Review of arm motion analyses

Interest in arm movements has increased tremendously in recent years. This interest has been motivated by different goals: the desire for a more scientific approach to replacement or support of the joints of the upper limb, the need for input to biomechanical computer models, and the clinical interest in comparing normal movements with pathological movements. The availability of commercial marker-tracking systems has facilitated achieving these goals. However, the complex nature of arm movements and the lack of standardized movements raises many challenges. In comparison with gait analysis, few arm motion analyses have been conducted. The purpose of this review is to aid researchers and clinicians interested in conducting an arm motion study in choosing the appropriate methodology. This is accomplished both by describing the methods used in past investigations and by highlighting important findings. Due to the variety of research goals, there is sometimes more than one appropriate method and the choice is left to the reader. Nevertheless, since it is extremely desirable to record and express the data in a standardized way, standardization proposals are described. This review, which focuses on methodology rather than results, addresses the following topics: motivations and tasks studied, tracking methods, the shoulder complex, joint centres and relation axes, marker positions, coordinate system definitions, terminology and rotations, accuracy, and presentation methods.