimensional reachable workspace to assess the upper extremity function in older adults

  • Eun Sil Koh
    Affiliations
    Department of Rehabilitation Medicine, National Medical Center, Seoul, Republic of Korea
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  • Gregorij Kurillo
    Affiliations
    Department of Orthopaedic Surgery, University of California at San Francisco, San Francisco, CA, United States of America
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  • Jay J. Han
    Affiliations
    Department of Physical Medicine & Rehabilitation, University of California at Irvine School of Medicine, Irvine, CA, United States of America
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  • Jae-Young Lim
    Correspondence
    Corresponding author at: Department of Rehabilitation Medicine, Seoul National University College of Medicine, Aging & Mobility Biophysics Lab, Seoul National University Bundang Hospital, 82 Gumi-ro 173, Bundang-gu, Seongnam 13620, Republic of Korea.
    Affiliations
    Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea; Institute on Aging, Seoul National University, Seoul, Republic of Korea
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      Highlights

      • The total relative surface area of the dominant side correlated with upper limb function.
      • Quadrants 1, 2, and 4 relative surface area of the dominant side correlated with upper limb function.
      • Quadrant 4 relative surface area of the dominant side correlated with the quality of life.
      • Kinect-based reachable workspace may be useful to evaluate upper limb function in older adults.

      Abstract

      Background

      We explored the utility of Kinect sensor-based upper extremity reachable workspace measure in healthy adults aged over 65 years.

      Methods

      Forty-three healthy older subjects (19 men and 24 women) aged over 65 years and 22 healthy young subjects (11 men and 11 women) were included. All participants were ambulatory and perform the activities of daily living independently. Three-dimensional reachable workspace data were acquired for both arms using the Kinect sensor. We evaluated hand grip strength, manual muscle shoulder strength, and the active shoulder ranges of motion of the dominant and non-dominant sides. We assessed upper limb function using the Disabilities of Arm, Shoulder, and Hand (DASH) instrument and the health-related quality of life employing the descriptive EQ-5D-5L system.

      Findings

      The quadrant 3 relative surface area in older adults was significantly smaller than that of young adults (both dominant and non-dominant sides), while the total and quadrants 1, 2, and 4 relative surface areas did not differ between older and young adults. However, the quadrant 3 relative surface area did not correlate with the DASH or EQ5D scores. The total and quadrant 1, 2, and 4 relative surface areas of the dominant side significantly correlated with the DASH score. The quadrant 4 relative surface area of the dominant side significantly correlated with the EQ5D score.

      Interpretation

      Kinect sensor-based, three-dimensional, reachable workspace analysis may be useful to evaluate upper limb function in older adults.

