scholarly journals Evaluation of the Efficiency of Supinator Tendon Transfer to Wrist Extensor in Brachial Plexus Injuries at C7-T1, A Case Study Based on OpenSIM Modelling Approach

2021 ◽  
Author(s):  
mohammad Karimi ◽  
Hamid Namazi
Keyword(s):  
Brachial Plexus ◽  
Upper Limb ◽  
Inverse Kinematic ◽  
Wrist Motion ◽  
Flexion Extension ◽  
Performance Limitation ◽  
Lesion Level ◽  
Analysis System ◽  
Surgical Treatments ◽  
Type Of Injury

Abstract BackgroundThe incidence of brachial plexus injuries (BPI) is increasing due to improvement in transportation technology. Those with BPI have upper limb performance limitation depends on the type of injury. Various surgical treatments have been used in this group of the subjects to restore their performance. The aim of this study was to evaluate the efficiency of supinator transferred to wrist extensors in those with lesion level at C7-T1 based on OpenSim modelling approach.MethodThe motions of the upper limb during vertical reaching, transverse reaching and wrist motion of a normal subject were achieved by use of motion analysis system. The ranges of motion of the upper limb joints were evaluated by inverse kinematic. OpenSim software was used to determine the muscles forces during aforementioned tasks. Tendon of supinator was transferred to extensors in modified models of OpenSim. Forward dynamic approach was used to determine the range of motion in tendon transferred condition. ResultsThe range of wrist motion in normal condition (extensors intake) were 85, 103 and 140 degrees for the first task (transverse reaching), the second task (vertical reaching) and the third task (only flexion/extension of wrist), respectively. Although the force of supinator was significantly less than that of wrist extensors, the pattern of its force is the same as wrist extensors.

scholarly journals Soft Elbow Exoskeleton for Upper Limb Assistance Incorporating Dual Motor-Tendon Actuator

Electronics ◽  
2019 ◽  
Vol 8 (10) ◽  
pp. 1184 ◽  
Author(s):  
Rifky Ismail ◽  
Mochammad Ariyanto ◽  
Inri A. Perkasa ◽  
Rizal Adirianto ◽  
Farika T. Putri ◽  
...  
Keyword(s):  
Steady State ◽  
Upper Limb ◽  
Elbow Flexion ◽  
Pi Control ◽  
Test Results ◽  
Wrist Motion ◽  
Dc Motors ◽  
Flexion Extension ◽  
Actuator System

Loss of muscle functions, such as the elbow, can affect the quality of life of a person. This research is aimed at developing an affordable two DOF soft elbow exoskeleton incorporating a dual motor-tendon actuator. The soft elbow exoskeleton can be used to assist two DOF motions of the upper limb, especially elbow and wrist movements. The exoskeleton is developed using fabric for the convenience purpose of the user. The dual motor-tendon actuator subsystem employs two DC motors coupled with lead-to-screw converting motion from angular into linear motion. The output is connected to the upper arm hook on the soft exoskeleton elbow. With this mechanism, the proposed actuator system is able to assist two DOF movements for flexion/extension and pronation/supination motion. Proportional-Integral (PI) control is implemented for controlling the motion. The optimized value of Kp and Ki are 200 and 20, respectively. Based on the test results, there is a slight steady-state error between the first and the second DC motor. When the exoskeleton is worn by a user, it gives more steady-state errors because of the load from the arm weight. The test results demonstrate that the proposed soft exoskeleton elbow can be worn easily and comfortably by a user to assist two DOF for elbow and wrist motion. The resulted range of motion (ROM) for elbow flexion–extension can be varied from 90° to 157°, whereas the maximum of ROM that can be achieved for pronation and supination movements are 19° and 18°, respectively.

