Sharif Digital Repository

The reverse shoulder implant is an implant for total replacement of the glenohumeral joint of patients suffering from osteoarthritis and with a damaged rotator cuff. The problem that arises with these conjoined ailments is that the displacement of the humeral head causes limited movement of the upper limb, with vertical mobility restricted to only allow for the arm to ascend to roughly the height of the shoulder. Attaching the ball to the scapula and the socket to the top of the humerus fixes the centre of rotation of the joint to increase the moment arm over the healthy shoulder's original position enabling patients' movement and dexterity to return. In this study the numerical evaluation... 

The way central nervous system manages the excess degrees of freedom to solve kinetic redundancy of musculoskeletal system remains an open question. In this study, we utilise the concept of synergy formation as a simplifying control strategy to find the muscle recruitment based on summation of identified muscle synergies to balance the biomechanical demands (biaxial external torque) during an isometric shoulder task. A numerical optimisation-based shoulder model was used to obtain muscle activation levels when a biaxial external isometric torque is imposed at the shoulder glenohumeral joint. In the numerical simulations, 12 different shoulder torque vectors in the transverse plane are... 

Clinical assessment of capsuloligamentous structures of the glenohumeral joint has been qualitative and subjective in nature, as demonstrated by limited intra- and inter-rater reliability. Robotic devices were utilized to develop a clinically objective measurement technique for glenohumeral joint stiffness. The purpose of this study was to quantify the amount of inferior-direction stiffness of the glenohumeral joint using a safe clinical device in the asymptomatic individuals, and to determine between trial and between session reliability of the robotic device. Twenty healthy subjects were recruited via convenience sampling. Inferior-directed translation and applying force were measured...