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1.
J Musculoskelet Neuronal Interact ; 24(3): 267-275, 2024 Sep 01.
Article in English | MEDLINE | ID: mdl-39219324

ABSTRACT

OBJECTIVE: There is little proof to determine the features of the muscles' motor unit potentials (MUPs) in children with poor posture. Current evaluation could be of value for future studies as a reference. The purpose was to detect the impact of rounded back posture on the characteristics of the MUPs and fascicle length of the shoulder retractors in children. METHODS: Participants in this study were 60 children (boys and girls), their ages were from 7 to 10 years old. Children were allocated into healthy children group (A) and rounded back posture group (B). MUPs and fascicle length of middle trapezius were assessed by electromyography and ultrasonography respectively. RESULTS: When compared to the normal group, the rounded back group's right and left middle trapezius MUPs count and amplitude significantly increased. As regards to the middle trapezius MUPs duration between the two groups, there was no significant difference. Also, the rounded back posture group exhibited significantly lower fascicle length in middle trapezius of both sides than the normal group. CONCLUSION: Forward shoulder posture is accompanied by atypical middle trapezius MUPs characteristics and also lowered fascicle length. Thus, children with forward-leaning posture could increase the likelihood of developing any of the many shoulder disorders.


Subject(s)
Electromyography , Posture , Shoulder , Humans , Child , Female , Male , Posture/physiology , Shoulder/physiology , Shoulder/diagnostic imaging , Electromyography/methods , Superficial Back Muscles/physiology , Superficial Back Muscles/diagnostic imaging , Ultrasonography/methods , Motor Neurons/physiology
2.
J Sport Rehabil ; 33(7): 522-530, 2024 Sep 01.
Article in English | MEDLINE | ID: mdl-39117311

ABSTRACT

CONTEXT: Analyzing flick movement kinematics biomechanically is important to prevent sport-related injuries in underwater hockey players since the aquatic-based flick movement is completely different from land-based flick movements. The study aimed to describe the flick movement kinematic biomechanically in underwater hockey players. Moreover, this study further aimed to investigate the effect of the Thrower's Ten exercises on flick movement kinematics in underwater hockey players. DESIGN: Descriptive laboratory study. METHODS: Seventeen underwater hockey players (age: 26.2 [4.3] y; sports age: 6.2 [4.5] y) were included. First, 2 underwater cameras using motion capture video analysis MATLAB were used to biomechanically analyze the angular changes on the shoulder, elbow, wrist, and body while players were performing the flick movements. Players were then recruited to the Thrower's Ten exercise program for 6 weeks. Flick movement kinematics and flick-throwing distance were recorded at baseline and 6 weeks. RESULTS: The flick movement kinematic patterns demonstrated increased shoulder flexion (from 102.5° to 144.9°), wrist extension (from 9.5° to 10.8°), and upper-extremity rotation (from 5.7° to 56.8°) while decreased elbow extension (from 107.7° to 159.2°) from the stick met the puck until the competition of the movement. The Thrower's Ten exercises improved the elbow extension (P = .04), wrist extension (P = .01), body rotation (P < .001), and flick-throwing distance (P < .001) from baseline to 6 weeks. CONCLUSION: This study describes the underwater flick kinematic technique biomechanically and interprets preliminary findings for the first time. Thus, 6 weeks of Thrower's Ten exercise program provides more body muscle movements than the smaller ones during the flick movements and higher flick-throwing distance in underwater hockey players.


Subject(s)
Hockey , Humans , Hockey/physiology , Biomechanical Phenomena , Male , Adult , Young Adult , Movement/physiology , Upper Extremity/physiology , Range of Motion, Articular/physiology , Shoulder/physiology , Elbow/physiology , Wrist/physiology
3.
J Sports Sci ; 42(14): 1331-1340, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39158032

ABSTRACT

Recent biomechanical evidence suggests that shoulder impingement syndrome (SIS) is closely linked with altered core-shoulder kinetic chain, resulting pain, altered external shoulder muscle activation, and external muscle weakness. We aimed to compare the effects of conventional isolated shoulder exercise (ISE) and core-shoulder chain exercises (CCE) during isokinetic shoulder rotation in baseball pitchers with SIS. Forty male college baseball pitchers with SIS were randomly allocated to ISE and CCE groups and they performed the exercises 3 times a week for 6 weeks. The standardised numerical pain rating scale (NPRS), shoulder pain and disability index (SPADI), electromyography (EMG) amplitude, and concentric (CON) and eccentric (ECC) torques were measured. Substantial improvements in NPRS and SPADI scores were observed after CCE compared to ISE (p ≤ 0.046). Internal oblique/transversus abdominis, rectus abdominis, external oblique, serratus anterior, and infraspinatus muscle activation were significantly higher after CCE than ISE (p ≤ 0.033). CON and ECC torques were higher after CCE than ISE (p ≤ 0.002). The present findings demonstrated superior therapeutic effects of CCE in improving pain, disability level, shoulder muscle activation, and torque (muscle strength) in baseball pitchers with SIS compared to the conventional ISE, highlighting the importance of the chain exercise concept.


