Importance of Wrist Movement Direction in Performing Activities of Daily Living Efficiently

The wrist is an essential component in performing the activities of daily living (ADLs) associated with a high quality of life. After a neurological disorder, motor function of the hand and wrist can be affected, reducing quality of life. Many experiments have illustrated that more wrist flexion/extension is required than radial/ulnar deviation when performing ADLs; however, how this result translates to efficiency in performing ADLs has not been investigated. Motivated by clinical assessment during neurorehabilitation, in this paper we investigate with able-bodied participants how performing tasks representative of the Jebsen-Taylor Hand Function Test are impacted when a splint constrains the user to a single rotational degree of freedom of the wrist. Twenty participants enrolled in the study, performing five tasks under five conditions, including constraint to pure flexion/extension and radial/ulnar deviation. The importance of wrist movement direction in performing ADLs efficiently found in this study could shape clinical wrist rehabilitation paradigms and wrist rehabilitation robot designs.