The evaluation of elbow joint motion using bio-impedance signal

Author(s):  
Liu RenHe ◽  
Booncharoen Wongkittisuksa
Keyword(s):  
Author(s):  
Patrick J. Schimoler ◽  
Jeffrey S. Vipperman ◽  
Laurel Kuxhaus ◽  
Angela M. Flamm ◽  
Daniel D. Budny ◽  
...  

The many muscles crossing the elbow joint allow for its motions to be created from different combinations of muscular activations. Muscles are strictly contractile elements and the joints they surround rely on varying loads from opposing antagonists for stability and movement. In designing a control system to actuate an elbow in a realistic manner, unidirectional, tendon-like actuation and muscle co-activation must be considered in order to successfully control the elbow’s two degrees of freedom. Also important is the multifunctionality of certain muscles, such as the biceps brachii, which create moments impacting both degrees of freedom: flexion / extension and pronation / supination. This paper seeks to develop and implement control algorithms on an elbow joint motion simulator that actuates cadaveric elbow specimens via four major muscles that cross the elbow joint. The algorithms were validated using an anatomically-realistic mechanical elbow. Clinically-meaningful results, such as the evaluation of radial head implants, can only be obtained under repeatable, realistic conditions; therefore, physiologic motions must be created by the application of appropriate loads. This is achieved by including load control on the muscles’ actuators as well as displacement control on both flexion / extension and supination / pronation.


Author(s):  
Patrick J. Schimoler ◽  
Jeffrey S. Vipperman ◽  
Laurel Kuxhaus ◽  
Daniel D. Budny ◽  
Angela M. Flamm ◽  
...  

Joint motion simulators (JMS’s) have been developed for many applications enabling the repeatable testing of prostheses, scientific investigations of joint mechanics and the study of surgical procedures.[1–4] Although Morrey has reported that radial head implants have lower post-operative satisfaction than other joint implants[5] and Dunning has examined several issues with radial heads, many problems remain.[6] It is therefore beneficial to develop a simulator capable of evaluating radial head implants. A robust simulator can also provide the ability to test soft tissue strains at the elbow and compare control schemes that may elucidate the body’s means of controlling multiaxial multimuscle systems.


Author(s):  
Keya Ghonasgi ◽  
Ana C. de Oliveira ◽  
Anna Shafer ◽  
Chad G. Rose ◽  
Ashish D. Deshpande
Keyword(s):  

1980 ◽  
Vol 102 (4) ◽  
pp. 301-310 ◽  
Author(s):  
E. Y. Chao ◽  
K. N. An ◽  
L. J. Askew ◽  
B. F. Morrey

Since the electrogoniometric method has been justified for the measurement of lower extremity joint motion, a similar device is developed for the measurement of elbow joint and forearm rotations. In this design, the axis of forearm rotation coincides with the anatomical axis which eliminates the cross talk existing in the regular triaxial goniometer. Although the axis of abduction-adduction is still offset from the elbow joint, special linkage arrangement was used to obtain equivalent motion. Experimental method was used to validate the accuracy of the device and model simulation was performed to emphasize the importance of accurate placement of the instrument on test subjects. Application of the present apparatus to normal subjects was studied to illustrate the range of elbow motion required in performing normal activities of daily living. This device is currently used in the functional evaluation of patients with elbow and forearm problems.


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