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A Standardized Method for Measurement of Elbow Kinesthesia
Published on: October 10, 2020
[Comparison of evaluation methods on upper limb dysfunction caused by elbow joint injury]
Min Zhang1, Li-hua Fan, Qing Xia
1College of Criminal Justice, East China University of Political Science and Law, Shanghai 200042, China. zhangm@ssfjd.cn
Fa Yi Xue Za Zhi
|May 25, 2011
Summary
The "Assessment for Body Impairment of the Injured in Road Traffic Accident" (ABIR) and "Guides to the Evaluation of Permanent Impairment" (GEPI) show different upper limb impairment results for elbow dysfunction. Differences are notable when the elbow cannot reach a functional position.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Forensic Medicine
Background:
- Elbow movement dysfunction significantly impacts upper limb function and daily activities.
- Accurate assessment of permanent impairment is crucial for compensation and rehabilitation.
- Existing evaluation methods may yield differing results based on specific criteria.
Purpose of the Study:
- To compare upper limb impairment evaluations for elbow dysfunction using the ABIR and GEPI.
- To identify discrepancies in impairment assessment between the two methods.
Main Methods:
- Evaluated impairment degrees in 70 individuals with elbow joint movement dysfunction.
- Utilized both the ABIR and GEPI for assessment.
- Analyzed and compared the evaluation results statistically.
Main Results:
- A statistically significant difference was observed between ABIR and GEPI evaluations.
- Greater discrepancies occurred when elbow movement could not reach a functional position.
- ABIR showed consistent impairment for elbow ankylosis regardless of position, unlike GEPI's V-shaped changes.
Conclusions:
- The discrepancy between ABIR and GEPI in evaluating upper limb dysfunction is influenced by the consideration of elbow joint rigidity position.
- ABIR's assessment is less sensitive to the position of ankylosis compared to GEPI.
- Clinical and medico-legal applications require careful consideration of the chosen impairment evaluation tool.