Subject(s)
Baseball , Electromyography , Exercise Therapy , Shoulder Impingement Syndrome , Torque , Humans , Baseball/physiology , Male , Shoulder Impingement Syndrome/physiopathology , Shoulder Impingement Syndrome/therapy , Young Adult , Single-Blind Method , Exercise Therapy/methods , Shoulder/physiopathology , Shoulder/physiology , Muscle, Skeletal/physiology , Muscle, Skeletal/physiopathology , Rotation , Muscle Strength/physiology , Biomechanical Phenomena , Pain Measurement
4.
J Sport Rehabil ; 33(6): 423-436, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-39032923

ABSTRACT

CONTEXT: The aim of this study was to investigate the effects of 8-week ballistic-strength-training program using a validated specific throwing device (ie, Arm/Shoulder Specific Strength Device), on isokinetic shoulders' rotation muscle-torques and ratios as well as range of motion in team handball players. DESIGN: A repeated-measures experimental design with a randomized controlled trial was used. METHODS: Twenty-six high-level competitive male U-19 team handball players were randomly assigned into training (TG, n = 15) and control (n = 11) groups. The TG undertook a twice a week for 8-week periodized throws program with an individually predetermined optimal load. The program incorporated shackled eccentric and concentric exercises using the Arm/Shoulder Specific Strength Device. Peak torques, functional, and conventional ratios for both arms at different angular velocities (60°·s-1, 180°·s-1, and 300°·s-1) were assessed over time and between groups, using an isokinetic dynamometer. RESULTS: A significant improvement for TG (P < .01; d = 1.13 [moderate]; +20.2%) of the concentric peak torques for dominant arm in external rotation was observed at 300°·s-1. Significant (P < .05-.01) increases were also noted for nondominant arm at the 3 studied angular velocities. In addition, 300°·s-1 eccentric peak torques of the dominant arm and nondominant arm have significantly improved for both external and internal rotations (P < .05; d = .99 [moderate] and d = 1.21 [large]; +15.7% and + 17.9%, respectively) with small changes at the other angular assessed velocities. Posttraining, TG's dominant arm showed significant improvements (P < .05-.01) in functional and conventional ratios at all velocities. Notably, significant differences (P < .05-.01) were observed at 60°·s-1 and across all velocities when comparing the TG with the control group. TG showed significant increase for internal rotation and external rotation shoulder range of motions (P < .05; d = 1.22-1.27 [large]), +5.0% and +7.7%, respectively). CONCLUSIONS: The specific 8-week throwing training program on the Arm/Shoulder Specific Strength Device showed significant performance improvements in almost all assessed isokinetic concentric and eccentric peak torques as well as internal and external range of motion increase for both arms while ensuring rotator cuff torque ratios and shoulder mobility in team handball real sport-specific condition.


Subject(s)
Muscle Strength , Muscle, Skeletal , Range of Motion, Articular , Resistance Training , Shoulder , Torque , Humans , Male , Resistance Training/instrumentation , Resistance Training/methods , Young Adult , Range of Motion, Articular/physiology , Shoulder/physiology , Muscle, Skeletal/physiology , Muscle Strength/physiology , Rotation , Muscle Strength Dynamometer
5.
Sci Rep ; 14(1): 17489, 2024 07 30.
Article in English | MEDLINE | ID: mdl-39080435

ABSTRACT

Although there is consensus among dentists that visual aids not only improve vision but also help improve posture, evidence is scarce. This study aimed to evaluate the effect of visual aids (loupe and microscope) on the muscle workload of dentists during crown preparation on dentiform first molars in each quadrant of a phantom head, considering dentists' muscles, patients' tooth positions and surfaces. Six right-handed dentists from a single tertiary hospital participated. Surface electromyography device recorded the muscle workload of the bilateral upper trapezius, sternocleidomastoid, cervical erector spinae, and anterior deltoid during crown preparation. The results showed significantly lower workload in all examined muscles when using a microscope compared to the naked eye (p < 0.05), whereas the loupe showed reduced workload in some specific muscles. The muscle with the highest workload for all visual aids was the cervical erector spinae, followed by the upper trapezius. When analyzed by tooth surface, while the loupe did not significantly reduce overall workload compared to the naked eye for each surface, the microscope significantly reduced workload for most surfaces (p < 0.05). Therefore, during crown preparation, the workload of the studied muscles can successfully be reduced with the use of a loupe or microscope.


