Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Investigation for Shoulder Kinematics Using Depth Sensor-Based Motion Analysis System

깊이 센서 기반 모션 분석 시스템을 사용한 어깨 운동학 조사

  • Lee, Ingyu (Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Park, Jai Hyung (Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Son, Dong-Wook (Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Cho, Yongun (Department of Orthopaedic Surgery, Konkuk University Chungju Hospital, College of Medicine, Konkuk University) ;
  • Ha, Sang Hoon (Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Eugene (Department of Orthopaedic Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 이인규 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 박재형 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 손동욱 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 조용운 (건국대학교 의과대학 건국대학교 충주병원 정형외과학교실) ;
  • 하상훈 (성균관대학교 의과대학 강북삼성병원 정형외과학교실) ;
  • 김유진 (성균관대학교 의과대학 강북삼성병원 정형외과학교실)
  • Received : 2020.02.07
  • Accepted : 2020.04.10
  • Published : 2021.02.28
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Abstract

Purpose: The purpose of this study was to analyze the motion of the shoulder joint dynamically through a depth sensor-based motion analysis system for the normal group and patients group with shoulder disease and to report the results along with a review of the relevant literature. Materials and Methods: Seventy subjects participated in the study and were categorized as follows: 30 subjects in the normal group and 40 subjects in the group of patients with shoulder disease. The patients with shoulder disease were subdivided into the following four disease groups: adhesive capsulitis, impingement syndrome, rotator cuff tear, and cuff tear arthropathy. Repeating abduction and adduction three times, the angle over time was measured using a depth sensor-based motion analysis system. The maximum abduction angle (θmax), the maximum abduction angular velocity (ωmax), the maximum adduction angular velocity (ωmin), and the abduction/adduction time ratio (tabd/tadd) were calculated. The above parameters in the 30 subjects in the normal group and 40 subjects in the patients group were compared. In addition, the 30 subjects in the normal group and each subgroup (10 patients each) according to the four disease groups, giving a total of five groups, were compared. Results: Compared to the normal group, the maximum abduction angle (θmax), the maximum abduction angular velocity (ωmax), and the maximum adduction angular velocity (ωmin) were lower, and abduction/adduction time ratio (tabd/tadd) was higher in the patients with shoulder disease. A comparison of the subdivided disease groups revealed a lower maximum abduction angle (θmax) and the maximum abduction angular velocity (ωmax) in the adhesive capsulitis and cuff tear arthropathy groups than the normal group. In addition, the abduction/adduction time ratio (tabd/tadd) was higher in the adhesive capsulitis group, rotator cuff tear group, and cuff tear arthropathy group than in the normal group. Conclusion: Through an evaluation of the shoulder joint using the depth sensor-based motion analysis system, it was possible to measure the range of motion, and the dynamic motion parameter, such as angular velocity. These results show that accurate evaluations of the function of the shoulder joint and an in-depth understanding of shoulder diseases are possible.

목적: 견관절의 운동 기능에 대한 평가는 견관절 질환의 진단 및 경과를 파악하는 데 있어 중요하다. 본 연구는 정상군 및 견관절질환을 가진 환자군에 대해 깊이 센서 기반 동작 분석 시스템을 통한 관절 운동을 동적으로 분석하여 문헌 고찰과 함께 보고하는 바이다. 대상 및 방법: 70명의 피험자가 연구에 참여하였으며 정상군 30명과 견관절 질환을 가진 환자 40명으로 분류하였다. 견관절 질환을 가진 환자 40명은 4가지 질환(회전근개 파열, 유착성 활액막염, 충돌 증후군, 회전근개 관절병증)으로 세분화하였다. 총 3회 반복된 외전 및 내전 운동 시 시간에 따른 각도를 깊이 센서 기반 동작 분석 시스템으로 측정하였으며, 최대 외전 각도, 최대 외전 각 속도, 최대 내전 각속도, 외전/내전 시간 비를 계산하였다. 상기 매개 변수들에 대해 정상군 30명과 환자군 40명을 비교하는 한편, 정상군 30명과 4가지 질환군별 10명, 총 5개 군을 비교하였다. 결과: 견관절 질환을 가진 환자군에서는 정상군에 비해 감소된 최대 외전 각도(θmax), 최대 외전 각속도(ωmax), 최대 내전 각속도(ωmin)를 보였으며, 증가된 외전/내전 시간 비(tabd/tadd)를 보였다. 세분화된 질환군별 비교에서는 최대 외전 각도(θmax)와 최대 외전각속도(ωmax)가 정상군에 비해 유착성 활액막염 환자군 및 회전근개 관절병증 환자군에서 감소되었고, 외전/내전 시간 비(tabd/tadd)가 정상군에 비해 유착성 활액막염 환자군, 회전근개 파열 환자군 및 회전근개 관절병증 환자군에서 증가되었다. 결론: 깊이 센서 기반 동작 분석 시스템을 사용한 견관절의 운동 분석을 통해 관절 운동 범위뿐 아니라 각속도 등의 동적 운동 변수를 측정할 수 있었으며, 이를 통해 견관절의 더 정확한 기능 평가 및 심도 있는 질환의 이해가 가능할 것이다.

Keywords

References

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