Evidence of movement variability patterns during a repetitive pointing task until exhaustion.

Human movement is characterized by its variability: the same task is never performed twice in exactly the same way. This variability is believed to play a functional role in movement performance and adaptability, as well as in preventing musculoskeletal damage. This article focuses on the time-evolution of movement variability throughout a repetitive pointing task until exhaustion. The kinematics of 13 subjects performing the pointing task is analyzed. Principal Component Analysis of joint angles identifies joint coordinations for each pointing cycle, and cycle-by-cycle comparison highlights movement variability. Non-supervised clustering reveals that subjects adopt successive coordination patterns at an intra-individual level. Inter-individual variability is characterized by the number and type of such patterns: from 3 to 5 patterns, mobilizing the trunk, the shoulder and the upper limbs differently. Movement variability exists even in a seemingly basic and constrained task. It appears in the very early stages of fatigue onset, and may correspond to adaptative coordination responses throughout task performance. This observation should encourage workstation designers to better account for movement variability in order to preserve operators' health and safety.

Intrinsic movement variability at work. How long is the path from motor control to design engineering?

For several years, increasing numbers of studies have highlighted the existence of movement variability. Before that, it was neglected in movement analysis and it is still almost completely ignored in workstation design. This article reviews motor control theories and factors influencing movement execution, and indicates how intrinsic movement variability is part of task completion. These background clarifications should help ergonomists and workstation designers to gain a better understanding of these concepts, which can then be used to improve design tools. We also question which techniques--kinematics, kinetics or muscular activity--and descriptors are most appropriate for describing intrinsic movement variability and for integration into design tools. By this way, simulations generated by designers for workstation design should be closer to the real movements performed by workers. This review emphasises the complexity of identifying, describing and processing intrinsic movement variability in occupational activities.

Determination of joint efforts in the human body during maximum ramp pushing efforts.

Determining with accuracy, the internal efforts in the human body is a great challenge in Biomechanics, particularly in Physical Therapy and Ergonomics. In this context, the present study develops a human body model that permits a non-invasive determination of the joint efforts produced by a seated subject performing maximum ramp pushing efforts. The joint interactions during these experiments are provided by a dynamic inverse model of the human body, using a symbolically generated recursive Newton-Euler formalism. The theoretical investigation is presented in two steps, with increasing complexity and relevance:The dynamic model confirms some previous studies of the effects of biomechanical factors on the performance of the task and is proposed as an accurate method for determining the joint efforts in dynamic contexts. Finally, this application is a preliminary benchmark case that will be extended to: *physical therapy, in order to analyse the joint and muscle efforts in various motion contexts, particularly for patients with fibromyalgia and patients with lumbar diseases; *accidentology, in order to analyse and simulate car occupant dynamics before a crash.

Does support surface coefficient of friction influence postural dynamics and isometric force productions of the upper extremities performed by seated subjects?

The purpose of this study is to determine if increasing the potential risk of slipping on support surface materials decreases postural dynamics and task performance. Seated subjects were asked to exert maximum horizontal two-handed isometric pushes as quickly as possible on a dynamometric bar. Reaction forces exerted at seat (Rxs and Rzs) and footrest (Rxf and Rzf) were measured using force sensors. A dynamometric bar measured horizontal push force (Fx). Global adherence ratio (micro) was calculated. Three support surface materials, characterised by different coefficients of friction, were tested. The same surfaces were placed on the seat and the footrest during a series of pushes. It was shown that the different support surfaces significantly influence Fx, Rxs, Rzs, Rzf and micro maximum values obtained at the end of the push. Even when the instructions given to the subject are to produce a maximum push, the maximum horizontal force applied to the bar differs according to the support surface material. Dynamic postural adjustments are influenced by characteristics of slipperiness of support surfaces. The coefficient of friction contributes an essential element to the program of postural dynamics, which in turn modulates the task performance. During brief isometric pushes, seated subjects have the capacity to control the potential risk of slipping.

[Livedo-like dermatitis (Nicolau's syndrome) after injection of Copolymer-1 (Glatiramer acetate)]. / Dermite livedoïde de Nicolau après injection de Copolymère-1 (acétate de Glatiramer).

We report the first case of a 33-year-old woman with multiple sclerosis, who developed a livedo-like dermatitis after injection of Copolymere-1. This disease is characterized by the development of acute violent pain during or immediately after injection, and a livedo-like plaque followed by necrosis corresponding to an arterial ischemia by vasospasm or thrombosis. Early treatment with vasoactive and anticoagulation agents is required. Surgery may be necessary.