Image registration analysis of the motion characteristics of sternoclavicular joints in sagittal motion of the upper limbs

2020 ◽  
pp. 1-9
Author(s):  
Peng Su ◽  
Junlin Zhou ◽  
Cai Yun ◽  
Feng Liu ◽  
Yi Zhang
Keyword(s):  
Image Registration ◽  
3D Reconstruction ◽  
Range Of Motion ◽  
Upper Limb ◽  
Human Anatomy ◽  
Horizontal Position ◽  
Upper Limbs ◽  
Axial Angle ◽  
Rest Position ◽  
Dominant Side

OBJECTIVE: This study aims to accurately measure the range of motion of the sternoclavicular (SC) joint using 3D reconstruction and image registration. The motion of the SC joint is analyzed by means of axial angle representation to identify the kinematical characteristics of this joint. METHODS: A total of 13 healthy volunteers were enrolled in the study. The limit postures of four SC joint movements were scanned by computerized tomography. The images were integrated with reconstruction and registration techniques. The range of motion of the SC joint was measured using 3D modelling. The axial angle was used to indicate the range of motion of the SC joint. The difference between the dominant side and non-dominant side was compared and the differences in axial angle of the SC joint in different postures were compared. RESULTS: The active axial angle of the SC joint on the dominant side was approximately 1∘ higher than that of the non-dominant side when the upper limb moved from a rest position to a posteroinferior position. In the sagittal motion of the upper limbs, the axial angle of the SC joint was greatest when moving from a horizontal position to a posterosuperior position, with an average of 23.55∘. Of the flexion and extension movements of the upper limbs from a rest position to a horizontal position, 13.66% (the smallest proportion) were completed by the SC joint. CONCLUSION: The combination of 3D reconstruction and image registration is a direct and accurate method of measuring the motion of the SC joint. Axial angle representation is an intuitive method of expressing rotation in a 3D space that allows for more convenient comparison; it is also more in line with the characteristics of human anatomy and kinesiology and therefore more accurately reflects the characteristics of joint motion. It is therefore useful for guiding clinical practice. In a physical examination, the extension of the upper limb from the horizontal position to the posterosuperior position and from the rest position to the posteroinferior position can best reflect the rotation function of the SC joint in the combined motion of shoulder joints.

Comparative Analyses of the Dominant and Non-Dominant Upper Limbs during the Abduction and Adduction Motions

2020 ◽  
Author(s):  
Haemi JEE ◽  
Jaehyun PARK
Keyword(s):  
Range Of Motion ◽  
Angular Acceleration ◽  
Movement Analysis ◽  
Upper Limbs ◽  
Phase 0 ◽  
Natural Movement ◽  
Acceleration And Deceleration ◽  
Angular Velocities ◽  
Later Phase ◽  
Dominant Side

Background: Asymmetry in repeated motion may lead to dyskinesia through imbalance in the involved musculoskeletal structures. The dominance sides are also involved greater movement involvement over the nondominant sides. The upper limbs with multiple joints and largest range of motion are prone for unsynchronized coordination. Natural movement analysis is required for application to everyday activities. Methods: Thirty participants were first recruited from Inha University, Incheon, Korea in 2019. Twenty subjects were assessed for comparisons of asymmetrical motion between the dominant and non-dominant arms during the abduction and adduction lateral raises after excluding ten subjects for shoulder pain and lefthandedness. Results: The abduction and adduction motions of the bilateral arms were compared for the angular locations, velocity, and acceleration for every 10 degrees. The angular locations of the dominant side occurred significant earlier in the initial (10°, 20°, 30°) phase and later in the last (10°, 20°) phase of abduction and adduction in comparison to the non-dominant side (P<.05). The angular accelerations of the dominant side were also significantly greater during the initial phase (0°, 10°, 30°) and last phase (0°, 10°, 30°) (P <.05). The angular velocities were significantly greater during the later phase (40, 50, 60°) of abduction (P <.04). Conclusion: Comparative dominant side indicated more controlled movements through the range of motion with greater stability in angular acceleration and deceleration especially during the initial and last phase of abduction and adduction, respectively. Training for control of the specific angular points should be considered during abduction and adduction motions to prevent asymmetry of the bilateral arms.