Validation of a Hand/Wrist Electromechanical Goniometer

1989 ◽  
Vol 33 (11) ◽  
pp. 718-722 ◽  
Author(s):  
Richard W. Schoenmarklin ◽  
William S. Marras
Keyword(s):  
Motion Analysis ◽  
Coefficient Of Variation ◽  
Motion Analysis System ◽  
Wrist Motion ◽  
Dynamic Conditions ◽  
Signal Noise ◽  
Flexion Extension ◽  
Analysis System ◽  
Acceleration Output ◽  
Research Show

This paper describes a new hand/wrist electromechanical goniometer that measures wrist angle, velocity, and acceleration in the radial/ulnar and flexion/extension planes. The research objectives of this paper were to validate the angle and motion measures from this goniometer. The results of this research show that the coefficient of variation of the angle measured by the goniometer and the angle measured by a video-based Motion Analysis system was 3%. By smoothing the voltage data three times in software, the goniometer estimated well the velocity and acceleration measures under controlled dynamic conditions. Three smoothing repetitions appear to be the best smoothing regimen for the goniometer because it reduced signal noise while still maintaining the sensitivity of the velocity and acceleration output. Overall, the goniometer is an easy-to-use, accurate system of measuring wrist angle and motion. This goniometer will be used to build a database of wrist motion in industrial tasks.

scholarly journals Brachial Plexus Injuries in Sport Medicine: Clinical Evaluation, Diagnostic Approaches, Treatment Options, and Rehabilitative Interventions

2020 ◽  
Vol 5 (2) ◽  
pp. 22 ◽  
Author(s):  
Immacolata Belviso ◽  
Stefano Palermi ◽  
Anna Maria Sacco ◽  
Veronica Romano ◽  
Bruno Corrado ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Sport Medicine ◽  
Clinical Evaluation ◽  
Upper Limb ◽  
Imaging Techniques ◽  
Treatment Options ◽  
Surgical Techniques ◽  
High Frequency Ultrasound ◽  
Spinal Nerves ◽  
Type Of Injury

The brachial plexus represents a complex anatomical structure in the upper limb. This “network” of peripheral nerves permits the rearrangement of motor efferent fibers, coming from different spinal nerves, in several terminal branches directed to upper limb muscles. Moreover, afferent information coming from different cutaneous regions in upper limb are sorted in different spinal nerves through the brachial plexus. Severe brachial plexus injuries are a rare clinical condition in the general population and in sport medicine, but with dramatic consequences on the motor and sensory functions of the upper limb. In some sports, like martial arts, milder injuries of the brachial plexus can occur, with transient symptoms and with a full recovery. Clinical evaluation represents the cornerstone in the assessment of the athletes with brachial plexus injuries. Electrodiagnostic studies and imaging techniques, like magnetic resonance and high-frequency ultrasound, could be useful to localize the lesion and to define an appropriate treatment and a functional prognosis. Several conservative and surgical techniques could be applied, and multidisciplinary rehabilitative programs could be performed to guide the athlete toward the recovery of the highest functional level, according to the type of injury.

A rare variation in the formation of the lower trunk of the brachial plexus its embryological basis and clinical importance - a case report

2012 ◽  
Vol 6 (4) ◽  
pp. 49-52
Author(s):  
N Satyanarayana ◽  
R Guha ◽  
P Sunitha ◽  
GN Reddy ◽  
G Praveen ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Clinical Importance ◽  
Medical Sciences ◽  
Nerve Roots ◽  
Rare Variation ◽  
Lower Trunk ◽  
Male Cadaver ◽  
The Right

Brachial plexus is the plexus of nerves, that supplies the upper limb.Variations in the branches of brachial plexus are common but variations in the roots and trunks are very rare. Here, we report one of the such rare variations in the formations of the lower trunk of the brachial plexus in the right upper limb of a male cadaver. In the present case the lower trunk was formed by the union of ventral rami of C7,C8 and T1 nerve roots. The middle trunk was absent. Upper trunk formation was normal. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 49-52 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6727

EFEITOS DO DEEP RUNNING SOBRE A AMPLITUDE DE MOVIMENTO E A CAPACIDADE FUNCIONAL DOS MEMBROS SUPERIORES DE MULHERES MASTECTOMIZADAS: RELATO DE CASOS

2019 ◽  
pp. 121-131
Keyword(s):  
Range Of Motion ◽  
Upper Limb ◽  
Functional Capacity ◽  
External Rotation ◽  
Treatment Protocol ◽  
Range Of Movement ◽  
Flexion Extension ◽  
Before And After ◽  
In The Beginning ◽  
And Function