      Keywords

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      References

        • Abizanda P.
        • Navarro J.L.
        • Romero L.
        • Leon M.
        • Sanchez-Jurado P.M.
        • Dominguez L.
        Upper extremity function, an independent predictor of adverse events in hospitalized elderly.
        Gerontology. 2007; 53: 267-273https://doi.org/10.1159/000102541
        • Barnes C.J.
        • Van Steyn S.J.
        • Fischer R.A.
        The effects of age, sex, and shoulder dominance on range of motion of the shoulder.
        J. Shoulder Elb. Surg. 2001; 10: 242-246https://doi.org/10.1067/mse.2001.115270
        • Bohannon R.W.
        Quantitative testing of muscle strength: issues and practical options for the geriatric population.
        Topics Geriatr. Rehabil. 2002; 18: 1-17https://doi.org/10.1097/00013614-200212000-00003
        • Boon A.J.
        • Smith J.
        Manual scapular stabilization: its effect on shoulder rotational range of motion.
        Arch. Phys. Med. Rehabil. 2000; 81: 978-983https://doi.org/10.1053/apmr.2000.5617
        • Carroll D.
        A quantitative test of upper extremity function.
        J. Chronic Dis. 1965; 18: 479-491https://doi.org/10.1016/0021-9681(65)90030-5
        • de Bie E.
        • Oskarsson B.
        • Joyce N.C.
        • Nicorici A.
        • Kurillo G.
        • Han J.J.
        Longitudinal evaluation of upper extremity reachable workspace in als by kinect sensor.
        Amyotroph. Lateral Scler. Frontotemporal. Degener. 2017; 18: 17-23https://doi.org/10.1080/21678421.2016.1241278
        • Desrosiers J.
        • Hébert R.
        • Bravo G.
        • Dutil É.
        Upper-extremity motor co-ordination of healthy elderly people.
        Age Ageing. 1995; 24: 108-112https://doi.org/10.1093/ageing/24.2.108
        • Desrosiers J.
        • Hébert R.
        • Bravo G.
        • Dutil E.
        The purdue pegboard test: normative data for people aged 60 and over.
        Disabil. Rehabil. 1995; 17: 217-224https://doi.org/10.3109/09638289509166638
        • Desrosiers J.
        • Rochette A.
        • Hebert R.
        • Bravo G.
        The Minnesota manual dexterity test: reliability, validity and reference values studies with healthy elderly people.
        Can. J. Occup. Ther. 1997; 64: 270-276https://doi.org/10.1177/000841749706400504
        • Desrosiers J.
        • Hebert R.
        • Bravo G.
        • Rochette A.
        Age-related changes in upper extremity performance of elderly people: a longitudinal study.
        Exp. Gerontol. 1999; 34: 393-405https://doi.org/10.1016/s0531-5565(99)00018-2
        • Ditroilo M.
        • Forte R.
        • Benelli P.
        • Gambarara D.
        • De Vito G.
        Effects of age and limb dominance on upper and lower limb muscle function in healthy males and females aged 40–80 years.
        J. Sports Sci. 2010; 28: 667-677https://doi.org/10.1080/02640411003642098
        • Gajdosik R.L.
        • Bohannon R.W.
        Clinical measurement of range of motion: review of goniometry emphasizing reliability and validity.
        Phys. Ther. 1987; 67: 1867-1872https://doi.org/10.1093/ptj/67.12.1867
        • Gates D.H.
        • Walters L.S.
        • Cowley J.
        • Wilken J.M.
        • Resnik L.
        Range of motion requirements for upper-limb activities of daily living.
        Am. J. Occup. Ther. 2016; 70 (7001350010p1-7001350010p10)https://doi.org/10.5014/ajot.2016.015487
        • Gill T.K.
        • Shanahan E.M.
        • Tucker G.R.
        • Buchbinder R.
        • Hill C.L.
        Shoulder range of movement in the general population: age and gender stratified normative data using a community-based cohort.
        BMC Musculoskelet. Disord. 2020; 21: 676https://doi.org/10.1186/s12891-020-03665-9
        • Gkotsi A.
        • Bourdon C.
        • Robert C.
        • Schuind F.
        Normative values of the dash questionnaire in healthy individuals over 50 years of age.
        Hand Surg. Rehabili. 2021; 40: 258-262https://doi.org/10.1016/j.hansur.2020.12.010
        • Han J.J.
        • Kurillo G.
        • Abresch R.T.
        • Nicorici A.
        • Bajcsy R.
