Evidence map›Paper›PMID 36932123›Full record

ArticleScientific reports2023

The development and evaluation of an in-vitro shoulder simulator with active muscle simulation.

Ruipeng Guo, Manuel Ferle, Dennis Nebel, Christof Hurschler

Open access · goldFull text read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

4 authors at 3 institutions in 2 countries.

Ruipeng GuoLaboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery - DIAKOVERE Annastift, Hannover Medical School, Anna-Von-Borries-Str. 1-7, 30625, Hannover, Germany.
Manuel FerleLaboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery - DIAKOVERE Annastift, Hannover Medical School, Anna-Von-Borries-Str. 1-7, 30625, Hannover, Germany.
Dennis NebelLaboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery - DIAKOVERE Annastift, Hannover Medical School, Anna-Von-Borries-Str. 1-7, 30625, Hannover, Germany. nebel.dennis@mh-hannover.de.
Christof HurschlerLaboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery - DIAKOVERE Annastift, Hannover Medical School, Anna-Von-Borries-Str. 1-7, 30625, Hannover, Germany.
Medizinische Hochschule Hannover · DEFirst Affiliated Hospital of Anhui Medical University · CNTechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of the present study was to develop a novel active in-vitro shoulder simulator to emulate all forms of planar and non-planar glenohumeral motions with active muscle simulation on cadaver specimens or shoulder models and to critically evaluate its performance. A physiologic shoulder simulator, driven using simulated muscle force, was developed to dynamically realize accurate kinematic control in all three rotational degrees of freedom (DOF) under physiological kinetic boundaries. The control algorithm of the simulator was implemented using three parallel running independent control loops, which regulate the forces of individual muscles in the respect DOF and work asynchronously in disparate sequences adapted to specific motions (abduction, flexion/extension and rotation). Three cadaveric specimens were used to evaluate the kinematic and kinetic performance of the simulator during simulated motions. High kinematic accuracy (maximum mean deviation ≤ 2.35° and RMSE 1.13°) and repeatability (maximum and average SD of ≤ 1.21° and 0.67°) were observed in all three rotational DOF investigated. The reliabilities of all individual muscle forces actuated in the simulator during planar and non-planar motions were generally excellent, with the 95% CIs of ICC estimates of > 0.90 for most instances (30/36). A novel shoulder simulator with active muscle simulation was developed and evaluated. Its capability to reproduce kinematics and kinetics in a physiological range for all DOF was systematically evaluated for multiple kinetic and kinematic outcome variables. The presented simulator is a powerful tool for investigating the biomechanics of physiological and pathological shoulder joints and to evaluate various surgical interventions. Acquisition of reliable data in joint kinetics and translational kinematics during active motions is critical to assess shoulder pathologies and appropriate treatments. We provide a unique muscle activated physiologic shoulder simulator, which allows the comprehensive acquisition of joint kinematic and kinetic data during repeated realistic planar and non-planar motions.

Indexed as

ShoulderShoulder JointBiomechanical PhenomenaCadaverHumansMechanical PhenomenaMusclesRange of Motion, Articular

Identifiers

PMID36932123
PMCPMC10023710
OpenAlexW4327728461

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read18
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.