Influence of Pedal Interface During Pedaling With the Upper Versus Lower Limbs: A Pilot Analysis of Torque Performance and Muscle Synergies

Pedaling is a physical exercise practiced with either the upper or the lower limbs. Muscle coordination during these exercises has been previously studied using electromyography and synergy analysis, and three to four synergies have been identified for the lower and upper limbs. The question of synergy adaptabilities has not been investigated during pedaling with the upper limbs, and the impact of various modalities is yet not known. This study investigates the effect of pedal type (either clipped/gripped or flat) on the torque performance and the synergy in both upper and lower limbs. Torques applied by six participants while pedaling at 30% of their maximal power have been recorded for both upper and lower limbs. Electromyographic data of 11 muscles on the upper limbs and 11 muscles on the lower limbs have been recorded and synergies extracted and compared between pedal types. Results showed that the torques were not modified by the pedal types for the lower limbs while a deep adaptation is observable for the upper limbs. Participants indeed used the additional holding possibility by pulling the pedals on top of the pushing action. Synergies were accordingly modified for upper limbs while they remain stable for the lower limbs. In both limbs, the synergies showed a good reproducibility even if larger variabilities were observed for the upper limbs. This pilot study highlights the adaptability of muscle synergies according to the condition of movement execution, especially observed for the upper limbs, and can bring some new insights for the rehabilitation exercises.

The effect of trapeziometacarpal joint passive stiffness on mechanical loadings of cartilages

Hypermobility of the trapeziometacarpal joint is commonly considered to be a potential risk factor for osteoarthritis. Nevertheless, the results remain controversial due to a lack of quantitative validation. The objective of this study was to evaluate the effect of joint laxity on the mechanical loadings of cartilage. A patient-specific finite element model of trapeziometacarpal joint passive stiffness was developed. The joint passive stiffness was modeled by creating linear springs all around the joint. The linear spring stiffness was determined by using an optimization process to fit force-displacement data measured during laxity tests performed on eight healthy volunteers. The estimated passive stiffness parameters were then included in a full thumb finite element simulation of a pinch grip task driven by muscle forces to evaluate the effect on trapeziometacarpal loading. The correlation between stiffness and the loading of cartilage in terms of joint contact pressure and maximum shear strain was analyzed. A significant negative correlation was found between the trapeziometacarpal joint passive stiffness and the contact pressure on trapezium cartilage during the simulated pinch grip task. These results therefore suggest that the hypermobility of the trapeziometacarpal joint could affect the contact pressure on trapezium cartilage and support the existence of an increased risk associated with hypermobility.

Pull-Up Performance Is Affected Differently by the Muscle Contraction Regimens Practiced during Training among Climbers

Sport climbing performance is highly related to upper limb strength and endurance. Although finger-specific methods are widely analyzed in the literature, no study has yet quantified the effects of arm-specific training. This study aims to compare the effects of three types of training involving different muscle contraction regimens on climbers' pull-up capabilities. Thirty advanced to high-elite climbers were randomly divided into four groups: eccentric (ECC; n = 8), isometric (ISO; n = 7), plyometric (PLYO; n = 6), and no specific training (CTRL; n = 9), and they participated in a 5-week training, twice a week, focusing on pull-ups on hangboard. Pre- and post-training assessments were conducted using a force-sensing hangboard, analyzing force, velocity, power, and muscle work during three pull-up exercises: pull-ups at body weight under different conditions, incremental weighted pull-ups, and an exhaustion test. The CTRL group showed no change. Maximum strength improved in all three training groups (from +2.2 ± 3.6% to +5.0 ± 2.4%; p < 0.001); velocity variables enhanced in the ECC and PLYO groups (from +5.7 ± 7.4 to +28.7 ± 42%; p < 0.05), resulting in greater power; amplitude increased in the ECC group; and muscle work increased in the PLYO group (+21.9 ± 16.6%; p = 0.015). A 5-week training period effectively enhanced arm performance, but outcomes were influenced by the chosen muscle contraction regimens and initial individual characteristics.

Influence of Force-Length Relationship and Task-Specific Constraints on Finger Force-Generating Capacities

Grip strength loss in extended and flexed wrist postures has been explained by reduced force-generating capacities of extrinsic finger flexor resulting from non-optimal length, owing to the force-length relationship. Recent works suggested that other muscles, especially wrist extensors, participate in this grip strength loss. The objective of this study was to clarify the role of the force-length relationship in finger force production. 18 participants performed maximal isometric finger force production during pinch grip (Pinch) and four-finger pressing (Press) tasks in four different wrist postures (extended, flexed, neutral, spontaneous). The maximum finger force (MFF), finger and wrist joint angles, as well as activation of four muscles were determined using dynamometry, motion capture, and electromyography. The force and length of the four muscles were estimated from joint angles and muscle activation using a musculoskeletal model. MFF decreased for flexed wrist during Pinch but remained stable across wrist postures during Press. The results suggested that the loss of pinch grip force in deviated wrist posture is partially related to force-length relationship of finger extensors. In opposition, MFF during Press was not influenced by the modulation of muscle capacities but was probably first limited by mechanical and neural factors related to finger interdependence.

