Article
Medicine, General & Internal
Saad Javeed, Christopher F. Dibble, Jacob K. Greenberg, Justin K. Zhang, Jawad M. Khalifeh, Yikyung Park, Thomas J. Wilson, Eric L. Zager, Amir H. Faraji, Mark A. Mahan, Lynda J. Yang, Rajiv Midha, Neringa Juknis, Wilson Z. Ray
Summary: Nerve transfer surgery is associated with improvement in upper limb motor strength and functional independence in patients with tetraplegia. It is a promising intervention feasible in both subacute and chronic SCI.
Article
Clinical Neurology
Alban Fouasson-Chailloux, Pauline Daley, Pierre Menu, Guillaume Gadbled, Yves Bouju, Giovanni Gautier, Germain Pomares, Marc Dauty
Summary: Patients with neurogenic thoracic outlet syndrome often experience pain and weakness in the upper limbs. This study aimed to assess the correlation between isokinetic shoulder strength and hand grip and key pinch strength. The results showed that there was a moderate correlation between grip strength and isokinetic rotators strength, as well as between key pinch strength and isokinetic rotators strength. Hand dynamometers can be useful for assessing overall upper limb weakness, but isokinetic measurement remains the gold standard for precise evaluation.
FRONTIERS IN NEUROLOGY
(2022)
Article
Medicine, General & Internal
Masakazu Taketomi, Yukiyo Shimizu, Hideki Kadone, Shigeki Kubota, Yuta Kagai, Yoshitaka Okamoto, Yasushi Hada, Masashi Yamazaki
Summary: Upper extremity dysfunction after stroke can be improved through rehabilitation using a shoulder joint hybrid assistive limb (HAL). This study showed that HAL assisted shoulder movement and improved shoulder muscle strength, voluntary and passive shoulder joint range of motion, as well as overall upper limb function in patients with chronic stroke and upper extremity functional disability. The safety and effectiveness of HAL in motor learning were also demonstrated.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Medicine, General & Internal
Carly Renee Rankin, Simon Smith
Summary: This scoping review aims to systematically review the current literature on driving safety following upper limb surgery. It will include studies from scientific databases and relevant websites to collect and analyze articles on driving ability and surgical interventions. The findings will be disseminated through professional networks, peer-reviewed publications, and conference presentations.
Article
Multidisciplinary Sciences
Honggang Wang, Junlong Guo, Shuo Pei, Jiajia Wang, Yufeng Yao
Summary: This study proposes a generic modeling and motion extraction method, P-BTBS, for human upper limb. It follows the physiology of upper limbs, allows high accuracy of motion angles, and describes upper-limb motions with high accuracy. Experiments validated the excellent performance and robustness of P-BTBS in extracting motion information and describing upper-limb motions.
SCIENTIFIC REPORTS
(2023)
Article
Multidisciplinary Sciences
Frida Torell
Summary: The dynamic nature of movement and muscle activation highlights the importance of a solid experimental design. In this study, a center-out experiment was conducted with 16 healthy volunteers to evaluate the design using surface electromyography (EMG) and principal component analysis (PCA). The results showed that specific muscles were activated when the direction of the target was opposite to the direction of muscle shortening and when a perturbation was applied in the opposite direction. PCA was also valuable in evaluating participant performance and identifying individual quirks that may impact the study outcomes.
Article
Chemistry, Multidisciplinary
Stefano Buccelli, Federico Tessari, Fausto Fanin, Luca De Guglielmo, Gianluca Capitta, Chiara Piezzo, Agnese Bruschi, Frank Van Son, Silvia Scarpetta, Antonio Succi, Paolo Rossi, Stefano Maludrottu, Giacinto Barresi, Ilaria Creatini, Elisa Taglione, Matteo Laffranchi, Lorenzo De Michieli
Summary: Float is an upper-limb exoskeleton designed to promote and accelerate the motor and functional recovery of the shoulder joint complex. It enables patients to move freely in a large workspace by using a passive polyarticulated arm to support the weight, facilitating a deeper interaction with the surrounding environment for enhanced rehabilitation.
