Effect of Wrist Joint Restriction on Forearm and Shoulder Movement during Upper Extremity Functional Activities

Purpose of the Study: This study aims to describe the muscle activity and its role in the upper extremity in Badminton Strokes and also investigates the Kinematics differences of Badminton forehand overhead shot, i.e., precise, smash and drop in wrist joint, elbow joint, and shoulder Joint from a biomechanics perspective. Methodology: Total [n=10] numbers of male badminton players were randomly selected from the badminton match practice group of L.N.I.P.E. Gwalior, Madhya Pradesh, India. The match practice group consisted of (n=78) players who at least participated in Inter-University badminton competition, and their age ranges from 17-25 years of old. Go Pro HERO 7, 2D camera was used. A video camera was mounted on a tripod at a height of 1.05 meters from the ground. 2D data of wrist joint, elbow joint, and shoulder joint were put in Kinovea 0.8.27 software. One way ANOVA was used. Principal Findings: The results of the finding demonstrate that Brain vibrations, paradoxically, are critical to the stability of movement and high performance. There are significant muscle activity and kinematics differences among forehand clear, forehand smash and forehand drop-in shoulder joint angle, elbow joint angle, and wrist joint angle. Applications of this Study: The Study may use by the badminton Players as well as coaches for the successful execution of badminton Skill. This study will provide the mechanical area of movement of badminton Players. The same kind of study may use in other games. Novelty/Originality of this Study: The Study explores the mechanical advantages of badminton forehand overhead Skill. It will give the reader new ideas to think of a similar kind of study in different games.

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Long-term results of major upper extremity replantations

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193411427228 ◽

2011 ◽

Vol 37 (3) ◽

pp. 225-232 ◽

Cited By ~ 20

Author(s):

A. Gulgonen ◽

K. Ozer

Keyword(s):

Grip Strength ◽

Upper Extremity ◽

Wrist Joint ◽

Long Term Results ◽

Cold Intolerance ◽

Secondary Operations ◽

The Mean ◽

Protective Sensation

We analyzed the long-term functional outcome in patients with major upper extremity replantations. Two patients had amputations proximal to the elbow joint, two had elbow disarticulations and five patients had amputations at the forearm. The mean age was 24 and the mean follow-up time was 18 years. Six patients have undergone secondary operations. The mean grip strength was restored to 34% of the contralateral extremity. Protective sensation was restored in all patients. According to Chen’s functional recovery scale, five patients had excellent, two had good, and two had fair results. Grip strength, two-point discrimination, ranges of motion and Chen’s scale did not improve after 5 years. However, Semmes–Weinstein monofilament testing and cold intolerance continued to improve up to 10 and 12 years, respectively. Replantation of an upper extremity proximal to the wrist joint satisfactorily restored the upper extremity function.

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Kinematics variations after spring-assisted orthosis training in persons with stroke

Prosthetics and Orthotics International ◽

10.1177/0309364612461050 ◽

2012 ◽

Vol 37 (4) ◽

pp. 311-316 ◽

Cited By ~ 3

Author(s):

Youngkeun Woo ◽

Hyeseon Jeon ◽

Sujin Hwang ◽

Boram Choi ◽

Juwon Lee

Keyword(s):