Subject(s)
Dentists , Shoulder , Humans , Male , Adult , Female , Shoulder/physiology , Electromyography , Microscopy/methods , Crowns , Neck Muscles/physiology , Workload , Muscle, Skeletal/physiology
6.
J Strength Cond Res ; 38(8): e440-e447, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-39072664

ABSTRACT

ABSTRACT: Chen, P-T, Lin, Y-C, Chang, H-Y, Chiu, C-H, Chen, C-Y, Chen, P, and Lin, Y-H. Effects of shoulder corrective training program on pitching loads and sonographic morphology in elbow joint in youth baseball players. J Strength Cond Res 38(8): e440-e447, 2024-We assessed the effects of a 12-week shoulder corrective training program for shoulder flexibility and strengthening on pitching loads and sonographic morphology of the elbow joints in youth baseball players. Seventeen subjects were recruited and underwent evaluations before and after the training program. We found that following training, subjects demonstrated significantly increased ranges of shoulder internal rotation (38.9 ± 12.9° vs. 69.2 ± 10.8°, p < 0.001), external rotation (91.2 ± 14.6° vs. 107.3 ± 9.5°, p = 0.004), and horizontal adduction (21.5 ± 8.0° vs. 32.7 ± 7.3°, p = 0.002); improved strength in the shoulder internal rotators (8.7 ± 1.6 kg vs. 9.8 ± 2.1 kg, p = 0.04), external rotators (6.5 ± 1.9 kg vs. 7.5 ± 2.8 kg, p = 0.04), middle trapezius (12.7 ± 2.1 kg vs. 14.3 ± 2.4 kg, p = 0.04), and middle deltoid muscles (10.8 ± 3.3 kg vs. 14.8 ± 3.2 kg, p = 0.001); and decreased thickness of the ulnar collateral ligament (6.1 ± 0.6 mm vs. 4.8 ± 0.7 mm, p = 0.002). Although there was no substantial change in elbow torque and arm speed, significantly increased ball speed (51.2 ± 4.6 mph vs. 54.1 ± 4.5 mph, p < 0.001) and decreased arm slot (63.8 ± 11.9° vs. 53.0 ± 12.7°, p = 0.02) were observed. We suggest that adequate corrective training should be performed regularly to minimize or mitigate adverse soft tissue changes at the elbow in youth baseball players. Balanced shoulder strength and flexibility may decrease medial elbow stress during pitching. Future studies should consider the kinetic and kinematic effects of other corrective training programs on the shoulder or elbow joint during pitching.


Subject(s)
Baseball , Elbow Joint , Range of Motion, Articular , Ultrasonography , Humans , Baseball/physiology , Elbow Joint/physiology , Elbow Joint/diagnostic imaging , Elbow Joint/anatomy & histology , Adolescent , Male , Range of Motion, Articular/physiology , Shoulder Joint/physiology , Shoulder Joint/diagnostic imaging , Shoulder Joint/anatomy & histology , Muscle Strength/physiology , Rotation , Shoulder/physiology , Shoulder/diagnostic imaging , Shoulder/anatomy & histology , Child
7.
Scand J Med Sci Sports ; 34(7): e14691, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38970442

ABSTRACT

Quantifying movement coordination in cross-country (XC) skiing, specifically the technique with its elemental forms, is challenging. Particularly, this applies when trying to establish a bidirectional transfer between scientific theory and practical experts' knowledge as expressed, for example, in ski instruction curricula. The objective of this study was to translate 14 curricula-informed distinct elements of the V2 ski-skating technique (horizontal and vertical posture, lateral tilt, head position, upper body rotation, arm swing, shoulder abduction, elbow flexion, hand and leg distance, plantar flexion, ski set-down, leg push-off, and gliding phase) into plausible, valid and applicable measures to make the technique training process more quantifiable and scientifically grounded. Inertial measurement unit (IMU) data of 10 highly experienced XC skiers who demonstrated the technique elements by two extreme forms each (e.g., anterior versus posterior positioning for the horizontal posture) were recorded. Element-specific principal component analyses (PCAs)-driven by the variance produced by the technique extremes-resulted in movement components that express quantifiable measures of the underlying technique elements. Ten measures were found to be sensitive in distinguishing between the inputted extreme variations using statistical parametric mapping (SPM), whereas for four elements the SPM did not detect differences (lateral tilt, plantar flexion, ski set-down, and leg push-off). Applicability of the established technique measures was determined based on quantifying individual techniques through them. The study introduces a novel approach to quantitatively assess V2 ski-skating technique, which might help to enhance technique feedback and bridge the communication gap that often exists between practitioners and scientists.


