Distribution of arm velocity and frequency of arm usage during daily activity: objective outcome evaluation after shoulder surgery.

In clinical settings, functional evaluation of shoulder movement is primarily based on what the patient thinks he/she is able to do rather than what he/she is actually performing. We proposed a new approach for shoulder assessment based on inertial sensors to monitor arm movement in the daily routine. The detection of movement of the humerus relative to the trunk was first validated in a laboratory setting (sensitivity>95%, specificity>97%). Then, 41 control subjects and 21 patients suffering from a rotator cuff tear were evaluated (before and after surgery) using clinical questionnaires and a one-day measurement of arm movement. The quantity of movement was estimated with the movement frequency and its symmetry index (SIFr). The quality of movement was assessed using the Kolmogorov-Smirnov distance (KS) between the cumulative distribution of the arm velocity for controls and the same distribution for each patient. SIFr presented differences between patients and controls at 3 month follow-up (p<0.05) while KS showed differences also after 6 months (p<0.01). SIFr illustrated a change in dominance due to the disorder whereas KS, which appeared independent of the dominance and occupation, showed a change in movement velocity. Both parameters were correlated to clinical scores (R(2) reaching 0.5). This approach provides clinicians with new objective parameters for evaluating the functional ability of the shoulder in daily conditions, which could be useful for outcome assessment after surgery.

Audit report on the Pocahontas County Solid Waste Commission for the year ended June 30, 2014

Audit report on the Pocahontas County Solid Waste Commission for the year ended June 30, 2014

Audit report on the Crawford County Area Solid Waste Agency Commission for the year ended June 30, 2014

Audit report on the Crawford County Area Solid Waste Agency Commission for the year ended June 30, 2014

Audit report on the Water and Waste Disposal Systems for Rural Communities program for the City of Lone Rock, Iowa for the year ended June 30, 2014

Audit report on the Water and Waste Disposal Systems for Rural Communities program for the City of Lone Rock, Iowa for the year ended June 30, 2014

Audit report on the North Central Iowa Regional Solid Waste Agency for the year ended June 30, 2014

Audit report on the North Central Iowa Regional Solid Waste Agency for the year ended June 30, 2014

Audit report on the Wayne-Ringgold-Decatur County Solid Waste Management Commission for the year ended June 30, 2014

Audit report on the Wayne-Ringgold-Decatur County Solid Waste Management Commission for the year ended June 30, 2014

Audit report on the Waste Authority of Jackson County for the year ended June 30, 2014

Audit report on the Waste Authority of Jackson County for the year ended June 30, 2014

Audit report on the Butler County Solid Waste Commission for the year ended June 30, 2014

Audit report on the Butler County Solid Waste Commission for the year ended June 30, 2014

Essai de morale à l'usage de l'Eglise gallicane non-assermentée ou Questions & réponses sur la conduite des ecclésiastiques & des fidèles, par rapport aux circonstances présentes ([Reprod.]) / par M. Bacth

Collection : Les archives de la Révolution française ; 8.1589