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Development and Evaluation of Upper Extremity Movement Quality Outcome Measures for Individuals With Functional
Garrett Weidig1,2, Tamara Reid Bush3
1Mechanical Engineering Department, Michigan State University, East Lansing, MI 48824-1226.
Journal of Biomechanical Engineering
|January 6, 2026
Summary
Researchers developed Summed Centripetal Acceleration (SCA), a new objective measure for assessing Functional Movement Disorder (FMD) symptoms. SCA shows promise for clinical use in tracking patient improvements in movement quality.
Area of Science:
- Neurology
- Biomedical Engineering
- Movement Science
Background:
- Functional Movement Disorder (FMD) impacts movement quality, with symptoms varying from tremors to jerks.
- Objective assessment tools for FMD movement quality are currently lacking in clinical practice.
- Existing methods struggle to quantify the spectrum of FMD-related upper extremity movement abnormalities.
Purpose of the Study:
- To develop and validate a novel movement-quality outcome measure for quantifying upper extremity FMD symptoms.
- To compare the efficacy of the new measure against existing metrics using data from healthy participants exhibiting simulated FMD movements.
Main Methods:
- Healthy participants performed reaching and retrieving movements emulating four FMD symptom types.
- Four movement-quality outcome measures were calculated: Number of Peak velocities (NoP), Log-Dimensionless Jerk (LDLJ), Spectral Arc Length (SPARC), and Summed Centripetal Acceleration (SCA).
- The newly developed SCA measure was designed to capture hyperkinetic movement based on position and velocity profiles.
Main Results:
- Summed Centripetal Acceleration (SCA) demonstrated strong correlations (r² > 0.5) with key movement aspects in three geometries and moderate correlations (0.25 ≤ r² ≤ 0.5) in one.
- SCA outperformed NoP, LDLJ, and SPARC in its correlation with movement characteristics and its ability to order movement types by quality.
- The developed SCA measure offers a potentially more objective and comprehensive assessment of FMD-related movement abnormalities.
Conclusions:
- Summed Centripetal Acceleration (SCA) is a promising novel outcome measure for objectively assessing upper extremity movement quality in Functional Movement Disorder (FMD).
- This measure has the potential to significantly aid clinicians in objectively evaluating FMD symptoms and monitoring treatment progress.
- Further validation in clinical populations is warranted to fully establish SCA's utility in patient care.

