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  • Author: Daniel Cury Ribeiro x
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Daniel Cury Ribeiro and Jefferson Fagundes Loss

Link segment models are usually used to calculate proximal net reaction forces (PRF), as well as, proximal net moments (PNM). The correlation between electromyographic data and PNM is usually used to verify the model’s results. Nevertheless, this method permits only a qualitative verification of the obtained results. To assess model’s results in a quantitative perspective, another approach is needed. The aim of the current study was to assess the propagation of uncertainty on a link segment model results and identify the main sources of error on the quantification of PRF and PNM. One male performed five repetitions of different upper limb movements. An inverse dynamics approach associate with 3D link segment model was used to quantify PRF and PNM. The results of the model were evaluated by the use of Kleine and McClintock’s equation. The propagation of uncertainty for PRF reached, on average, 0.27 and for PNM, 0.97. The main cause of propagation of uncertainty was associated to the second time derivative calculations. Consequently, it is possible to suggest that the reduction of small distortions of center of mass acceleration will diminish the proximal net moment and proximal reaction force uncertainty values.

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Joelly Mahnic de Toledo, Roberto Costa Krug, Marcelo Peduzzi Castro, Daniel Cury Ribeiro and Jefferson Fagundes Loss

In joints with 3 degrees of freedom, such as the shoulder joint, the association of different movements results in changes in the behavior of the moment arm of the muscles. The capacity of torque production for the same movement can be changed when movements take place in a different plane. The objective of this study is to quantify differences between torque production and resultant force estimated during the shoulder external rotation in two movement planes: the transverse and sagittal planes (with 90° of shoulder abduction). Eight individuals were evaluated using an isokinetic dynamometer and an eletrogoniometer for movements in the transverse plane and six individuals for movements in the sagittal plane. The results showed that the execution of the external rotation in the sagittal plane allowed greater torque magnitudes and resultant force compared with those in the transverse plane, probably owing to a prestretching of infraspinatus and teres minor.

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Daniel Cury Ribeiro, Joelly Mahnic de Toledo, Roberto Costa Krug and Jefferson Fagundes Loss

Shoulder injuries are often related to rotator cuff muscles. Although there are various models for muscle force estimation, it is difficult to ensure that the results obtained with such models are reliable. The aim of the current study was to compare two models of muscle force estimation. Eight subjects, seven male and one female (mean age of 24 yr; mean height of 1.83 m), performed five isokinetic maximum concentric contractions of internal and external shoulder rotation. Two models with different algorithms were used. In both, the input data consisted of the measured internal rotation moment. Comparisons were made between the difference and the average results obtained with each model of muscle force estimation. There was reasonable agreement among the results for force between the two models for subscapularis, pectoralis major, and anterior deltoideus muscles results. Conversely, poor correlation was found for the latissimus dorsi, teres major, and middle deltoid. These results suggest that the algorithm structure might have a strong effect on muscle force estimation results.

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Marcelo P. de Castro, Daniel Cury Ribeiro, Felipe de C. Forte, Joelly M. de Toledo, Daniela Aldabe and Jefferson F. Loss

The current study aimed to compare the shoulder kinematics (3D scapular orientation, scapular angular displacement and scapulohumeral rhythm) of asymptomatic participants under unloaded and loaded conditions during unilateral shoulder elevation in the scapular plane. We used a repeated-measures design with a convenience sample. Eleven male participants with an age range of 21–28 years with no recent history of shoulder injury participated in the study. The participants performed isometric shoulder elevation from a neutral position to approximately 150 degrees of elevation in the scapular plane in intervals of approximately 30 degrees during unloaded and loaded conditions. Shoulder kinematic data were obtained with videogrammetry. During shoulder elevation, the scapula rotated upwardly and externally, and tilted posteriorly. The addition of an external load did not affect 3D scapular orientation, scapular angular displacement, or scapulohumeral rhythm throughout shoulder elevation (P > .05). In clinical practice, clinicians should expect to observe upward and external rotation and posterior tilt of the scapula during their assessments of shoulder elevation. Such behavior was not influenced by an external load normalized to 5% of body weight when performed in an asymptomatic population.

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Marcelo Peduzzi de Castro, Daniel Cury Ribeiro, Felipe de Camargo Forte, Joelly Mahnic de Toledo, Roberto Costa Krug and Jefferson Fagundes Loss

The aim of this study was to compare shoulder muscle force and moment production during external rotation performed in the transverse and sagittal planes. An optimization model was used for estimating shoulder muscle force production of infraspinatus, teres minor, supraspinatus, anterior deltoid, middle deltoid and posterior deltoid muscles. The model uses as input data the external rotation moment, muscle moment arm magnitude, muscle physiologic cross-sectional area and muscle specific tension. The external rotation moment data were gathered from eight subjects in transverse and six subjects in sagittal plane using an isokinetic dynamometer. In the sagittal plane, all studied muscles presented larger estimated force in comparison with the transverse plane. The infraspinatus, teres minor, supraspinatus and posterior deltoid muscles presented larger moment in sagittal when compared with transverse plane. When prescribing shoulder rehabilitation exercises, therapists should bear in mind the described changes in muscle force production.