Electromyography-informed musculoskeletal modeling provides new insight into hand tendon forces during tennis forehand

Lateral epicondylitis, also known as tennis elbow, is a major health issue among tennis players. This musculo-skeletal disorder affects hand extensor tendons, results in substantial pain and impairments for sporting and everyday activities and requires several weeks of recovery. Unfortunately, prevention remains limited by the lack of data regarding biomechanical risk factors, especially because in vivo evaluation of hand tendon forces remains challenging. Electromyography-informed musculo-skeletal modeling is a noninvasive approach to provide physiological estimation of tendon forces based on motion capture and electromyography but was never applied to study hand tendon loading during tennis playing. The objective of this study was to develop such electromyography-informed musculo-skeletal model to provide new insight into hand tendon loading in tennis players. The model was tested with three-dimensional kinematics and electromyography data of two players performing forehand drives at two-shot speeds and with three rackets. Muscle forces increased with shot speed but were moderately affected by racket properties. Wrist prime extensors withstood the highest forces, but their relative implication compared to flexors depended on the player-specific grip force and racket motion strategy. When normalizing wrist extensor forces by shot speed and grip strength, up to threefold differences were observed between players, suggesting that gesture technique, for example, grip position or joint motion coordination, could play a role in the overloading of wrist extensor tendons. This study provided a new methodology for in situ analysis of hand biomechanical loadings during tennis gesture and shed a new light on lateral epicondylitis risk factors.

Assessing climbers' pull-up capabilities by differentiating the parameters involved in power production

This study explored the capabilities of sport climbers to pull up with arms. The methodology aimed at assessing (i) concentric capabilities of arm muscles, (ii) body coordination skills (iii) characteristics of energy storage and (iv) capabilities to resist fatigue. Twenty-eight climbers were tested and the force exerted was recorded during three pull-up exercises: jump tests (with or without coordination, or preceded by an eccentric phase), incrementally weighted pull-ups and maximum number of pull-ups. Force, velocity, muscle power and muscle work were analysed using ANOVA with post-hoc tests and principal component analysis. Correlations with climbing level were also studied. Overall, jump test results showed that body coordination and stretch-shortening cycle phenomena contributed significantly to performance but only the body coordination was related to the climber's grade level. Muscle work and maximum number of pull-ups are correlated with climbing level which showed that the capacity to resist fatigue is another crucial capability of climbers arms. The development of force capacities appeared crucial for performing whereas the velocity capabilities seemed to originate from the climber's own characteristics/style without correlating with climbing performance. Our study provides the basis for evaluating these parameters in order to help trainers in the diagnosis process and training follow-up.

Relationship between trapeziometacarpal joint morphological parameters and joint contact pressure: a possible factor of osteoarthritis development

The trapeziometacarpal (TMC) joint is the one of the hand joints that is most affected by osteoarthritis (OA). The objective of this study was to determine if specific morphological parameters could be related to the amount of pressure endured by the joint which is one of the factors contributing to the development of this pathology. We developed 15 individualized 3D computer aided design (CAD) models of the TMC joint, each generated from the CT scan of a different participant. For each participant, we measured several crucial morphological parameters: the width and length of the trapezium bone and dorso-volar and ulno-radial curvature, of the trapezium and the metacarpal bone. Each CAD model was converted into a finite element model, of both bones and the cartilage located in between. The joint forces applied during pinch grip and power grip tasks were then applied in order to estimate the contact pressures on joint cartilage for each model. Correlations between joint contact pressures and morphology of the trapezium and the metacarpal bone were then analysed. Important variations of TMC joint pressures were observed. For both pinch and power grip tasks, the strongest correlation with joint contact pressure was with the dorso-volar curvature of the trapezium bone. Our findings indicate that dorso-volar curvature of the trapezium bone has a significant impact on mechanical loadings on the TMC joint. This contributes to understanding the prevalence of OA in certain patients.

Evolution of muscle coordination and mechanical output following four weeks of arm cranking submaximal training

Muscle synergies is extensively studied to understand how the neuromusculoskeletal system deals with abundancy. The synergies represent covariant muscles that acts as building blocks for movement production. Nevertheless, little is known on how those synergies evolve following training, learning and expertise. This study reports the influence a 4-weeks submaximal training of arm-cranking on novice participants' muscle synergies.

METHODS

12 participants performed 8 sessions of submaximal training for 4 weeks. One session consisted in two 30-second-maximal power tests followed by six 2-minutes-bouts at 30% of maximal recorded power. Cranking torque and EMG of 11 muscles were recorded during the entire protocol. After EMG normalization, muscle synergies were extracted using NNMF. Similarity was computed using cross-correlation and cosine similarities and statistical evolution across training was tested using repeated measured ANOVA.

RESULTS

While maximal power increased across training days nor torque management, EMG or muscle synergies were significantly affected by submaximal training. Nevertheless, results suggest slights modifications of muscle synergies across day despite to non-significant differences.

