Similarity of shoulder kinematics between people with subacromial pain syndrome and asymptomatic individuals: A study using inertial measurement units

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-02-17 DOI:10.1016/j.clinbiomech.2025.106462

Adrien Beaud , Quentin Lejeune , Hélène Pillet , Antoine Mazarguil , Josette Bertheau , Marie-Martine Lefèvre-Colau , Alexandra Rören

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引用次数: 0

Abstract

Background

Subacromial pain syndrome is the most common cause of shoulder pain and is associated with altered humeral and scapular kinematics. Symptoms can be improved by rehabilitation. Accurate tools to analyze shoulder kinematic curves are lacking.

Methods

A single-center prospective pilot study using inertial measurement units located on both arms and scapulae to assess bilateral arm elevation in the sagittal, scapular and frontal planes. Reparameterization and signal registration algorithms compared similarity of global shoulder and scapular kinematic curves from participants with subacromial pain syndrome before and after a short rehabilitation program, with a control template combining the curves of asymptomatic participants. A similarity score used curve comparisons; the more closely the curve shapes matched, the closer the score was to zero. We used a paired Wilcoxon test to compare the scores.

Findings

We included 9 right-handed symptomatic participants (10 shoulders): 2 males (22 %), mean (SD) age 53.8 (13.7) years, symptom duration 29 (23) months, pain (Numeric Rating Scale) 61.1 (22.4)/100, activity limitation (Quick-Dash): 48.3 (26.6)/100 points, and 10 asymptomatic age-matched right-handed participants (20 shoulders): 4 males (40 %), 54.2 (5.4) years old. Post-rehabilitation similarity scores decreased non-significantly for shoulder elevation (scapular and frontal planes), scapular lateral rotation (sagittal and scapular planes) and anterior-posterior tilt (scapular plane) and significantly for shoulder sagittal elevation (P = 0.004). Participant heterogeneity was high.

Interpretation

The similarity methodology, used for the first time in the context of subacromial pain syndrome, offers a new quantitative tool to assess kinematic changes, measure movement-related impairments and monitor patient progress.

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肩峰下疼痛综合征患者与无症状个体肩关节运动的相似性：一项使用惯性测量单元的研究

肩峰下疼痛综合征是肩关节疼痛最常见的原因，与肱骨和肩胛骨的运动学改变有关。通过康复可以改善症状。目前还缺乏分析肩部运动曲线的精确工具。方法采用位于双臂和肩胛骨上的惯性测量装置进行单中心前瞻性先导研究，评估双侧手臂矢状面、肩胛骨面和额骨面的抬高程度。再参数化和信号配准算法比较了肩峰下疼痛综合征参与者在短期康复计划前后的整体肩部和肩胛骨运动学曲线的相似性，并结合无症状参与者的曲线作为对照模板。相似度评分采用曲线比较；曲线形状越接近，得分就越接近零。我们使用配对的Wilcoxon检验来比较分数。我们纳入了9名有右撇子症状的参与者（10肩）：2名男性（22%），平均（SD）年龄53.8（13.7）岁，症状持续时间29（23）个月，疼痛（数值评定量表）61.1(22.4)/100，活动限制（快速冲刺）：48.3(26.6)/100分，10名无症状的年龄匹配的右撇子参与者（20肩）：4名男性（40%），54.2（5.4）岁。康复后相似评分在肩胛骨抬高（肩胛骨和额骨面）、肩胛骨外侧旋转（矢状面和肩胛骨面）和前后倾斜（肩胛骨面）方面均无显著下降，在肩胛骨矢状面抬高方面有显著下降（P = 0.004）。参与者异质性高。相似性方法首次用于肩峰下疼痛综合征，为评估运动学变化、测量运动相关损伤和监测患者进展提供了一种新的定量工具。

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来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.