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Validating the measurement of passive Musculo-articular wrist stiffness without intentional or reactive contraction using axillary plexus block.
Libert, Thibaut; Detrembleur, Christine; Melebeck, Francois; Nguyen, Anh Phong.
Afiliación
  • Libert T; Centre hospitalier régional de Namur, service de chirurgie orthopédique, Av. Albert Ier 185, 5000 Namur, Belgium.
  • Detrembleur C; Université Catholique de Louvain, Institut de recherche Experimentale et Clinique, Neuromusculoskeletal lab, Avenue mounier 53, 1200 woluwe saint lambert, Brussels, Belgium.
  • Melebeck F; Centre hospitalier régional de Namur, service de chirurgie orthopédique, Av. Albert Ier 185, 5000 Namur, Belgium.
  • Nguyen AP; Université Catholique de Louvain, Institut de recherche Experimentale et Clinique, Neuromusculoskeletal lab, Avenue mounier 53, 1200 woluwe saint lambert, Brussels, Belgium. Electronic address: Anhphong.nguyen@uclouvain.be.
Clin Biomech (Bristol, Avon) ; 112: 106190, 2024 02.
Article en En | MEDLINE | ID: mdl-38325129
ABSTRACT

BACKGROUND:

Passive stiffness describes how easily a joint may move passively. To accurately measure wrist stiffness, an electro-oscillation device was developed. The objectives were to 1) ensuring that the measurement are free from intentional or reflex contraction, 2) analyzing how forearm anatomy affects the passive stiffness of the wrist and 3) determining the clinical practical relevance of the device.

METHODS:

In this prospective study, the device generated low amplitude sinusoidal motions in flexion and extension on the wrist to quantify elastic and viscous passive stiffness in voluntary orthopaedic patients. The first series of measurements was carried out in the state of voluntary relaxation, the second series of measurements was carried out after an axillary plexus anesthetic block. A matched group of healthy subjects were use for control.

FINDINGS:

The Electromechanical Oscillation methods effectively enable the measurement of passive joint stiffness since the stiffness values obtained show no statistically significant difference pre-post the anesthesia. The stiffness values are comparable to those of healthy subjects. The effect of forearm passive structure, estimated by the perimeter of the forearm, influences the passive stiffness of the wrist, mainly the viscous component.

INTERPRETATION:

The use of sinusoidal oscillation was well accepted by the participants, demonstrating its usefulness and applicability in a clinical setting. This work serves as a foundation for future investigations of orthopaedic and/or neurological pathological conditions characterized by abnormal passive joint stiffness of the wrist. It paves the way for its use as a diagnostic, prognostic, and monitoring tool in these pathologies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Muñeca / Articulación de la Muñeca Tipo de estudio: Observational_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Clin Biomech (Bristol, Avon) Asunto de la revista: ENGENHARIA BIOMEDICA / FISIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Muñeca / Articulación de la Muñeca Tipo de estudio: Observational_studies / Prognostic_studies Límite: Humans Idioma: En Revista: Clin Biomech (Bristol, Avon) Asunto de la revista: ENGENHARIA BIOMEDICA / FISIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido