Evidence map›Paper›PMID 28552412›Full record

ArticleJournal of biomechanics2017

Connecting the wrist to the hand: A simulation study exploring changes in thumb-tip endpoint force following wrist surgery.

Jennifer A Nichols, Michael S Bednar, Sarah J Wohlman, Wendy M Murray

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Journal of biomechanics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Transfer Learning With Simulated and Recorded Data Improves Predictions of Lateral Pinch Thumb-Tip Forces.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  3. Benchmarking Neural Network Personalized Musculoskeletal Hand Models Against Current Personalization Standards Using Experimental Magnetic Resonance Imaging and Fine-Wire Electromyography.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  4. Article
  5. Article
  6. Surrogate Simulation of Subject-Specific Lateral Pinch via Deep Learning.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2024
    Article
  7. Article
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  9. An Efficient Framework for Personalizing EMG-Driven Musculoskeletal Models Based on Reinforcement Learning.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Jennifer A NicholsDepartment of Biomedical Engineering, Northwestern University, Evanston, IL, USA; Shirley Ryan AbilityLab (formerly Rehabilitation Institute of Chicago), Chicago, IL, USA; Edward Hines, Jr. VA Hospital, Hines, IL, USA.
Michael S BednarEdward Hines, Jr. VA Hospital, Hines, IL, USA; Department of Orthopaedic Surgery and Rehabilitation, Stritch School of Medicine, Loyola University - Chicago, Maywood, IL, USA.
Sarah J WohlmanDepartment of Biomedical Engineering, Northwestern University, Evanston, IL, USA; Shirley Ryan AbilityLab (formerly Rehabilitation Institute of Chicago), Chicago, IL, USA.
Wendy M MurrayDepartment of Biomedical Engineering, Northwestern University, Evanston, IL, USA; Departments of Physical Medicine & Rehabilitation and Physical Therapy & Human Movement Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Shirley Ryan AbilityLab (formerly Rehabilitation Institute of Chicago), Chicago, IL, USA; Edward Hines, Jr. VA Hospital, Hines, IL, USA. Electronic address: w-murray@northwestern.edu.
Shirley Ryan AbilityLab · USEdward Hines, Jr. VA Hospital · USLoyola University Chicago · US

Funding

Prosthesis Control by Forward Dynamic Simulation of the Intact Biomedical systemR01EB011615 · NIBIB · REHABILITATION INSTITUTE OF CHICAGO D/B/A SHIRLEY RYAN ABILITYLAB · PI MURRAY, WENDY M · 2011 to 2014
$1.7M
Surgical Simulations to Optimize the Treatment of Wrist OsteoarthritisF31AG041627 · NIA · NORTHWESTERN UNIVERSITY · PI NICHOLS, JENNIFER A. · 2011 to 2014
$91k
NIA NIH HHS F31 AG041627NIBIB NIH HHS R01 EB011615
6 · The paper itself

Abstract

The wrist is essential for hand function. Yet, due to the complexity of the wrist and hand, studies often examine their biomechanical features in isolation. This approach is insufficient for understanding links between orthopaedic surgery at the wrist and concomitant functional impairments at the hand. We hypothesize that clinical reports of reduced force production by the hand following wrist surgeries can be explained by the surgically-induced, biomechanical changes to the system, even when those changes are isolated to the wrist. This study develops dynamic simulations of lateral pinch force following two common surgeries for wrist osteoarthritis: scaphoid-excision four-corner fusion (SE4CF) and proximal row carpectomy (PRC). Simulations of lateral pinch force production in the nonimpaired, SE4CF, and PRC conditions were developed by adapting published models of the nonimpaired wrist and thumb. Our simulations and biomechanical analyses demonstrate how the increased torque-generating requirements at the wrist imposed by the orthopaedic surgeries influence force production to such an extent that changes in motor control strategy are required to generate well-directed thumb-tip end-point forces. The novel implications of our work include identifying the need for surgeries that optimize the configuration of wrist axes of rotation, rehabilitation strategies that improve post-operative wrist strength, and scientific evaluation of motor control strategies following surgery. Our simulations of SE4CF and PRC replicate surgically-imposed decreases in pinch strength, and also identify the wrist's torque-generating capacity and the adaptability of muscle coordination patterns as key research areas to improve post-operative hand function.

Indexed as

Models, BiologicalBiomechanical PhenomenaComputer SimulationHandHumansOrthopedic ProceduresOsteoarthritisTorqueComputer simulationProximal row carpectomyScaphoid-excision four-corner fusionThumbWrist

Identifiers

PMID28552412
PMCPMC5536109
OpenAlexW2611732779

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.