Subject(s)
Posture , Principal Component Analysis , Skiing , Skiing/physiology , Humans , Male , Posture/physiology , Biomechanical Phenomena , Adult , Movement/physiology , Female , Young Adult , Arm/physiology , Shoulder/physiology , Rotation
8.
J Neurophysiol ; 132(2): 470-484, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-38985941

ABSTRACT

Following events such as fatigue or stroke, individuals often move their trunks forward during reaching, leveraging a broader muscle group even when only arm movement would suffice. In previous work, we showed the existence of a "force reserve": a phenomenon where individuals, when challenged with a heavy weight, adjusted their motor coordination to preserve approximately 40% of their shoulder's force. Here, we investigated if such reserve can predict hip, shoulder, and elbow movements and torques resulting from an induced shoulder strength deficit. We engaged 20 healthy participants in a reaching task with incrementally heavier dumbbells, analyzing arm and trunk movements via motion capture and joint torques through inverse dynamics. We simulated these movements using an optimal control model of a 3-degree-of-freedom upper body, contrasting three cost functions: traditional sum of squared torques, a force reserve function incorporating a nonlinear penalty, and a normalized torque function. Our results demonstrate a clear increase in trunk movement correlated with heavier dumbbell weights, with participants employing compensatory movements to maintain a shoulder force reserve of approximately 40% of maximum torque. Simulations showed that while traditional and reserve functions accurately predicted trunk compensation, only the reserve function effectively predicted joint torques under heavier weights. These findings suggest that compensatory movements are strategically employed to minimize shoulder effort and distribute load across multiple joints in response to weakness. We discuss the implications of the force reserve cost function in the context of optimal control of human movements and its relevance for understanding compensatory movements poststroke.NEW & NOTEWORTHY Our study reveals key findings on compensatory movements during upper limb reaching tasks under shoulder strength deficits, as observed poststroke. Using heavy dumbbells with healthy volunteers, we demonstrate how forward trunk displacement conserves around 40% of shoulder strength reserve during reaching. We show that an optimal controller employing a cost function combining squared motor torque and a nonlinear penalty for excessive muscle activation outperforms traditional controllers in predicting torques and compensatory movements in these scenarios.


Subject(s)
Movement , Shoulder , Torque , Humans , Male , Female , Adult , Shoulder/physiology , Movement/physiology , Muscle Strength/physiology , Biomechanical Phenomena/physiology , Young Adult , Muscle, Skeletal/physiology , Psychomotor Performance/physiology , Arm/physiology , Torso/physiology
9.
J Orthop Surg Res ; 19(1): 383, 2024 Jun 28.
Article in English | MEDLINE | ID: mdl-38943153

ABSTRACT

Round-shoulder posture (RSP) is a common postural condition, characterized by protraction, downward rotation, anterior tilting and internal rotation of the scapula. RSP can lead to shoulder dysfunction. Different methods have been proposed for rehabilitating and correcting the altered posture in RSP including stretching, strengthening exercises, and shoulder brace or taping. However, the findings are controversial and studies are ongoing to develop more effective method. The present study is aimed at investigating the effects of scapular posterior tilting (SPT) exercise in different support positions on scapular muscle activities in men and women with RSP. In a prospective observational clinical study, we assessed demographic, basic clinical parameters and study variables of the subjects with RSP (n = 20) (men/women = 9/11) attending Daegu University in Gyeongsan, South Korea. To do so, we compared electromyographic (EMG) activities of lower trapezius and serratus anterior muscles between men and women with RSP during SPT exercise on four different support surfaces to determine any difference in the EMG activities. The results revealed that women showed significant differences in EMG activities in the lower and left upper trapezius and serratus anterior muscles, while men showed significant differences in EMG activity only in the lower trapezius muscle during SPT exercise on four different surfaces (P < 0.05). The post-hoc analysis revealed significantly greater EMG activity values in the lower trapezius and serratus anterior muscles during SPT exercise on the upper body unstable surface and whole-body unstable surface (p < 0.05). Independent t-tests after the Bonferroni correction showed no significant differences in muscle activities between men and women on the four different surfaces (p > 0.0125).


