The validation of two noninvasive methods for measuring the dynamic three-dimensional kinematics of the human scapula with a magnetic tracking device is presented. One method consists of simply fixing a sensor directly to the acromion and the other consists of mounting a sensor to an adjustable plastic jig that fits over the scapular spine and acromion. The concurrent validity of both methods was assessed separately by comparison with data collected simultaneously from an invasive approach in which pins were drilled directly into the scapula. The differences between bone and skin based measurements represents an estimation of skin motion artifact. The average motion pattern of each surface method was similar to that measured by the invasive technique, especially below 120 degrees of elevation. These results indicate that with careful consideration, both methods may offer reasonably accurate representations of scapular motion that may be used to study shoulder pathologies and help develop computational models.

Issue Section:
Technical Papers
Keywords:
kinematics, biomechanics, biomedical measurement, orthopaedics
Topics:
Bone, Errors, Kinematics, Rotation, Skin, Pins (Engineering)
1.
Ludewig
,
P. M.
, and
Cook
,
T. M.
,
2000
, “
Alterations in Shoulder Kinematics and Associated Muscle Activity in People With Symptoms of Shoulder Impingement
,”
Phys. Ther.
,
80
, pp.
276
–
291
.
2.
Lukasiewicz
,
A. C.
,
McClure
,
P.
,
Michener
,
L.
,
Pratt
,
N.
, and
Sennett
,
B.
,
1999
, “
Comparison of 3-Dimensional Scapular Position and Orientation Between Subjects With and Without Shoulder Impingement
,”
J. Orthop. Sports Phys. Ther.
,
29
, pp.
574
–
83
.
3.
Paletta
,
G. A.
,
Warner
,
J. J. P.
,
Warren
,
R. F.
,
Deutsch
,
A.
, and
Altchek
,
D. W.
,
1997
, “
Shoulder Kinematics With Two-Plane X-Ray Evaluation in Patients With Anterior Instability or Rotator Cuff Tearing
,”
J. Shoulder Elbow Surg.
,
6
, pp.
516
–
527
.
4.
Warner
,
J. J. P.
,
Micheli
,
L. J.
,
Arslanian
,
L. E.
,
Kennedy
,
J.
, and
Kennedy
,
R.
,
1992
, “
Scapulothoracic Motion in Normal Shoulders and Shoulders With Glenohumeral Instability and Impingement Syndrome
,”
Clin. Orthop. Relat. Res.
,
285
, pp.
191
–
199
.
5.
Doody
,
S. G.
,
Freedman
,
L.
, and
Waterland
,
J. C.
,
1970
, “
Shoulder Movements During Abduction in the Scapular Plane
,”
Arch. Phys. Med. Rehabil.
,
51
, pp.
595
–
604
.
6.
Youdas
,
J. W.
,
Carey
,
J. R.
,
Garrett
,
T. R.
, and
Suman
,
V. J.
,
1994
, “
Reliability of Goniometric Measurements of Active Arm Elevation in the Scapula Plane Obtained in a Clinical Setting
,”
Arch. Phys. Med. Rehabil.
,
75
, pp.
1137
–
1144
.
7.
Freedman
,
L.
, and
Munro
,
R. R.
,
1966
, “
Abduction of the Arm in the Scapular Plane: Scapular and Glenohumeral Movements
,”
J. Bone Jt. Surg.
,
48A
, pp.
1503
–
1510
.
8.
Poppen
,
N. K.
, and
Walker
,
P. S.
,
1976
, “
Normal and Abnormal Motion of the Shoulder
,”
J. Bone Jt. Surg.
,
58A
, pp.
195
–
201
.
9.
de Groot
,
J. H.
,
1999
, “
The Scapulo-Humeral Rhythm: Effects of 2-D Roentgen Projection
,”
Clin. Biomech.
,
14
, pp.
63
–
68
.
10.
Ho¨gfors
,
C.
