Clin Should Elbow.  2023 Jun;26(2):126-130. 10.5397/cise.2023.00101.

The elbow is the load-bearing joint during arm swing

Affiliations
  • 1School of Mechanical Engineering, Kyungpook National University, Daegu, Korea
  • 2Department of Orthopedic Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Korea
  • 3Department of Orthopedic Surgery, Faculty of Medicine, Universitas Trisakti, St. Carolus Hospital, Jakarta, Indonesia
  • 4Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea
  • 5Department of Orthopedic Surgery, Uijeongbu Eulji Medical Center, Eulji University College of Medicine, Uijeongbu, Korea

Abstract

Background
Arm swing plays a role in gait by accommodating forward movement through trunk balance. This study evaluates the biomechanical characteristics of arm swing during gait.
Methods
The study performed computational musculoskeletal modeling based on motion tracking in 15 participants without musculoskeletal or gait disorder. A three-dimensional (3D) motion tracking system using three Azure Kinect (Microsoft) modules was used to obtain information in the 3D location of shoulder and elbow joints. Computational modeling using AnyBody Modeling System was performed to calculate the joint moment and range of motion (ROM) during arm swing.
Results
The mean ROM of the dominant elbow was 29.7°±10.2° and 14.2°±3.2° in flexion–extension and pronation–supination, respectively. The mean joint moment of the dominant elbow was 56.4±12.7 Nm, 25.6±5.2 Nm, and 19.8±4.6 Nm in flexion–extension, rotation, and abduction–adduction, respectively.
Conclusions
The elbow bears the load created by gravity and muscle contracture in dynamic arm swing movement.

Keyword

Arm swing; Gait; Elbow; Shoulder; Joint reaction force; Motion tracking
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