Wyniki wyszukiwania - BazTech

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New design of patient-specific, antimicrobial bioactive finger implants for durable functional reconstruction after amputation

Dyner Marcin, Byrski Adam, Major Roman, Gawlikowski Maciej, Kasperkiewicz Katarzyna, Lackner Juergen M., Dyner Aneta, Major Bogusław

Engineering of Biomaterials

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2021

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Vol. 24, no. 161

8--14

EN

The absence of even a single finger results in a major impairment in the hand function (precise grasping, grip power), therefore significantly affecting the social and professional life of victims who are frequently young people. Finger amputation is a surgical treatment for ~69.000 patients in the EU after traumatic injury, in which replantation microsurgery fails due to the severity of tissue damage. The surgical reconstruction is currently possible only via autograft transplantation, e.g. a toe-to-hand transfer, thus leading to foot impairment. Some motion functional restoration is also possible using a bone-anchored silicone prosthesis but without the sense revalidation. Our current research focuses on alternatives for surgical reconstruction by means of novel patient- -specific, durable, biomimetic, bioactive and antibacterial implants for reconstructing lost bone and joints. The implant design – and the improved micro(neuro) surgery (beyond the project) – will consist in the fast successful rehabilitation, including the soft-tissue related mobility, the implantation of state-of-the-art nerve conduits as well as the aesthetic appearance. Key issues for the long-term functionality of the biomaterial-based reconstruction of hard tissue are based on surgical demands, such as: (1) perfect integration of a bone-substituting metal with the surrounding bone tissue (a) with no signs of loosening due to stress shielding at the interface and (b) enhanced with protective activity against bacterial inflammation (antimicrobial properties and formation of vascularized bone tissue (ossification)) even months to years after the injury; (2) biomimetic finger joints based on non-wearing materials without ossification meant to prevent the loss of the motion function.

2

Assessment of myofascial stiffness of flexor digitorum superficialis muscles in rock climbers

Kocur Piotr, Piwińska Iga, Goliwąs Magdalena, Adamczewska Katarzyna

Acta of Bioengineering and Biomechanics

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2021

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Vol. 23, no. 2

23--31

EN

Purpose: Myofascial stiffness is the biomechanical property that can be considered as a modifiable risk factor injury of athletes. Moreover, the level of muscle stiffness can be crucial to assessment muscle adaptation to exercise. However, stiffness of flexor muscles in rock climbers has never been investigated. The purpose of this study was to evaluate the myofascial stiffness of the flexor digitorum superficialis (FDS) in the rock climbers. Methods: The group of rock climbers (n = 16) has been compared to the non-climbers group (n = 16), matched in terms of anthropometric measures and an average level of physical fitness. Moreover, the impact of the one-time rock climbing training on FDS stiffness was assessed in the rock climbers group. The measurement of myotonometric myofascial stiffness of FDS muscles was performed, when the elbow was flexed and fully extended. In both positions, the measurements were taken with the hand open and closed. Results: It has been shown that rock climber’s FDS muscle stiffness before training was significantly higher (from 15 to 20%) compared to non-climbers group. Moreover, after climbing myofascial stiffness of FDS muscles increased significantly from 25 to 40%. Conclusions: Rock climbers have significantly higher stiffness of FDS muscles after rock climbing training. Moreover, the increased stiffness in the FDS differentiates rock climbers from the active and healthy control group. Results may indicate that decrease of muscle stiffness of FDS can be an important factor for the improvement of the climbing effectiveness and prevention of overload in the forearm flexor muscles and their recovery.

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Analiza rozwiązań konstrukcyjnych egzoszkieletów palców ręki

Maćkowiak P., Ligaj B.

Postępy w Inżynierii Mechanicznej

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2015

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nr 6(3)

23--34

PL

W pracy przedstawiono istniejący stan wiedzy dotyczący egzoszkieletów palców ręki. Na podstawie analizy istniejących rozwiązań konstrukcyjnych scharakteryzowano egzoszkielety ręki. Celem pracy jest prezentacja własnej koncepcji urządzenia, będącej modyfikacją egzoszkieletu Shieldsa. Mimo dużego popytu na egzoszkielety ręki, obecne rozwiązania nie spełniają oczekiwań pacjentów i lekarzy. Ze względu na wiele stopni swobody, jakie ma ludzka ręka, konieczny jest kompromis pomiędzy uproszczeniem urządzenia a umożliwieniem wykonania chwytów podstawowych.

EN

This article presents prezent knowledge of a hand exoskeleton. This paper describes characterization of hand exoskeletons based on an analysis of existing design solutions. The aim is to present own concept device, which is a modification of Shields exoskeleton. Despite the high demand for exoskeletons hand, current solutions do not meet the expectations of patients and physicians. The human hand has many degrees of freedom. Therefore, the need is to simplify the design of the device and provide the ability to perform basic hand grips at the same time.

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The relationship between hand anthropometrics, total grip strength and individual finger force for various handle shapes

Kong Y. K., Kim D.-M.

International Journal of Occupational Safety and Ergonomics

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2015

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Vol. 21, No. 2

187--192

EN

The design and shape of hand tool handles are critical factors for preventing musculoskeletal disorders (MSDs) caused by the use of hand tools. We explored how these factors are related to total force and individual finger force in males and females with various hand anthropometrics. Using the MFFM system, we assessed four indices of anthropometry, and measured total force and individual finger force on various handle designs and shapes. Both total force and individual finger force were significant according to gender and handle shape. Total grip strength to the handle shape indicated the greatest strength with D shape and the least with A shape. From the regression analysis of hand anthropometric indices, the value of R was respectably high at 0.608–0.696. The current study examined the gender and handle shape factors affecting grip strength based on the force measurements from various handle types, in terms of influence on different hand anthropometric indices.

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Flexion and Extension Angles of Resting Fingers and Wrist

Lee K.-S., Jung M.- C.

International Journal of Occupational Safety and Ergonomics

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2014

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Vol. 20, No. 1

91--101

EN

This study determined flexion and extension angles of resting fingers and wrist in terms of forearm posture (neutral, pronation and supination) and shoulder flexion (0°, 45°, 90° and 135°). The participants participated in 12 angle measurements for 16 finger joints and wrist. The finger joints flexed more in supination than in neutral posture and pronation and the thumb flexed more than the other fingers because of the gravity and skin tension. This phenomenon became more apparent as the shoulder flexed. The carpometacarpal joint had the largest flexion angle in the thumb joints, whereas the proximal interphalangeal joints had the largest flexion angles in the other finger joints. The resting posture of the wrist extended of ~16° in any forearm postures when the shoulder was at 0°. The results of this study could be useful for rehabilitation tool and product designs.