DISCUSSION

Despite the strong complexity of the upper limbs anatomy, our results showed that training didn't induce significant changes in movement realization (mechanical and coordination level). A low-dimensional organization of muscle synergies is selected from the first day and kept through the following training days, despite slight but non-significant modifications.This study supports the hypothesis that motor control for movement production could be simplify using low-dimensional building blocks (muscle synergies). Such building blocks allow stability in movement execution and are slightly adjusted to fit movement requirements with training.

Effects of Different Hangboard Training Intensities on Finger Grip Strength, Stamina, and Endurance

Climbing-specific training programs on hangboards are often based on dead-hang repetitions, but little is known about the real intensity applied during such effort. The aim of this study was to quantify and compare the effects of different training intensities (maximal, high submaximal, and low submaximal intensities) on the fingers' physiological capabilities using a hangboard fitted with force sensors. In total, 54 experienced climbers (13 women and 41 men) were randomly divided into four groups, with each group following different training intensity programs: maximal strength program performed at 100% of the maximal finger strength (MFS; F100), intermittent repetitions at 80% MFS (F80), intermittent repetitions at 60% MFS (F60), and no specific training (control group). Participants trained on a 12 mm-deep hold, twice a week for 4 weeks. The MFS, stamina, and endurance levels were evaluated using force data before and after training. Results showed similar values in the control group between pre- and post-tests. A significantly improved MFS was observed in the F100 and F80 groups but not in the F60 group. Significantly higher stamina and endurance measurements were observed in the F80 and F60 groups but not in the F100 group. These results showed that a 4-week hangboard training enabled increasing MFS, stamina and endurance, and that different improvements occurred according to the level of training intensity. Interestingly, the different intensities allow improvements in the targeted capacity (e.g., stamina for the F80 group) but also in the adjacent physiological capabilities (e.g., MFS for the F80 group).

Subject specific muscle synergies and mechanical output during cycling with arms or legs

Background

Upper (UL) and lower limb (LL) cycling is extensively used for several applications, especially for rehabilitation for which neuromuscular interactions between UL and LL have been shown. Nevertheless, the knowledge on the muscular coordination modality for UL is poorly investigated and it is still not known whether those mechanisms are similar or different to those of LL. The aim of this study was thus to put in evidence common coordination mechanism between UL and LL during cycling by investigating the mechanical output and the underlying muscle coordination using synergy analysis.

Methods

Twenty-five revolutions were analyzed for six non-experts' participants during sub-maximal cycling with UL or LL. Crank torque and muscle activity of eleven muscles UL or LL were recorded. Muscle synergies were extracted using nonnegative matrix factorization (NNMF) and group- and subject-specific analysis were conducted.

Results

Four synergies were extracted for both UL and LL. UL muscle coordination was organized around several mechanical functions (pushing, downing, and pulling) with a proportion of propulsive torque almost 80% of the total revolution while LL muscle coordination was organized around a main function (pushing) during the first half of the cycling revolution. LL muscle coordination was robust between participants while UL presented higher interindividual variability.

Discussion

We showed that a same principle of muscle coordination exists for UL during cycling but with more complex mechanical implications. This study also brings further results suggesting each individual has unique muscle signature.

Unusual rupture of the middle finger flexor digitorum superficialis tendon in a climber: Biomechanical analysis

Sport climbing is increasingly popular and consultations by climbers in hand surgery departments are on the increase. The pathologies related to this sport concern essentially the pulley system, tendons being rarely affected. We report the case of a male climber who presented an atypical rupture of the flexor superficialis tendon in his left middle finger sustained when using an atypical climbing grip technique: the "hook grip". This consists in extension of the metacarpophalangeal joints and maximal flexion of the proximal interphalangeal joints with force exerted only on middle phalanx of the middle finger. A biomechanical analysis using finger musculoskeletal modeling was performed to compare the hook grip to other grips, and the patient's recovery performance was assessed. Adapted functional treatment with physiotherapy seems to have been a good option for the treatment of this atypical lesion since the patient recovered normal use of his finger in daily life. He recovered maximal force in climbing holds. The biomechanical analysis confirmed that the atypical "hook grip" was likely at the origin of the rupture, since flexor digitorum superficialis tendon force for this grip is greater than in other climbing grip techniques. The "hook grip" seems to be dangerous and should be used cautiously by climbers to prevent similar pathology. Additionally, the patient should henceforth be careful when climbing, since the biomechanical model showed that the remaining flexor digitorum profundus tendon was overused.