Subject(s)
Electromyography , Posture , Scapula , Humans , Female , Male , Scapula/physiology , Posture/physiology , Adult , Prospective Studies , Young Adult , Shoulder/physiology , Muscle, Skeletal/physiology , Exercise Therapy/methods , Superficial Back Muscles/physiology , Exercise/physiology
10.
Appl Ergon ; 120: 104332, 2024 Oct.
Article in English | MEDLINE | ID: mdl-38876001

ABSTRACT

Many physically straining occupations involve lifting movements over the full-vertical range of motion, which over time may lead to the development of musculoskeletal injuries. To address this, occupational exoskeletons can be designed to provide meaningful support to the back and shoulders during lifting movements. This paper introduces the main functional design features of the OmniSuit, a novel passive occupational exoskeleton. We present the technical and biomechanical considerations for the expected support level, as well as an evaluation of the physiological benefit and usability of the exoskeleton in a sample of 31 healthy volunteers performing physically demanding tasks in a laboratory setting. The OmniSuit exoskeleton significantly reduced Deltoid, Trapezius and Erector Spinae muscle activity between 4.1%MVC and 15.7%MVC when lifting a 2.5kg weight above shoulder level (p<0.001), corresponding to a reduction of up to 49.1% compared to without exoskeleton. A position-dependent reduction of Erector Spinae muscle activity was observed (p<0.001), with reductions ranging between 4.6%MVC and 14.0%MVC during leaning and squatting, corresponding to a reduction up to 41.5% compared to without exoskeleton. The measured muscular support and the predicted support torque based on the biomechanical model were found to show a similar profile for those phases of the movement which are most straining to the shoulder and back muscles. Participants reported experiencing good device usability and minimal discomfort (<1/10) in the shoulder and back during task execution with exoskeleton support. These first results validate that the considered biomechanical model helped design an ergonomic and efficient exoskeleton, and confirm the potential of such wearable assistive devices to provide support over multiple joints during physically demanding tasks.


Subject(s)
Electromyography , Equipment Design , Exoskeleton Device , Range of Motion, Articular , Shoulder , Humans , Male , Biomechanical Phenomena , Adult , Female , Shoulder/physiology , Lifting , Back/physiology , Torque , Healthy Volunteers , Young Adult , Muscle, Skeletal/physiology , Movement/physiology , Task Performance and Analysis
11.
J Sports Sci ; 42(8): 737-750, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38836573

ABSTRACT

The aims of the present study were to: i) analyse the between-session reliability of dry-land and in-water swimming tests, and ii) investigate the prevalence of meaningful asymmetries in swimming athletes. Twenty-eight swimmers (21 males, 7 females) performed anthropometric, shoulder range of motion (ROM), countermovement jump, shoulder isokinetic torque, and 15-s tethered swimming tests two times, 1 week apart. Inter-limb asymmetries were calculated for each variable. Raw data reliability was determined using the intraclass coefficient correlation (ICC) and the typical error of measurement (TEM), and effect size (ES) was used to determine systematic bias between test sessions. At an individual level, inter-limb asymmetries were compared to the coefficient of variation (CV) to determine whether they were real. The between-session reliability was good to excellent (0.75 to 1.00) for most of the raw data, except for ROM. Between-session ES was predominately "trivial" or "small" for raw data and asymmetries, reinforcing that the values did not change significantly between the sessions. In addition, real asymmetries were seen in some tested metrics, depending on the test. In conclusion, the tested variables presented good levels of between-session reliability and were able to detect real and consistent asymmetries.


Subject(s)
Exercise Test , Range of Motion, Articular , Swimming , Humans , Swimming/physiology , Male , Reproducibility of Results , Female , Adolescent , Range of Motion, Articular/physiology , Exercise Test/methods , Young Adult , Torque , Anthropometry , Shoulder/physiology
12.
J Strength Cond Res ; 38(7): 1300-1304, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38900176