,
Peterson
,
B.
,
Sigholm
,
G.
, and
Herberts
,
P.
,
1991
, “
Biomechanical Model of the Human Shoulder-II. The Shoulder Rhythm
,”
J. Biomech.
,
24
, pp.
699
–
709
.
11.
Kondo, M., Tazoe, S., and Yamada, M., 1984, “Changes of the Tilting Angle of the Scapula Following Elevation of the Arm,” in: Surgery of the Shoulder, J. E. Bateman and R. P. Welsh, eds., Decker, Philadelphia, pp. 12–16.
12.
Graichen
,
H.
,
Stammberger
,
T.
,
Bonel
,
H.
,
Haubner
,
M.
,
Englmeier
,
K. H.
,
Reiser
,
M.
, and
Eckstein
,
F.
,
2000
, “
Magnetic Resonance-Based Motion Analysis of the Shoulder During Elevation
,”
Clin. Orthop. Relat. Res.
,
370
, pp.
154
–
63
.
13.
Ludewig
,
P. M.
,
Cook
,
T. M.
, and
Nawoczenski
,
D. A.
,
1996
, “
Three-Dimensional Scapular Orientation and Muscle Activity at Selected Positions of Humeral Elevation
,”
J. Orthop. Sports Phys. Ther.
,
24
, pp.
57
–
65
.
14.
van der Helm
,
F. C. T.
, and
Pronk
,
G. M.
,
1995
, “
Three-Dimensional Recording and Description of Motions of the Shoulder Mechanism
,”
J. Biomech. Eng.
,
117
, pp.
27
–
40
.
15.
McQuade
,
K. J.
,
Wei
,
S. H.
, and
Smidt
,
G. L.
,
1995
, “
Effects of Local Muscle Fatigue on Three-Dimensional Scapulohumeral Rhythm
,”
Clin. Biomech.
,
10
, pp.
144
–
148
.
16.
Johnson
,
G. R.
,
Stuart
,
P. R.
, and
Mitchell
,
S.
,
1993
, “
A Method for the Measurement of Three-Dimensional Scapular Movement
,”
Clin. Biomech.
,
8
, pp.
269
–
273
.
17.
Moriwaki
,
M.
,
1992
, “
Analysis of Three Dimensional Motion of the Scaupula and the Glenohumeral Joint
,”
J. Jpn. Orthop. Assoc.
,
66
, pp.
675
–
687
.
18.
Meskers
,
C. G. M.
,
Vermeulen
,
H. M.
,
de Groot
,
J. H.
,
van der Helm
,
F. C. T.
, and
Rozing
,
P. M.
,
1998
, “
3D Shoulder Position Measurements Using a Six-Degree-Of-Freedom Electromagnetic Tracking Device
,”
Clin. Biomech.
,
13
, pp.
280
–
292
.
19.
McQuade
,
K. J.
, and
Smidt
,
G. L.
,
1998
, “
Dynamic Scapulohumeral Rhythm: The Effects of External Resistance During Elevation of the Arm in the Scapular Plane
,”
J. Orthop. Sports Phys. Ther.
,
27
, pp.
125
–
133
.
20.
Lundberg
,
A.
,
1996
, “
On the Use of Bone and Skin Markers in Kinematics Research
,”
Human Move. Sci.
,
15
, pp.
411
–
422
.
21.
Neptune
,
R. R.
, and
Hull
,
M. L.
,
1995
, “
Accuracy Assessment of Methods for Determining Hip Movement in Seated Cycling
,”
J. Biomech.
,
28
, pp.
729
–
732
.
22.
Fuller
,
J.
,
Liu
,
L.-J.
,
Murphy
,
M. C.
, and
Mann
,
R. W.
,
1997
, “
A Comparison of Lower-Extremity Skeletal Kinematics Measured Using Skin- and Pin-Mounted Markers
,”
Human Move. Sci.
