scholarly journals Shoulder Coordination During Full-Can and Empty-Can Rehabilitation Exercises

2015 ◽  
Vol 50 (11) ◽  
pp. 1117-1125 ◽  
Author(s):  
Xavier Robert-Lachaine ◽  
Paul Allard ◽  
Veronique Gobout ◽  
Mickael Begon
Keyword(s):  
Shoulder Joint ◽  
Elevation Angle ◽  
Motion Coordination ◽  
Optoelectronic System ◽  
Motion Direction ◽  
Supraspinatus Tear ◽  
Analysis Laboratory ◽  
Arm Elevation ◽  
Exercise Type ◽  
Rehabilitation Exercises

Context Supraspinatus tear is a common rotator cuff injury. During rehabilitation, debate persists regarding the most appropriate exercises. Whereas shoulder coordination is part of normal arm function, it has been infrequently considered in the context of exercise selection. Objective To assess shoulder-motion coordination during 2 common supraspinatus rehabilitation exercises and to characterize load and motion-direction influences on shoulder coordination. Design Descriptive laboratory study. Setting Motion-analysis laboratory. Patient or Other Participants Fifteen asymptomatic right-hand–dominant men (age = 26 ± 4 years, height = 1.77 ± 0.06 m, mass = 74.3 ± 7.7 kg). Intervention(s) Full-can and empty-can exercises with and without a 2.27-kg load. Main Outcome Measure(s) We recorded motion with an optoelectronic system. Scapulohumeral rhythm and complete shoulder joint kinematics were calculated to quantify shoulder coordination. The effects of exercise type, load, motion direction, and humerothoracic-elevation angle on the scapulohumeral rhythm and shoulder-joint angles were assessed. Results We observed multivariate interactions between exercise type and humerothoracic elevation and between load and humerothoracic elevation. Scapulohumeral rhythm increased by a mean ratio of 0.44 ± 0.22 during the full-can exercise, whereas the addition of load increased mean glenohumeral elevation by 4° ± 1°. Conclusions The full-can exercise increased the glenohumeral contribution, as hypothesized, and showed normal shoulder coordination. During the empty-can exercise, the increased scapulothoracic contribution was associated with a compensatory pattern that limits the glenohumeral contribution. Using loads during shoulder rehabilitation seems justified because the scapulohumeral rhythm is similar to that of unloaded arm elevation. Finally, motion direction showed a limited effect during the exercises in healthy individuals.

scholarly journals Automatic Identification of Upper Extremity Rehabilitation Exercise Type and Dose Using Body-Worn Sensors and Machine Learning: A Pilot Study

2021 ◽  
pp. 158-166
Author(s):  
Noah Balestra ◽  
Gaurav Sharma ◽  
Linda M. Riek ◽  
Ania Busza
Keyword(s):  
Machine Learning ◽  
Upper Extremity ◽  
Sensor Data ◽  
Inpatient Setting ◽  
Accelerometer Data ◽  
Data Set ◽  
Machine Learning Classification ◽  
Exercise Type ◽  
Exercise Dose ◽  
Rehabilitation Exercises

<b><i>Background:</i></b> Prior studies suggest that participation in rehabilitation exercises improves motor function poststroke; however, studies on optimal exercise dose and timing have been limited by the technical challenge of quantifying exercise activities over multiple days. <b><i>Objectives:</i></b> The objectives of this study were to assess the feasibility of using body-worn sensors to track rehabilitation exercises in the inpatient setting and investigate which recording parameters and data analysis strategies are sufficient for accurately identifying and counting exercise repetitions. <b><i>Methods:</i></b> MC10 BioStampRC® sensors were used to measure accelerometer and gyroscope data from upper extremities of healthy controls (<i>n</i> = 13) and individuals with upper extremity weakness due to recent stroke (<i>n</i> = 13) while the subjects performed 3 preselected arm exercises. Sensor data were then labeled by exercise type and this labeled data set was used to train a machine learning classification algorithm for identifying exercise type. The machine learning algorithm and a peak-finding algorithm were used to count exercise repetitions in non-labeled data sets. <b><i>Results:</i></b> We achieved a repetition counting accuracy of 95.6% overall, and 95.0% in patients with upper extremity weakness due to stroke when using both accelerometer and gyroscope data. Accuracy was decreased when using fewer sensors or using accelerometer data alone. <b><i>Conclusions:</i></b> Our exploratory study suggests that body-worn sensor systems are technically feasible, well tolerated in subjects with recent stroke, and may ultimately be useful for developing a system to measure total exercise “dose” in poststroke patients during clinical rehabilitation or clinical trials.