ABSTRACT

ABSTRACT: Pexa, BS, Johnston, CD, Elder, EE, Ford, KR, Patterson, MQ, and Myers, JB. Pool-based surfboard elicits activation of posterior shoulder muscles during a surfing stroke. J Strength Cond Res 38(7): 1300-1304, 2024-Surfboard paddling may activate posterior shoulder muscles, which are critical to baseball pitchers' injury risk and performance. The purpose of this study was to measure posterior shoulder muscle activation during different phases of the surf stroke (propulsion vs. recovery) on a pool-based surfboard. Twenty healthy active adult subjects completed a familiarization and testing session with the pool-based surfboard. During the testing session, electromyography (EMG) sensors were placed on 6 posterior shoulder muscles: latissimus dorsi, infraspinatus, posterior deltoid, upper trapezius, middle trapezius, and lower trapezius. Subjects completed 4 laps in a pool at 3 separate resistances (low, moderate, and heavy) in a randomized order. The peak EMG signal during each phase (propulsion and recovery) was recorded. A 2-way within subject ANOVA (resistance-by-phase) with post hoc Bonferroni's corrections was used to identify differences in EMG activation. There was a significant main effect of phase for the latissimus dorsi (F = 91.3, p < 0.001), upper trapezius (F = 36.5, p < 0.001), middle trapezius (F = 33.8, p < 0.001), and lower trapezius (F = 21.6, p < 0.001). The latissimus dorsi demonstrated higher activation during the propulsion phase (p < 0.001), and all trapezius muscles demonstrated higher activation during the recovery phase (p < 0.001). There was a significant main effect of resistance for the posterior deltoid (F = 3.4, p = 0.043), with higher muscle activation in the low resistance trials compared with the heavy resistance trials (p = 0.036). Recreationally active individuals demonstrate activation of the posterior shoulder when using a pool-based surfboard. This pool-based surfboard may be beneficial to activate the posterior musculature and may be more accessible than standard surfing to baseball athletes.


Subject(s)
Electromyography , Muscle, Skeletal , Shoulder , Humans , Male , Adult , Shoulder/physiology , Shoulder/physiopathology , Muscle, Skeletal/physiology , Muscle, Skeletal/physiopathology , Young Adult , Female , Water Sports/physiology , Superficial Back Muscles/physiology , Superficial Back Muscles/physiopathology , Biomechanical Phenomena
13.
Bioinspir Biomim ; 19(4)2024 Jun 21.
Article in English | MEDLINE | ID: mdl-38848735

ABSTRACT

Shoulder joints determine the motion range of the upper limb. Thus, the compact and well-stiffened spherical parallel mechanism (SPM) has emerged as the mainstream shoulder prosthesis design approaches. However, the SPM's moving pairs of redundant motions impose excessive constraints that limit its workspace. Therefore, amplifying the workspace of the SPM to cover the motion range required by human daily activities is a pressing problem in shoulder prosthesis design. To address this challenge, this study proposed a workspace amplification approach through the kinematic analysis of a symmetrically arranged 2 degrees of freedom (DoFs) passive mechanism, together with the designed and optimized 3-RRR SPM, to construct an anthropomorphic shoulder. The effectiveness and reliability of the proposed mechanism was verified through thorough analyses. Simulation and experiment results demonstrated that the workspace amplification mechanism could significantly increase the maximum motion match index between the shoulder prosthesis and the daily workspace of the human shoulder from only 26.3% to 94.79%, solving the problem that the traditional SPM-based prostheses cannot satisfy the motion range required by daily activities. Moreover, the proposed mechanism has the potential to amplify the workspace of most parallel mechanisms with multiple DoFs after proper modification.


Subject(s)
Prosthesis Design , Range of Motion, Articular , Shoulder Joint , Humans , Biomechanical Phenomena , Range of Motion, Articular/physiology , Shoulder Joint/physiology , Computer Simulation , Shoulder Prosthesis , Shoulder/physiology
14.
Sensors (Basel) ; 24(11)2024 May 21.
Article in English | MEDLINE | ID: mdl-38894058

ABSTRACT

The integration of artificial intelligence (AI) models in the classification of electromyographic (EMG) signals represents a significant advancement in the design of control systems for prostheses. This study explores the development of a portable system that classifies the electrical activity of three shoulder muscles in real time for actuator control, marking a milestone in the autonomy of prosthetic devices. Utilizing low-power microcontrollers, the system ensures continuous EMG signal recording, enhancing user mobility. Focusing on a case study-a 42-year-old man with left shoulder disarticulation-EMG activity was recorded over two days using a specifically designed electronic board. Data processing was performed using the Edge Impulse platform, renowned for its effectiveness in implementing AI on edge devices. The first day was dedicated to a training session with 150 repetitions spread across 30 trials and three different movements. Based on these data, the second day tested the AI model's ability to classify EMG signals in new movement executions in real time. The results demonstrate the potential of portable AI-based systems for prosthetic control, offering accurate and swift EMG signal classification that enhances prosthetic user functionality and experience. This study not only underscores the feasibility of real-time EMG signal classification but also paves the way for future research on practical applications and improvements in the quality of life for prosthetic users.