        Validity, reliability, and sensitivity of a 3d vision sensor-based upper extremity reachable workspace evaluation in neuromuscular diseases.
        PLoS Curr. 2013; 5https://doi.org/10.1371/currents.md.f63ae7dde63caa718fa0770217c5a0e6
        • Han J.J.
        • Kurillo G.
        • Abresch R.T.
        • De Bie E.
        • Nicorici A.
        • Bajcsy R.
        Upper extremity 3-dimensional reachable workspace analysis in dystrophinopathy using kinect.
        Muscle Nerve. 2015; 52: 344-355https://doi.org/10.1002/mus.24567
        • Han J.J.
        • De Bie E.
        • Nicorici A.
        • Abresch R.T.
        • Bajcsy R.
        • Kurillo G.
        Reachable workspace reflects dynamometer-measured upper extremity strength in facioscapulohumeral muscular dystrophy.
        Muscle Nerve. 2015; 52: 948-955https://doi.org/10.1002/mus.24651
        • Han J.J.
        • Kurillo G.
        • Abresch R.T.
        • de Bie E.
        • Nicorici A.
        • Bajcsy R.
        Reachable workspace in facioscapulohumeral muscular dystrophy (fshd) by kinect.
        Muscle Nerve. 2015; 51: 168-175https://doi.org/10.1002/mus.24287
        • Han J.J.
        • de Bie E.
        • Nicorici A.
        • Abresch R.T.
        • Anthonisen C.
        • Bajcsy R.
        • Kurillo G.
        • McDonald C.M.
        Reachable workspace and performance of upper limb (pul) in duchenne muscular dystrophy.
        Muscle Nerve. 2016; 53: 545-554https://doi.org/10.1002/mus.24894
        • Herdman M.
        • Gudex C.
        • Lloyd A.
        • Janssen M.F.
        • Kind P.
        • Parkin D.
        • Bonsel G.
        • Badia X.
        Development and preliminary testing of the new five-level version of eq-5d (eq-5d-5l).
        Qual. Life Res. 2011; 20: 1727-1736https://doi.org/10.1007/s11136-011-9903-x
        • Hudak P.L.
        • Amadio P.C.
        • Bombardier C.
        Development of an upper extremity outcome measure: the dash (disabilities of the arm, shoulder and hand) [corrected]. The upper extremity collaborative group (uecg).
        Am. J. Ind. Med. 1996; 29: 602-608https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L
        • Joseph B.
        • Toosizadeh N.
        • Orouji Jokar T.
        • Heusser M.R.
        • Mohler J.
        • Najafi B.
        Upper-extremity function predicts adverse health outcomes among older adults hospitalized for ground-level falls.
        Gerontology. 2017; 63: 299-307https://doi.org/10.1159/000453593
        • Kim S.H.
        • Ahn J.
        • Ock M.
        • Shin S.
        • Park J.
        • Luo N.
        • Jo M.W.
        The eq-5d-5l valuation study in Korea.
        Qual. Life Res. 2016; 25: 1845-1852https://doi.org/10.1007/s11136-015-1205-2
        • Kolber M.J.
        • Hanney W.J.
        The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report.
        Int. J. Sports Phys. Ther. 2012; 7: 306-313
        • Kurillo G.
        • Han J.J.
        • Abresch R.T.
        • Nicorici A.
        • Yan P.
        • Bajcsy R.
        Development and application of stereo camera-based upper extremity workspace evaluation in patients with neuromuscular diseases.
        PLoS One. 2012; 7e45341https://doi.org/10.1371/journal.pone.0045341
        • Kurillo G.
        • Chen A.
        • Bajcsy R.
        • Han J.J.
        Evaluation of upper extremity reachable workspace using kinect camera.
        Technol. Health Care. 2013; 21: 641-656https://doi.org/10.3233/THC-130764
        • Kurillo G.
        • Han J.J.
        • Obdrzalek S.
        • Yan P.
        • Abresch R.T.
        • Nicorici A.
        • Bajcsy R.
        Upper extremity reachable workspace evaluation with kinect.
        Stud. Health Technol. Inform. 2013; 184: 247-253https://doi.org/10.3233/THC-130764
        • Lee J.Y.
        • Lim J.Y.
        • Oh J.H.
        • Ko Y.M.
        Cross-cultural adaptation and clinical evaluation of a korean version of the disabilities of arm, shoulder, and hand outcome questionnaire (k-dash).
        J. Shoulder Elb. Surg. 2008; 17: 570-574https://doi.org/10.1016/j.jse.2007.12.005
        • Lee Y.M.
        • Lee S.
        • Uhm K.E.
        • Kurillo G.
        • Han J.J.
        • Lee J.
