Instrumented shoulder functional assessment using inertial measurement units for frozen shoulder

Frozen shoulder (FS) is a shoulder condition that leads to pain and loss of shoulder range of motion. FS patients have difficulties in independently performing daily activities. Inertial measurement units (IMUs) have been developed to objectively measure upper limb range of motion (ROM) and shoulder function. In this work, we propose an IMU-based shoulder functional task assessment with kinematic parameters (e.g., smoothness, power, speed, and duration) in FS patients and analyze the functional performance on complete shoulder tasks and subtasks. Twenty FS patients and twenty healthy subjects were recruited in this study. Five shoulder functional tasks are performed by participants, such as washing hair (WH), washing upper back (WUB), washing lower back (WLB), placing an object on a high shelf (POH), and removing an object from back pocket (ROP). The results demonstrate that the used smoothness features can reflect the differences of movement fluency between FS patients and healthy controls (p < 0.05 and effect size > 0.8). Moreover, features of subtasks provided subtle information related to clinical conditions that have not been revealed in features of a complete task, especially the defined subtask 1 and 2 of each task.