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Updated: Nov 28, 2025

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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
Published on: March 12, 2021
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Shoulder movement complexity in the aging shoulder: A cross-sectional analysis and reliability assessment
Celeste L Overbeek1,2, Timon H Geurkink1,2, Fleur A de Groot2
1Department of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands.
Summary
As people age, shoulder movements become less complex, potentially increasing susceptibility to shoulder issues. Movement complexity analysis offers insights into aging motor control and shoulder health.
Area of Science:
- Biomechanics
- Gerontology
- Motor Control
Background:
- Motor redundancy in healthy individuals allows for adaptability and efficient muscle use.
- Movement complexity assessment may reveal age-related changes in motor control.
- Aging is associated with potential declines in motor function and increased risk of musculoskeletal complaints.
Purpose of the Study:
- To quantify movement complexity in repetitive arm elevation trajectories in the aging shoulder.
- To assess the test-retest reliability of movement complexity quantification.
- To investigate the association between age and movement complexity in shoulder movements.
Main Methods:
- A cross-sectional study involving 120 asymptomatic participants aged 18-70 years.
- 3D-electromagnetic tracking to record repetitive arm abduction and forward/anteflexion movements.
- Movement complexity calculated using Approximate Entropy (ApEn), with reliability assessed via ICC.
Main Results:
- Higher age was significantly associated with lower ApEn-values during shoulder abduction (p < .001).
- Test-retest reliability varied, influenced by sample length differences.
- Results suggest a trend towards more stereotypical abduction movements with increasing age.
Conclusions:
- Aging is linked to reduced complexity in shoulder abduction movements, potentially indicating decreased motor redundancy.
- This reduction in movement complexity may predispose the aging shoulder to complaints.
- Movement complexity analysis, considering factors like sample length, could be valuable for future research on shoulder pathologies.
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