,
16
, pp.
219
–
242
.
23.
Cappozzo
,
A.
,
Catani
,
F.
,
Leardini
,
A.
,
Benedetti
,
M. G.
, and
Croce
,
U. D.
,
1996
, “
Position and Orientation in Space of Bones During Movement: Experimental Artefacts
,”
Clin. Biomech.
,
11
, pp.
90
–
100
.
24.
Reinschmidt
,
C.
,
van der Bogert
,
A. J.
,
Nigg
,
B. M.
,
Lundberg
,
A.
, and
Murphy
,
N.
,
1997
, “
Effect of Skin Movement on the Analysis of Skeletal Knee Joint Motion During Running
,”
J. Biomech.
,
30
, pp.
729
–
732
.
25.
Reinschmidt
,
C.
,
van der Bogert
,
A. J.
,
Lundberg
,
A.
,
Nigg
,
B. M.
,
Murphy
,
N.
,
Stacoff
,
A.
, and
Stano
,
A.
,
1997
, “
Tibiofemoral and Tibiocalcaneal Motion During Walking: External vs. Skelatal Markers
”
Gait Posture
,
6
, pp.
98
–
109
.
26.
Holden
,
J.
,
Orsini
,
J.
,
Siegel
,
K.
,
Kepple
,
T.
,
Gerber
,
L.
, and
Stanhope
,
S.
,
1997
, “
Surface Movement Errors in Shank Kinematics and Knee Kinetics During Gait
,”
Gait Posture
,
5
, pp.
217
–
227
.
27.
Maslen
,
B. A.
, and
Ackland
,
T. R.
,
1994
, “
Radiographic Study of Skin Displacement Errors in the Foot and Ankle During Standing
,”
Clin. Biomech.
,
9
, pp.
291
–
296
.
28.
Reinschmidt
,
C.
,
van der Bogert
,
A. J.
,
Murphy
,
N.
,
Lundberg
,
A.
, and
Nigg
,
B. M.
,
1997
, “
Tibiocalcaneal Motion During Running, Measured With External and Bone Markers
,”
Clin. Biomech.
,
12
, pp.
8
–
16
.
29.
Tranberg
,
R.
, and
Karlsson
,
D.
,
1998
, “
The Relative Skin Movement of the Foot: A 2-D Roentgen Photogrammetry Study
,”
Clin. Biomech.
,
13
, pp.
71
–
76
.
30.
Rash
,
G. S.
,
Belliappa
,
P. P.
,
Wachowiak
,
M. P.
,
Somia
,
N. N.
, and
Gupta
,
A.
,
1999
, “
A Demonstration of Validity of 3-D Video Motion Analysis Method For Measuring Finger Flexion and Extension
,”
J. Biomech.
,
32
, pp.
1337
–
41
.
31.
Ha¨ggman-Henrikson
,
B.
,
Eriksson
,
P. O.
,
Nordh
,
E.
, and
Zafar
,
H.
,
1998
, “
Evaluation of Skin- Versus Teeth-Attached Markers in Wireless Optoelectronic Recordings of Chewing Movements in Man
,”
J. Oral Rehabil.
,
25
, pp.
527
–
34
.
32.
An
,
K. N.
,
Jacobsen
,
M. C.
,
Berglund
,
L. J.
, and
Chao
,
E. Y. S.
,
1988
, “
Application of a Magnetic Tracking Device to Kinesiologic Studies
,”
J. Biomech.
,
21
, pp.
613
–
620
.
33.
Sidles, J. A., Garbini, J. L., and Matsen, F. A., III, 1989, “A General-Purpose System for Joint Kinematic Measurements,” 1989 Biomechanics Symposium, P. A. Torzilli, ed., La Jolla, CA, pp. 93–96.
34.
An
,
K. N.
,
Browne
,
A. O.
,
Korinek
,
S.
,
Tanaka
,
S.