scholarly journals Optimization of Interactive Animation Capture System for Human Upper Limb Movement Based on XSENS Sensor

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Chaochun Che
Keyword(s):  
Upper Limb ◽  
Human Body ◽  
Angular Acceleration ◽  
Limb Movement ◽  
Human Anatomy ◽  
Experimental Simulation ◽  
General Function ◽  
Upper Limbs ◽  
Movement Model ◽  
Interactive Animation

This paper uses the XSENS sensor inertial motion capture device to collect the experimental data of the human body’s typical motion and posture-upper limb movement, based on the angular acceleration kinematics parameters of the human body’s upper limbs and upper limbs. We study the characteristics of human kinematics, statics, and dynamics and construct the upper limb movement model of the human body. Secondly, based on the principle of human anatomy, the human body is divided into 23 segments, with 18 upper limbs and 36 degrees of freedom; some anatomical terms are defined, and a unified coordinate system for the upper limb model of the human body is planned and established. In the process of experimental simulation, on the basis of analyzing and summarizing the laws and characteristics of the upper limb angles of the hip upper limbs, knee upper limbs, and ankle upper limbs during walking, a general function of the upper limb angles of the three upper limbs changing with time during walking was established. On the basis of analyzing 40 sets of upper limb movement data, with the three parameters of height, weight, and upper limb movement cycle as independent variables, the general function coefficient solving equation is given through function fitting. Finally, the production of interactive animation of upper limb movement is taken as an example. Based on the acceleration sensor and three-axis gyroscope, the limbs during the movement of the upper limb motion data are collected, preprocessed, and transmitted, and then, coordinate correction and data filtering are used to output quaternary parameters to give Maya an animated character model. The animation interactive demonstration is carried out in the way of web 3D, and the XSENS sensor is explored in the animation capture.

scholarly journals Usability, functionality, and efficacy of a custom myoelectric elbow-wrist-hand orthosis to assist elbow function in individuals with stroke

2021 ◽  
Vol 8 ◽  
pp. 205566832110350
Author(s):  
Shenan Hoppe-Ludwig ◽  
Jodi Armitage ◽  
Kristi L Turner ◽  
Megan K O’Brien ◽  
Chaithanya K Mummidisetty ◽  
...  
Keyword(s):  
Adverse Events ◽  
Range Of Motion ◽  
Upper Limb ◽  
Daily Living ◽  
Upper Limbs ◽  
Single Session ◽  
Everyday Objects ◽  
Elbow Function ◽  
Upper Extremity Impairment ◽  
Shoulder Position

Introduction After stroke, upper limb impairment affects independent performance of activities of daily living. We evaluated the usability, functionality, and efficacy of a myoelectric elbow-wrist-hand orthosis to provide support, limit unsafe motion, and enhance the functional motion of paralyzed or weak upper limbs. Methods Individuals with stroke participated in a single-session study to evaluate the device. Ability to activate the device was tested in supported and unsupported shoulder position, as well as the elbow range of motion, ability to maintain elbow position, and ability to lift and hold a range of weights while using the device. Results No adverse events were reported. 71% of users were able to operate the device in all three active myoelectric activation modes (Biceps, Triceps, Dual) during testing. Users were able to hold a range of wrist weights (0.5–2 lbs) for 10–120 seconds, with the largest percentage of participants able to hold weights with the device in Biceps Mode. Conclusions The myoelectric elbow-wrist-hand orthosis improved range of motion during use and was efficacious at remediating upper extremity impairment after stroke. All users could operate the device in at least one mode, and most could lift and hold weights representative of some everyday objects using the device.