scholarly journals Regional Electromyography of the Infraspinatus and Supraspinatus Muscles During Standing Isometric External Rotation Exercises

2021 ◽  
pp. 194173812110438
Author(s):  
Rachel L. Whittaker ◽  
Talia Alenabi ◽  
Soo Y. Kim ◽  
Clark R. Dickerson
Keyword(s):  
Muscle Activity ◽  
External Rotation ◽  
Supraspinatus Tendon ◽  
Level Of Evidence ◽  
Maximum Voluntary Isometric Contraction ◽  
Supraspinatus Muscle ◽  
Infraspinatus Muscle ◽  
Arm Elevation ◽  
Rehabilitation Exercises ◽  
Whole Muscle

Background: Whole-muscle electromyography (EMG) data of the rotator cuff support external rotation (ER) strengthening exercises during shoulder rehabilitation. However, distinct neuroanatomic regions in the supraspinatus and infraspinatus exist. Differences in regional muscle activity occur during rehabilitation exercises, but little information is available for ER exertions. Hypothesis: Regional infraspinatus and supraspinatus muscle activity during standing ER exertions will differ with posture and intensity. Study Design: Descriptive laboratory study. Level of Evidence: Level 5. Methods: Twenty healthy individuals (12 men, 8 women) participated. Fine wire electrodes were inserted into 2 supraspinatus and 3 infraspinatus muscle regions. EMG data were recorded during standing isometric ER exertions at 2 intensities (maximal, submaximal) and in 7 postures defined by the angle (0°, 30°, 90°) and plane (abduction, scaption, flexion) of arm elevation. EMG data were normalized to maximum voluntary isometric contraction (% MVIC) to examine the influences of posture, intensity and their interaction on muscle activity. Results: Superior infraspinatus activity was higher in 0° of elevation (50.9% ± 5.7% MVIC) versus 30° of flexion (37.4% ± 3.9% MVIC) at maximal intensity. Inferior infraspinatus activity was higher in 90° of scaption (max = 59.8% ± 2.8% MVIC, submax = 29.4% ± 1.9% MVIC) versus 0° of elevation (max = 42.3% ± 4.5% MVIC, submax = 22.4% ± 2.8% MVIC) ( P = 0.02, P = 0.05, respectively). Anterior supraspinatus activity was highest in 90° of adbuction (max = 61.6% ± 3.1% MVIC; submax = 39.1% ± 3.8% MVIC) and lowest in 30° of flexion (max = 29.0% ± 3.4% MVIC, submax = 15.6% ± 1.7% MVIC) and 90° of flexion (max = 34.6% ± 2.4% MVIC, submax = 14.8% ± 1.9% MVIC). Posterior suprasptinatus activity was lowest in 0° of elevation (34.2% ± 3.0% MVIC), 30° of flexion (33.0% ± 3.6% MVIC) and highest in 90° of abduction (56.2% ± 4.1% MVIC) and 90° of scaption (46.7% ± 2.8% MVIC) (all Ps < 0.04). Conclusion: Regional infraspinatus and supraspinatus muscle activity differed with posture and intensity. Superior and middle infraspinatus muscle activities were similar across postures, but inferior infraspinatus activity was highest in 90° of arm elevation. Anterior and posterior supraspinatus activities were higher in the abduction and scaption planes, especially at 90° of elevation, as compared with the flexion plane. Clinical Relevance: In shoulder rehabilitation of supraspinatus tendon injuries, ER exercises in the flexion plane challenge the whole infraspinatus muscle and require lower supraspinatus muscle activity.

