In Vivo Measurement of Wrist Movements during the Dart-Throwing Motion Using Inertial Measurement Units

Fischer, Gabriella; Wirth, Michael A.; Balocco, Simone; Calcagni, Maurizio

doi:10.3390/s21165623

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…Moreover, the reduced stresses while performing this movement might provide an explanation of its frequent use in manual handling activities as it decreases the risk of overuse and injury [41]. Recent and past in vivo analysis of unconstrained wrist motion have confirmed the use of the DTM plane in hammering, throwing, drinking, pouring, and twisting a jar lid [38,40,42].…”

Section: Human Wrist Bio-mechanicsmentioning

confidence: 98%

“…Furthermore, while performing many ADL, motions originating in the carpal bones (flexion/extension and radial/ulnar deviation) are coupled, meaning that one motion limits the other (e.g., radial deviation is reduced when fully extended) [18,31]. In fact, the wrist articulates about an oblique axis defined by the Dart Throwing Motion (DTM) [35][36][37][38]. This movement proceeds from radial deviation-extension to ulnar deviation-flexion, as shown in Figures 5 and 6 [35].…”

Section: Human Wrist Bio-mechanicsmentioning

confidence: 99%

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State of the Art in Wearable Wrist Exoskeletons Part I: Background Needs and Design Requirements

et al. 2023

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Despite an increase in the use of exoskeletons, particularly for medical and occupational applications, few studies have focused on the wrist, even though it is the fourth most common site of musculoskeletal pain in the upper limb. The first part of this paper will present the key challenges to be addressed to implement wrist exoskeletons as wearable devices for novel rehabilitation practices and tools in the occupational/industrial sector. Since the wrist is one of the most complex joints in the body, an understanding of the bio-mechanics and musculo-skeletal disorders of the wrist is essential to extracting design requirements. Depending on the application, each wrist exoskeleton has certain specific design requirements. These requirements have been categorized into six sections: purpose, kinematics, dynamics, rigidity, ergonomics, and safety. These form the driving factors behind the choice of a design depending on the objectives. Different design architectures are explored, forming the basis for the various technical challenges that relate to: actuation type, power source, power transmission, sensing, and control architecture. This paper summarizes, in a systematic approach, all the current technologies adopted, analyzes their benefits and limitations, and finally proposes future perspectives.

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Section: Human Wrist Bio-mechanicsmentioning

confidence: 98%

Section: Human Wrist Bio-mechanicsmentioning

confidence: 99%

State of the Art in Wearable Wrist Exoskeletons Part I: Background Needs and Design Requirements

et al. 2023

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“…[33][34][35][36][37][38] So far, inertial measurement units, optoelectronics systems with reflective skin markers and standard goniometry have been used to measure the range of the DTM. 33,39,40…”

Section: Discussionmentioning

confidence: 99%

Wrist motion assessment using Microsoft Azure Kinect DK: A reliability study in healthy individuals

Królikowska¹,

Maj²,

Dejnek³

et al. 2022

Adv Clin Exp Med

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Background. Motion analysis systems have been widely used in orthopedics and rehabilitation for diagnostics, patient monitoring and outcome evaluation purposes. Since Microsoft Azure Kinect Developer Kit (DK) had been released, only a few studies were published concerning its usage. However, it has not been used for wrist motion assessments, even though the use of standardized examinations with known reliability, validity and responsiveness remains a constant challenge.Objectives. This study aimed to examine the reliability of hand and forearm range of motion (ROM) measurements recorded using new software utilizing the Microsoft Azure Kinect DK. Materials and methods.Twenty-eight healthy males and 28 healthy females participated in measurements of active ROM for wrist extension, wrist flexion, radial deviation, ulnar deviation, and forearm supination and pronation on 3 separate occasions. Sessions 1 and 2 were carried out on the same day with a 90-minute rest period between each session, while the 3 rd session was conducted a week later. Data were recorded simultaneously in both limbs using a custom-made software developed by a software development company (Oleksy Medical & Sports Sciences, Łańcut, Poland) for the purposes of the present study using Microsoft Azure Kinect DK. The assessment of intra-day and inter-day reliability was based on intraclass correlation coefficient (ICC) calculations and interpreted based on commonly used guidelines.Results. In the group of males, the lowest ICC was 0.846 for intra-day comparisons and 0.816 for inter-day analyses. In the female group, the lowest ICC for intra-day comparisons was 0.826 and exceeded 0.833 for inter-day comparisons.Conclusions. The developed software using Microsoft Azure Kinect DK demonstrated high reliability in measuring wrist and forearm active ROM. These promising results support the use of Microsoft Azure Kinect DK in a clinical capacity as a potential hand assessment and rehabilitation tool.

