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  • Avoidance of extremes of joint motion (summary)

    >I am posting a summary of the responses I got to my request listed below.
    Thanks to all
    >those who responded. If anyone has other comments to make I would be very
    interested and happy to compile a summary for the list.
    >Thanks,
    >Cath
    >Original request
    >If the elbow were completely extended, then the muscle groups
    >responsible for flexion of the arm would be almost completely
    >useless or incapacitated by that position. The reason is that
    >they would not be able to produce a moment or torque at the
    >elbow due to the mechanical configuration. This being the
    >case, the elbow would then depend solely on it's ligaments
    >for support. Here I believe is where the body becomes a bit
    >smarter than we normally percieve it to be. It doesn't like
    >to trust us with loading those ligament, instead it prefers to
    >play it safe and keep a little kink in the elbow so as to
    >aviod ligament dependancy and increase the mechanical
    >advantage of the flexural muscle groups.
    >I hope this comment helps out some, good luck.
    > Charles A. Garris III.
    >_________________________________________________ _________
    >
    > The ergonomics literature has many references to 'avoiding extremes of
    >joint motion'. you're not clear about what you request : '..origin/reference
    >for 3)...'. What do you mean exactly? what do you want?
    >There are many god biomechanical reasons for avoiding extremes of joint
    >motion.
    >A simple biomechanical analysis based on first principles will show this.
    >
    >Ross Armstrong
    >Lecturer in ergonomics
    >Manager, Centre for Ergonomics and Human Factors
    >La Trobe University
    >Locked Bag 12, Carlton Sth P.O., Victoria 3053
    >Australia
    >tel +61 3 9285 5311 fax +61 3 9285 5184
    >email hubrga@lure.latrobe.edu.au
    >_________________________________________________ _____
    >
    >
    >Your statement pertaining to avoiding extremems of joint movement
    >was very interesting and I would appreciate learning of any
    >additional data you have that supports this idea. Presumably, you
    >are aware that joint receptors have traditionally been considered
    >as functioning to prevent joint from overextending or flexing by
    >becoming very active at the extremes of movement. However, more
    >recent data suggest that muscle action resulting from such receptor
    >activity would be too slow to prevent joint damage in most cases. I
    >would be happy to provide you with references if you want them.
    >
    >Joel Vilensky
    >Indiana University, Fort Wayne
    >VILENSK@CVAX.IPFW.INDIANA.EDU
    >---------------------------------------------------------------------------
    -----------------------------
    >G.J. Van Ingen Schenau and his colleagues have been working on lower limb
    >(human) and hind limb (quadruped) biomechanics during cyclic and ballistic
    >movements. One proposal by the group is that full extension of the "leg"
    >is not achieved during jumping because such a position approaches the
    >limits of the musculoskeletal systems, in terms of power or torque
    >production.
    >
    >They have experimented with a model suggesting that full extension takes
    >the limb into an orientation where the torque generating power of muscles
    >becomes negligible. Since the purpose of muscles is to cause joint
    >rotations (torques) which in turn lead to body translations, efficient
    >utilization of muscle power occurs prior to full extension.
    >
    >Therefore, they reason that the full extension position is undesirable
    >when applying loads to or resisting loads from the external environment.
    >
    >Perhaps info from their studies might help in your research. You might
    >want to search for recent (since 1990) work from van Ingen Schenau with
    >coworkers like Jacobsen and Bobbert.
    >
    >John H. Lawrence III, Ph.D.
    >Center for Biomedical Engineering
    >University of Kentucky
    >Lexington, KY 40506-0070
    >---------------------------------------------------------------------------
    -----------------------
    >Firstly, the observation must be made that even if the person did
    >extend their elbow to 100%, the object would still be out of reach.
    >I guess it is a bit like reaching for a tennis ball in a swimming
    >pool. If it is "just" out of reach, we can somehow "learn" to
    >stretch that "little" bit further, but if it is too far away (140%)
    >we simply give up.
    >
    >We may be prepared to compromise our intrinsic balance constraints
    >if we convince ourself that it is worth it, and have time to devise a
    >safe compromise strategy. How we know what our "intrinsic reach" is
    >perhaps learnt from experience, but there must also be structural
    >warning mechanisms in our neuroanatomy. I must confess ignorance
    >as to what these may be.
    >
    >
    > Craig Nevin
    > Biomedical Engineer
    > Department of Physiology/Sports Science
    > University of Cape Town, South Africa
    > CNEVIN@anat.uct.ac.za
    >_________________________________________________ ___
    >Do these subjects "fully extend" their elbows when asked to?
    >
    >The other (more helpful) thought that came to me was that perhaps
    >the other kinematic accommodations made are adequate to get the
    >hand in the general proximity of the target, but the elbow joint
    >maintains a little reserve to make corrections, etc. that may be
    >necessary due to normal performance variability / accuracy issues.
    >
    >:::::::::::::::::::::::::::::::::::::::
    >:: Philip Schot, PhD ::
    >:: Department of Human Kinetics ::
    >:: University of Wisconsin-Milwuakee ::
    >:: Milwaukee, WI 53201 ::
    >:: USA ::
    >:::::::::::::::::::::::::::::::::::::::
    >:: EMAIL- pschot@csd.uwm.edu ::
    >:: PHONE- 414-229-6080 (dept.) ::
    >:: 414-229-6899 (lab) ::
    >:: FAX- 414-229-5100 ::
    >:::::::::::::::::::::::::::::::::::::::
    >
    >_________________________________________________ _________
    >Saw your inquiry on the network. You may want to look up the
    >work of David A.Rosenbaum et al "Constraints for action selection:
    >Overhand vs underhand grips". In Attention and Performance XIII edited by
    >Jeannerod in 1990. Rosenbaum has published more recent work in this area
    >which would pop up through a medline computer search.