Subject(s)
Electromyography , Machine Learning , Shoulder , Humans , Electromyography/methods , Adult , Male , Shoulder/physiology , Muscle, Skeletal/physiology , Signal Processing, Computer-Assisted
15.
Sensors (Basel) ; 24(11)2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38894359

ABSTRACT

This study aimed to determine the absolute and relative reliability of concentric and eccentric flexion, extension, horizontal abduction, and adduction movements of the shoulder using a functional electromechanical dynamometer (FEMD). Forty-three active male university students (23.51 ± 4.72 years) were examined for concentric and eccentric strength of shoulder flexion, extension, horizontal abduction, and horizontal adduction with an isokinetic test at 0.80 m·s-1. Relative reliability was determined by intraclass correlation coefficients (ICCs) with 95% confidence intervals. Absolute reliability was quantified by the standard error of measurement (SEM) and coefficient of variation (CV). Reliability was very high to extremely high for all movements on concentric and eccentric strength measurements (ICC: 0.76-0.94, SEM: 0.63-6.57%, CV: 9.40-19.63%). The results of this study provide compelling evidence for the absolute and relative reliability of concentric and eccentric flexion, extension, horizontal abduction, and horizontal adduction shoulder isokinetic strength tests in asymptomatic adults. The mean concentric force was the most reliable strength value for all tests.


Subject(s)
Muscle Strength , Shoulder , Humans , Male , Adult , Muscle Strength/physiology , Young Adult , Shoulder/physiology , Reproducibility of Results , Range of Motion, Articular/physiology , Muscle Strength Dynamometer , Shoulder Joint/physiology , Biomechanical Phenomena/physiology , Muscle, Skeletal/physiology
16.
Sci Robot ; 9(91): eadi2377, 2024 Jun 12.
Article in English | MEDLINE | ID: mdl-38865477

ABSTRACT

Repetitive overhead tasks during factory work can cause shoulder injuries resulting in impaired health and productivity loss. Soft wearable upper extremity robots have the potential to be effective injury prevention tools with minimal restrictions using soft materials and active controls. We present the design and evaluation of a portable inflatable shoulder wearable robot for assisting industrial workers during shoulder-elevated tasks. The robot is worn like a shirt with integrated textile pneumatic actuators, inertial measurement units, and a portable actuation unit. It can provide up to 6.6 newton-meters of torque to support the shoulder and cycle assistance on and off at six times per minute. From human participant evaluations during simulated industrial tasks, the robot reduced agonist muscle activities (anterior, middle, and posterior deltoids and biceps brachii) by up to 40% with slight changes in joint angles of less than 7% range of motion while not increasing antagonistic muscle activity (latissimus dorsi) in current sample size. Comparison of controller parameters further highlighted that higher assistance magnitude and earlier assistance timing resulted in statistically significant muscle activity reductions. During a task circuit with dynamic transitions among the tasks, the kinematics-based controller of the robot showed robustness to misinflations (96% true negative rate and 91% true positive rate), indicating minimal disturbances to the user when assistance was not required. A preliminary evaluation of a pressure modulation profile also highlighted a trade-off between user perception and hardware demands. Finally, five automotive factory workers used the robot in a pilot manufacturing area and provided feedback.


Subject(s)
Equipment Design , Range of Motion, Articular , Robotics , Shoulder , Torque , Wearable Electronic Devices , Humans , Robotics/instrumentation , Biomechanical Phenomena , Male , Shoulder/physiology , Adult , Range of Motion, Articular/physiology , Muscle, Skeletal/physiology , Electromyography/instrumentation , Industry/instrumentation , Shoulder Injuries/prevention & control , Female , Young Adult , Task Performance and Analysis , Shoulder Joint/physiology , Exoskeleton Device
18.
J Sports Sci ; 42(8): 708-719, 2024 Apr.
Article in English | MEDLINE | ID: mdl-38861612

ABSTRACT

This study aimed to investigate inter- and intra-athlete technique variability in pre-elite and elite Australian fast bowlers delivering new ball conventional swing bowling. Ball grip angle and pelvis, torso, shoulder, elbow, wrist, upper arm, forearm, and hand kinematics were investigated at the point of ball release for inswing and outswing deliveries. Descriptive evaluations of group and individual data and k-means cluster analyses were used to assess inter- and intra-bowler technique variability. Inter-athlete technique and ball grip variability were identified, demonstrating that skilled bowlers use individualised strategies to generate swing. Functional movement variability was demonstrated by intra-athlete variability in successful swing bowling trials. Bowlers demonstrated stable technique parameters in large proximal body segments of the pelvis and torso, providing a level of repeatability to their bowling action. Greater variation was observed in bowling arm kinematics, allowing athletes to manipulate the finger and ball position to achieve the desired seam orientation at the point of ball release. This study demonstrates that skilled bowlers use individualised techniques and grips to generate swing and employ technique variations in successive deliveries. Coaches should employ individualised training strategies and use constraints-led approaches in training environments to encourage bowlers to seek adaptive movement solutions to generate swing.