scholarly journals Automatic Identification of Upper Extremity Rehabilitation Exercise Type and Dose Using Body-Worn Sensors and Machine Learning: A Pilot Study

2020 ◽  
Author(s):  
Noah Balestra ◽  
Gaurav Sharma ◽  
Linda M. Riek ◽  
Ania Busza
Keyword(s):  
Machine Learning ◽  
Upper Extremity ◽  
Exploratory Study ◽  
Sensor Data ◽  
Data Set ◽  
Machine Learning Classification ◽  
Post Stroke ◽  
Exercise Type ◽  
Exercise Dose ◽  
Rehabilitation Exercises

Abstract Background: Prior studies suggest that participation in rehabilitation exercises improves motor function post-stroke; however, studies on optimal exercise dose and timing have been limited by the technical challenge of quantifying exercise activities over multiple days. Objective: In this exploratory study, we assessed the feasibility of using body-worn sensors to track rehabilitation exercises in the inpatient setting and investigated which recording parameters and data analysis strategies are sufficient for accurately identifying and counting exercise repetitions. Methods: MC10 BioStampRC® sensors were used to measure accelerometry and gyroscopy data from arms of healthy controls (n=13) and patients with upper extremity (UE) weakness due to recent stroke (n=13) while the subjects performed three pre-selected UE exercises. Sensor data was then labeled by exercise type, and this labeled data set was used to train a machine learning classification algorithm for identifying exercise type. The machine-learning algorithm and a peak-finding algorithm were used to count exercise repetitions in non-labeled data sets. Results: We achieved a repetition counting accuracy of 95.6 ± 2.4 % overall, and 95.0 ± 2.3 % in patients with UE weakness due to stroke. Accuracy was decreased when using fewer sensors or using accelerometry data alone. Conclusions: Our exploratory study suggests that body-worn sensor systems are technically feasible, well-tolerated in subjects with recent stroke, and may ultimately be useful for developing a system to measure total exercise “dose” in post-stroke patients during clinical rehabilitation or clinical trials.

scholarly journals The effect of rehabilitative exercises accompanied by aids to improve muscle strength and range of motion for people with dislocated shoulder joint

2020 ◽  
Vol 19 (3) ◽  
pp. 0134
Author(s):  
Riam Imad Dr. Huda Badawi
Keyword(s):  
Muscle Strength ◽  
Shoulder Joint ◽  
Sports Medicine ◽  
Muscular Strength ◽  
Research Problem ◽  
Post Test ◽  
Rehabilitation Exercises ◽  
Positive Effect ◽  
Improve Muscle Strength ◽  
Experimental Group

The research aims to: Preparing rehabilitative exercises with accompanying tools to rehabilitate those with shoulder dislocation. Knowing the effect of rehabilitative exercises and accompanying aids in improving the muscular strength and motor range of those with dislocations in the shoulder joint. The two researchers used the experimental design with the same experimental group with the pre and post tests, so the researcher chose a sample appropriate to the nature of his research problem, its goals and its hypotheses, as a sample of the injured was chosen to remove the shoulder joint, who completed the treatment, who were not practicing sports, and those who went to the Physiotherapy Center at Al-Wasiti Hospital, as their number reached (10) were injured. A group of rehabilitative exercises was prepared and accompanied by auxiliary tools presented to experts and specialists in the field of sports medicine. Pre-test tests were conducted and then rehabilitative exercises were implemented to achieve the desired goal of the research. The number of rehabilitative units was 3 rehabilitative units per week and for days Sunday, Tuesday, Thursday. For a period of eight weeks, i.e. at the rate of 24 rehabilitative units and then conducting post-test. The researchers concluded the following: _ Rehabilitation exercises prepared by the two researchers with a clear positive effect on improving muscle strength and motor range among the individuals in the research sample. _ The auxiliary tools used by the two researchers have a positive effect in stimulating and provoking motivation and suspense among the injured to perform rehabilitative exercises. The researchers recommended: - To conduct similar research on other injuries and different samples and to adopt the rehabilitation approach by the two researchers in other physiotherapy centers.

