Clinical Biomechanics Research Papers - Academia.edu (original) (raw)

To compare two groups of worker with and without upper limb musculoskeletal symptoms when simulating handling tasks, regarding trunk movements and load support. Simultaneous lumbar movements and load support were quantified by a flexible... more

To compare two groups of worker with and without upper limb musculoskeletal symptoms when simulating handling tasks, regarding trunk movements and load support. Simultaneous lumbar movements and load support were quantified by a flexible electrogoniometer and load cell, respectively. Workers can adopt different motor strategies to perform similar tasks, possibly resulting in different physical demands. No previous studies on different movement patterns as a possible strategy for coping with physical demands by injured workers are available. 9 asymptomatic and 10 symptomatic industrial workers, carried a device for measuring contact between load and trunk during simulated tasks. An ANOVA was performed to compare results between symptomatic and asymptomatic workers. Most of the symptomatic workers supported the load on their trunk, whilst most of the asymptomatic workers did not. Higher values of lumbar flexion occurred for the symptomatic workers (P<0.05). Apparently, differences in movement and load support were adopted by injured workers as a possible strategy to share upper limb overload with other body regions. Workers suffering from work-related musculoskeletal disorders may adopt different motor strategies to cope with their job physical demands. An effort should be made to reallocate injured workers if major cost is to be avoided.

Elbow joint loading was evaluated during pushup exercises at various forearm rotations. Subjects were asked to perform pushup in various forearm rotations: neutral, 90 degrees internal rotation, and 90 degrees external rotation. Training... more

Elbow joint loading was evaluated during pushup exercises at various forearm rotations. Subjects were asked to perform pushup in various forearm rotations: neutral, 90 degrees internal rotation, and 90 degrees external rotation. Training with pushup exercise is good for the muscles and joints of the upper extremities. However, excessive shear forces on the elbow might lead to injuries to either normal trainees or to handicapped people, especially for those who rely on elbow prosthesis. The kinematics and kinetics of the elbow joint were investigated under various forearm rotations. The loading biomechanics of the elbow joint differed with various forearm rotations. It was noted that greater posterior and varus forces of the elbow are encountered with internal rotation of the hand position and, consequently, full forearm pronation. Pushup with hands in internally rotated position should be prevented so as to avoid excessive shear forces or moments. Knowledge of elbow kinematics and kinetics may be helpful in preventing injuries by reducing the elbow shear force with changes of forearm rotation.

Background Today a number of prosthetic suspension systems are available for transtibial amputees. Consideration of an appropriate suspension system can ensure that amputee’s functional needs are satisfied. The higher the insight to... more

Background Today a number of prosthetic suspension systems are available for transtibial amputees. Consideration of an appropriate suspension system can ensure that amputee’s functional needs are satisfied. The higher the insight to suspension systems, the easier would be the selection for prosthetists. This review attempted to find scientific evidence pertaining to various transtibial suspension systems to provide selection criteria for clinicians. Methods Databases of Pub Med, Web of science, and science Direct were explored to find related articles. Search terms were as follows: “Transtibial Prosthesis (32), prosthetic suspension (48), lower limb prosthesis (54), below-knee prosthesis (58), prosthetic liner (20), transtibial (193), and prosthetic socket (111). Two reviewers separately examined the papers. Study design (case series of five or more subjects, retrospective or prospective), research instrument, sampling method, outcome measures and protocols were reviewed. Findings B...