Modelling force-length-activation relationships of wrist and finger extensor muscles

The wrist and finger extensors play a crucial role in the muscle coordination during grasping tasks. Nevertheless, few data are available regarding their force-generating capacities. The objective of this study was to provide a model of the force-length-activation relationships of the hand extensors using non-invasive methods. The extensor carpi radialis (ECR) and the extensor digitorum communis (EDC) were studied as representative of wrist and finger extensors. Ten participants performed isometric extension force-varying contractions in different postures on an ergometer recording resultant moment. The joint angle, the myotendinous junction displacement and activation were synchronously tracked using motion capture, ultrasound and electromyography. Muscle force was estimated via a musculoskeletal model using the measured joint angle and moment. The force-length-activation relationship was then obtained by fitting a force-length model at different activation levels to the measured data. The obtained relationships agreed with previously reported data regarding muscle architecture, sarcomere length and activation-dependent shift of optimal length. Muscle forces estimated from kinematics and electromyography using the force-length-activation relationships were comparable, below 15% differences, to those estimated from moment via the musculoskeletal model. The obtained quantitative data provides a new insight into the different muscle mechanics of finger and wrist extensors. Graphical abstract By combining in vivo data (kinematics, dynamometry, electromyography, ultrasonography) during isometric force-varying contractions with musculoskeletal modelling, the force-length-activation relationships of both finger and wrist extensors were obtained. The results provided a new insight into the role of hand extensors in the generation and control of hand movements.

Estimation of joint contact pressure in the index finger using a hybrid finite element musculoskeletal approach

The knowledge of local stress distribution in hand joints is crucial to understand injuries and osteoarthritis occurrence. However, determining cartilage contact stresses remains a challenge, requiring numerical models including both accurate anatomical components and realistic tendon force actuation. Contact forces in finger joints have frequently been calculated but little data is available on joint contact pressures. This study aimed to develop and assess a hybrid biomechanical model of the index finger to estimate in-vivo joint contact pressure during a static maximal strength pinch grip task. A finite element model including bones, cartilage, tendons, and ligaments was developed, with tendon force transmission based on a tendon-pulley system. This model was driven by realistic tendon forces estimated from a musculoskeletal model and motion capture data for six subjects. The hybrid model outputs agreed well with the experimental measurement of fingertip forces and literature data on the physiological distribution of tendon forces through the index finger. Mean contact pressures were 6.9 ± 2.7 MPa, 6.2 ± 1.0 MPa and 7.2 ± 1.3 MPa for distal, proximal interphalangeal and metacarpophalangeal joints, respectively. Two subjects had higher mean contact pressure in the distal joint than in the other two joints, suggesting a mechanical cause for the prevalence of osteoarthritis in the index distal joint. The inter-subject variability in joint contact pressure could be explained by different neuromuscular strategies employed for the task. This first application of an effective hybrid model to the index finger is promising for estimating hand joint stresses under daily grip tasks and simulating surgical procedures.

Complex couplings between joints, muscles and performance: the role of the wrist in grasping

The relationship between posture, muscle length properties and performance remains unclear, because of a lack of quantitative data. Studies on grasping tasks suggested that wrist position could favour the extrinsic finger flexor in regards to their length to maximise grip force performance. The present study aimed at providing quantitative evidence of the links between wrist posture, muscle capacities and grip capabilities. It combines experimental measurements and a musculoskeletal model including the force-length relationship of the four prime muscles used in grasping. Participants exerted their maximum grip force on a cylindrical dynamometer in four different wrist postures, including one freely chosen by participants (spontaneous). A musculoskeletal model computed the muscle force level and length from motion capture and muscle activation. Results revealed that participants exerted maximum grip force spontaneously, with a loss of force when using other postures. At muscle force and length level, grip force variation seems to be associated with all the muscles under study. This observation led to a first quantitative link between power grip, posture and muscle properties, which could provide more insight into neuromechanical interaction involved when grasping. The design of ergonomic devices could also benefit from this quantification of the relationship between wrist angle and muscle length properties.

The impact of hand proportions on tool grip abilities in humans, great apes and fossil hominins: A biomechanical analysis using musculoskeletal simulation

Differences in grip techniques used across primates are usually attributed to variation in thumb-finger proportions and muscular anatomy of the hand. However, this cause-effect relationship is not fully understood because little is known about the biomechanical functioning and mechanical loads (e.g., muscle or joint forces) of the non-human primate hand compared to that of humans during object manipulation. This study aims to understand the importance of hand proportions on the use of different grip strategies used by humans, extant great apes (bonobos, gorillas and orangutans) and, potentially, fossil hominins (Homo naledi and Australopithecus sediba) using a musculoskeletal model of the hand. Results show that certain grips are more challenging for some species, particularly orangutans, than others, such that they require stronger muscle forces for a given range of motion. Assuming a human-like range of motion at each hand joint, simulation results show that H. naledi and A. sediba had the biomechanical potential to use the grip techniques considered important for stone tool-related behaviors in humans. These musculoskeletal simulation results shed light on the functional consequences of the different hand proportions among extant and extinct hominids and the different manipulative abilities found in humans and great apes.

