Can someone explain or lead me to sources that explain how to locate and calculate internal joint centers. The joints I am interested in are the shoulder, elbow, and wrist joints. More specifically: 1) I need anthropometric and palpation techniques/rules used to estimate the surface location of internal joint centers. Joint markers will be placed at these locations. For example, Dempster suggests that the center of rotation of the humerus is located 2 inches inferior to the right acromion on the lateral surface of the upper arm. 2) I also need a mathematical and/or statistical method of calculating the location of the internal joint centers from the location of the surface markers. I realize that this question is more difficult than the first. I am sure someone out there has tackled these problems before. I would be grateful for any assistance. Clifford Larkins Center for Egronomics The University of Michigan Ann Arbor, MI clarkins@srvr5.engin.umich.edu JOINT CENTER LOCATIONS: E-Mail Replies **************************************************** To: clarkins@engin.umich.edu Subject: Re: Help: Locating and Calculating Internal Joint Centers X-Sun-Charset: US-ASCII Dear Clifford Larkins, I have also the same problems as you. I've done some experimental studies to locate the average center of rotation of joints, especially glenohumeral, elbow joints from external surface landmarks. I'm now writing a paper about this suject. I have intention to submit it to the 4th symposium of 3d analysis of human movements. By the end of next month, I'll have finished it. If you give me your mail adresse, I can send you the paper. Xuguang WANG Xuguang WANG, PhD Laboratoire Ergonomie Sante Comfort (LESCO) Institut National de Recherche sur les Transports et leur Securite (INRETS) 109, avenue Salvador Allende 69675 BRON FRANCE fax: +33 72362437 tel: +33 72362451 Email: wang@inrets.fr **************************************************************** To: clarkinsFrom: Gabriel Baud-Bovy Subject: Re: Help: Locating and Calculating Internal Joint Centers There is a third way of locating third joint centers that works with surface markers which may be arbitrarily located. In my research, I use three markers for each body segment (body, arm and forarm) and I ask the subject to do "calibration" movements while keeping the join centers immobile. For example, to compute the position of the shoulder, the subject will make circle with the fully extended arm. Each set of three markers allows to associate a technical system of coordonate (TCS) with each segment. The calibration allow me to compute the position of the joint center relatively to the technical system of coordinate of the distal segment associated the markers. Once I have this information, I can use it to compute the position of the joint center frame by frame in whatsoever other movement. The advantage of this technique is that it allows you to put markers where they are more visible (I am using a ELITE system). The disadvantages are that the precision depends upon the quality of the "calibration" and of course, if the markers are displaced by accident, you have to repeat the calibration. I found your question very interesting. Did you find any paper describing the "magic formulae" used to compute the position of the joint centers ot the upper limb from anatomically located surface markers? I did not. I would very much appreciate if you can communicate to me the list of replies and the results of your research concerning this question. Gabriel Baud-Bovy Université de Genève, FAPSE 9, route de Drize 1227 Carouge - Switzerland ********************************************************** From: V.Kippers@mailbox.uq.oz.au (Vaughan Kippers) Subject: Joint Centres To Clifford Larkins, In the past I have used information from: Dempster WT & GRL Gaughran (1967) Properties of body segments based on size and weight. American Journal of Anatomy 120(1):33-54. Buseck M, OD Schipplein GBJ Andersson & TP Andriacchi(1988) Influence of dynamic factors and external loads on the moment at the lumbar spine in lifting. Spine 13(8):918-921. Surface markers are: Ankle - 10 mm proximal to the tip of the lateral malleolus Knee - lateral femoral epicondyle hip - superior aspect of the greater trochanter Of course parallax error is a problem if the camera is not positioned correctly, related to movement of the subject. Good luck with your project. Vaughan Vaughan Kippers PhD Functional Musculoskeletal Anatomy Group Department of Anatomical Sciences The University of Queensland 4072 AUSTRALIA Voice-Mail +61 (0)7 33652704 FAX +61 (0)7 33651299 E-mail v.kippers@mailbox.uq.oz.au WWW University Location http://www.uq.oz.au/home.html WWW Department Location - http://qmec.herston.uq.oz.au/Departments/Anatomical_Sciences//home.html ********************************************************* To: clarkins From: jbd5@psu.edu (Jonathan Dingwell) Subject: Re: Help: Locating and Calculating Internal Joint Centers Mr. Larkins - Finding the instantaneous joint center for the shoulder joint is indeed quite a task, and potentially not one that's as straight forward as your question appears to be. It may depend quite a bit on the type of dat you're collecting. You may want to check out some good papers on shoulder joint biomechanics by A.E. Engin in the ASME Journal of Biomechanical Engineering (circa 1980-1985). I can get you specific references if you need, but these give a good description of the biomechanics and some good sdetails about measurement techniques as well. Good luck, Jon *-----------------------------------* | Jonathan Dingwell, M.S. | | Center for Locomotion Studies | | Penn State University | | University Park, PA 16802 | | Ph #: 1-814-865-1972 | | Email: jbd5@email.psu.edu | *-----------------------------------* ********************************************** To: clarkins From: Laboratorio Biomeccanica Subject: Re: Help: Locating and Calculating Internal Joint Centers We work on the knee joint, but the following two papers can be useful to answer you second question, which is a general one and apply to many joints (essentially of "spherical" type): Holzreiter ST (1991): "Calculation of the instantaneous center of rotation for a rigid body", J. Biomechanics v.24,n.7,pp.643-647 Spoor CW, Veldpaus FE (1980): "Rigid Body motion calculated from spatial coordinates of markers", J. Biomechanics, v.13,pp.391-393 The classical mathematical method to compute the center of rotation is geometrical (follow at leat two points on Xrays and find the intersection of the axes of the obtaine segments) or "statistical" (use least square fit algorithm to find the fixed point of a succession of transformations or a 3D trajectory). These methods are numerically unstable and result in inaccurate tracking of the instantaneous center of rotation in the knee or in joints in which this center is expected to move and the natural flexion is almost planar. It might be a reliable measurement on the wrist, but be careful with it! Good luck, Sandra and Luigi. ---------------------------------------------------------------------------- ISTITUTI ORTOPEDICI RIZZOLI (II.OO.R) Lab. Biomeccanica biomec@bo.nettuno.it via di Barbiano 1/10 fax: (+39).51.583 789 I-40136 Bologna ---------------------------------------------------------------------------- ********************************************************* To: clarkins Subject: Re: Help: Locating and Calculating Internal Joint Centers Mime-Version: 1.0 I don't have the answers to your questions, but I'm interested in what your application is. I'm about to start a motion analysis of four activities of daily-living: standing up from a chair, lifting a box, carrying a suitcase and walking with a cane. I will be putting markers on the arm. I need the kinematics of the arm plus the forces in order to determine the bone-on-bone forces at the shoulder (using a separate program). I need that information for setting load levels in mechanical testing of shoulder prostheses. I am not too concerned about getting the exact internal joint centres since I am only looking for the approximate kinematics. The people here who do gait analysis take X-rays with lead beads in the place of the markers. This means that they can get exact vectors to the internal joint centre, but this is only justified if the X-rays are already being taken for another purpose. I'm interested to hear from you, Carolyn Anglin Dept. of Mechanical Engineering Queen's University Kingston, Ontario, Canada email: anglin@conn.me.queensu.ca ****************************************************** To: clarkins@engin.umich.edu Date: Tue, 30 Jan 1996 10:37:11 -0500 Subject: Internal from External Landmarks Reply-to: Matt@biosci.umtri.umich.edu Priority: normal Hi Cliff, I'm one of Don Chaffin's Ph.D. students, although you don't see me around C4E much because I work and do my research at UMTRI. I'm currently working on a set of equations to calculate joint center locations from external landmarks. I'm drawing primarily on three sources: Dempster (1955). Space requirements of the seated operator. McConville et al. (1980). Anthropometric relationships of body and body segment moments of inertia. Reynolds et al. (1981). Spatial geometry of the human pelvis. and a record of a selection of joint center locations for crash dummy design in Schneider et al. (1983). Anthropometry of motor vehicle occupants, Vol.1 Robbins et al. (1983). Anthropometry