Upper Extremity ◽

Sagittal Plane ◽

Wrist Joint ◽

Three Dimensional ◽

Reach To Grasp ◽

Stroke Patients ◽

Effective Treatment Option ◽

Analysis System ◽

Block Test ◽

Task Oriented

Background:Static wrist splinting after stroke was not effective in facilitating distal movement. However, the purpose of this study is to evaluate the efficacy of training using kinematic parameters after a SaeboFlex orthosis training on chronic stroke patients.Case Description and Methods:Five stroke patients participated in 4 weeks of training using a SaeboFlex orthosis for 1 hour per day, five times per week. Fugl-Meyer Assessment, Box and Block Test, Action Research Arm Test, and Kinematics using a three-dimensional motion analysis system were used for evaluating of training effects.Findings and Outcomes:The upper extremity score of the Fugl-Meyer Assessment and the Box and Block Test score were increased significantly after the intervention. The jerkiness score of the shoulder and elbow joints at the sagittal plane decreased significantly during the reach-to-grasp task at acromion height, and the jerkiness scores of the wrist joint during the reach-to-grasp task decreased significantly at both elbow and acromion heights.Conclusion:The results of this study indicate that a SaeboFlex training is effective in recovering the movement of the hemiparetic upper extremity of patients after stroke.Clinical relevanceUsing a spring-assisted dynamic hand orthosis is considered to be an effective treatment option for providing repetition, task-oriented training, and real-world activities for the hemiparetic upper extremity, which was impaired hand to perform functional training.

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Review of Models and Robotic Devices for Stroke Survivors’ Upper Extremity Rehabilitation

Volume 1: 39th Computers and Information in Engineering Conference ◽

10.1115/detc2019-97223 ◽

2019 ◽

Author(s):

Shadman Tahmid ◽

James Yang ◽

Josep M. Font-Llagunes

Keyword(s):

Upper Extremity ◽

Daily Living ◽

Wrist Joint ◽

Arm Movement ◽

Upper Extremities ◽

Upper Limb Rehabilitation ◽

Current State ◽

Robotic Devices ◽

Upper Extremity Rehabilitation ◽

Limb Rehabilitation

Abstract Stroke is one of the leading causes of upper extremity disability around the world. Whenever a stroke happens stroke survivor’s brain commands cannot reach some muscles of upper extremities although those muscles could contract. Therefore, shoulder, elbow or wrist joint cannot perform expected motion, and this will hamper their activities of daily living (ADLs). The objective of rehabilitation is to externally drive the upper extremity move to improve muscle movements. The current state of upper extremity rehabilitation may improve by using a model-based computer simulation of arm movement for personalizing robotic devices and interventions. This study attempts to review technologies used in upper extremity rehabilitation on two aspects: computer models and robotic devices. A summary of existing virtual upper extremity models is provided. As well, different robotic devices that are developed for upper limb rehabilitation is also discussed here.

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Upper extremity kinematics during functional activities: Three-dimensional studies in a normal pediatric population

Gait & Posture ◽

10.1016/j.gaitpost.2006.06.006 ◽

2007 ◽

Vol 25 (4) ◽

pp. 573-579 ◽

Cited By ~ 94

Author(s):

Kyria Petuskey ◽

Anita Bagley ◽

Estelle Abdala ◽

Michelle A. James ◽

George Rab

Keyword(s):

Upper Extremity ◽

Pediatric Population ◽

Three Dimensional ◽

Functional Activities

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Yoga-Induced Myositis Ossificans Traumatica of the Scapholunate Ligament

Journal of Wrist Surgery ◽

10.1055/s-0038-1661354 ◽

2018 ◽

Vol 08 (01) ◽

pp. 080-083

Author(s):

Tonya An ◽

John Garlich ◽

David Kulber

Keyword(s):

Upper Extremity ◽

Myositis Ossificans ◽

Tissue Injury ◽

Wrist Joint ◽

Weight Bearing ◽

Traumatic Injury ◽

Scapholunate Ligament ◽

Ligament Tear ◽

History Of ◽

Associated Mass

Background Myositis ossificans traumatica (MOT) involves the heterotopic development of lamellar bone after a traumatic injury. Despite being termed “myositis,” MOT is not limited to muscle but rather can involve tendons, fat, and fascia. “Traumatica” reflects that lesions are usually associated with a history of significant trauma, that is, fractures or surgery; however, many reports suggest they can also be linked to repetitive low-energy insults. In both cases, the inflammatory response secondary to tissue injury generates a proliferative osteoblastic cascade. Case Description We present a case of persistent wrist pain in a 43-year-old woman associated with yoga activities. Her radiographic studies demonstrated partial scapholunate (SL) ligament tear and an associated mass lesion. Surgical pathology revealed MOT involving the SL ligament. Literature Review MOT lesions in the upper extremity are usually localized around the elbow, and cases in the hand are relatively rare. There are no prior reports of occurrences within the wrist joint or in association with the SL ligament. However, biomechanical studies have quantified significant mechanical strains across the SL interval during various yoga poses. This pattern of microtrauma is capable of generating MOT. Clinical Relevance Upper extremity weight-bearing positions are common in yoga and subject the wrist, especially the SL interval, to high mechanical strains. This pattern of microtrauma should lead the clinician to suspect MOT when encountering a mass in the wrist, but malignancy and infection must be ruled out.