, and
Morrey
,
B. F.
,
1991
, “
Three-Dimensional Kinematics of Glenohumeral Elevation
,”
J. Orthop. Res.
,
9
, pp.
143
–
149
.
35.
Karduna
,
A. R.
,
Williams
,
G. R.
,
Williams
,
J. L.
, and
Iannotti
,
J. P.
,
1996
, “
Kinematics of the Glenohumeral Joint: Effect of Muscle Forces, Ligamentous Constraints and Articular Geometry
,”
J. Orthop. Res.
,
14
, pp.
986
–
993
.
36.
van der Helm, F. C. T., 1996, “A Standardized Protocol for Motion Recordings of the Shoulder,” in: Proceedings of the First Conference of the International Shoulder Group, H. E. J. Veeger, F. C. T. van der Helm, and R. M. Rozing, eds., Shaker, St Maartenslaan, pp. 7–12.
37.
Harryman
,
D. T.
, Jr.,
Sidles
,
J. A.
,
Harris
,
S.
, and
Matsen
,
F. A.
, III,
1992
, “
Laxity of the Normal Glenohumeral Joint: A Quantitative In Vivo Assessment
,”
J. Shoulder Elbow Surg.
,
1
, pp.
66
–
76
.
38.
Koh
,
T. J.
,
Grabiner
,
M. D.
, and
Brems
,
J. J.
,
1998
, “
Three-Dmensional In Vivo Kinematics of the Shoulder During Humeral Elevation
,”
J. Appl. Biochem.
,
14
, pp.
312
–
326
.
39.
Deutsch
,
A.
,
Altchek
,
D. W.
,
Schwartz
,
E.
,
Otis
,
J. C.
, and
Warren
,
R. F.
,
1996
, “
Radiologic Measurement of Superior Displacement of the Humeral Head in the Impingement Syndrome
,”
J. Shoulder Elbow Surg.
,
5
, pp.
186
–
193
.
40.
Lucchetti
,
L.
,
Cappozzo
,
A.
,
Cappello
,
A.
, and
Croce
,
U. D.
,
1998
, “
Skin Movement Artifact Assessment and Compensation in the Estimation of Knee-Joint Kinematics
,”
J. Biomech.
,
31
, pp.
977
–
984
.
41.
Andriacchi
,
T. P.
,
Alexander
,
E. J.
,
Toney
,
M. K.
,
Dyrby
,
C.
, and
Sum
,
J.
,
1998
, “
A Point Cluster Method for In Vivo Motion Analysis: Applied to a Study of Knee Kinematics
,”
ASME J. Biomech. Eng.
,
120
, pp.
743
–
749
.
42.
Schmidt
,
R.
,
Disselhorst-Klug
,
C.
,
Silny
,
J.
, and
Rau
,
G.
,
1999
, “
A Marker-Based Measurement Procedure for Unconstrained Wrist and Elbow Motions
,”
J. Biomech.
,
32
, pp.
615
–
21
.
43.
van Weeren
,
P. R.
,
van den Bogert
,
A. J.
, and
Barneveld
,
A.
,
1988
, “
Quantification of Skin Displacement Near the Carpal, Tarsal and Fetlock Joints of the Walking Horse
,”
Equine Vet. J.
,
20
, pp.
203
–
208
.
44.
van Weeren
,
P. R.
,
van den Bogert
,
A. J.
, and
Barneveld
,
A.
,
1990
, “
Quantification of Skin Displacement in the Proximal Parts of the Limbs of the Walking Horse
,”
Equine Vet. J. Suppl.
,
9
, pp.
110
–
118
.
45.
van den Bogert
,
A. J.
,
van Weeren
,
P. R.
, and
Schamhardt
,
H. C.
,
1990
, “
Correction for Skin Displacement Errors in Movement Analysis of the Horse
,”
J. Biomech.
,
23
, pp.
97
–
101
.
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