Introduction: Breast cancer is the most common type of cancer among women in Brazil and in the worl. The surgical treatment procedure may cause severe morbidity in the upper limb homolateral to surgery, including the reduction of the range of motion, with consequent impairment of function. A physiotherapeutic approach has an important role in the recover range of motion and the functionality of these women, guaranteeing the occupational, domestestic, familiar and conjugated activities, and, in this way, also improving the quality of life. Objectives: To analyse chances in the shoulder's range of motion and the functional capacity of the upper limbs, promoted by the deep running procedure in women with late postoperative mastectomy. Methods: All the patients were submitted to an evaluation in the beginning and end of the treatment, including: goniometry of flexion, extension, abduction, adduction, internal and external rotation of the shoulder joint; and function capacity analysis in activities that involve the upper members by DASH questionnaire. The treatment protocol includes twelve sessions of deep running, realized twice a week, in deep pool, for 20-minute during six weeks. Results: Were submitted to treatment a total of 4 patients. Despite the improvement in the numerical values, statistically significant differences were not found on the range of movements and in the functional capacity of upper members before and after the deep running sessions in post-mastectomy women. Conclusion: Deep running had effects on the numerical values of range of movement and upper limb functionality in women in the late postoperative period of the mastectomy procedure, but without statistically significant differences.

scholarly journals Kinematic of the Position and Orientation Synchronization of the Posture of a n DoF Upper-Limb Exoskeleton with a Virtual Object in an Immersive Virtual Reality Environment

Electronics ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1069
Author(s):  
Deyby Huamanchahua ◽  
Adriana Vargas-Martinez ◽  
Ricardo Ramirez-Mendoza
Keyword(s):  
Virtual Reality ◽  
Upper Limb ◽  
Human Performance ◽  
Early Stage ◽  
Inverse Kinematic ◽  
Virtual Object ◽  
Immersive Virtual Reality ◽  
Virtual Reality Environment ◽  
Upper Limb Exoskeleton ◽  
Position And Orientation

Exoskeletons are an external structural mechanism with joints and links that work in tandem with the user, which increases, reinforces, or restores human performance. Virtual Reality can be used to produce environments, in which the intensity of practice and feedback on performance can be manipulated to provide tailored motor training. Will it be possible to combine both technologies and have them synchronized to reach better performance? This paper consists of the kinematics analysis for the position and orientation synchronization between an n DoF upper-limb exoskeleton pose and a projected object in an immersive virtual reality environment using a VR headset. To achieve this goal, the exoskeletal mechanism is analyzed using Euler angles and the Pieper technique to obtain the equations that lead to its orientation, forward, and inverse kinematic models. This paper extends the author’s previous work by using an early stage upper-limb exoskeleton prototype for the synchronization process.

Clinical findings in C5-C6 and C5-C7 root palsies with brachial plexus traction lesions

2012 ◽  
Vol 38 (3) ◽  
pp. 237-241 ◽  
Author(s):  
J. A. Bertelli ◽  
M. F. Ghizoni
Keyword(s):  
Brachial Plexus ◽  
External Rotation ◽  
Elbow Flexion ◽  
Clinical Findings ◽  
Hand Strength ◽  
Shoulder Abduction ◽  
Finger Extension ◽  
Root Injury ◽  
Flexion Extension

Stretch injuries of the C5-C7 roots of the brachial plexus traditionally have been associated with palsies of shoulder abduction/external rotation, elbow flexion/extension, and wrist, thumb, and finger extension. Based on current myotome maps we hypothesized that, as far as motion is concerned, palsies involving C5-C6 and C5-C7 root injuries should be similar. In 38 patients with upper-type palsies of the brachial plexus, we examined for correlations between clinical findings and root injury level, as documented by CT tomomyeloscan. Contrary to commonly held beliefs, C5-C7 root injuries were not associated with loss of extension of the elbow, wrist, thumb, or fingers, but residual hand strength was much lower with C5-C7 vs C5-C6 lesions.

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