of motor vehicle occupants, Vols.2&3 Let me know if you need complete references. It seems that someone must have published a summary paper on this problem, since it's ubiquitous in biomechanics research. Please let me know if you find other useful information. Matt Reed Senior Research Associate University of Michigan Transportation Research Institute mreed@umich.edu ************************************************************ From: "Johan Molenbroek " Subject: Re: Help: Locating and Calculating Internal Joint Centers To: clarkins Dear Clifford, Did you try Biomechanics of Human Motion from Williams and Lisner Saunders Philadelphia 1962. The data on page 133 are based on Dempster(1955) and the paper of Trotter and Gleser in Am J of Phys Anthropology nr 10 p 463-514,1952 Also I remember a book of Stanley Plagenhoef which we use in our lab for such purposes. with kind regards ===================================================================---- Johan F.M.Molenbroek,PhD Associate Professor Engineering Anthropometry Deputy Subdepartment Physical Ergonomics Faculty Industrial Design Engineering Delft University of Technology Jaffalaan 9 2628 BX Delft, The Netherlands email:j.f.m.molenbroek@io.tudelft.nl fax:+31-15-2787179 voice + mailbox:+31-152783086 voice secr +31-152783029 WEB: http://www.io.tudelft.nl/ergonomics.molenb.htm =================================================================== ************************************************************* From: deleva@risccics.ing.uniroma1.it Date: Wed, 31 Jan 1996 18:07:48 +0100 To: clarkins@engin.umich.edu Subject: Re: Help: Locating and Calculating Internal Joint Centers Cc: deleva@risccics.ing.uniroma1.it I wrote a paper, that should be published soon on the J. of B. Basically, I used 3D data reported by Chandler et al. to compute joint center LONGITUDINAL POSITIONS, relative to neighboring anthropometric landmarks. Title: "Joint center longitudinal positions computed from a subset of Chandler's data". The transverse and sagittal positions are not given. For the Hip joint center, several articles have been published on the J. of Biomechanics (latest on August 1995, if I remember well) about 3D position relative to pelvis landmarks. Let me know if you need more info. __________ _________ ___________~___ ________ _________________~___ / ~ ~ ~ ~ \ /______________~______~__________ _______~_____~______________~_____~_____\ | Paolo de Leva ~ \ Tel.+ FAX: (39-6) 575.40.81 | | Istituto Superiore di Educazione Fisica > other FAX: (39-6) 361.30.65 | | Biomechanics Lab / | | Via di Villa Pepoli, 4 < INTERNET e-mail address: | | 00153 ROME - ITALY \ deLEVA@RISCcics.Ing.UniRoma1.IT | |_____________________~________~____________________________________ _____| challenging entropy :-) ***************************************************************** From: deleva@risccics.ing.uniroma1.it Date: Thu, 1 Feb 1996 20:04:15 +0100 To: clarkins@engin.umich.edu, deleva@risccics.ing.uniroma1.it Subject: Re: Help: Locating and Calculating Internal Joint Centers Cc: deleva@risccics.ing.uniroma1.it You are welcome. I suggest you not to use Chandler's data directly. Some of his numbers are clearly wrong. I discovered the errors by checking Chandler's 3D data against his 2D data (measured on the same subjects with different instruments). THen I devised a method to purge Chandler's data from inconsistencies. Chandler's data are not extremely accurate, but they are the only COMPLETE set of joint center positions ever published, as far as I know. If you need my final data I can give them to you by ftp. I guess you know that the concept of joint center is questionable for at least two reasons: it does not work in 3D, unless you have a perfect ball-and-socket joint, and it does not even work in 2D, unless you have a perfect hinge or ball-and socket joint, which is not true at all for the human joints. Instantaneous joint helical axes are known to change their position relative to both the sergments that form the joint, throughout the joint range of moption. Good luck, __________ _________ ___________~___ ________ _________________~___ / ~ ~ ~ ~ \ /______________~______~__________ _______~_____~______________~_____~_____\ | Paolo de Leva ~ \ Tel.