Defining the upper extremity range of motion for safe automobile driving

Rawal, Aziz; Chehata, Ash; Horberry, Tim; Shumack, Matthew; Chen, Chao; Bonato, Luke

doi:10.1016/j.clinbiomech.2018.03.009

Cited by 13 publications

(12 citation statements)

References 21 publications

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“…The cameras used in multiple cameras actually track the active or passive markers attached to human anatomical parts to measure joints movement. Rawal et al (2018) collected the wrist, elbow and shoulder joints angular data using Eight OptiTrack (flex13) cameras in well-validated driving simulator. The structuring of upper limb joint movements and performance in teenagers with cerebral palsy have been estimated based on reciprocal role of task demand and action capabilities in Figueiredo et al (2015).…”

Section: Motion Capture System Types and Its Limitationmentioning

confidence: 99%

Motion capture sensing techniques used in human upper limb motion: a review

Yahya

Shah

Kadir

et al. 2019

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Purpose Motion capture system (MoCap) has been used in measuring the human body segments in several applications including film special effects, health care, outer-space and under-water navigation systems, sea-water exploration pursuits, human machine interaction and learning software to help teachers of sign language. The purpose of this paper is to help the researchers to select specific MoCap system for various applications and the development of new algorithms related to upper limb motion. Design/methodology/approach This paper provides an overview of different sensors used in MoCap and techniques used for estimating human upper limb motion. Findings The existing MoCaps suffer from several issues depending on the type of MoCap used. These issues include drifting and placement of Inertial sensors, occlusion and jitters in Kinect, noise in electromyography signals and the requirement of a well-structured, calibrated environment and time-consuming task of placing markers in multiple camera systems. Originality/value This paper outlines the issues and challenges in MoCaps for measuring human upper limb motion and provides an overview on the techniques to overcome these issues and challenges.

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Section: Motion Capture System Types and Its Limitationmentioning

confidence: 99%

Motion capture sensing techniques used in human upper limb motion: a review

Yahya

Shah

Kadir

et al. 2019

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“…The authors found that only small degrees of motion at the shoulder could produce large changes in steering direction. Rawal et al 48 performed a study using motion analysis of joint biomechanics during driving and determined that shoulder flexion and rotation, as well as forearm pronation and supination, were the most important factors in safe driving. The mean ranges of shoulder motion needed for hazard avoidance were 20 to 48 degrees of shoulder flexion and 2.1 to 26 degrees of internal rotation.…”

Section: Upper Extremitymentioning

confidence: 99%

“…Immobilization from the forearm to above the elbow, such as with a long-arm cast, significantly inhibits the ability to drive safely 27 51 52 by diminishing pronation and supination (more so than elbow flexion and extension 48 ). Therefore, few patients drive with above-the-elbow immobilization.…”

Section: Upper Extremitymentioning

confidence: 99%

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Driving after Upper or Lower Extremity Orthopaedic Surgery

Mackenzie

Bitzer

Familiari³

et al. 2018

Joints

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Orthopaedic procedures can affect patients' ability to perform activities of daily living, such as driving automobiles or other vehicles that require coordinated use of the upper and lower extremities. Many variables affect the time needed before a patient can drive competently after undergoing orthopaedic surgery to the extremities. These variables include whether the patient underwent upper or lower extremity surgery, the country in which the patient resides, whether the right or left lower extremity is involved, whether the dominant arm is involved, whether the extremity is in a cast or brace, whether the patient has adequate strength to control the steering wheel, and whether the patient is taking pain medication. The type and complexity of the procedure also influence the speed of return of driving ability. Few studies provide definitive data on driving ability after upper or lower extremity surgery. Patients should be counseled not to drive until they can control the steering wheel and the pedals competently and can drive well enough to prevent further harm to themselves or to others. This review discusses the limited recommendations in the literature regarding driving motorized vehicles after upper or lower extremity orthopaedic surgery.

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“…These parameters may not be as relevant for upper extremity trauma, as TBRT depends predominantly on the movement of the leg in response to a hazard ( 14 ). Return to driving following hip and knee arthroplasty procedures is well reported in the literature ( 8 , 9 , 15 , 16 ).…”

Section: Introductionmentioning

confidence: 99%

Return to driving post upper or lower extremity orthopaedic surgical procedures: a scoping review of current published literature

Khaliq,

Giannoudis,

Palan

et al. 2023

EFORT Open Reviews

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Patients undergoing planned or unplanned orthopaedic procedures involving their upper or lower extremity can prevent them from safe and timely return to driving, where they commonly ask, ‘Doctor, when can I drive?’ Driving recommendations after such procedures are varied. The current evidence available is based on a heterogenous data set with varying degrees of sample size and markedly differing study designs. This instructional review article provides a scoping overview of studies looking at return to driving after upper or lower extremity surgery in both trauma and elective settings and, where possible, to provide clinical recommendations for return to driving. Medline, EMBASE, SCOPUS, and Web of Science databases were searched according to a defined search protocol to elicit eligible studies. Articles were included if they reviewed adult drivers who underwent upper or lower extremity orthopaedic procedures, were written in English, and offered recommendations about driving. A total of 68 articles were included in the analysis, with 36 assessing the lower extremity and 37 reviewing the upper extremity. The evidence available from the studies reviewed was of poor methodological quality. There was a lack of adequately powered, high quality, randomised controlled trials (RCTs) with large sample sizes to assess safe return to driving for differing subset of injuries. Many articles provide generic guidelines on return to driving when patients feel safe to perform an emergency stop procedure with adequate steering wheel control. In future, RCTs should be performed to develop definitive return to driving protocols in patients undergoing upper and lower extremity procedures.

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Defining the upper extremity range of motion for safe automobile driving

Cited by 13 publications

References 21 publications

Motion capture sensing techniques used in human upper limb motion: a review

Motion capture sensing techniques used in human upper limb motion: a review

Driving after Upper or Lower Extremity Orthopaedic Surgery

Return to driving post upper or lower extremity orthopaedic surgical procedures: a scoping review of current published literature

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