Performing pull-ups with small climbing holds influences grip and biomechanical arm action

Pull-ups are often used by sport-climbers and other athletes to train their arm and back muscle capabilities. Sport-climbers use different types of holds to reinforce finger strength concomitantly. However, the effect of grip types on pull-up performance had not previously been investigated. A vertical force platform sensor measured the force exerted by climbers when performing pull-ups under six different grip conditions (gym-bar, large climbing hold, and four small climbing holds: 22mm, 18mm, 14mm, and 10mm). The electromyography of finger flexors and extensor muscles were recorded simultaneously. The maximal arm power and summed mechanical work were computed. The results revealed that the number of pull-ups, maximal power, and summed mechanical work decreased significantly with the size of the climbing hold used, even if no differences were found between a large climbing hold and a gym-bar. Electromyography of the forearm muscles revealed that the use of a climbing hold generated finger flexor fatigue and that the level of cocontraction was impacted by the different segment coordination strategies generated during the pull-ups. These findings are likely to be useful for quantifying training loads more accurately and designing training exercises and programs.

Force-Length Relationship Modeling of Wrist and Finger Flexor Muscles

INTRODUCTION

Because the hand joints possess a broad range of motion, the muscle length can vary importantly which might result in significant variations of the muscle force-generating capacities. However, facing the complexity of this musculoskeletal system, no study has examined the effect of hand muscle length change on muscle force. This study aimed to characterize the force-length relationship of muscles involved in wrist and metacarpophalangeal flexion.

METHODS

Eleven participants performed two sessions: (i) one for the wrist flexor muscles and (ii) one for the finger flexor muscles. For each session, the participants performed two maximal voluntary contractions and then two progressive isometric ramps from 0% to 100% of their maximal force capacity at five different wrist/metacarpophalangeal angles. Torque, kinematic, and electromyographic data were recorded. An ultrasound scanner was used to measure the myotendinous junction displacement of flexor carpi radialis (FCR) and flexor digitorum superficialis (FDS) during isometric contractions. A three-dimensional relationship between muscle length, force, and activation level was modeled using optimization procedure.

RESULTS

Globally, the FCR was stronger and shorter compared with FDS. The results showed that the three-dimensional relationships fitted well the experimental data (mean R = 0.92 ± 0.07 and 0.87 ± 0.11 for FCR and FDS, respectively). Using joint angle and EMG data, this approach allows to estimate the muscle force with low estimation errors (<9% of Fmax).

CONCLUSIONS

This study proposes a new method to investigate the force-length relationship by combining ultrasound measurement, musculoskeletal modeling and optimization procedures. The data and relationships provide a new insight into hand biomechanics and muscle function that could be useful for designing hand tools or surgical operations.

Effects of hand configuration on muscle force coordination, co-contraction and concomitant intermuscular coupling during maximal isometric flexion of the fingers

PURPOSE

The mechanisms governing the control of musculoskeletal redundancy remain to be fully understood. The hand is highly redundant, and shows different functional role of extensors according to its configuration for a same functional task of finger flexion. Through intermuscular coherence analysis combined with hand musculoskeletal modelling during maximal isometric hand contractions, our aim was to better understand the neural mechanisms underlying the control of muscle force coordination and agonist-antagonist co-contraction.

METHODS

Thirteen participants performed maximal isometric flexions of the fingers in two configurations: power grip (Power) and finger-pressing on a surface (Press). Hand kinematics and force/moment measurements were used as inputs in a musculoskeletal model of the hand to determine muscular tensions and co-contraction. EMG-EMG coherence analysis was performed between wrist and finger flexors and extensor muscle pairs in alpha, beta and gamma frequency bands.

RESULTS

Concomitantly with tailored muscle force coordination and increased co-contraction between Press and Power (mean difference: 48.08%; p < 0.05), our results showed muscle-pair-specific modulation of intermuscular coupling, characterized by pair-specific modulation of EMG-EMG coherence between Power and Press (p < 0.05), and a negative linear association between co-contraction and intermuscular coupling for the ECR/FCR agonist-antagonist muscle pair (r = - 0.65; p < 0.05).

CONCLUSIONS

This study brings new evidence that pair-specific modulation of EMG-EMG coherence is related to modulation of muscle force coordination during hand contractions. Our results highlight the functional importance of intermuscular coupling as a mechanism contributing to the control of muscle force synergies and agonist-antagonist co-contraction.

Active tuning of stroke-induced vibrations by tennis players

This paper investigates how tennis players control stroke-induced vibration. Its aim is to characterise how a tennis player deals with entering vibration waves or how he/she has the ability to finely adjust them. A specific experimental procedure was designed, based on simultaneously collecting sets of kinematic, vibration and electromyographic data during forehand strokes using various commercial rackets and stroke intensities. Using 14 expert players, a wide range of excitations at spectral and temporal levels were investigated. Energetic and spectral descriptors of stroke-induced vibration occurring at the racket handle and at the player's wrist and elbow were computed. Results indicated that vibrational characteristics are strongly governed by grip force and to a lower extent by the racket properties. Grip force management drives the amount of energy, as well as its distribution, into the forearm. Furthermore, hand-grip can be assimilated to an adaptive filter which can significantly modify the spectral parameters propagating into the player's upper limb. A significant outcome is that these spectral characteristics are as much dependent on the player as on the racket. This contribution opens up new perspectives in equipment manufacture by underlining the need to account for player/racket interaction in the design process.