APPLIED SCIENCES-BASEL
(2022)
Review
Clinical Neurology
Sisi Feng, Mingzhi Tang, Gan Huang, JuMei Wang, Sijin He, Duo Liu, LiHua Gu
Summary: This study aimed to identify the most effective physical therapy intervention for improving clinical symptoms in patients with post-stroke shoulder-hand syndrome (SHS) through Bayesian network meta-analysis. The results showed that EMG biofeedback combined with rehabilitation training may be the best physical therapy for improving upper limb motor function and relieving pain in patients with post-stroke SHS. However, further analysis and validation by more high-quality RCTs are needed for these conclusions.
FRONTIERS IN NEUROLOGY
(2023)
Article
Automation & Control Systems
Junsoo Kim, Juri Kim, Yeongtae Jung, Dongjin Lee, Joonbum Bae
Summary: This paper proposes a passive upper limb exoskeleton with tilted and offset shoulder joints, enhanced range of motion, and assistive mechanisms to effectively assist high overhead tasks. Simulations and experiments show that the exoskeleton provides sufficient range of motion at an elevated angle of 165 degrees. The assistive mechanism generates a maximum torque of 9.5 N.m, capable of assisting tasks with a 1-kg tool. Electromyography experiments validate the assistance performance of the exoskeleton, reducing muscle activity significantly.
IEEE-ASME TRANSACTIONS ON MECHATRONICS
(2022)
Article
Multidisciplinary Sciences
Kristin E. Yu, Briana N. Perry, Courtney W. Moran, Robert S. Armiger, Matthew S. Johannes, Abigail Hawkins, Lauren Stentz, Jamie Vandersea, Jack W. Tsao, Paul F. Pasquina
Summary: The study indicates that the Modular Prosthetic Limb (MPL) system can effectively improve control and operation of prostheses for individuals with limb loss, with the potential to restore lost functionality.
SCIENTIFIC REPORTS
(2021)
Article
Engineering, Biomedical
Yuri Gloumakov, Joao Bimbo, Aaron M. Dollar
Summary: This paper introduces a concept called trajectory control, which improves the control of multiple joint upper limb prostheses by coupling the degrees of freedom of the wrist, elbow, and shoulder into coordinated trajectories driven by a single input variable. Experimental results show that trajectory control allows participants to complete tasks faster with similar levels of body compensation compared to sequential and simultaneous control, and it is also found to be more intuitive and result in more natural movements.
IEEE TRANSACTIONS ON NEURAL SYSTEMS AND REHABILITATION ENGINEERING
(2022)
Article
Chemistry, Multidisciplinary
Andrea Demeco, Alessandro de Sire, Nicola Marotta, Arrigo Palumbo, Gionata Fragomeni, Vera Gramigna, Raffaello Pellegrino, Lucrezia Moggio, Annalisa Petraroli, Teresa Iona, Teresa Paolucci, Antonio Ammendolia
Summary: This pilot study aimed to evaluate the effects of a comprehensive rehabilitative approach on shoulder functionality in wheelchair basketball athletes. The results showed that the rehabilitative program significantly improved shoulder range of motion, muscle activity, and functioning in the athletes, while reducing pain and cumulative trauma disorders.
APPLIED SCIENCES-BASEL
(2022)
Article
Engineering, Industrial
Ilaria Pacifico, Federica Aprigliano, Andrea Parri, Giusi Cannillo, Ilaria Melandri, Angelo Maria Sabatini, Francesco Saverio Violante, Franco Molteni, Francesco Giovacchini, Nicola Vitiello, Simona Crea
Summary: In recent years, companies have been considering the adoption of upper-limb exoskeletons as a solution to reduce health and cost issues caused by work-related shoulder overuse injuries. Previous research mainly evaluated these devices in laboratory settings, but uncertainties remain about generalizing the results to real-world conditions. This study investigated the efficacy, usability, and acceptance of a commercial upper-limb exoskeleton in cleaning job activities, demonstrating significant reductions in shoulder muscle activity and perceived exertion.