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“…The MiC joint is formed by contact of the four distal carpal bones and the more proximal three carpal bones (pisiform only articulates with triquetrum so is not considered part of the MiC joint). The MiC joint is a complex joint that is responsible for facilitating wrist motion and force transmission between the hand and forearm (Fischer et al, 2021;Garg et al, 2014;Goto et al, 2005;Leventhal et al, 2010;Moritomo et al, 2004;Nadeem et al, 2022). The mechanics of the MiC joint involve the coordinated movement of multiple bones, ligaments, and muscles (Eschweiler et al, 2022;Goto et al, 2005;Moritomo et al, 2004).…”

Section: Relevant Hand-wrist Anatomymentioning

confidence: 99%

“…Wrist motion is described as uniaxial motions occurring in either FLEX-EXT or RD-UD. Kinematic studies, however, describe a biplanar coupled motion occurring naturally in daily activities and sports, described as DTM of the wrist (Fischer et al, 2021;Goto et al, 2005;Leventhal et al, 2010;Li et al, 2005;Moritomo et al, 2004;Sweeney et al, 2012;Wolfe et al, 2006), rather than separate uniaxial motions. The DTM involves an arc of motion from combined RD-EXT to UD-FLEX (Figures 2.3…”

Section: Dart Throwing Motionmentioning

confidence: 99%

Effects of bandaging techniques and shot types on wrist motion in boxing

Gatt

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Hand-Wrist injuries account for the highest number of injuries in Boxing. Bandaging of the hand-wrist region is a common and historic practice in this sport. However, there is no literature exploring the effect of bandaging techniques on wrist motion in boxing or other combat sports. This programme of research was aimed at improving the knowledge of wrist kinematics on impact in boxing through a rigorous scientific approach. Three novel studies were generated and published in peer-reviewed journals The first study describes a new method for quantifying wrist motion in boxing using an electromagnetic tracking system. Surrogate testing procedure utilising a polyamide hand and forearm shape, and in-vivo testing procedure utilising 29 elite boxers, were used to assess the accuracy and repeatability of the system. Two-dimensional kinematic analysis was used to calculate wrist angles using photogrammetry, whilst the data from the electromagnetic tracking system was processed with Visual 3D software. The electromagnetic tracking system agreed with the video-based system in both the surrogate (<0.2°) and quasi-static testing (<6°). Both systems showed a good intraclass coefficient of reliability (ICCs >0.9). In the punch testing, the electromagnetic tracking system showed good reliability (ICCs >0.8) and substantial reliability (ICCs >0.6) for flexion-extension and radial-ulnar deviation angles respectively. The second study quantified wrist motion during in-vivo impact testing procedures for two types of shots, Jab (straight arm shot) and Hook (bent arm short), with 29 elite boxers. For both shots, flexion and ulnar deviation occurred concurrent on impact, with a mean and standard deviation of 9.3±1.9° and 4.7±1.2° respectively for Jab shots, and 5.5±1.1° and 3.3±1.1° respectively for Hook shots, supporting dart throwing motion at the wrist. For both Jab & Hook, wrist motion on impact occurred within >30% and >20% respectively of total available active range of motion, with wristangles greater in both flexion (t=9.0, p<0.001, d=1.7) and ulnar deviation (t=8.4, p<0.001, d=1.6) for Jab compared to Hook shots. The third study investigated the effects of bandaging techniques on wrist motion on impact during two shot types, Jab (straight arm shot) and Hook (bent arm short), in 18 elite male boxers wearing either bandage only or bandage plus tape. For both motions, a significant (p<0.001) interaction between bandage techniques and shot types, and significant (p<0.001) main effects for bandaging techniques (η2=0.580-0.729) and shot types (η2=0.165-0.280), were observed. For straight and bent arm shots, wrist motion on impact occurred within 50% and 40% respectively of total active wrist motion for bandage only compared to within 20% and 15% for bandage plus tape. Time to peak wrist angle on impact increased significantly (p<0.001) by 1.2-1.4 for both shot types when adding tape to bandage. The information from this programme of research contributes to knowledge through a better understanding of wrist kinematics on impact in boxing, useful towards both injury prevention and management strategies. Further, the methodology and knowledge discussed is applicable to wider clinical and scientific settings.

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In Vivo Measurement of Wrist Movements during the Dart-Throwing Motion Using Inertial Measurement Units

Cited by 5 publications

References 29 publications

State of the Art in Wearable Wrist Exoskeletons Part I: Background Needs and Design Requirements

State of the Art in Wearable Wrist Exoskeletons Part I: Background Needs and Design Requirements

Wrist motion assessment using Microsoft Azure Kinect DK: A reliability study in healthy individuals

Effects of bandaging techniques and shot types on wrist motion in boxing

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