PROJECT ON

NON-CONTACT COMPUTERISED GONIOMETER (NCCG) A TOOL TO MEASURE RANGE OF MOTION

Lead implementing agency The Director Pt.Deendayal Upadhyaya Institute for the Physically Handicapped (Under Ministry of Social Justice and Empowerment) 4,Vishnu Digamber Marg, New Delhi-110002. Telephone No. 23233672, 23233782, 23236378 E-mail- diriph@nic.in website: iphnewdelhi.in Dr. Suraj Kumar, Department of Physiotherapy Pt.Deendayal Upadhyaya Institute for the Physically Handicapped Design Agency: Architect Sumanyu Vasist

OBJECTIVE

1. To develop the equipment which assesses the joint range of motion without any examiner contact with the bony levers. 2. To assess the accuracy of NCCG by comparing with standard goniometer.

NEEDS OF THE STUDY

Measurement of the joint range of motion is important for the rehabilitation professionals in assessing, diagnosing, determining the prognosis, and treating the physical impairments. A number of measurement tools are available in the rehabilitation set ups including the visual estimation, inclinometer, goniometer, motion analyzing system, computer aided motion analysis instruments, and video based motion analysis system. Goniometer is the most commonly used manual tool for the joint range of motion assessment. However it may influence the actual range available at the joint. For the first time the range of motion measurement by the noncontact computerized method. Cost effective

WHY ALTERNATIVE

Technical error for Universal Goniometer Cost effective for motion analyzing system Ttechnical expertise needed to operate instrument or interpret the findings for isokinetic dynamometer Time consuming for photographic goniometer The cumbersome method of using it for opto-electric motion analyzing system

PRESENT AVAILABILITY

Universal Goniometer

UNIVERSAL GONIOMETER

Universal goniometer consists of a fulcrum, a stationery arm, a movable arm, a circular scale imprinted around the fulcrum. Both the arms are connected at the center of the fulcrum in such a manner that when moving arm moves with respect to the stationery arm, an acute angle is created between the central axes of both the arms. The circular scale indicates the amount of motion at the joint in form of degrees, by recording the acute angle formed between both the arms (moving and stationery arm).

ERRORS IN UNIVERSAL GONIOMETER

The examiner might influence the joint ranges by forceful flexion or extension or the measured joint, or also might obstruct the actual ranges available at joint (Chiu et al, 1998). Parallax error when the eye of the examiner are not completely parallel to the scale line of the goniometer Incorrect landmark identification The failure to stabilize the anatomical landmarks and the arm of the goniometer when the client is executing the movement overlying skin which in case of heavy built patients may alter the position of the bony landmark. (Bennett et al, 2009)

HYPOTHESIS
In the present study we hypothesize that development of a noncontact computerized version of goniometer (NCCG) is needed to enhance the accuracy, acceptability and user friendly mean of assessing the joint range of motion, and to minimize the errors associated with its usage. This project would also attempt to develop the cost effective instrument and instantaneously result generating tool, so as to provide the clinician a powerful assessment tool for enhancing the accuracy of the determining prognosis or the treatment approach for the rehabilitation of the joint disorders.

METHODOLOGY

Total 100 subjects will be enrolled for the study including 50 patients and 50 normal with age group 20-40 years. The Normal subjects will be free from the joint pathology while the patient group will have subjects suffering from the joint pathology including the joint range restriction. The subjects will be recruited from the outdoor patients (OPD). Inclusion Criteria: Age group 20-40 years Either male or females Exclusion Criteria: History of the surgery on the, to be assessed limb Neurological problems compromising the movement at the concerned joint Spasticity, rigidity or the hypertonicity Psychiatric condition

TIME FRAME

HOW NCCG WILL WORK ?

DIAGRAMATIC REPRESENTATION

INTERFACE OF SUBJECT & INSTRUMENT

INTERFACE OF SUBJECT & CAMARA

INTERFACE OF SUBJECT & INSTRUMENT

INTERFACE OF SUBJECT & CAMARA INTERFACE OF CAMARA & COMPUTER INTERFACE OF COMPUTER & DOCTOR

INTERFACE OF SUBJECT & INSTRUMENT

INTERFACE OF SUBJECT & CAMARA INTERFACE OF CAMARA & COMPUTER INTERFACE OF COMPUTER & DOCTOR

INTERFACE OF SUBJECT & INSTRUMENT

INTERFACE OF DOCTOR AND SUBJECT

REPRESENTATION

Name Age Sex Doctor

INITIAL ANGLE

FINAL ANGLE

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS AXIS POINT

FIXED ARM
MOVING ARM DONE

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS AXIS POINT

FIXED ARM
MOVING ARM DONE

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS AXIS POINT

FIXED ARM
MOVING ARM DONE

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS AXIS POINT

FIXED ARM
Desired point selected ? MOVING ARM DONE

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS AXIS POINT

FIXED ARM
MOVING ARM DONE

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS AXIS POINT

FIXED ARM
MOVING ARM DONE GET RESULTS

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

INITIAL ANGLE

FINAL ANGLE

SELECT PHOTO SELECT POINTS AXIS POINT

FIXED ARM
MOVING ARM
INITIAL ANGLE = XX Deg FINAL ANGLE = XX Deg DIFFERENCE = XX Deg OTHER RESULTS:

DONE GET RESULTS

INFERANCES:

Name: Purshotam Lall NOTES Age: 46 yrs Sex: Male Doctor: Suraj Kumar

SAVE PRINT

Pandit Deen Dayal Upadhyaya Institute for the Physically Handicapped