A Systematic Review of Rehabilitation Exercises to Progressively Load the Gluteus Medius

2017 ◽  
Vol 26 (5) ◽  
pp. 418-436 ◽  
Author(s):  
Jay R. Ebert ◽  
Peter K. Edwards ◽  
Daniel P. Fick ◽  
Gregory C. Janes
Keyword(s):  
Lower Limb ◽  
Evidence Synthesis ◽  
Weight Bearing ◽  
Gluteus Medius ◽  
High Load ◽  
Electromyographic Activity ◽  
Hip Abduction ◽  
Exercise Type ◽  
Rehabilitation Exercises ◽  
Very High

Context:Gluteus medius rehabilitation is of critical importance given its role in pelvic and lower limb stability, and the known link between gluteus medius weakness and many lower limb conditions.Objective:To systematically review the literature and present an evidence-based graduated series of exercises to progressively load gluteus medius.Evidence Acquisition:A systematic literature search was conducted in January 2016 to identify studies reporting gluteus medius muscle activity as a percentage of maximal volitional isometric contraction (MVIC), during rehabilitation exercises. Studies that investigated injury free participants were included. No restrictions were placed on the type or mode of exercise, though exercises that could not be accurately replicated or performed within an independent setting were excluded. Studies that did not normalize electromyographic activity to a side lying MVIC were excluded. Exercises were stratified based on exercise type and %MVIC: low (0% to 20%), moderate (21% to 40%), high (41% to 60%), and very high (> 61%).Evidence Synthesis:20 studies were included in this review, reporting outcomes in 33 exercises (and a range of variations of the same exercise). Prone, quadruped, and bilateral bridge exercises generally produced low or moderate load. Specific hip abduction/rotation exercises were reported as moderate, high, or very high load. Unilateral stance exercises in the presence of contralateral limb movement were often high or very high load activities, while high variability existed across a range of functional weight-bearing exercises.Conclusions:This review outlined a series of exercises commonly employed in a rehabilitation setting, stratified based on exercise type and the magnitude of gluteus medius muscular activation. This will assist clinicians in tailoring gluteus medius loading regimens to patients, from the early postoperative through to later stages of rehabilitation.

scholarly journals A Kinematic Model of the Shoulder Complex Obtained from a Wearable Detection System

2020 ◽  
Vol 10 (11) ◽  
pp. 3696
Author(s):  
Jianfeng Li ◽  
Chunzhao Zhang ◽  
Mingjie Dong ◽  
Qiang Cao
Keyword(s):  
Detection System ◽  
Kinematic Model ◽  
Elevation Angle ◽  
Rehabilitation Robots ◽  
Variable Quantity ◽  
Analytical Formulas ◽  
Shoulder Complex ◽  
Arm Elevation ◽  
Joint Center ◽  
Movement Rules

Due to the complex coupled motion of the shoulder mechanism, the design of the guiding movement rules of rehabilitation robots generally lacks specific motion coupling information between the glenohumeral (GH) joint center and humeral elevation angle. This study focuses on establishing a kinematic model of the shoulder complex obtained from a wearable detection system, which can describe the specific motion coupling relationship between the GH joint center displacement variable quantity relative to the thorax coordinate system and the humeral elevation angle. A kinematic model, which is a generalized GH joint with a floating center, was proposed to describe the coupling motion. Twelve healthy subjects wearing the designed detection system performed a right-arm elevation in the sagittal and coronal planes respectively, and the motion information of the GH joint during humeral elevation in the sagittal and coronal planes was detected and quantized, with the analytical formulas acquired based on the experimental data. The differences in GH joint motion during humeral elevation in the sagittal and coronal planes were also evaluated respectively, which also verified the effectiveness of the proposed kinematic model.

Shoulder joint kinetics and dynamics during underwater forward arm elevation

2018 ◽  
Vol 71 ◽  
pp. 144-150 ◽  
Author(s):  
Jessy Lauer ◽  
João Paulo Vilas-Boas ◽  
Annie Hélène Rouard
Keyword(s):  
Shoulder Joint ◽  
Joint Kinetics ◽  
Kinetics And Dynamics ◽  
Arm Elevation
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