Assessing kinematic variability during performance of Jebsen-Taylor Hand Function Test.

Clinical measurement; 22 subjects with no upper limb disability completed the Jebsen-Taylor Hand Function Test (JHFT). To realize the potential of 3D motion capture to augment evaluation of individuals with upper limb disability/impairment, it is important to understand the expected kinematic motion that characterizes performance during functional evaluation. To assess kinematic variability and establish kinematic patterns for the JHFT. Upper body joint kinematics were collected using a Vicon motion capture system. Average range of motion and maximum angle were calculated for all tasks. Intrasubject and intersubject variability were assessed by calculating Pearson's correlation coefficient, adjusted coefficient of multiple correlation (CMC adj), and standard deviation for 10 joint angles at the wrist, elbow, shoulder, and torso. The writing and picking up small objects tasks generally had high intrasubject variability, with most joint angles having median Pearson's correlation coefficients lower than 0.7. The CMC adj values were generally greater than 0.5 for elbow, shoulder, and torso joints during can-lifting tasks, indicating high consistency in those kinematic trajectories across subjects. Low consistency across subjects in all joint angles was observed for writing (CMC adj < 0.07; SD max > 10°). Kinematic patterns for the JHFT tasks were analyzed. With kinematic patterns for the JHFT tasks analyzed, optimal patterns of activity performance can be defined, allowing for easier identification and adjustment of atypical motion. Results can be used to inform selection of tasks for kinematic evaluation and provide expected variability for comparison to patient populations, which is useful for regulatory review and clinical assessment. • Study goal is to establish kinematic patterns for the Jebsen-Taylor Hand Function test • Intra- and intersubject variability as a function of task and joint angle assessed. • Consistency of joint-angle trajectories is dependent on task. • Writing task exhibited high intrasubject intersubject variability. • Results inform task choice and expected variability for regulatory and clinical assessments. [ABSTRACT FROM AUTHOR]