Abstract WP153: Establishing Kinimatic Age-referenced Normative Values of the Upper Extremity Using the InMotion 2 Robot

Abstract

Introduction: The use of technology in stroke rehabilitation is growing rapidly. Upper extremity robotic devices provide both therapeutic intervention as well as objective kinematic assessment to evaluate arm ability of individuals with stroke. The InMotion 2® is a shoulder/elbow robot widely used in the clinic and within stroke rehabilitation research. It has the capability to provide kinematic assessment of the arm, however there are no age-referenced normative values available for comparison to a healthy population. The aim of this study was to establish normative kinematic values for the InMotion 2 robot. Hypothesis: Not Applicable. Methods: Forty healthy individuals with no history of stroke or other neurological conditions with full passive and active range of motion in both upper extremities were recruited from the community. Subjects were recruited based on age (40-49, 50-59, 60-69, 70-80), 10 subjects per group (5 males and 5 females). Subjects were assessed on circle and clock drawing tasks with their dominant and non-dominant arm over three trials. The kinematic parameters measured included smoothness, joint independence, hold deviation, and displacement. The mean (M) and standard deviation (SD) of dominant hand test 1 and 2 were averaged together for combined scores across age groups. Results: The following age referenced normative values were determined for each kinematic parameter: smoothness (m/s), mean and SD for 40-49 age group (.585; .027), 50-59 (.566; .033), 60-69 (.540; .048), and 70-80 (.561; .033); joint independence: 40-49 (.861; .019), 50-59 (.858; .0394), 60-69 (.839; .030), and 70-80 (.853; 024); hold deviation (meters), 40-49 (.017; .005), 50-59 (.019; .004), 60-69 (.019; .006), and 70-80 (.022; .004); displacement (meters), 40-49 (.132; .001), 50-59 (.132; .001), 60-69 (.132; .001), and 70-80 (.131; .0004). Conclusion: The analysis demonstrated that age, sex, and hand dominance did not have a significant effect on normative kinematic outcomes, however age referenced normative values establish baseline and ceiling levels which provide more meaning when interpreting scores for individuals with stroke. Further research investigating the reliability of the kinematic parameters is currently underway.