Predictions of Muscle Forces During the Cross-Body Adduction and Hand-Behind-the-Back Tests to Assess Osteoarthritis of the Acromioclavicular Joint

Acromioclavicular joint osteoarthritis is prevalent in middle-aged and older people, causing shoulder pain and functional limitations. Despite its prevalence, there are inconsistencies in the physical diagnosis procedures practiced in clinical tests. A recent study introduced a novel hand-behind-the...

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Main Authors: Kamal Gautam, Mohamed Samir Hefzy, Kyle Behrens, Abdul A. Mustapha
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/15/2/967
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author Kamal Gautam
Mohamed Samir Hefzy
Kyle Behrens
Abdul A. Mustapha
author_facet Kamal Gautam
Mohamed Samir Hefzy
Kyle Behrens
Abdul A. Mustapha
author_sort Kamal Gautam
collection DOAJ
description Acromioclavicular joint osteoarthritis is prevalent in middle-aged and older people, causing shoulder pain and functional limitations. Despite its prevalence, there are inconsistencies in the physical diagnosis procedures practiced in clinical tests. A recent study introduced a novel hand-behind-the-back (HBB) test, a promising alternative to the traditional cross-body adduction (CBA) test. However, further study was suggested to validate the results obtained. So, this study predicted muscle forces for the cross-body adduction and hand-behind-the-back tests using OpenSim and the AnyBody Modeling System™. This work redefined the joint kinematics for the tests and performed an inverse dynamics analysis to solve the muscle redundancy problem using the generic upper extremity dynamic models available in OpenSim and AnyBody Modeling System™. The results revealed some agreements and significant discrepancies in most muscle force predictions between the OpenSim and AnyBody Modeling System<sup>TM</sup>. Thus, this study underscores the necessity of integrating multiple modeling approaches and comprehensive validation, including experimental data, to enhance the accuracy and reliability of muscle force predictions in shoulder biomechanics during CBA and HBB tests.
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spelling doaj-art-f9c0738a7c8b413097161f81c0d00a982025-01-24T13:21:31ZengMDPI AGApplied Sciences2076-34172025-01-0115296710.3390/app15020967Predictions of Muscle Forces During the Cross-Body Adduction and Hand-Behind-the-Back Tests to Assess Osteoarthritis of the Acromioclavicular JointKamal Gautam0Mohamed Samir Hefzy1Kyle Behrens2Abdul A. Mustapha3Department of Mechanical, Industrial and Manufacturing Engineering, The University of Toledo, Toledo, OH 43606, USADepartment of Mechanical, Industrial and Manufacturing Engineering, The University of Toledo, Toledo, OH 43606, USADepartment of Orthopedic Surgery, The University of Toledo, Toledo, OH 43606, USADepartment of Orthopedic Surgery, The University of Toledo, Toledo, OH 43606, USAAcromioclavicular joint osteoarthritis is prevalent in middle-aged and older people, causing shoulder pain and functional limitations. Despite its prevalence, there are inconsistencies in the physical diagnosis procedures practiced in clinical tests. A recent study introduced a novel hand-behind-the-back (HBB) test, a promising alternative to the traditional cross-body adduction (CBA) test. However, further study was suggested to validate the results obtained. So, this study predicted muscle forces for the cross-body adduction and hand-behind-the-back tests using OpenSim and the AnyBody Modeling System™. This work redefined the joint kinematics for the tests and performed an inverse dynamics analysis to solve the muscle redundancy problem using the generic upper extremity dynamic models available in OpenSim and AnyBody Modeling System™. The results revealed some agreements and significant discrepancies in most muscle force predictions between the OpenSim and AnyBody Modeling System<sup>TM</sup>. Thus, this study underscores the necessity of integrating multiple modeling approaches and comprehensive validation, including experimental data, to enhance the accuracy and reliability of muscle force predictions in shoulder biomechanics during CBA and HBB tests.https://www.mdpi.com/2076-3417/15/2/967acromioclavicular jointosteoarthritiscross-body adduction testhand-behind-the-back testmusculoskeletal modelingshoulder biomechanics
spellingShingle Kamal Gautam
Mohamed Samir Hefzy
Kyle Behrens
Abdul A. Mustapha
Predictions of Muscle Forces During the Cross-Body Adduction and Hand-Behind-the-Back Tests to Assess Osteoarthritis of the Acromioclavicular Joint
Applied Sciences
acromioclavicular joint
osteoarthritis
cross-body adduction test
hand-behind-the-back test
musculoskeletal modeling
shoulder biomechanics
title Predictions of Muscle Forces During the Cross-Body Adduction and Hand-Behind-the-Back Tests to Assess Osteoarthritis of the Acromioclavicular Joint
title_full Predictions of Muscle Forces During the Cross-Body Adduction and Hand-Behind-the-Back Tests to Assess Osteoarthritis of the Acromioclavicular Joint
title_fullStr Predictions of Muscle Forces During the Cross-Body Adduction and Hand-Behind-the-Back Tests to Assess Osteoarthritis of the Acromioclavicular Joint
title_full_unstemmed Predictions of Muscle Forces During the Cross-Body Adduction and Hand-Behind-the-Back Tests to Assess Osteoarthritis of the Acromioclavicular Joint
title_short Predictions of Muscle Forces During the Cross-Body Adduction and Hand-Behind-the-Back Tests to Assess Osteoarthritis of the Acromioclavicular Joint
title_sort predictions of muscle forces during the cross body adduction and hand behind the back tests to assess osteoarthritis of the acromioclavicular joint
topic acromioclavicular joint
osteoarthritis
cross-body adduction test
hand-behind-the-back test
musculoskeletal modeling
shoulder biomechanics
url https://www.mdpi.com/2076-3417/15/2/967
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AT mohamedsamirhefzy predictionsofmuscleforcesduringthecrossbodyadductionandhandbehindthebackteststoassessosteoarthritisoftheacromioclavicularjoint
AT kylebehrens predictionsofmuscleforcesduringthecrossbodyadductionandhandbehindthebackteststoassessosteoarthritisoftheacromioclavicularjoint
AT abdulamustapha predictionsofmuscleforcesduringthecrossbodyadductionandhandbehindthebackteststoassessosteoarthritisoftheacromioclavicularjoint