    >Ann Gentile
    >---------------------------------------------------------------------------
    -------------------------------
    >
    >I was most interested to read your posting regarding the idea of avoidance of
    >the extreme range of joint motion. I hope this information will be of help to
    >you.
    >
    >I am familiar with the concept as it was theorized by a pianist and teacher I
    >worked with who had developed a new concept of virtuoso piano technique (how's
    >that for coming from left field!) Her name is Dorothy Taubman. In a nutshell,
    >Taubman's model derived from the idea of coordinated movement of all the
    >concerned technical elements, e.g., finger, hand, forearm, upper arm. When
    >these elements move within their limits, i.e., mid-range of motion, etc.,
    and in
    >the right timing and amount, then labor is evenly divided between all the
    >technical elements, the subjective experience of strain and effort disappears
    >and extraodinary changes take place in the technical abilities of the pianist.
    >I am simplifying drastically, but I hope you'll get the idea.
    >
    >I personally witnessed incredible transformations in pianists who underwent
    >retraining, and I experienced it myself working with one of Taubman's teaching
    >assistants. It sounds a bit like snake oil, but the stuff is truly a bit of
    >genius.
    >
    >Her approach also poses a new idea for prevention and rehabilitation of
    >injuries, which Taubman has been able to do with pianists with unprecedented
    >success over the last 40 years. Taubman theorizes that overuse syndrome in
    >pianists is really misuse, arising from incorrect training and a lack of
    >understanding of the mechanical limits of the piano. Central to her theory is
    >the idea that any movement that requires the 'limbs'
    (fingers/hands/forearms) to
    >move beyond the mid-range of motion leaves the executant open to strain, misuse
    >and injury. Traditional training methods promote exactly this kind of movement
    >at the piano, and that is why the rate of injury is so high among musicians;
    >some studies put the incidence as high as 75% among professionals.
    >...
    >A few years ago, I adapted the piano technique to the computer keyboard and
    have
    >been presenting it to injured computer operators in California for the last two
    >years with some very promising results. If you would be interested, I
    presented
    >a paper at ErgoCon '95 last May that explains the theory in more detail. I
    would
    >be happy to send you a copy via snail mail. Also, I would be very
    interested in
    >the responses you get. I am not at all conversant in the research and will be
    >extremely interested to see what you come up with.
    >
    >Greg Dempster
    >Director, Triangle Associates
    >POB 59
    >Laguna Beach, CA 92652-0059, USA
    >
    >Tel/Fax 714/497-1715
    >---------------------------------------------------------------------------
    -------------------
    >re: avoiding extremes of joint range. You may be able to discuss your
    >finding in relation to some of these models:
    >
    >Cruse H Bruwer M and Dean J 1993 JMB 25,3,131-139. tested a mathematical
    >model of motor control which supported the assumption that joint movement
    >be equally distributed among available joints..
    >
    >Hirayama et al in JMB 25,3,162-174 described a model based on a minimal
    >torque criterion;
    >
    > Uno Y Suzuki R Kawato M 1989 Minimum muscle tension change model which
    >reproduces human arm movement Proceedings of the Fourth Symposium on
    >Biological and Physical Engineering Fukuoka Japan, 299-302 ( I don't have a
    >copy of this one)
    >
    >_________________________________________________ ______________________
    >Trisha Bate | email : P.Bate@LaTrobe.edu.au
    >School of Physiotherapy | Phone : 03 285 5259
    >Faculty of Health Sciences | or : 03 481 1718
    >La Trobe University | Fax : 03 285 5225
    >___________________________________|_____________ ________________________
    >
    >The idea of avoiding extremes of joint angles was directly
    >investigated in a series of studies by Cruse and Bruwer:
    >
    >Bruwer, M. & Cruse, H. (1990) A network model for the control of
    >the movement of a redundant manipulator. Biol. Cyber., 62, 549-555.
    >
    >Cruse (1986) Constraints for joint angle control of the human
    >arm. Biol. Cyber. 54, 125-132.
    >
    >Cruse, Bruwer, & Dean (1993) Control of three- and four-joint
    >arm movement: strategies for a manipulator with redundant degrees
    >of freedom. J. of MOtor Behavior, 25, 131-139.
    >
    >Also, Rosenbaum's Knowledge Model uses the same idea within a more
    >complex model, and he is usually good about referring back to
    >original sources.
    >
    >Rosenbaum, E.A., Engelbrecht, S.E., Bushe, M. & Loukopoulos, L.D.
    >(1993). Knowledge model for lselecting and producing reaching
    >movements. J. of Motor Behavior, 25(3).
    >
    >Rosenbaum, D.A., Loukopoulos, Meulenbroek, Vaughan & Engelbrecht
    >(1995) Planning reaches by evaluating store postures. Psych.
    >Review, 102, 28-67.
    >
    >And, recently Kelso has been talking about recruiting extra degrees
    >of freedom when the state space becomes limited by exactly the kind
    >of situations you're talking about. I haven't followed his written
    >work lately to know where he discusses that, but you probably can
    >track that lead down easily enough.
    >
    > - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
    >Rebecca A. States, Ph.D. 276H Read Building
    >Dept. of Health & Kinesiology (409) 862-3229
    >Texas A & M University (409) 847-8987 (fax)
    >College Station, Texas 77843-4243 states@tam2000.tamu.edu
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