Subject(s)
Cricket Sport , Motor Skills , Torso , Humans , Male , Biomechanical Phenomena , Motor Skills/physiology , Young Adult , Torso/physiology , Cricket Sport/physiology , Australia , Movement/physiology , Pelvis/physiology , Time and Motion Studies , Hand/physiology , Wrist/physiology , Adult , Shoulder/physiology , Upper Extremity/physiology
19.
Sensors (Basel) ; 24(10)2024 May 07.
Article in English | MEDLINE | ID: mdl-38793826

ABSTRACT

Underarm throwing motions are crucial in various sports, including boccia. Unlike healthy players, people with profound weakness, spasticity, athetosis, or deformity in the upper limbs may struggle or find it difficult to control their hands to hold or release a ball using their fingers at the proper timing. To help them, our study aims to understand underarm throwing motions. We start by defining the throwing intention in terms of the launch angle of a ball, which goes hand-in-hand with the timing for releasing the ball. Then, an appropriate part of the body is determined in order to estimate ball-throwing intention based on the swinging motion. Furthermore, the geometric relationship between the movements of the body part and the release angle is investigated by involving multiple subjects. Based on the confirmed correlation, a calibration-and-estimation model that considers individual differences is proposed. The proposed model consists of calibration and estimation modules. To begin, as the calibration module is performed, individual prediction states for each subject are updated online. Then, in the estimation module, the throwing intention is estimated employing the updated prediction. To verify the effectiveness of the model, extensive experiments were conducted with seven subjects. In detail, two evaluation directions were set: (1) how many balls need to be thrown in advance to achieve sufficient accuracy; and (2) whether the model can reach sufficient accuracy despite individual differences. From the evaluation tests, by throwing 20 balls in advance, the model could account for individual differences in the throwing estimation. Consequently, the effectiveness of the model was confirmed when focusing on the movements of the shoulder in the human body during underarm throwing. In the near future, we expect the model to expand the means of supporting disabled people with ball-throwing disabilities.


Subject(s)
Movement , Shoulder , Humans , Movement/physiology , Shoulder/physiology , Biomechanical Phenomena/physiology , Male , Adult , Algorithms
20.
J Sci Med Sport ; 27(7): 472-479, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38762386

ABSTRACT

OBJECTIVES: To ascertain how the three-dimensional shoulder kinematics of tacklers alter when performing four legal types of front-on, one-on-one, rugby-style torso tackles. DESIGN: Controlled laboratory study. METHODS: Three-dimensional motion capture measured 15 male amateur-level rugby code players (24.3 ±â€¯6.1 years) who were instructed by an expert coach to perform four sets of 10 front-on, one-on-one tackles. Four sets comprised two smother and two dominant tackles: two based on the Australian National Rugby League coaching manual (Dominant NRL, Smother NRL); and two modifications via increasing the contact height from the lower- to mid-torso (Dominant, Torso Stick) or from the upper- to mid-upper torso with a vertical 'pop action' that changes the way the tackler contacted the ball carrier's upper torso (Smother, Pop, Lock). Mixed general linear models were applied. RESULTS: Greater shoulder abduction, flexion and internal rotation were displayed by the DNRL tackle technique than in any other technique (p < 0.001). At contact, the Smother and Dominant NRL (p < 0.03) showed greater head-uptrunk contralateral rotation away from the tackle than the Smother, Pop, Lock. CONCLUSIONS: Tacklers modified the way they positioned their shoulder joint when engaging in legal front-on, one-on-one tackles with different tackle instructions. More prominent positions of shoulder abduction and flexion, and head-uptrunk contralateral rotation were observed when executing the traditional tackle techniques (Smother NRL, Dominant NRL) as opposed to two variants of these (Smother, Pop, Lock, Dominant, Torso Stick). Inclusion of tackle specific coaching instructions provides emerging scientific evidence to support revised coaching tackling technique interventions that might enhance player safety.


Subject(s)
Football , Shoulder , Humans , Male , Biomechanical Phenomena , Football/physiology , Adult , Young Adult , Shoulder/physiology , Range of Motion, Articular/physiology , Torso/physiology , Rotation , Australia , Mentoring , Shoulder Joint/physiology
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