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Shoulder rehab

Winai Chonnaparamutt, Witsarut Supsi
SEFRE (Shoulder-Elbow-Forearm Robotics Economic) rehabilitation system is presented in this paper. SEFRE Rehab System is composed of a robotic manipulator and an exoskeleton, so-called Forearm Supportive Mechanism (FSM). The controller of the system is developed as the Master PC consisting of five modules, that is, Intelligent Control (IC), Patient Communication (PC), Training with Game (TG), Progress Monitoring (PM), and Patient Supervision (PS). These modules support a patient to exercise with SEFRE in six modes, that is, Passive, Passive Stretching, Passive Guiding, Initiating Active, Active Assisted, and Active Resisted...
2016: Applied Bionics and Biomechanics
Justin J Ernat, Craig R Bottoni, Douglas J Rowles
Humeral avulsion of the glenohumeral ligament (HAGL) is a lesion that has been recognized as a cause of recurrent shoulder instability. To our knowledge there are no reports of successful return to full function in young, competitive athletes or return to manual labor following nonoperative management of a HAGL lesion. A 26-year-old Navy SEAL was diagnosed with a HAGL injury, and associated traction injury of the axillary nerve as well as a partial tear of the rotator cuff. Operative intervention was recommended; however, due to issues with training and with inability to properly rehab with the axillary nerve injury, surgical plans were delayed...
July 2016: American Journal of Orthopedics
Hsin-Ta Li, Jheng-Jie Huang, Chien-Wen Pan, Heng-I Chi, Min-Chun Pan
In clinical settings, traditional stroke rehabilitation evaluation methods are subjectively scored by occupational therapists, and the assessment results vary individually. To address this issue, this study aims to develop a stroke rehabilitation assessment system by using inertial measurement units. The inertial signals from the upper extremities were acquired, from which three quantitative indicators were extracted to reflect rehabilitation performance during stroke patients' movement examination, i.e., shoulder flexion...
2015: Sensors
Michele Abate, Cosima Schiavone, Vincenzo Salini
OBJECTIVE: To evaluate the efficacy of a specific rehabilitation program for patients in whom ultrasound-guided percutaneous treatment (UGPT) was performed for rotator cuff calcific tendinopathy (RCCT). SUBJECTS AND METHODS: In this prospective observational study, 86 patients (22 males and 64 females) with shoulder calcific tendinopathy treated with UGPT were enrolled. At the end of the procedure, a corticosteroid injection into the subacromial-subdeltoid bursa was performed...
2015: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Lisa Schilling, Raimund Forst, Jürgen Forst, Albert Fujak
BACKGROUND: Myotonic Dystrophy Type 1 (DM1) is the most common form of hereditary myopathy presenting in adults. This autosomal-dominant systemic disorder is caused by a CTG repeat, demonstrating various symptoms. A mild, classic and congenital form can be distinguished. Often the quality of life is reduced by orthopaedic problems, such as muscle weakness, contractures, foot or spinal deformities, which limit patients' mobility.The aim of our study was to gather information about the orthopaedic impairments in patients with DM1 in order to improve the medical care of patients, affected by this rare disease...
2013: BMC Musculoskeletal Disorders
Hossein Mousavi Hondori, Maryam Khademi, Lucy Dodakian, Steven C Cramer, Cristina Videira Lopes
This paper features a Spatial Augmented Reality system for rehabilitation of hand and arm movement. The table-top home-based system tracks a subject's hand and creates a virtual audio-visual interface for performing rehabilitation-related tasks that involve wrist, elbow, and shoulder movements. It measures range, speed, and smoothness of movements locally and can send the real-time photos and data to the clinic for further assessment. To evaluate the system, it was tested on two normal subjects and proved functional...
2013: Studies in Health Technology and Informatics
Keith M Baumgarten, Armando F Vidal, Rick W Wright
BACKGROUND: There is no consensus for the optimal postoperative rehabilitation protocol after rotator cuff repairs. OBJECTIVE: To determine if there is sufficient level I or II evidence available in the literature for establishment of a uniform, optimal rotator cuff rehabilitation protocol. DATA SOURCES: A systematic review of level I and II English-language, prospective, randomized controlled trials published between 1966 and 2008 was performed...
