We studied thirty-three normal patients, eighteen women and fifteen men,
for normal motion and the amount of elbow motion required for fifteen
activities of daily living. The amounts of elbow flexion and forearm
rotation (pronation and supination) were measured simultaneously by means
of an electrogoniometer. Activities of dressing and hygiene require elbow
positioning from about 140 degrees of flexion needed to reach the occiput
to 15 degrees of flexion required to tie a shoe. Most of these activities
are performed with the forearm in zero to 50 degrees of supination. Other
activities of daily living (such as eating, using a telephone, or opening a
door) are accomplished with arcs of motion of varying magnitudes. Most of
the activities of daily living that were studied in this project can be
accomplished with 100 degrees of elbow flexion (from 30 to 130 degrees) and
100 degrees of forearm rotation (50 degrees of pronation and 50 degrees of
supination). Clinical Relevance: These data, not previously recorded, may
be used to provide an objective basis for the determination of disability
impairment, to determine the optimum position for elbow splinting or
arthrodesis, and to assist in the design of elbow prostheses. The motion
needed to perform essential daily activities is obtainable with a
successful total elbow arthroplasty.