scholarly journals A Double-blind Randomized Controlled Trial for the Effects of Dry Needling on Upper Limb Dysfunction in Patients with Stroke

2021 ◽  
Vol 45 (2) ◽  
pp. 115-124
Author(s):  
Zahra Tavakol ◽  
Ardalan Shariat ◽  
Noureddin Nakhostin Ansari ◽  
Shima Ghannadi ◽  
Roshanak Honarpishe ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Range Of Motion ◽  
Outcome Measures ◽  
Upper Limb ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Upper Limbs ◽  
Dry Needling ◽  
Double Blind ◽  
Randomized Controlled

Spasticity is one of the main complications of a stroke. This double-blind, randomized controlled trial aimed to compare the result of three sessions of dry needling (DN) versus sham DN on the affected upper limbs in post-stroke survivors. We recruited 24 patients (age 57.0 ± 9.6 years; male 71%). Patients were randomly allocated to two groups: a DN group and a sham DN group. The primary outcome measures were the Modified Modified Ashworth Scale (MMAS) and the Box and Block Test (BBT). Secondary outcome measures included active and passive wrist range of motion (AROM and PROM). All assessments were measured at baseline, immediately after the last session of the intervention, and one month later. Patients in the DN group had improved upper limb spasticity and passive wrist range of motion compared to control group (P < 0.05). There were no between-group differences in other outcome measures (P > 0.05). Dry needling is a useful method for improving muscle spasticity in the upper limbs of patients with stroke.

Comprehensive physiotherapy in traumatic brachial plexus injuries conducted in health-resort conditions

Physiotherapy ◽  
2013 ◽  
Vol 21 (1) ◽  
Author(s):  
Małgorzata Zgorzalewicz-Stachowiak ◽  
Krystyna Zeńczak ◽  
Lucyna Tomczewska ◽  
Zuzanna Bartkowiak
Keyword(s):  
Muscle Strength ◽  
Brachial Plexus ◽  
Range Of Motion ◽  
Upper Limb ◽  
Brachial Plexus Injury ◽  
Road Traffic ◽  
Whole Body ◽  
Brachial Plexopathy ◽  
Upper Limbs ◽  
Health Resort

AbstractTraumatic brachial plexus palsy is one of the most frequent injuries of the upper limbs in our society. Road-traffic accidents are its most common cause. Due to the clinical picture of brachial plexopathy that can vary to a great extent, its treatment is complicated and long-term. The aim of the study was to evaluate the effectiveness of physiotherapeutic procedures in patients with traumatic brachial plexus injury. A group of 31 patients were investigated during their stay in Szczawno-Jedlina health-resort. The mean age was 43.3. The average time that passed from injury was 34 months. The patients were examined twice: before and after a 3-week motor therapy which consisted of kinesiotherapy after whole-body cryotherapy, magnet therapy, laser therapy, electrotherapy and massage. The following parameters were measured and analyzed: pain intensity on the verbal scale, the range of motion in the shoulder joint, the circumference of the upper limbs and muscle strength on the Lovett scale. The upper limb functional use was evaluated using the Smól and Nowak scale. Additionally, patients’ subjective opinion about the effectiveness of therapy was evaluated. After therapy the intensity of pain decreased and the functional use of the upper limbs improved significantly. The range of motion around the joint increased, but statistically significant results were recorded only in the passive abduction of the arm. There was a slight improvement in muscle strength and circumference of the limbs, but the results were not statistically significant. Most patients claimed that physiotherapy was definitely effective or quite effective. A comprehensive physiotherapy used in patients with traumatic brachial plexus injury in health-resort conditions contributed to pain reduction and improvement in the functional use of the upper limb.

scholarly journals Kinematic Comparisons of Increased Exercise Repetitions and Intensities on the Dominant and Non-Dominant Upper Limbs for Prevention of Dyskinesia

