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Cocontraction measured with short-range stiffness was higher in obstetric brachial plexus lesions patients compared to healthy subjects.
- Source :
-
Journal of biomechanics [J Biomech] 2017 Oct 03; Vol. 63, pp. 192-196. Date of Electronic Publication: 2017 Aug 24. - Publication Year :
- 2017
-
Abstract
- We suggest short range stiffness (SRS) at the elbow joint as an alternative diagnostic for EMG to assess cocontraction. Elbow SRS is compared between obstetric brachial plexus lesion (OBPL) patients and healthy subjects (cross-sectional study design). Seven controls (median 28years) and five patients (median 31years) isometrically flexed and extended the elbow at rest and three additional torques [2.1,4.3,6.4Nm] while a fast stretch stimulus was applied. SRS was estimated in silico using a neuromechanical elbow model simulating the torque response from the imposed elbow angle. SRS was higher in patients (250±36Nm/rad) than in controls (150±21Nm/rad, p=0.014), except for the rest condition. Higher elbow SRS suggested greater cocontraction in patients compared to controls. SRS is a promising mechanical alternative to assess cocontraction, which is a frequently encountered clinical problem in OBPL due to axonal misrouting.<br /> (Copyright © 2017 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adult
Case-Control Studies
Cross-Sectional Studies
Elbow physiopathology
Elbow Joint physiopathology
Female
Healthy Volunteers
Humans
Male
Muscle Contraction
Muscle, Skeletal innervation
Muscle, Skeletal physiopathology
Pregnancy
Range of Motion, Articular physiology
Brachial Plexus injuries
Brachial Plexus Neuropathies physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2380
- Volume :
- 63
- Database :
- MEDLINE
- Journal :
- Journal of biomechanics
- Publication Type :
- Academic Journal
- Accession number :
- 28844723
- Full Text :
- https://doi.org/10.1016/j.jbiomech.2017.08.015