        Upper limb three-dimensional reachable workspace analysis using the kinect sensor in hemiplegic stroke patients: a cross-sectional observational study.
        Am. J. Phys. Med. Rehabil. 2020; 99: 397-403https://doi.org/10.1097/phm.0000000000001350
        • Lee S.Y.
        • Jin H.
        • Arai H.
        • Lim J.-Y.
        Handgrip strength: should repeated measurements be performed in both hands?.
        Geriatr Gerontol Int. 2021; 21: 426-432https://doi.org/10.1111/ggi.14146
        • Mahdizadeh A.
        • Farzad M.
        • Bolghanabadi Z.
        The investigation of relationship between functional disorders of upper extremity with independence in activities of daily living and depression in elderly. [original research].
        J. Gerontol. 2018; 3: 59-69https://doi.org/10.29252/joge.3.2.59
        • Matthew R.P.
        • Seko S.
        • Kurillo G.
        • Bajcsy R.
        • Cheng L.
        • Han J.J.
        • Lotz J.
        Reachable workspace and proximal function measures for quantifying upper limb motion.
        IEEE J. Biomed. Health Inform. 2020; 24: 3285-3294https://doi.org/10.1109/jbhi.2020.2989722
        • Namdari S.
        • Yagnik G.
        • Ebaugh D.D.
        • Nagda S.
        • Ramsey M.L.
        • Williams Jr., G.R.
        • Mehta S.
        Defining functional shoulder range of motion for activities of daily living.
        J. Shoulder Elb. Surg. 2012; 21: 1177-1183https://doi.org/10.1016/j.jse.2011.07.032
        • Oskarsson B.
        • Joyce N.C.
        • De Bie E.
        • Nicorici A.
        • Bajcsy R.
        • Kurillo G.
        • Han J.J.
        Upper extremity 3-dimensional reachable workspace assessment in amyotrophic lateral sclerosis by kinect sensor.
        Muscle Nerve. 2016; 53: 234-241https://doi.org/10.1002/mus.24703
        • Ottenbacher K.J.
        • Branch L.G.
        • Ray L.
        • Gonzales V.A.
        • Peek M.K.
        • Hinman M.R.
        The reliability of upper-and lower-extremity strength testing in a community survey of older adults.
        Arch. Phys. Med. Rehabil. 2002; 83: 1423-1427https://doi.org/10.1053/apmr.2002.34619
        • Pentland W.E.
        • Vandervoort A.A.
        • Twomey L.T.
        Age-related changes in upper limb isokinetic and grip strength.
        Physiother. Theor. Pract. 1995; 11: 165-173https://doi.org/10.3109/09593989509022414
        • Reddy D.B.
        • Humbert S.E.
        • Yu K.
        • Aguilar C.J.
        • Kurillo G.
        • Han J.
        Novel kinect-based method to assess 3d reachable workspace in musculoskeletal shoulder dysfunctions: case reports.
        Int. J. Phys. Med. Rehabil. 2015; 3https://doi.org/10.4172/2329-9096.1000274
        • Rule K.
        • Ferro J.
        • Hoffman A.
        • Williams J.
        • Golshiri S.
        • Padre R.
        • Avila J.
        • Coca C.
        • Valdes K.
        Purdue manual dexterity testing: a cohort study of community-dwelling elderly.
        J. Hand Ther. 2021; 34: 116-120https://doi.org/10.1016/j.jht.2019.12.006
        • Smith C.D.
        • Umberger G.
        • Manning E.
        • Slevin J.
        • Wekstein D.
        • Schmitt F.
        • Markesbery W.
        • Zhang Z.
        • Gerhardt G.
        • Kryscio R.
        Critical decline in fine motor hand movements in human aging.
        Neurology. 1999; 53: 1458-1461https://doi.org/10.1212/wnl.53.7.1458
        • Uhm K.E.
        • Lee S.
        • Kurillo G.
        • Han J.J.
        • Yang J.H.
        • Yoo Y.B.
        • Lee J.
        Usefulness of kinect sensor-based reachable workspace system for assessing upper extremity dysfunction in breast cancer patients.
        Support Care Cancer. 2020; 28: 779-786https://doi.org/10.1007/s00520-019-04874-2
        • Won C.W.
        • Rho Y.G.
        • Kim S.Y.
        • Cho B.R.
        • Lee Y.S.
        The validity and reliability of korean activities of daily living(k-adl) scale.
        J. Korean Geriatr. Soc. 2002; 6: 98-106
        • Won C.W.
        • Rho Y.G.
        • SunWoo D.
        • Lee Y.S.
        The validity and reliability of korean instrumental activities of daily living(k-iadl) scale.
        Ann. Geriatr. Med. Res. 2002; 6: 273-280