Effect of Setup Configurations of Split Computer Keyboards on Wrist Angle

Alternative computer keyboards whose halves can be slanted toward each other can reduce a risk factor (ulnar deviation) for work-related musculoskeletal disorders (WMSDs) affecting the upper limbs. Two questions that computer keyboard operators face when using keyboards that can be separated into halves (split keyboards) are: (1) At what angle should the keyboard halves be opened? and (2) At what distance apart should the keyboard halves be placed? The objective of this study was to investigate the effects of the opening angle and separation distance between halves of a split keyboard on wrist ulnar deviation and typing efficiency. Methods. Eleven experienced computer keyboard operators participated in this study and used a split keyboard that was set up in a conventional (nonsplit) format and also in 3 alternative configurations: (1) centers of keyboard halves were separated at 20-cm distance, (2) keyboard halves were separated half of the distance of shoulder width, and (3) keyboard halves were separated at shoulder width distance. Results. The 3 alternative configurations resulted in ulnar deviation of both wrists that were less than ulnar deviation from typing on a conventional setup. There were no differences in ulnar deviations among the 3 alternative configurations. Discussion and Conclusion. The results of this research provide physical therapists and ergonomists with a set of configurations of a split keyboard that they can recommend to their patients or clients. All of the alternative configurations of the split keyboard are beneficial in promoting a neutral wrist position, which theoretically would decrease exposure to WMSDs such as tenosynovitis in the wrist and carpal tunnel syndrome. [Marklin RW, Simoneau GG. Effect of setup configurations of split computer keyboards on wrist angle. Phys Ther. 2001;81:1038 –1048.

A Standardized Evidence-Based Model of Orthopaedic Physical Therapy Practice: A Quest for the Holy Grail?

The growth of knowledge in orthopaedic physical therapy practice is on an exponential trajectory. This growth is occurring simultaneously for many aspects of evidence-based practice: diagnosis, prognosis, treatment, and harm – with increasingly more sophisticated basic science and mechanistic studies guiding and supporting the clinical research endeavors. Just how close are we to the day when we can clearly establish the accuracy of our diagnoses, regardless of the model used, and then can confidently inform our patients of the most effective treatment approach and the expected outcomes, as well as any potential harm? This knowledge is being created now, and the ability to assemble and transmit that information effectively to current and future clinicians is evolving. In time, I expect that orthopaedic physical therapy practice will become truly evidence based and standardized around the globe – so that the first line of intervention for a given patient with a specific diagnosis is reasonably agreed upon. Despite the considerable challenges that remain, every day we are getting closer to achieving this vision

Preliminary results of a study of the relationship between free-stream turbulence and stagnation region heat transfer

Preliminary results of a study to investigate the relationship between free stream turbulence and heat transfer augmentation in the stagnation region is presented. The effects of free stream turbulence and surface roughness on spanwise averaged heat transfer were investigated. Turbulence was measured upstream of a cylinder placed in the wake of an array of parallel wires that were perpendicular to the cylinder axis. Finally, flow visualization and thermal visualization techniques were combined to show the relationship between vortices in the stagnation region and spanwise variations in heat transfer

Effect of location in an array on heat transfer to a cylinder in crossflow

An experiment was conducted to measure the heat transfer from a heated cylinder in crossflow in an array of circular cylinders. All cylinders had a length-to-diameter ratio of 3.0. Both in-line and staggered array patterns were studied. The cylinders were spaced 2.67 diameters apart center-to-center in both the axial and transverse directions to the flow. The row containing the heated cylinder remained in a fixed position in the channel and the relative location of this row within the array was changed by adding up to five upstream rows. The working fluid was nitrogen gas at pressures from 100 to 600 kPa. The Reynolds number ranged based on cylinder diameter and average unobstructed channel velocity was from 5,000 to 125,000. Turbulence intensity: profiles were measured for each case at a point one half space upstream of the row containing the heated cylinder. The basis of comparison for all the heat transfer data was the single row with the heated cylinder. For the in-line cases the addition of a single row of cylinders upstream of the row containing the heated cylinder increased the heat transfer by an average of 50 percent above the base case. Adding up to five more rows caused no increase or decrease in heat transfer. Adding rows in the staggered array cases resulted in average increases in heat transfer of 21, 64, 58, 46, and 46 percent for one to five upstream rows, respectively

