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The human neuromusculoskeletal system learns and adapts the upper limb impedance to new task dynamics, enhancing task performance and stability. This study aimed to develop and validate a realistic neuromusculoskeletal model of the upper limb capable of predicting stiffness modulation and motor adaptation to newly introduced environments and force fields. We employed an inverse task space dynamics approach with a multipriority task control framework for an existing upper limb model in OpenSim (Stanford, CA, USA). The task space controller was responsible for planning and executing muscle-driven goal-oriented movements for the arm while stabilizing these movements against disturbances. We performed simulations involving longitudinal and transverse reaching movements in a horizontal plane at the shoulder level and used the concept of short-range-stiffness to map the stiffness of muscle-tendon units onto end-limb stiffness. Additionally, we studied motor adaptations for longitudinal reaching movements in presence of three position-based divergent force fields and a velocity-dependent force field. Qualitatively, the proposed model and simulations accurately predicted previously reported, experimental end-limb stiffness properties. Our preliminary results indicated the potential of the proposed computational approach for estimating end-limb stiffness parameters. Future studies are needed to more rigorously validate the model by quantifying the level of agreement between the model and experimental measurements for more upper extremity tasks.
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http://dx.doi.org/10.1109/EMBC53108.2024.10782003 | DOI Listing |
Br J Anaesth
September 2025
MSk Lab, Imperial College London, London, UK; Theatres and Anaesthetics, Imperial College Healthcare NHS Trust, London, UK. Electronic address:
Background: The mechanisms contributing to epidural-related maternal hyperthermia remain unclear. One explanation is that blockade of cholinergic sympathetic nerves prevents active vasodilation and sweating. However, it is not known how labour epidural analgesia affects cutaneous sympathetic function.
View Article and Find Full Text PDFInt J Surg Case Rep
August 2025
CHU Joseph Ravoahangy Andrianavalona, Service de Chirurgie Orthopédique et Traumatologique, 101 Tananarive, Madagascar.
Introduction And Importance: Monteggia lesions combine a fracture of the ulna with dislocation of the radial head. Monteggia-like variants add a radial head fracture. We report a unique Monteggia-like injury with a bifocal radial fracture and subcutaneous enucleation of the radial neck, which does not fit existing classifications.
View Article and Find Full Text PDFAnn Acad Med Singap
July 2025
Department of Orthopaedic Surgery, Woodlands Health, Singapore.
Disabil Rehabil
September 2025
Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Purpose: Children with incomplete recovery from Brachial Plexus Birth Injury (BPBI) experience varying degrees of upper limb impairment, and 20-30% require interventions to optimize function. A psychometrically validated measure of upper limb activity capacity is essential to guide shared clinical decisions for surgical and rehabilitation interventions.
Materials And Methods: Following the Joanna Briggs Institute Manual for Evidence Synthesis, this systematic review included studies on the measurement properties of the Brachial Plexus Outcome Measure (BPOM) - Activity Scale, a performance-based outcome measure of upper limb activity capacity in children with BPBI.
A A Pract
September 2025
From the Department of Anesthesiology and Critical Care Medicine, Ziekenhuis Oost-Limburg, Genk, Belgium.
A 48-year-old man with a superior labral tear and medical history including hemidiaphragmatic paresis, obstructive sleep apnea, vocal cord paresis, and glottic narrowing, underwent arthroscopic biceps tenodesis. Reduction in respiratory function presented anesthetic management challenges with general anesthesia or an interscalene brachial plexus block. Instead, ultrasound guidance was used to deliver a selective upper-trunk block with 1 % lidocaine and an axillary nerve block with 0.
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