The effects of wrist motion and hand orientation on muscle forces: a physiologic wrist simulator study
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Published version
Author(s)
Shah, DS
Middleton, C
Gurdezi, S
Horwitz, MD
Kedgley, AE
Type
Journal Article
Abstract
Although the orientations of the hand and forearm vary for different wrist rehabilitation protocols, their effect on muscle forces has not been quantified. Physiologic simulators enable a biomechanical evaluation of the joint by recreating functional motions in cadaveric specimens. Control strategies used to actuate joints in 5 physiologic simulators usually employ position or force feedback alone to achieve optimum load distribution across the muscles. After successful tests on a phantom limb, unique combinations of position and force feedback – hybrid control and cascade control – were used to simulate multiple cyclic wrist motions of flexion-extension, radioulnar deviation, dart thrower’s motion, and 10 circumduction using six muscles in ten cadaveric specimens. Low kinematic errors and coefficients of variation of muscle forces were observed for planar and complex wrist motions using both novel control strategies. The effect of gravity was most pronounced when the hand was in the horizontal orientation, resulting in higher extensor forces (p<0.017) and higher out-of-plane kinematic errors (p<0.007), as compared to the vertically 15 upward or downward orientations. Muscle forces were also affected by the direction of rotation during circumduction. The peak force of flexor carpi radialis was higher in clockwise circumduction (p=0.017), while that of flexor carpi ulnaris was higher in anticlockwise circumduction (p=0.013). Thus, the physiologic wrist simulator accurately replicated cyclic planar and complex motions in cadaveric specimens. Moreover, the dependence of muscle 20 forces on the hand orientation and the direction of circumduction could be vital in the specification of such parameters during wrist rehabilitation.
Date Issued
2017-07-26
Date Acceptance
2017-06-05
Citation
Journal of Biomechanics, 2017, 60 (1), pp.232-237
ISSN
0021-9290
Publisher
Elsevier
Start Page
232
End Page
237
Journal / Book Title
Journal of Biomechanics
Volume
60
Issue
1
Copyright Statement
© 2017 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
Sponsor
The Royal Society
Arthritis Research UK
Identifier
https://www.sciencedirect.com/science/article/pii/S0021929017303147
Grant Number
RG130400
20556
Subjects
simulator
control
muscle forces
hand orientation
circumduction
Publication Status
Published
Date Publish Online
2017-06-21