+ FAX: (39-6) 575.40.81 | | Istituto Superiore di Educazione Fisica > other FAX: (39-6) 361.30.65 | | Biomechanics Lab / | | Via di Villa Pepoli, 4 < INTERNET e-mail address: | | 00153 ROME - ITALY \ deLEVA@RISCcics.Ing.UniRoma1.IT | |_____________________~________~____________________________________ _____| challenging entropy :-) ******************************************************************* To: clarkins@engin.umich.edu From: "groot@tudw03.tudelft.nl" (by way of clarkins@srvr5.engin.umich.edu (Clifford Larkins)) Subject: Re: Help: Locating and Calculating Internal Joint Centers Dear Clifford, Using a pointer, the position of bony landmarks can be determined with respect to surface markers. In our laboratory we use a 3-D digitizer called 'the palpator', but any 3-D tracking device can be used for this purpose. We determine the positions of the following landmarks : Thorax : Insisura Jugularis, Processus Xyphoideus, sterno-clavicular joint, Dorsal spine of the 7th cervical vertebra and the 8th thoracic vertebra Scapula: acromio-clavicular joint, angulus acromialis, trigonum spinae and the angulus inferior. Humerus: medial and lateral epicondyles. As the glenohumeral joint can be modelled as a spheric joint (with a fixed poin of rotation with respect to both the scapula and the humerus) the position of this third humerus landmark can be derived from a regression equation using the scapular landmarks and calculating the centre of rotation from the shapes of the articulating surfaces. My colleage Leonard Rozendaal applied this method for 14 cadaver specimen with accurate results. The axial direction of the clavicle is determined by the sternal and scapular joint (NB: palpated points, not the accurate rotation centers). The bony landmarks are used to calculate the local coordinate systems of the four bony elements of the shoulder and relative rotations can be calculated from the position matrices. The position of the scapula cannot be measured by using skin fixed markers as the position of the scapula is not related to the skin. Palpation of the positions of the bony landmarks at different postures seems inevitable. Lit. Pronk GM, Van der Helm FCT (1991), The palpator, an instrument for measuring the 3-D positions of bony landmarks in a fast and easy way. J.Med.Eng.Techn. 15(1):15-20. Van der Helm FCT et al. (1992), Geometry parameters for musculo-skeletal modelling of the shoulder system. J.Biomechanics 25(2) 129-143. Jurriaan de Groot, ============================================================================ Lab. of Measurement and Control |Tel : -31-(0)15-2782156 Fac. Mechanical Engineering |Fax : -31-(0)15-2784747 Delft University of Technology |E-mail : GROOT@TUDW03.TUDELFT.NL | Mekelweg 2 | |____/(O====================== 2628 CD Delft | |:::::/ The Netherlands | |:::/ DUTCH SHOULDER GROUP | |:/ ============================================================================ We are using an ELITE motion analysis system to collect whole-body, 3D kinematic data, although we are performing 2D, sagittal plane analysis of pulls made while standing. Because we study whole-body movements, we deal with many joints including the ankle, knee, hip, lumbar spine, shoulder, elbow, wrist, and neck. Currently, we palpate bony landmarks in order to estimate the location of each joint's center of rotation and then place reflective markers directly over these estimated joint centers. We are concerned about the accuracy of this method, however, and are looking for a more precise approach. Recently, several questions have been posted to BIOMCH-L regarding the best way of estimating specific joint center locations from anatomical landmarks. It is clear from the responses to these postings, as well as from our search of the literature, that there are several ways to approach the problem of 2D joint center identification. These include: (1) Putting markers directly on the estimated joint center locations; (2) Putting markers on various anatomical landmarks and then using them to infer a joint center location; (3) Using an array (rigid or not) of at least 2 markers on each segment and rigid body analysis to compute joint center locations from "calibration movements", performed before the start of the experiment, that involve substantial changes in joint angles; (4) Using an array on each segment and rigid body analysis on the movements in the experiment to determine the instantaneous center of rotation. It seems that many labs use a combination of these methods due to the limitations of the various techniques (solutions breaking down when changes in joint angle are small, peculiarities of a particular joint, etc.). While we realize that it is difficult to generalize across joints, we are wondering if anyone has compared the errors in 2D joint center estimation for these different techniques. We are aware of an article by Spiegelman and Woo (1987) which compares a geometric (Reuleaux) approach with a rigid body analysis approach and another by Crisco et al. (1994) who did a more extensive error analysis of a similar rigid body method. References: Crisco, J., Chen, X., Panjabi, M., Wolfe, S. (1994). Optimal marker placement for calculating the