Difference in daily tasks execution and elbow joint load : a comparison between patients after total elbow arthroplasty and healthy controls

© 2024 The Author(s).

Détails bibliographiques
Publié dans:JSES international. - 2020. - 9(2025), 2 vom: 01. März, Seite 580-589
Auteur principal: Duijn, Roos G A (Auteur)
Autres auteurs: Meijering, Daniëlle, Vegter, Riemer J K, Boerboom, Alexander L, Eygendaal, Denise, Stevens, Martin, Lamoth, Claudine J C, Murgia, Alessio
Format: Article en ligne
Langue:English
Publié: 2025
Accès à la collection:JSES international
Sujets:Journal Article Activities of daily living Biomechanical analysis Elbow joint loading Elbow prosthesis Musculoskeletal modeling TEA Varus-valgus
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520 |a Background: Overloading of the elbow joint is one of the mechanisms responsible for failure of total elbow arthroplasty (TEA). Different activities of daily living (ADL) affect joint loading. However, the alteration in task execution and its impact on joint loads after TEA are not well understood. This study investigates differences between TEA patients and healthy controls in task execution and associated joint loads during simulated ADL 
520 |a Methods: TEA patients (n = 7) and healthy controls (n = 18) performed 8 simulated ADL tasks. Using musculoskeletal modeling software (OpenSim), joint angles and moments were calculated and joint power was assessed. A mixed model statistical design was performed to determine group and tasks differences 
520 |a Results: TEA patients showed reduced flexion-extension (FE) range of motion (60.6° ± 25.6 vs. 44.9° ± 19.9, P = .003). Interaction effects between groups and tasks for joint load and peak power were observed. Particularly during rising from a chair, patients showed reduced FE moment (5.7 Nm vs. 14.5 Nm, P = .026), varus-valgus moment (6.0 Nm vs. 14.3 Nm, P = .036), and peak power (3.6 Watt vs. 20.1 Watt, P = .036) compared to healthy controls 
520 |a Conclusion: TEA patients differ from healthy controls in task execution of ADL tasks regarding the functional elbow FE angle over all 8 ADL tasks and in joint load and peak power for the more straining tasks. The power plots visualizes differences in movement strategy that are of interest for future research on possible training of TEA patients, or prosthesis design, aimed to improve ADL function and enhance prosthesis survival rates 
650 4 |a Journal Article 
650 4 |a Activities of daily living 
650 4 |a Biomechanical analysis 
650 4 |a Elbow joint loading 
650 4 |a Elbow prosthesis 
650 4 |a Musculoskeletal modeling 
650 4 |a TEA 
650 4 |a Varus-valgus 
700 1 |a Meijering, Daniëlle  |e verfasserin  |4 aut 
700 1 |a Vegter, Riemer J K  |e verfasserin  |4 aut 
700 1 |a Boerboom, Alexander L  |e verfasserin  |4 aut 
700 1 |a Eygendaal, Denise  |e verfasserin  |4 aut 
700 1 |a Stevens, Martin  |e verfasserin  |4 aut 
700 1 |a Lamoth, Claudine J C  |e verfasserin  |4 aut 
700 1 |a Murgia, Alessio  |e verfasserin  |4 aut 
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