APPLIED ERGONOMICS
(2023)
Article
Multidisciplinary Sciences
Bartosz Wieczorek, Mateusz Kukla, Lukasz Wargula, Marcin Giedrowicz, Dominik Rybarczyk
Summary: The purpose of this study was to assess the user's muscular activity during ramp climbing. The results showed that there was an increase in muscle effort while using anti-rollback systems.
SCIENTIFIC REPORTS
(2022)
Article
Chemistry, Multidisciplinary
Hao Yan, Hongbo Wang, Peng Chen, Jianye Niu, Yuansheng Ning, Shuangshuang Li, Xusheng Wang
Summary: This paper discusses the development trend of using rehabilitation robots for stroke patients with upper limb motor dysfunction, focusing on the establishment of an equivalent mechanism model of the human upper limb. Different configuration combinations were synthesized to select a configuration model with compatibility and reduced moment conduction attenuation, proposing two configurations for the generalized shoulder joint mechanism of the robot. Motion performance analysis and condition reciprocal analysis were conducted to determine that the 5R(a)1P configuration of the shoulder joint has better kinematic performance in the normal upper limb posture of the human body. Finally, a prototype of an upper limb rehabilitation robot with good human-computer compatibility was developed and its moving space was verified.
APPLIED SCIENCES-BASEL
(2021)
Article
Orthopedics
Inger Arvidsson, Jenny Gremark Simonsen, Agneta Lindegard-Andersson, Jonas Bjork, Catarina Nordander
BMC MUSCULOSKELETAL DISORDERS
(2020)
Article
Public, Environmental & Occupational Health
Roger Persson, Ulf Leo, Inger Arvidsson, Carita Hakansson, Kerstin Nilsson, Kai Osterberg
Summary: The research found that 29.0% of Swedish principals displayed signs of exhaustion, with female principals showing more signs of possible exhaustion disorder. School level was not associated with exhaustion symptoms, but length of work experience was linked to exhaustion symptoms in male principals.
Article
Engineering, Industrial
Sofia Wilhelmsson, Maria Andersson, Inger Arvidsson, Camilla Dahlqvist, Paul H. Hemsworth, Jenny Yngvesson, Jan Hultgren
Summary: The working conditions of Swedish pig transport drivers were assessed to find excessive physical load on shoulders and backs, as well as knee discomfort related to inadequate design of loading areas. Variations in workload were explained by differences in physical working environment and pig handling practices among drivers. High job satisfaction and commitment were reported by the drivers despite conflicts with stakeholders and regulatory issues.
INTERNATIONAL JOURNAL OF INDUSTRIAL ERGONOMICS
(2021)
Article
Environmental Sciences
Inger Arvidsson, Ulf Leo, Anna Oudin, Kerstin Nilsson, Carita Hakansson, Kai Osterberg, Roger Persson
Summary: This study investigated the impact of work environment factors and signs of exhaustion on principals' intentions to change workplaces. Supportive management was associated with an intention to stay, while demanding role conflicts and buffer-function were associated with the intention to change workplace. Principals who intended to change reported more signs of exhaustion.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Public, Environmental & Occupational Health
Eva Tekavec, Lotta Lofqvist, Anna Larsson, Karin Fisk, Jakob Riddar, Tohr Nilsson, Catarina Nordander
Summary: Despite EU regulatory standards, many workers suffer injuries as a result of using handheld vibrating tools. This study found that carpenters are more likely to experience neurosensory affection compared to painters, possibly due to vibration exposure. Young carpenters also showed signs of neurosensory affection, indicating inadequate protection for workers in these conditions.
JOURNAL OF OCCUPATIONAL MEDICINE AND TOXICOLOGY
(2021)
Editorial Material
Public, Environmental & Occupational Health
Inger Arvidsson, Camilla Dahlqvist, Henrik Enquist, Catarina Nordander
Summary: The study proposes suggested action levels for work postures, movement velocities, and muscular loads in order to prevent work-related musculoskeletal disorders. Adopting these action levels could significantly reduce the prevalence of related diseases.