instantaneous center of rotation. Journal of Biomechanics 27(9): 1183-1187. Spiegelman, J., Woo, S. (1987). A rigid-body method for finding centers of rotation and angular displacements of planar joint motion. Journal of Biomechanics 20(7): 715-721. Please send any responses to jwsteege@merle.acns.nwu.edu and we will post a summary of responses. Thanks in advance. Wynne Lee, Ph.D. Jim Patton, M.S. Julie Steege, M.S. Motor Control and Learning group Programs in Physical Therapy Northwestern University Chicago, Illinois, USA ************************ RESPONSES ********************** FROM: Rebecca A. States, Ph.D. 276H Read Building Dept. of Health & Kinesiology (409) 862-3229 Texas A & M University, M.S. 4243 (409) 847-8987 (fax) College Station, Texas 77843 states@tam2000.tamu.edu I would like to respond to your post about the accuracy of various methods for estimating joint centers for 2D movements, in particular about your question ... > While we realize that it is difficult to generalize across joints, we are > wondering if anyone has compared the errors in 2D joint center estimation > for these different techniques. Last fall, I presented a poster on this topic at the Society for Neurosciences meeting, "Comparison of three methods for locating joint centers during planar arm motion" (#174.15). The work was designed to introduce a simple measure of the reliability of joint center estimates, and to compare three methods for estimating the axes of rotation during 2D movements. A summary, written for a broad audience, follows. I will also send you a copy of the poster by overground mail. Becky States Reliability of Three Methods for Measuring Joint Angles College of Education Seed Grant 3/1/95 - 12/31/95 Rebecca A. States Department of Health & Kinesiology College of Education Texas A & M University In many studies that measure joint motion, video or other optical systems are used to track the positions of markers attached to the body as they move about in 3-D space. Several problems limit the reliability of this approach. Markers are generally placed on or near bony landmarks so one can judge their location relative to the positions of the underlying bones, and relative to the center of joint rotation. Locating the center of joint rotation is crucial for measuring joint angles and forces that act on the joint. Judging the center of rotation from bony landmarks is not easily accomplished however, since the shapes and sizes of individuals' bones differ. An additional problem arises in that skin and soft tissue motion may cause the markers to move in relation to the bones, further distorting estimates of the center of joint rotation. This study seeks to improve reliability of systems that use surface markers to measure joint angles in humans by introducing a new method for evaluating the reliability with which joint centers are located. Segment length variability is suggested for this purpose since under ideal measurement conditions, an individual's segment lengths should remain precisely constant within and between measurement sessions. A clear advantage of this technique is that segment length variability can be easily assessed from data collected during the experimental procedures. Hence, it can provide an indicator of measurement problems, such as particular types of soft tissue motion, that only occur during the experimental procedures. Moreover, this technique is ideally suited to the many studies where multiple joints are measured. For example, in studies that record motion of the arm, one might place markers at the shoulder, elbow, wrist and tip of the index finger. Comparing the variability in segment lengths for the hand, forearm and upper arm can help pinpoint measurement errors linked to one of the joints. If the marker over the elbow were out of place, then the variabilities for the forearm and upper arm segments would be especially large. This study also compared two methods for making post- hoc adjustments to data from surface markers to see if either one improved reliability beyond that seen in the raw data. Both of these methods are limited to situations where motion stays predominantly within a single plane. In those circumstances, the joint is said to have one and only one axis of rotation (AoR). Hence, the rest of this write-up is concerned only with planar arm movements. Data from planar arm movements that go through a large range of motion can be used to mathematically estimate the location of the true AoR relative to the positions of surface markers. If the calculated AoR differs from the position of the marker which is supposed to track that joint, an adjustment factor can be determined and applied to subsequent data. The adjusted