2020 ◽  
Author(s):  
Haemi JEE
Keyword(s):  
Physical Activity ◽  
Range Of Motion ◽  
Exercise Intensity ◽  
Upper Limbs ◽  
High Exercise Intensity ◽  
Dominant Side

Background: Increased exercise repetitions and intensities need to be compared between dominant and non-dominant sides to prevent asymmetrically conducted movements for possible dyskinesia. Methods: A total of 20 participants were enrolled from Inha University, Incheon, Korea in 2019. They were assessed for comparisons of asymmetrical motion between the dominant and non-dominant arms during the abduction and adduction lateral raises during more than fifteen repetitions and low and high exercise intensity by giving different weight loads based on 1-RM. Results: Repetition led to significant reductions in range of motion for both dominant and non-dominant sides. In addition, increased repetitions led to significant greater reductions in range of motion especially toward the last phases of repetitions. Moreover, the dominant side showed significantly increased accelerations with increased intensities. Conclusion: Increased repetitions and exercise intensity led to reduced range of motion and increased accelerations especially for the dominant sides. Dispersing kinematics should be considered to minimize possible dyskinesia between the symmetric sides when performing repetitive and loading physical activity.  

Physical Activity in Aging Population

2019 ◽  
Vol 5 (3) ◽  
pp. 74
Author(s):  
Rezarta Stena ◽  
Klara Hysenaj ◽  
Mitilda Gugu Karoli ◽  
Armelda Teta ◽  
Gjergji Doka
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Heart Rate ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Training Program ◽  
Grip Strength ◽  
Upper Limb ◽  
Hand Grip ◽  
Trunk Flexibility

It is known that worldwide populations are aging, and also that physical activity can play an important role in minimizing impairments characteristic of old age. Adopting a more active lifestyle and doing regular physical activity, including aerobic and resistance exercises, daily walking etc. have been demonstrated to improve cardiovascular, respiratory, and musculoskeletal parameters in older adults. We assessed a potential participant from Elbasan (Albania), 67 years, for eligibility to participate in a 5 month training program. The subject gave written informed consent before inclusion.The following parameters were measured at the beginning (baseline) and end of the training period: BMI, body fat percentage, hand grip strength, lower/upper limb and trunk flexibility and range of motion, heart rate, balance, pain intensity, as well as VO2 max, directly and/or an estimate using the Rockport fitness test estimate. An initial evaluation was carried out just before starting the training (baseline). A second evaluation was made 5 months after starting the program of physical exercise (post training). Each evaluation included the recording of health related events, such as any changes in previous symptoms, as well as measurements of balance, flexibility, body composition, coordination, muscle strength, and aerobic capacity, to detect any changes that might have been induced specifically by physical activity. The subject’s attendance and participation in the program was also recorded. Range of motion for each part evaluated (trunk, hip, cervical region and shoulder) is improved about 15-20° degree. BMI, hand grip strength, lower/upper limb and trunk flexibility, heart rate, balance, pain intensity, VO2 max are also improved after training program. Following a training program or a regular physical activity in older adults minimise impairments characteristics in this age and cardiovascular, respiratory, and musculoskeletal parameters. According to the low importance shown in my country for the physical activity in older adults, I want to emphasize the importance of state structures involvement and the sensibilization of this group of age to stimulate an actively participation in physical training programs followed by professionals for bests life parameters. A higher investment for this age group, building as many facilities as possible for activation and spending quality free time, hiring more physiotherapists in nursing homes will increase life motivation and improve the quality and the parameters of living.

