Characterization of Human Shoulder Joint Stiffness across 3D Arm
Postures and its Sex Differences
Abstract
Understanding the characteristics of shoulder joint stiffness can offer
insights into how the shoulder joint contributes to arm stability and
assists in various arm postures and movements. This study aims to
characterize posture-dependent shoulder stiffness in a three-dimensional
(3D) space and investigate its potential sex differences. A
multi-degree-of-freedom, parallelactuated shoulder exoskeleton robot was
employed to perturb the participantâ\euro™s shoulder joint and measure
the resulting torque responses while participants relaxed their shoulder
muscles. The group average results of 40 healthy individuals (20 males
and 20 females) revealed that arm postures significantly affect shoulder
stiffness, particularly in postures involving shoulder flexion/extension
and horizontal flexion/extension. Shoulder stiffness consistently
increased as the shoulder flexion angle decreased and the shoulder
horizontal flexion/extension approached the limit of its range of
motion. The comparative group results between males and females
indicated that shoulder stiffness in males was consistently greater than
that in females across all 15 arm postures measured in this study. Even
after weight-normalization, the female group showed significantly
smaller stiffness than the male group in 12 out of 15 arm postures. The
results highlight that 3D arm postures and sex significantly affect
shoulder stiffness even under relaxed muscles. This study provides
valuable foundations for future studies aimed at characterizingshoulder
stiffness in the context of active muscles and dynamic movement tasks,
evaluating changes in shoulder stiffness following neuromuscular
injuries, and formulating rehabilitative training protocols for
individuals suffering from shoulder problems.