Sufficient axial rotation range of motion is critical for performing such simple tasks as reaching into your back pocket (internal axial rotation), or combing your hair (external axial rotation). I previously described how axial rotation can be measured in a physically meaningful manner. In this project, I explore how scapular motion can generate axial rotation. This mechanism has not been previously described in biomechanics literature and provides a more comprehensive view of shoulder motion.

For long bones, axial rotation is defined as a rotation around the axis running through the shaft of the bone. Sufficient axial rotation range of motion is critical for performing such simple tasks as reaching into your back pocket (internal axial rotation), or combing your hair (external axial rotation). Restoration of axial rotation range of motion is a critical consideration in shoulder replacement surgery and upper extremity prosthetic implant design. Yet, there is no consensus in the biomechanics community on how to measure axial rotation in a physically meaningful manner. This project 1) measures axial rotation in a physically meaningful manner for a cohort of 20 subjects performing arm elevation and rotation, 2) describes why commonly utilized techniques incorrectly measure axial rotation, 3) provides a JavaScript webapp for visualizing and quantifying physiologic arm motion (shoulder kinematics).

Although extensively utilized to estimate bone kinematics, skin-marker motion capture is plagued by errors arising from soft-tissue artefact (STA). The error caused by STA is substantial and “puts at risk the validity of a significant body of research in the basic, clinical, and applied sciences”. This project quantifies and visualizes STA for the humerus and scapula in 20 healthy subjects. The generated dataset and visualizations will serve as a guide for designing and validating STA suppression algorithms.

The rotator cuff is a group of four muscles and their associated tendons that surround the shoulder joint. They act primarily as stabilizers, seating the humeral head in the shoulder socket. Rotator cuff tears remain a therapeutic challenge for orthopedic surgeons. Among other concerns, the fundamental question of whether a rotator cuff tear should be repaired or not still remains unanswered. Various criteria can enter into the decision-making process, such as the patient's age, gender, activity level, tear severity, outlook on surgery, etc. In this project, I created a simple web application that predicts rotator cuff retear likelihood - assuming that a rotator cuff tear is surgically repaired - based on patient and tear characteristics.

Unlike a traditional socket prosthesis, an osseointegrated (OI) prosthesis attaches directly to the bone of the residual limb. OI prostheses provide upper-extremity amputees increased range of motion, more natural movement patterns, and enhanced proprioception. However, the direct skeletal attachment of the prosthesis elevates the risk of bone fracture. To minimize the risk of fracture, it's important to mechanically characterize the bone-prosthesis interface under the same conditions that it would experience in vivo. In this project, I robotically replicate the motion of the humerus as recorded via motion capture while subjects performed activities typical of an active amputee. The robotically replicated motions will be utilized in future investigations to mechanically characterize the bone-prosthesis interface of an OI prosthesis.