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 Electronic Moxibustion for Breast Cancer-Related Lymphedema: A Pilot Clinical Trial

2020 ◽  
Vol 19 ◽  
pp. 153473542096285
Author(s):  
Kyungsun Han ◽  
Ojin Kwon ◽  
Hyo-Ju Park ◽  
Ae-Ran Kim ◽  
Boram Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Range Of Motion ◽  
Upper Limb ◽  
Life Questionnaire ◽  
Breast Cancer Patients ◽  
Shoulder Range Of Motion ◽  
Breast Cancer Related Lymphedema ◽  
Shoulder Range

This is a preliminary study to investigate the feasibility of electronic moxibustion in breast cancer patients with upper limb lymphedema. As current treatment options for lymphedema are unsatisfactory and time consuming, there have been attempts to manage symptoms using integrative treatments. Electronic moxibustion was developed to compensate for the shortcomings of conventional moxibustion and is widely used in clinical practice. However, there have been no studies on using electronic moxibustion in breast cancer-related lymphedema. To investigate the feasibility of electronic moxibustion in treating breast cancer-related lymphedema, this study included subjects who completed primary cancer treatment at least 6 months ago and had more than 10 mm difference in arm circumference of upper limbs. All subjects were assigned to the treatment group. Subjects were treated with 16 sessions (30 minutes/session) of electronic moxibustion for 8 weeks followed by 4 weeks of follow-up. For outcome measures, upper limb circumferences, shoulder range of motion, bioimpedance analysis, and quality of life questionnaire were assessed. All 10 subjects completed the study. The effective index showed 38.21% reduction after treatment ( P = .0098) and 29.35% ( P = .0039) after 4 weeks of follow-up compared to the baseline. The reduction of lymphedema was most prominent at 10 cm above the elbow crease, where the mean reduction of circumference difference was 7.5 mm ( P = .0430) and continued to improve after treatment (mean reduction of 8.3 mm, P = .0156). There was significant improvement in shoulder range of motion only in flexion and internal rotation at week 9. There were 7 adverse events, and most were irrelevant to the treatment. Only 1 participant had a mild burn on the acupuncture point. Here, we demonstrate for the first time that electronic moxibustion treatment is a feasible treatment for breast cancer-related lymphedema. Electronic moxibustion may reduce differences in upper limb circumference and improve shoulder range of motion. A future comparative clinical trial is needed to confirm the clinical efficacy of this treatment.

Clinical Application of Scalp Cluster Needling Combined with Bobath Technique in Upper Limb Spastic Paralysis After Stroke of Vertebral Artery Type

2021 ◽  
Author(s):  
Aimin Gong ◽  
Mengjie Zeng ◽  
Zhiquan Wu
Keyword(s):  
Treatment Group ◽  
Acupuncture Therapy ◽  
Vertebral Artery ◽  
Upper Limb ◽  
Training Group ◽  
Control Group ◽  
Upper Limbs ◽  
Spastic Paralysis ◽  
Rehabilitation Training ◽  
The Difference

To observe the difference in clinical effects of scalp-point cluster acupuncture combined with rehabilitation training in treating spastic paralysis of upper limbs after stroke. Using a randomized controlled design, 96 patients with upper limb spastic paralysis after stroke were randomly divided into two groups: treatment group (scalp acupuncture plus rehabilitation training group 48 cases), control group (rehabilitation training group 48 cases). After 2 courses of treatment, it was judged by observing clinical efficacy evaluation, Ashworth classification, and Fugl-Meyer (FMA) score. The total effective rate was 91.7% in the treatment group and 68.7% in the control group; the difference between the two groups was statistically significant (P <0.05). Before treatment, the difference in Ashworth classification between the two groups was not statistically significant (P> 0.05); after treatment, the difference between the two groups was statistically significant (P <0.01). After treatment, the difference between the two groups was statistically significant (P＜0.05). The Fugl-Meyer (FMA) scores of the two groups of patients before treatment were comparable (P>0.05), and there were significant differences between the two groups after treatment (P <0.05). The difference of Fugl-Meyer (FMA) scores between the two groups was statistically significant (P < 0.01). Scalp cluster acupuncture therapy is more effective than traditional acupuncture therapy alone in treating vertebral artery type cervical spondylosis. Scalp cluster acupuncture combined with Bobath technique is effective in treating spastic paralysis of upper limbs after stroke, and it is worthy of clinical application.

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