data can then give a better estimate of the AoR. Reliability studies on such post-hoc methods have generally been performed using an ideal mechanism like a mechanical hinge joint (Walter & Panjabi, 1988; Fioretti et al., 1990; Bell et al., 1990; Hart et al., 1991) so they can verify the effectiveness of the adjustment method. This study takes a different approach by testing two post-hoc methods in a real-world setting where soft tissue motion and small amounts of out-of-plane motion may occur. This more ecologically valid approach is only possible given the novel technique introduced above for measuring reliability. Four subjects performed a series of single and multi- joint movements. This series was repeated five times during each of five sessions. Joint motion was measured during these movements by collecting 3-D position data from 18 active markers using an Optotrak 3020 infrared measurement system running at 100 Hz. Markers were placed at the apparent axes of joint rotation for the right wrist, elbow, and shoulder, as well as for the left shoulder. In addition, markers were placed on splints which were attached to the hand, forearm, upper arm, and on a harness attached to the torso. The splints were designed to track the motion of the limb segments rather than to restrict joint motion. Data from the single-joint elbow movement trials were used to find post-hoc adjustment factors for the elbow using two methods - Speigelman & Woo's (1987) 2D method, and a novel 3D method described in States (1995). The adjustment factors were applied post-hoc to data from the multi-joint movement trials, a procedure which increases the rigor of the reliability test. Results showed that both post-hoc methods improved within-session reliability, reducing segment length standard deviations by about 50% compared to the raw data. This verifies the usefulness of post-hoc adjustment procedures even under conditions where there may have been significant soft tissue or out-of-plane motion. These results also demonstrate that the reliability of 2-D data can be equivalent to 3-D data, at least for the movements tested. Neither post-hoc method was found to improve between-session reliability, supporting the common practice of making critical comparisons within a single testing session. This study also examined a related problem, that markers sometimes can not be placed near the apparent AoRs since doing so would occlude them from the view of the camera or other sensing device. In those circumstances, markers are placed at a distance from the joint, and some type of post-hoc adjustment procedure is used to calculate AoR. The abilities of the two post-hoc procedures investigated here to cope with this problem were examined. Each post-hoc procedure was used to locate the AoR for the shoulder joint from markers placed on a shoulder harness. Variability in upper arm and torso segment lengths were compared to those obtained for data from an observational condition where markers were placed directly over the joints for those same trials. Both post-hoc methods were found to be as reliable as the unadjusted raw data from the observational condition, though they were not as reliable as data from the observational condition after it had been adjusted. These results show the post-hoc methods can be used to successfully accommodate for situations where markers must be placed at a distance from the joint, even when there is soft-tissue or limited out-of-plane motion. The methods described here will be applied in future studies investigating joint coordination during skilled movement tasks which are planned by the PI. This study was presented as a poster (#174.15) at the 25th Annual Meeting of the Society for Neuroscience in San Diego, CA, November, 1995. References Bell, A.L., Pedersen, D.R. & Brand, R.A. (1990). A comparison of the accuracy of several hip center location prediction methods. J. Biomechanics, 23, 617- 621. Fioretti, S., Jetto, L. & Leo, T. (1990). Reliable in vivo estimation of the instantaneous helical axis in human segmental movements. IEEE Trans. on Biomedical Engineering, 37, 398-409. Hart, R.A., Mote, C.D.Jr. & Skinner, H.B. (1991). A finite helical axis as a landmark for kinematic reference of the knee. J. Biomedical Engineering, 113, 215-222. Spiegelman, J.J. & Woo, S.L.-Y. (1987). A rigid-body method for finding centers of rotation and angular displacements of planar joint motion. J. Biomechanics, 20, 715-721. Walter, S.D. & Panjabi, M.M. (1988). Experimental errors in the observation of body joint kinematics. Technometrics, 30, 71-78. ----------------------------------------------------------------------
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