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Visualization of shoulder range of motion for clinical diagnostics and device development

机译:临床诊断和设备开发的肩部运动的可视化

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Rotations of the humerus in the human shoulder girdle are usually described using five classical medical definitions: flexion/extension, abduction/adduction, internal/external rotation, horizontal abduction/adduction, and horizontal flexion/extension. The latter two are needed to overcome the inability of the first three to define the full range of motion. The International Society for Biomechanics recommendations reduce these to three sequential rotations around perpendicular axes: rotation of the plane of elevation (horizontal rotation), elevation, and axial rotation. We expand on this work by providing a new and intuitive visualization method to display these rotations that superimposes the axial rotation on the map projection of the reachable workspace of the elbow. We provide methods to interpret and create the visualization using direct observations, but also the equations and Matlab scripts needed to use the method. The visualization allows the immediate observation of the full rotational range of motion of the humerus and the interaction effects between these physiologically coupled rotations. Furthermore, it allows visualization of the effects of kinematic limitations of external devices such as endpoint manipulators or exoskeletons. Therefore, the new visualization method is useful for both clinical diagnostics and device development.
机译:使用五种古典医学定义,通常描述人肩腰带中肱骨的旋转:屈曲/延伸,绑架/内收,内/外旋转,水平绑架/内收和水平屈曲/延伸。后两者需要克服前三个无法定义全部运动范围。国际生物力学协会建议将这些围绕垂直轴线减少到三个连续的旋转:升高平面(水平旋转),高度和轴向旋转的旋转。我们通过提供一种新的和直观的可视化方法来扩展这项工作,以显示叠加在肘部可达工作区的地图投影上叠加的轴向旋转的旋转。我们提供了使用直接观察解释和创建可视化的方法,还可以使用该方法所需的等式和MATLAB脚本。可视化允许立即观察肱骨的完全旋转运动范围和这些生理耦合旋转之间的相互作用效应。此外,它允许可视化外部设备的运动局限性的效果,例如终点操纵器或外骨骼。因此,新的可视化方法对于临床诊断和设备开发而有用。

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