Harmony Scapulohumeral Rhythm (SHR) Reliability and Efficacy Study

Inclusion Criteria

• •Limited or impaired functional use of one or both upper extremities due to stroke
• •Currently admitted to the Shirley Ryan AbilityLab as an inpatient
• •Minimum passive Range of Motion requirements as follows:
• •Shoulder flexion: 90⁰ minimum with zero starting point of arm perpendicular to the floor and 90⁰ measuring at a right angle parallel to the floor in the sagittal plane
• •Shoulder abduction: 90⁰ minimum with zero starting point of arm perpendicular to the floor and 90⁰ measuring at a right angle parallel to the floor in the coronal/frontal plane
• •Shoulder rotation: tolerating of don/doff position, depending on the degree of ER required for that position
• •Elbow flexion: 90⁰ minimum with zero starting point of arm perpendicular to the floor and 90⁰ measuring at a right angle parallel to the floor in the sagittal plane
• •Wrist pronation: 0⁰ minimum with the zero starting point of the forearm in neutral with the palm of the hand pointing inward and the thumb pointing up, perpendicular to the floor
• •Have skeletal measurements within the ranges specified:
• •Seated shoulder height in range of 840 mm to 1122 mm measured as the sum of the following:
• •Seat of chair to acromion process of seated patient
• •Height of the chair
• •Shoulder Breadth in the range of 324mm to 443mm measured between the acromion process in one scapula to the acromion process on the other scapula
• •Humeral length in the range of 250mm to 350mm measured between the greater tubercle to lateral epicondyle
• •Ulnar length in the range of 228 mm to 306 mm measured between the olecranon to head of ulna/styloid process
• •21 years of age or older
• •Ability to safely transfer from mobility device to standard chair with no armrests or with the assistance of a licensed occupational therapist/trained research staff
• •Able and willing to give written consent and comply with study procedures