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Passive Wrist Stiffness: The Influence of Handedness

Article dans une revue avec comité de lecture
Author
DURAND, Stan
301950 Massachusetts Institute of Technology [MIT]
466360 Institut de Biomecanique Humaine Georges Charpak
ccROHAN, Pierre-Yves
466360 Institut de Biomecanique Humaine Georges Charpak
HAMILTON, Taya
301950 Massachusetts Institute of Technology [MIT]
ccSKALLI, Wafa
466360 Institut de Biomecanique Humaine Georges Charpak
KREBS, Hermano Igo
301950 Massachusetts Institute of Technology [MIT]
312180 University of Maryland School of Medicine

URI
http://hdl.handle.net/10985/17104
DOI
10.1109/tbme.2018.2853591
Date
2019
Journal
IEEE Transactions on Biomedical Engineering

Abstract

Objective: This paper reports on the quantification of passive wrist joint stiffness and investigates the potential influence of handedness and gender on stiffness estimates. Methods: We evaluated the torque-angle relationship during passive wrist movements in 2 degrees of freedom (into flexion-extension and radial-ulnar deviation) in 13 healthy subjects using a wrist robot. Experimental results determined intrasubject differences between dominant and nondominant wrist and intersubject differences between male and female participants. Results: We found differences in the magnitude of passive stiffness of left- and right-hand dominant males and right-hand dominant females suggesting that the dominant hand tends to be stiffer than the nondominant hand. Left-hand stiffness magnitude was found to be 37% higher than the right-hand stiffness magnitude in the left-handed male group and the right-hand stiffness magnitude was 11% and 40% higher in the right-handed male and female groups, respectively. Other joint stiffness features such as the orientation and the anisotropy of wrist stiffness followed the expected pattern from previous studies. Conclusion: The observed difference in wrist stiffness between the dominant and nondominant limb is likely due to biomechanical adaptations to repetitive asymmetric activities (such as squash, tennis, basketball, or activities of daily living such as writing, teeth brushing, etc.). Significance: Understanding and quantifying handedness influence on stiffness may have critical implication for the optimization of surgical and rehabilitative interventions.

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