ANNALS OF WORK EXPOSURES AND HEALTH
(2021)
Article
Environmental Sciences
Kerstin Nilsson, Anna Oudin, Inger Arvidsson, Carita Hakansson, Kai Osterberg, Ulf Leo, Roger Persson
Summary: The objective of this study is to increase knowledge about school principals' work situations and their willingness to work until 65 years of age or longer. The study found that exhaustion symptoms and excessive burden were associated with school principals' inability and unwillingness to work beyond 65 years of age. The support from executive management was found to be crucial for the school principals' desire to work until 65 years of age and beyond.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Environmental Sciences
Festina Balidemaj, Erin Flanagan, Ebba Malmqvist, Ralf Rittner, Karin Kallen, Daniel Oudin Astrom, Anna Oudin
Summary: This study investigated the relationships between prenatal exposure to different sources of PM2.5 and birth weight, finding that each local source of PM2.5 was associated with reduced birth weight, with only small-scale residential heating clearly linked to low birth weight.
Article
Public, Environmental & Occupational Health
Karin Loven, Anders Gudmundsson, Eva Assarsson, Monica Karedal, Aneta Wierzbicka, Camilla Dahlqvist, Catarina Nordander, Yiyi Xu, Christina Isaxon
Summary: This study investigated the effects of cleaning spray on the upper airways and physical workload of cleaning workers. The results show that cleaning workers using spray had a higher risk of experiencing symptoms in the eyes, airways, and musculoskeletal pain compared to using other methods. Switching from spray to foam can reduce the concentration of airborne particles and volatile organic compounds, thereby reducing eye and airway symptoms and without increasing the physical workload.
Article
Public, Environmental & Occupational Health
K. Fisk, C. Nordander, A. Ek
Summary: This study examines carpenters' perceptions of health and safety (H&S) management, especially regarding hand-arm vibration. Carpenters had a generally positive perception of management's commitment to H&S management. However, deficiencies in the practical implementation of H&S measures were reported.
OCCUPATIONAL MEDICINE-OXFORD
(2023)
Article
Public, Environmental & Occupational Health
Eva Tekavec, Tohr Nilsson, Jakob Riddar, Anna Axmon, Catarina Nordander
Summary: Occupational exposure to vibration using hand-held tools may cause hand-arm vibration syndrome (HAVS). The International Consensus Criteria (ICC) has been suggested to replace the widely used Stockholm Workshop Scale (SWS) for diagnosis and grading of severity. The study found that using the ICC resulted in lower grades of severity compared to the SWS and highlighted the prevalence of symptoms such as numbness and cold intolerance.
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
(2023)
Article
Multidisciplinary Sciences
Erin Flanagan, Ebba Malmqvist, Ralf Rittner, Peik Gustafsson, Karin Kallen, Anna Oudin
Summary: Evidence suggests that exposure to ambient particulate matter (PM) during pregnancy is associated with an increased risk of childhood autism. However, the specific PM sources contributing to this association are still unknown. This study found that exposure to locally emitted PM2.5 from residential wood burning and road traffic-related sources is associated with childhood autism and ASD.
SCIENTIFIC REPORTS
(2023)
Article
Public, Environmental & Occupational Health
Carl Antonson, Frida Thorsen, Catarina Nordander
Summary: The aim of this study was to examine the clinical consequence of using less than four sensory examination methods for Hand-Arm Vibration Syndrome (HAVS) surveillance. The study found that if fewer than four sensory examination methods are used, many workers with incipient injuries may stay undetected.
JOURNAL OF OCCUPATIONAL HEALTH
(2022)
Article
Psychology, Multidisciplinary
Roger Persson, Ulf Leo, Inger Arvidsson, Kerstin Nilsson, Kai Osterberg, Carita Hakansson
Summary: Approximately 30% of Swedish principals perceive their workability to be excellent. The most frequently encountered managerial demands include role conflicts, resource deficits, and having to deal with colleagues' frustrations. In contrast, supportive managerial colleagues, a supportive private life, and supportive organizational structures are associated with an increased likelihood of reporting excellent workability. Reducing role demands, clarifying areas of responsibility, striving for increased role clarity, and finding ways to separate work and private life should be considered when aiming to improve principals' workability.