Shoulder load during handcycling at different incline and speed conditions

Background The manual wheelchair user population experiences a high prevalence of upper-limb injuries, which are related to a high load on the shoulder joint during activities of daily living, such as handrim wheelchair propulsion. An alternative mode of propulsion is handcycling, where lower external forces are suggested to be applied to reach...

Development of a comprehensive musculoskeletal model of the shoulder and elbow

The Delft Shoulder and Elbow Model (DSEM), a musculoskeletal model of the shoulder and elbow has been extensively developed since its introduction in 1994. Extensions cover both model structures and anatomical data focusing on the addition of an elbow part and muscle architecture parameters. The model was also extended with a new inverse...

Predicting muscle forces in the shoulder by constraining the inverse optimisation with EMG and a forward muscle model

The Dutch Shoulder and Elbow Model (DSEM) is a musculoskeletal model of the shoulder that can be used to predict internal shoulder loading (muscle forces, joint reaction forces, etc.). The DSEM uses an inverse optimisation method to predict muscle forces from net joint moments. In this study two new modes are presented that constrain the inverse...