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Functional activities of the upper extremity of young adults with cerebral palsy: A limiting factor for participation?

Disability and Rehabilitation ◽

10.1080/09638280701355504 ◽

2008 ◽

Vol 30 (5) ◽

pp. 387-395 ◽

Cited By ~ 15

Author(s):

J. van Meeteren ◽

M. E. Roebroeck ◽

E. Celen ◽

M. Donkervoort ◽

H. J. Stam ◽

...

Keyword(s):

Young Adults ◽

Cerebral Palsy ◽

Upper Extremity ◽

Limiting Factor ◽

Functional Activities

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Combining Values

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2002.marapr01 ◽

2002 ◽

Vol 7 (2) ◽

pp. 1-4, 12 ◽

Cited By ~ 1

Author(s):

Christopher R. Brigham

Keyword(s):

Lower Extremity ◽

Upper Extremity ◽

Evaluation Method ◽

Proximal Phalanx ◽

Common Error ◽

The Third ◽

Whole Person ◽

Impairment Ratings ◽

Upper Extremity Impairment ◽

The Individual

Abstract To account for the effects of multiple impairments, evaluating physicians must provide a summary value that combines multiple impairments so the whole person impairment is equal to or less than the sum of all the individual impairment values. A common error is to add values that should be combined and typically results in an inflated rating. The Combined Values Chart in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, includes instructions that guide physicians about combining impairment ratings. For example, impairment values within a region generally are combined and converted to a whole person permanent impairment before combination with the results from other regions (exceptions include certain impairments of the spine and extremities). When they combine three or more values, physicians should select and combine the two lowest values; this value is combined with the third value to yield the total value. Upper extremity impairment ratings are combined based on the principle that a second and each succeeding impairment applies not to the whole unit (eg, whole finger) but only to the part that remains (eg, proximal phalanx). Physicians who combine lower extremity impairments usually use only one evaluation method, but, if more than one method is used, the physician should use the Combined Values Chart.

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Impairment Tutorial: Functionally Limiting Upper Extremity Pain: Controversies in Impairment Rating

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2003.sepoct02 ◽

2003 ◽

Vol 8 (5) ◽

pp. 4-12

Author(s):

Lorne Direnfeld ◽

James Talmage ◽

Christopher Brigham

Keyword(s):

Upper Extremity ◽

Radicular Pain ◽

Illness Behavior ◽

Orthopedic Surgeon ◽

First Case ◽

Clinical Presentations ◽

Whole Person ◽

Physical Examinations ◽

Upper Extremity Impairment ◽

The Individual

Abstract This article was prompted by the submission of two challenging cases that exemplify the decision processes involved in using the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides). In both cases, the physical examinations were normal with no evidence of illness behavior, but, based on their histories and clinical presentations, the patients reported credible symptoms attributable to specific significant injuries. The dilemma for evaluators was whether to adhere to the AMA Guides, as written, or to attempt to rate impairment in these rare cases. In the first case, the evaluating neurologist used alternative approaches to define impairment based on the presence of thoracic outlet syndrome and upper extremity pain, as if there were a nerve injury. An orthopedic surgeon who evaluated the case did not base impairment on pain and used the upper extremity chapters in the AMA Guides. The impairment ratings determined using either the nervous system or upper extremity chapters of the AMA Guides resulted in almost the same rating (9% vs 8% upper extremity impairment), and either value converted to 5% whole person permanent impairment. In the second case, the neurologist evaluated the individual for neuropathic pain (9% WPI), and the orthopedic surgeon rated the patient as Diagnosis-related estimates Cervical Category II for nonverifiable radicular pain (5% to 8% WPI).

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