Walker-Assisted Gait in Rehabilitation: A Study of Biomechanics and Instrumentation

While walkers are commonly prescribed to improve patient stability and ambulatory ability, quantitative study of the biomechanical and functional requirements for effective walker use is limited. To date no one has addressed the changes in upper extremity kinetics that occur with the use of a standard walker, which was the objective of this study. A strain gauge-based walker instrumentation system was developed for the six degree-of-freedom measurement of resultant subject hand loads. The walker dynamometer was integrated with an upper extremity biomechanical model. Preliminary system data were collected for seven healthy, right-handed young adults following informed consent. Bilateral upper extremity kinematic data were acquired with a six camera Vicon motion analysis system using a Micro-VAX workstation. Internal joint moments at the wrist, elbow, and shoulder were determined in the three clinical planes using the inverse dynamics method. The walker dynamometer system allowed characterization of upper extremity loading demands. Significantly differing upper extremity loading patterns were Identified for three walker usage methods. Complete description of upper extremity kinetics and kinematics during walker-assisted gait may provide insight into walker design parameters and rehabilitative strategies

Effect of Computer Keyboard Slope on Wrist Position and Forearm Electromyography of Typists Without Musculoskeletal Disorders

Positioning a computer keyboard with a downward slope reduces wrist extension needed to use the keyboard and has been shown to decrease pressure in the carpal tunnel. However, whether a downward slope of the keyboard reduces electromyographic (EMG) activity of the forearm muscles, in particular the wrist extensors, is not known. Subjects and Methods. Sixteen experienced typists participated in this study and typed on a conventional keyboard that was placed on slopes. Electromyographic activity of the extensor carpi ulnaris (ECU), flexor carpi ulnaris (FCU), and flexor carpi radialis (FCR) muscles was measured with surface electrodes, while the extension and ulnar deviation angles of the right and left wrists were measured with electrogoniometers. Results. Wrist extension angle decreased from approximately 12 degrees of extension while typing on a keyboard with a 7.5-degree slope to 3 degrees of flexion with the keyboard at a slope of –15 degrees. Although the differences were in the range of 1% to 3% of maximum voluntary contraction (MVC), amplitude probability distribution function (APDF) of root-mean-square EMG data points from the ECU, FCU, and FCR muscles varied across keyboard slopes. Discussion and Conclusion. Wrist extension decreased as the keyboard slope decreased. Furthermore, a slight decrease in percentage of MVC of the ECU muscle was noted as the keyboard slope decreased. Based on biomechanical modeling and published work on carpal tunnel pressure, both of these findings appear to be positive with respect to comfort and fatigue, but the exact consequences of these findings on the reduction or prevention of injuries have yet to be determined. The results may aid physical therapists and ergonomists in their evaluations of computer keyboard workstations and in making recommendations for interventions with regard to keyboard slope angle. [Simoneau GG, Marklin RW, Berman JE. Effect of computer keyboard slope on wrist position and forearm electromyography of typists without musculoskeletal disorders. Phys Ther. 2003;83:816–830.

Effect of a rotor wake on heat transfer from a circular cylinder

The effect of a rotor wake on heat transfer to a downstream stator was investigated. The rotor was modeled with a spoked wheel of 24 circular pins 1.59 mm in diameter. One of the stator pins was electrically heated in the midspan region and circumferentially averaged heat transfer coefficients were obtained. The experiment was run in an annular flow wind tunnel using air at ambient temperature and pressure. Reynolds numbers based on stator cylinder diameter ranged from .001 to .00001. Rotor blade passing frequencies ranged from zero to 2500 Hz. Stationary grids were used to vary the rotor inlet turbulence from one to four percent. The rotor-stator spacings were one and two stator pin diameters. In addition to the heat transfer coefficients, turbulence spectra and ensemble averaged wake profiles were measured. At the higher Reynolds numbers, which is the primary range of interest for turbulent heat transfer, the rotor wakes increased Nusselt number from 10 to 45 percent depending on conditions. At lower Reynolds numbers the effect was as much as a factor of two