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Big in Japan: Video Games that Kill {Gadling}
Sep 4th 2007 12:36AM Arm wrestling arcade games have made their way to the states before. Although this one seems to have a nicer set up and updated graphics - I've played one before in a small mall arcade in Rhode Island when growing up.
http://www.klov.com/game_detail.php?letter=A&game_id=6920
Based upon my experience I can understand how you could get injured. Although the game may not be "strong" the arm is a set size and everyones arms are different. The size / angle etc of the mechanical arm forces the player to put their arm in weird configurations in order to play.