The effects of player grip on the dynamic behaviour of a tennis racket

The aim of this article is to characterise the extent to which the dynamic behaviour of a tennis racket is dependent on its mechanical characteristics and the modulation of the player's grip force. This problem is addressed through steps involving both experiment and modelling. The first step was a free boundary condition modal analysis on five commercial rackets. Operational modal analyses were carried out under "slight", "medium" and "strong" grip force conditions. Modal frequencies and damping factors were then obtained using a high-resolution method. Results indicated that the dynamic behaviour of a racket is not only determined by its mechanical characteristics, but is also highly dependent on the player's grip force. Depending on the grip force intensity, the first two bending modes and the first torsional mode frequencies respectively decreased and increased while damping factors increased. The second step considered the design of a phenomenological hand-gripped racket model. This model is fruitful in that it easily predicts the potential variations in a racket's dynamic behaviour according to the player's grip force. These results provide a new perspective on the player/racket interaction optimisation by revealing how grip force can drive racket dynamic behaviour, and hence underlining the necessity of taking the player into account in the racket design process.

Quantifying foot deformation using finite helical angle

Foot intrinsic motion originates from the combination of numerous joint motions giving this segment a high adaptive ability. Existing foot kinematic models are mostly focused on analyzing small scale foot bone to bone motions which require both complex experimental methodology and complex interpretative work to assess the global foot functionality. This study proposes a method to assess the total foot deformation by calculating a helical angle from the relative motions of the rearfoot and the forefoot. This method required a limited number of retro-reflective markers placed on the foot and was tested for five different movements (walking, forefoot impact running, heel impact running, 90° cutting, and 180° U-turn) and 12 participants. Overtime intraclass correlation coefficients were calculated to quantify the helical angle pattern repeatability for each movement. Our results indicated that the method was suitable to identify the different motions as different amplitudes of helical angle were observed according to the flexibility required in each movement. Moreover, the results showed that the repeatability could be used to identify the mastering of each motion as this repeatability was high for well mastered movements. Together with existing methods, this new protocol could be applied to fully assess foot function in sport or clinical contexts.

Quantification of finger joint loadings using musculoskeletal modelling clarifies mechanical risk factors of hand osteoarthritis

Owing to limited quantitative data related to the loadings (forces and pressures) acting upon finger joints, several clinical observations regarding mechanical risk factors of hand osteoarthritis remain misunderstood. To improve the knowledge of this pathology, the present study used musculoskeletal modelling to quantify the forces and pressures acting upon hand joints during two grasping tasks. Kinematic and grip force data were recorded during both a pinch and a power grip tasks. Three-dimensional magnetic resonance imaging measurements were conducted to quantify joint contact areas. Using these datasets as input, a musculoskeletal model of the hand and wrist, including twenty-three degrees of freedom and forty-two muscles, has been developed to estimate joint forces and joint pressures. When compared with the power grip task, the pinch grip task resulted in two to eight times higher joint loadings whereas the grip forces exerted on each finger were twice lower. For both tasks, joint forces and pressures increased along a disto-proximal direction for each finger. The quantitative dataset provided by the present hand model clarified two clinical observations about osteoarthritis development which were not fully understood, i.e., the strong risk associated to pinch grip tasks and the high frequency of thumb-base osteoarthritis.

Effect of hold depth and grip technique on maximal finger forces in rock climbing

The aim of this study was to understand how the commonly used climbing-specific grip techniques and hold depths influence the finger force capacities. Ten advanced climbers performed maximal voluntary force on four different hold depths (from 1 to 4 cm) and in two force directions (antero-posterior and vertical) using three grip techniques (slope, half crimp and full crimp). A specially designed platform instrumented with a 6-degrees-of-freedom (DoF) force/torque sensor was used to record force values. Results showed that the maximal vertical forces differed significantly according to the hold depth and the grip technique (ranged from 350.8 N to 575.7 N). The maximal vertical forces increased according to the hold depth but the form of this increase differed depending on grip technique. These results seemed to be more associated with finger-hold contact/interaction than with internal biomechanical factors. Similar results were revealed for antero-posterior forces (ranged from 69.9 N to 138.0 N) but, it was additionally noted that climbers have different hand-forearm posture strategies with slope and crimp grip techniques when applying antero-posterior forces. This point is important as it could influence the body position adopted during climbing according to the chosen grip technique. For trainers and designers, a polynomial regression model was proposed in order to predict the mean maximal force based on hold depth and adopted grip technique.

Characterisation of forces exerted by the entire hand during the power grip: effect of the handle diameter

The objective of this study was to analyse the effect of the handle diameter on the grip forces exerted by the hand during a maximal power grip task. A handle ergometer, combining six instrumented beams and a pressure map, was used to determine the forces exerted by the palm side of the hand regrouping data from 10 anatomical sites (fingertips, phalanges, thumb, palm…). This methodology provided results giving new insight into the effect of the handle diameter on the forces exerted by the hand. First, it appeared that the relationship between the hand length/handle diameter ratio and the maximal grip force fit a U-inverted curve with maximal values observed for a handle diameter measuring 17.9% of the hand length. Second, it was showed that the handle diameter influenced the forces exerted on the anatomical sites of the hand. Finally, it was showed that the handle diameter influenced the finger force sharing particularly for the index and the little fingers. Practitioner Summary: This study analysed the effect of the handle diameter on the grip forces exerted by the hand during a maximal power grip force. This study showed that measurement of the totality of the forces exerted at the hand/handle interface is needed to better understand the ergonomics of handle tools. Our results could be re-used by designers and clinicians in order to develop handle tools which prevent hand pathologies.

