Evidence map›Paper›PMID 29550641›Full record

ArticleClinical biomechanics (Bristol, Avon)2018

Analysis of shoulder compressive and shear forces during functional activities of daily life.

Christian Klemt, Joe A Prinold, Sharon Morgans, Samuel H L Smith, Daniel Nolte, Peter Reilly, Anthony M J Bull

Abstract read
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Inset glenoid component stability and bone removal by implantation depth.Journal of shoulder and elbow arthroplasty · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christian KlemtDepartment of Bioengineering, Imperial College London, London, SW7 2AZ, United Kingdom. Electronic address: c.klemt15@imperial.ac.uk.
Joe A PrinoldDepartment of Bioengineering, Imperial College London, London, SW7 2AZ, United Kingdom. Electronic address: joe.prinold04@alumni.imperial.ac.uk.
Sharon MorgansPhysiotherapy Unit, Imperial College Healthcare NHS Trust, London, NW8 9NH, United Kingdom.
Samuel H L SmithDepartment of Bioengineering, Imperial College London, London, SW7 2AZ, United Kingdom. Electronic address: s.smith14@imperial.ac.uk.
Daniel NolteDepartment of Bioengineering, Imperial College London, London, SW7 2AZ, United Kingdom. Electronic address: d.nolte@imperial.ac.uk.
Peter ReillyDepartment of Bioengineering, Imperial College London, London, SW7 2AZ, United Kingdom; Department of Trauma and Orthopaedics, Imperial College Healthcare NHS Trust, London, W2 1NY, United Kingdom. Electronic address: p.reilly@imperial.ac.uk.
Anthony M J BullDepartment of Bioengineering, Imperial College London, London, SW7 2AZ, United Kingdom. Electronic address: a.bull@imperial.ac.uk.

Funding

Wellcome TrustWellcome Trust 098269/Z/2/Z
6 · The paper itself

Abstract

backgroundKnowledge of forces acting through the glenohumeral joint during activities of daily living is a prerequisite for improving implant design and aiding rehabilitation planning. Existing data are limited by the number of activities performed and, in some cases, the lack of representation of the glenohumeral loading direction, although high shear force components may cause joint dislocation or implant loosening. This study aims to analyse shoulder compression and shear force components during essential functional activities of daily living.

methodsThis is a combined modelling and experimental study. Motion data and external forces measured from 25 participants for 26 activities of daily living serve as input into an upper limb musculoskeletal model that quantifies glenohumeral loading.

findingsThe shoulder contact force exceeds 50% of the body weight in 10/26 activities of daily living with a maximum contact force of 164% of the body weight (SD 69%) for a sit to stand task. The ratio of glenohumeral shear force component to compression force component exceeds 0.5 in 8/26 functional activities, with maximum ratios for reaching across the body (1.09; SD 0.41) and pick and place an everyday object (0.88; SD 0.36).

interpretationThis study demonstrates substantial loads through the glenohumeral joint during activities of daily living. The ratios of glenohumeral shear force component to compression force component are considerable when high loads act at long lever arms and at high angles of arm elevation. These glenohumeral ratios represent a key component of loading that should be considered when designing implants, surgical procedures, or rehabilitation protocols.

Indexed as

Activities of Daily LivingAdultBiomechanical PhenomenaCompressive StrengthFemaleHumansMaleMechanical PhenomenaMiddle AgedShear StrengthShoulderShoulder JointUpper ExtremityActivities of daily livingContact forcesImplant designMusculoskeletal modellingRehabilitation planningShoulder

Identifiers

PMID29550641
PMCPMC6405441

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Registered trials

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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.