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Article

A Novel Protocol for Integrated Assessment of Upper Limbs Using the Optoelectronic Motion Analysis System: Validation and Usability in Healthy People

by
Luca Emanuele Molteni
1,*,
Luigi Piccinini
1,
Daniele Panzeri
1,
Ettore Micheletti
1 and
Giuseppe Andreoni
1,2
1
Scientific Institute IRCCS “E.Medea”, Bosisio Parini, 23842 Lecco, Italy
2
Department of Design, Politecnico di Milano, 20133 Milano, Italy
*
Author to whom correspondence should be addressed.
Bioengineering 2025, 12(9), 905; https://doi.org/10.3390/bioengineering12090905 (registering DOI)
Submission received: 23 July 2025 / Revised: 18 August 2025 / Accepted: 21 August 2025 / Published: 23 August 2025
(This article belongs to the Special Issue Biomechanics and Motion Analysis)

Abstract

(1) Background: Upper limb (UL) function plays a central role in daily life, enabling essential tasks such as reaching, grasping, and eating. While numerous tools exist to evaluate UL kinematics, their application in pediatric populations is often limited by a lack of age-specific validation. This study presents a novel motion analysis protocol featuring a customized marker set, aimed at assessing UL movements in the three anatomical planes across different age groups, with a focus on pediatric applicability. (2) Materials and Methods: A SmartDX motion capture system was used, with 30 markers positioned on the upper body, referencing the trunk as the root of the kinematic chain. Ten healthy participants (mean age: 18.69 ± 12.45 years; range: 8.0–41.4) without UL impairments were recruited. The broad age range was intentionally selected to assess the protocol’s transversal applicability. (3) Results: Results showed excellent intra-operator reliability for shoulder and wrist kinematics (ICC > 0.906) and good reliability for elbow movements (ICC > 0.755). Inter-operator reliability was good to excellent (shoulder ICC > 0.958; elbow ICC > 0.762; wrist ICC > 0.826) Usability, measured via the System Usability Scale, was rated as good (83.25). (4) Conclusions: The proposed protocol demonstrated strong reliability and practical usability, supporting its adoption in clinical and research settings. Its design allows for adaptability across motion capture platforms, promoting wider implementation in pediatric UL functional assessment.
Keywords: upper limb; functional assessment; kinematic analysis; shoulder kinematics; elbow kinematics; wrist kinematics upper limb; functional assessment; kinematic analysis; shoulder kinematics; elbow kinematics; wrist kinematics

Share and Cite

MDPI and ACS Style

Molteni, L.E.; Piccinini, L.; Panzeri, D.; Micheletti, E.; Andreoni, G. A Novel Protocol for Integrated Assessment of Upper Limbs Using the Optoelectronic Motion Analysis System: Validation and Usability in Healthy People. Bioengineering 2025, 12, 905. https://doi.org/10.3390/bioengineering12090905

AMA Style

Molteni LE, Piccinini L, Panzeri D, Micheletti E, Andreoni G. A Novel Protocol for Integrated Assessment of Upper Limbs Using the Optoelectronic Motion Analysis System: Validation and Usability in Healthy People. Bioengineering. 2025; 12(9):905. https://doi.org/10.3390/bioengineering12090905

Chicago/Turabian Style

Molteni, Luca Emanuele, Luigi Piccinini, Daniele Panzeri, Ettore Micheletti, and Giuseppe Andreoni. 2025. "A Novel Protocol for Integrated Assessment of Upper Limbs Using the Optoelectronic Motion Analysis System: Validation and Usability in Healthy People" Bioengineering 12, no. 9: 905. https://doi.org/10.3390/bioengineering12090905

APA Style

Molteni, L. E., Piccinini, L., Panzeri, D., Micheletti, E., & Andreoni, G. (2025). A Novel Protocol for Integrated Assessment of Upper Limbs Using the Optoelectronic Motion Analysis System: Validation and Usability in Healthy People. Bioengineering, 12(9), 905. https://doi.org/10.3390/bioengineering12090905

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