March 2009: Sports Health
Matthias Klum, Maya B Wolf, Peter Hahn, Franck M Leclère, Thomas Bruckner, Frank Unglaub
PURPOSE: The objective of this study was to examine the influence of anthropometric data, occupational manual strain, DASH (disability of arm, shoulder and hand) score and range of motion (ROM) on grip strength and key pinch. An additional goal was to develop models that enable the prediction of hand strength using the aforementioned parameters. METHODS: Normative data generated from a healthy working population (n = 750) served as basis for the statistical analysis...
December 2012: Archives of Orthopaedic and Trauma Surgery
Gertrud Krüskemper, Jörg Handschel
Smoking is a causative factor in oral squamous cell carcinomas (SCC). Unfortunately, only poor data exist regarding the quality of life of smokers vs non-smokers with SCC. The purpose of this study is to show a correlation between variables for comprehensive interdisciplinary rehabilitation and better patient quality of life (LQ). A total collective of 1,761 patients from 38 hospitals within the German-language area of Germany, Austria and Switzerland (DÖSAK-REHAB-STUDIE) yielding 1,652 patients' questionnaires containing 147 items were evaluated...
October 2012: Clinical Oral Investigations
Anne M Hollister, Carla Saulsbery, Jennifer L Odom, Lucas Anissian, Mark Tyson Garon, Jenee' Jordan
Humeral shaft fracture intramedullary nailing is less invasive than plates and screws. Antegrade technique has postoperative shoulder pain, increased rehab time, and frequent reoperation for rod removal. Published retrograde technique is not collinear with the shaft, has insertion site fractures (5% to 15%), and radial nerve palsies (5%). Our retrograde technique is collinear with the humerus shaft, simpler, and decreases operative fracture risk. The supine patient's elbow is fully flexed. A guide pin is inserted through the triceps tendon to the olecranon fossa roof, aligned with the humerus shaft, and drilled thought the cortex followed by the 6...
September 2011: Techniques in Hand & Upper Extremity Surgery
Milad Masjedi, Garth R Johnson
A major requirement to design an implant is to develop our understanding of the applied internal forces during everyday activities. In the absence of any basic apparatus for measuring forces directly, it is essential to rely on modelling. The major aim of this study was therefore to understand the biomechanical function of subjects with the reversed anatomy Bayley-Walker prosthesis, using an inverse dynamic shoulder model. In this context, the muscle and joint forces of 12 Bayley-Walker subjects were compared to those of 12 normal subjects during 12 activities of daily living...
September 17, 2010: Journal of Biomechanics
H van der Kooij, G B Prange, T Krabben, G J Renzenbrink, J de Boer, H J Hermens, M A Jannink
After stroke, arm function can be limited by a reduction in the selectivity of movements, due to involuntary coupling of shoulder abduction and elbow flexion, limiting the ability to reach. Gravity compensation of the arm reduces the required active shoulder abduction torques, which results in a larger range of motion instantaneously. Integration of a motivating rehabilitation game in the training program stimulates motor relearning processes during training. During 6 weeks, 8 chronic stroke survivors received 3 sessions of 30 minutes gravity compensated reach training per week using a rehabilitation game, which was evaluated by assessing motor status and a circle drawing task before and after training...
2009: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Chun-yan Jiang, Hua Feng, Lei Hong, Yi-ming Zhu, Man-yi Wang, Guo-wei Rong
OBJECTIVE: To discuss and evaluate the surgical techniques of arthroscopic rotator cuff repair and its clinical results. METHODS: From March 2002 to May 2005, 44 out of 68 patients treated by arthroscopic rotator cuff repair had been reviewed with a mean post-operation time of 12 months. Of the 44 patients, 40 were available for follow-up, with a mean period of 20.6 (12 - 40) months. The mean age was 56 (30 - 81) years. According to Gerber classification, there were 8 partial tears, 27 small tears and 5 massive tears...
February 15, 2006: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
W Seamone, G Schmeisser
In Part I, "Developmental Case Study", this evaluation traces anecdotally the increasing application of microcomputer technology in a research program examining the uses of a robot arm in the rehabilitation of the high-spinal-cord-injured person. This program, supported by the Veterans Administration since 1974, built upon still earlier VA-supported work at Johns Hopkins on powered upper-limb prostheses. The Johns Hopkins University powered shoulder prosthesis served as the basis for the Robotic Arm/Worktable System, whose evolution is described in applications ranging from handling simple reading materials to self-feeding and the operation of a personal computer, all under the user's control through the same chin control interface employed for the control of the user's power wheelchair...
January 1985: Journal of Rehabilitation Research and Development
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