An EMG-driven biomechanical model that accounts for the decrease in moment generation capacity during a dynamic fatigued condition

Although it is well known that fatigue can greatly reduce muscle forces, it is not generally included in biomechanical models. The aim of the present study was to develop an electromyographic-driven (EMG-driven) biomechanical model to estimate the contributions of flexor and extensor muscle groups to the net joint moment during a nonisokinetic functional movement (squat exercise) performed in nonfatigued and in fatigued conditions. A methodology that aims at balancing the decreased muscle moment production capacity following fatigue was developed. During an isometric fatigue session, a linear regression was created linking the decrease in force production capacity of the muscle (normalized force/EMG ratio) to the EMG mean frequency. Using the decrease in mean frequency estimated through wavelet transforms between dynamic squats performed before and after the fatigue session as input to the previous linear regression, a coefficient accounting for the presence of fatigue in the quadriceps group was computed. This coefficient was used to constrain the moment production capacity of the fatigued muscle group within an EMG-driven optimization model dedicated to estimate the contributions of the knee flexor and extensor muscle groups to the net joint moment. During squats, our results showed significant increases in the EMG amplitudes with fatigue (+23.27% in average) while the outputs of the EMG-driven model were similar. The modifications of the EMG amplitudes following fatigue were successfully taken into account while estimating the contributions of the flexor and extensor muscle groups to the net joint moment. These results demonstrated that the new procedure was able to estimate the decrease in moment production capacity of the fatigued muscle group.

Determination of passive moment-angle relationships at the trapeziometacarpal joint

While modeling the trapeziometacarpal (TMC) joint for determination of tendon forces, the TMC has been considered frictionless and passive moments created by soft tissues neglected. This, however, becomes inaccurate when reaching the joint end range of motion and considering that the TMC is entirely crossed by a complex network of skin, ligaments, soft tissues, and tendons. The objective of this study was to evaluate the passive moments with respect to joint posture in order to further include this relationship in biomechanical modeling. An experimental method was proposed to estimate in vivo a global passive moment including the sum of the actions of each passive anatomical structure. An external force was applied at the level of the metacarpophalangeal joint in various directions ranging from neutral position to full extension and full adduction to full abduction. The passive moment was computed and expressed as a function of the adopted joint angles. An exponential regression was then developed to fit the experimental data and to propose a generic passive moment model. Results showed a good agreement between the proposed exponential regression model and the experimental measures. Moreover, it was shown that joint stiffness could represent more than 60% of the net joint moment during a typical pulp grip task. These results showed the necessity to include the data in biomechanical modeling. The results may help predict more realistic tendons force especially in abduction/adduction muscles.

Comparison of tendon tensions estimated from two biomechanical models of the thumb

Despite the paramount function of the thumb in daily life, thumb biomechanical models have been little developed and studied. Moreover, only two studies provided quantitative anthropometric data of tendon moment arms. To investigate thumb tendon tensions, biomechanicians and clinicians have to know the performances and the limits of these two data sets. The aim of this study was thus to compare the results of these two models and evaluate their performances in regard to prior electromyographic measurements (EMG). Thumb posture was recorded during the classical key pinch and pulp pinch grips. Various fingertip forces applied at the distal segment were simulated in a range including extension, adduction, flexion, abduction. Input data of thumb postures and fingertip forces were used to compute tendon tensions with both models. Tendon tensions obtained using these two models were then compared and correlated to EMG measurements provided in the literature. The results showed that both models predicted relevant muscle coordination for five of the nine muscles modelled. Opponent and abductor longus muscle coordinations were badly estimated by both models. Each model was sensible to kinematic errors but not in the same proportion. This study pointed out the advantages/limits of the two models to use them more appropriately for clinical and/or research purposes.

Effect of object width on precision grip force and finger posture

This study aimed to define the effect of object width on spontaneous grasp. Participants held objects of various masses (0.75 to 2.25 kg) and widths (3.5 to 9.5 cm) between thumb and index finger. Grip force, maximal grip force and corresponding finger postures were recorded using an embedded force sensor and an optoelectronic system, respectively. Results showed that index finger joints varied to accommodate the object width, whereas thumb posture remained constant across conditions. For a given object mass, grip force increased as a function of object width, although this result is not dictated by the laws of mechanics. Because maximal grip force also increased with object width, we hypothesise that participants maintain a constant ratio between grip force and their maximal grip force at each given width. Altogether we conclude that when the task consists in manipulating objects/tools, the optimal width is different than when maximal force exertions are required.

Middle and ring fingers are more exposed to pulley rupture than index and little during sport-climbing: a biomechanical explanation

BACKGROUND

Finger pulley injury is a common incident observed during sport-climbing. The total rupture of one or several pulleys is highly debilitating and requires surgical reconstruction and/or rehabilitation programs. Literature reports show that fingers are not equally exposed to this injury. The ring and middle fingers are usually injured while the index and little fingers are less exposed. The objective of this study was to determine the biomechanical factors leading to the enhanced exposure of ring and middle finger pulleys.

METHOD

Eight subjects were required to exert maximal four-finger force in a specific sport-climbing finger posture. External fingertip forces and finger joint postures were used as input data of a specifically developed biomechanical model of the four fingers (i.e., index, middle, ring and little). This model was based on classical Newton static laws and used an optimization process to quantify the flexor tendon tensions and the pulley forces in each finger. Passive participation of ligaments was also considered into mechanical equations.

FINDINGS

Results showed that two main factors could explain the enhanced exposure of ring and middle fingers. Firstly, the fingertip force intensities applied by these two fingers were higher than those observed for the index and little fingers. Secondly, results show that the pulley forces of the ring and middle fingers were close to their rupture thresholds, while it was not the case for the two other fingers. This could be explained by a specific localisation of the finger pulleys of the ring and middle fingers leading to enhanced pulley forces.

INTERPRETATION

These results are relevant and could help clinicians to understand finger pulley pathologies and adapt the surgical interventions to reconstruct the fingers pulleys.

Using EMG data to constrain optimization procedure improves finger tendon tension estimations during static fingertip force production

Determining tendon tensions of the finger muscles is crucial for the understanding and the rehabilitation of hand pathologies. Since no direct measurement is possible for a large number of finger muscle tendons, biomechanical modelling presents an alternative solution to indirectly evaluate these forces. However, the main problem is that the number of muscles spanning a joint exceeds the number of degrees of freedom of the joint resulting in mathematical under-determinate problems. In the current study, a method using both numerical optimization and the intra-muscular electromyography (EMG) data was developed to estimate the middle finger tendon tensions during static fingertip force production. The method used a numerical optimization procedure with the muscle stress squared criterion to determine a solution while the EMG data of three extrinsic hand muscles serve to enforce additional inequality constraints. The results were compared with those obtained with a classical numerical optimization and a method based on EMG only. The proposed method provides satisfactory results since the tendon tension estimations respected the mechanical equilibrium of the musculoskeletal system and were concordant with the EMG distribution pattern of the subjects. These results were not observed neither with the classical numerical optimization nor with the EMG-based method. This study demonstrates that including the EMG data of the three extrinsic muscles of the middle finger as inequality constraints in an optimization process can yield relevant tendon tensions with regard to individual muscle activation patterns, particularly concerning the antagonist muscles.

Biomechanical model for the determination of the forces acting on the finger pulley system

A mathematical model proposed by Hume et al., 1991. Journal of Hand Surgery-American Volume 16, 722-730 for the determination of the forces acting on the A2 and A4 pulley was used. The parameters necessary for this determination include the angle of flexion, the positioning of the pulley with respect to the centre of rotation in the proximal interphalangeal joint (PIP), the relative mismatch between bone and tendon width at the location of the respective pulleys as well as the tendon height at this position. This model was further developed to include the stiffness of the respective pulley, as well as the fact, that there are two flexor tendons of which only one passes through both pulleys. Each parameter was then evaluated using a sensitivity analysis proposed by Fasham et al., 1990. Journal of Marine Research 48, 591-639 in order to determine their relative importance for the outcome of the model. The most important parameter proofed to be the positioning of the pulley with respect to the centre of rotation in the PIP joint. This observation enabled us to give the best possible placement for a pulley graft after pulley rupture.

Fingertip force and electromyography of finger flexor muscles during a prolonged intermittent exercise in elite climbers and sedentary individuals

The aim of this study was to characterize forearm muscle fatigue identified by the decrease in electromyogram median frequency and/or fingertip force during intermittent exercise. Nine elite climbers (international competitive level, USA 5.14a on sight) and ten non-climbers were instructed to maintain a fingertip force of 80% of their maximal voluntary contraction force on a dynamometer mimicking a rock climbing grip during a 5 s effort/5 s rest cycle for 36 repetitions (i.e. 6 min of exercise). Elite climbers lasted twice as long as non-climbers (climbers: 3 min; non-climbers: 1 min 30 s) before the force could no longer be maintained (i.e. the failure point). After this moment, fingertip force decreased and stabilized until the end of the exercise around 50% maximum voluntary contraction force in non-climbers and 63% in elite climbers. Electromyogram median frequency showed a greater decrease in non-climbers than in elite climbers before the failure point. No change in median frequency was observed after the failure point in elite climbers or in non-climbers. These results confirm that elite climbers are better adapted than non-climbers for performing the intermittent fingertip effort before the failure point. After this point, the better fingertip force of elite climbers suggests different forearm muscle properties, while the electromyography results do not provide any indication about the fatigue process.