817 research outputs found

    Model-Based Estimation of Muscle Forces Exerted During Movements

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    Estimation of individual muscle forces during human movement can provide insight into neural control and tissue loading and can thus contribute to improved diagnosis and management of both neurological and orthopaedic conditions. Direct measurement of muscle forces is generally not feasible in a clinical setting, and non-invasive methods based on musculoskeletal modeling should therefore be considered. The current state of the art in clinical movement analysis is that resultant joint torques can be reliably estimated from motion data and external forces (inverse dynamic analysis). Static optimization methods to transform joint torques into estimates of individual muscle forces using musculoskeletal models, have been known for several decades. To date however, none of these methods have been successfully translated into clinical practice. The main obstacles are the lack of studies reporting successful validation of muscle force estimates, and the lack of user-friendly and efficient computer software. Recent advances in forward dynamics methods have opened up new opportunities. Forward dynamic optimization can be performed such that solutions are less dependent on measured kinematics and ground reaction forces, and are consistent with additional knowledge, such as the force–length–velocity–activation relationships of the muscles, and with observed electromyography signals during movement. We conclude that clinical applications of current research should be encouraged, supported by further development of computational tools and research into new algorithms for muscle force estimation and their validation

    Biomechanics

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    Biomechanics is a vast discipline within the field of Biomedical Engineering. It explores the underlying mechanics of how biological and physiological systems move. It encompasses important clinical applications to address questions related to medicine using engineering mechanics principles. Biomechanics includes interdisciplinary concepts from engineers, physicians, therapists, biologists, physicists, and mathematicians. Through their collaborative efforts, biomechanics research is ever changing and expanding, explaining new mechanisms and principles for dynamic human systems. Biomechanics is used to describe how the human body moves, walks, and breathes, in addition to how it responds to injury and rehabilitation. Advanced biomechanical modeling methods, such as inverse dynamics, finite element analysis, and musculoskeletal modeling are used to simulate and investigate human situations in regard to movement and injury. Biomechanical technologies are progressing to answer contemporary medical questions. The future of biomechanics is dependent on interdisciplinary research efforts and the education of tomorrow’s scientists

    Characteristics of muscle activation patterns at the ankle in stroke patients during walking.

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    Stroke causes impairment of the sensory and motor systems; this can lead to difficulties in walking and participation in society. For effective rehabilitation it is important to measure the essential characteristics of impairment and associate these with the nature of disability. Efficient gait requires a complex interplay of muscles. Surface electromyography(sEMG) can be used to measure muscle activity and to observe disruption to this interplay after stroke. Yet, classification of this disruption in stroke patients has not been achieved. It is hypothesised that features identified from the sEMG signal can be used to classify underlying impairments. A clinically viable gait analysis system has been developed, integrating an in-house wireless sEMG system synchronised with bilateral video and inertial orientation sensors. Signal processing techniques have been extended and implemented, appropriate for use with sEMG. These techniques have focussed on frequency domain features using wavelet analysis and muscle activation patterns using principal component analysis. The system has been used to measure gait from stroke patients and un-impaired subjects. Characteristic patterns of activity from the ankle musculature were defined using principal component analysis of the linear envelope. Patients with common patterns of tibialis anterior activity did not necessarily share common patterns of gastrocnemius or soleus activity. Patients with similar linear envelope patterns did not always present with the same kinematic profiles. The relationship between observable impairments, kinematics and sEMG is seen to be complex and there is therefore a need for a multidimensional view of gait data in relation to stroke impairment. The analysis of instantaneous mean frequency and time-frequency has revealed additional periods of activity not obvious in the linear or raw signal representation. Furthermore, characteristic calf activity was identified that may relate to abnormal reflex activity. This has provided additional information with which to group characteristic muscle activity. An evaluation of the co-activation of gastrocnemius and tibialis anterior muscles using a sub-band filtering technique revealed three groups; those with distinct co-activation, those with little co-activation and those with continuous activity in the antagonistic pair across the stride. Signal features have been identified in sEMG recordings from stroke patients whilst walking extending current signal processing techniques. Common features of the sEMG and movement have been grouped creating a decision matrix. These results have contributed to the field of clinical measurement and diagnosis because interpretation of this decision matrix is related to underlying impairment. This has provided a framework from which subsequent studies can classify characteristic patterns of impairment within the stroke population; and thus assist in the provision of rehabilitative interventions

    Down-Conditioning of Soleus Reflex Activity using Mechanical Stimuli and EMG Biofeedback

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    Spasticity is a common syndrome caused by various brain and neural injuries, which can severely impair walking ability and functional independence. To improve functional independence, conditioning protocols are available aimed at reducing spasticity by facilitating spinal neuroplasticity. This down-conditioning can be performed using different types of stimuli, electrical or mechanical, and reflex activity measures, EMG or impedance, used as biofeedback variable. Still, current results on effectiveness of these conditioning protocols are incomplete, making comparisons difficult. We aimed to show the within-session task- dependent and across-session long-term adaptation of a conditioning protocol based on mechanical stimuli and EMG biofeedback. However, in contrast to literature, preliminary results show that subjects were unable to successfully obtain task-dependent modulation of their soleus short-latency stretch reflex magnitude

    The Investigation of Motor Primitives During Human Reaching Movements and the Quantification of Post-Stroke Motor Impairment

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    Movement is a complex task, requiring precise and coordinated muscle contractions. The forces and torques produced during multi-segmental movement of the upper limbs in humans, must be controlled, in order for movement to be achieved successfully. Although a critical aspect of everyday life, there remain questions regarding the specific controller used by the central nervous system to govern movement. Furthermore, how this system is affected by neurological injuries such as stroke also remains in question. It was the goal of this thesis to examine the neurological control of movement in healthy individuals and apply these findings to the further investigation of chronically motor impaired stroke patients. Additionally, this work aimed at providing clinicians with a more reliable, easy to use, and inexpensive approach to quantify post-stroke motor impairment

    Joint-specific changes in locomotor complexity in the absence of muscle atrophy following incomplete spinal cord injury

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    ackground Following incomplete spinal cord injury (iSCI), descending drive is impaired, possibly leading to a decrease in the complexity of gait. To test the hypothesis that iSCI impairs gait coordination and decreases locomotor complexity, we collected 3D joint angle kinematics and muscle parameters of rats with a sham or an incomplete spinal cord injury. Methods 12 adult, female, Long-Evans rats, 6 sham and 6 mild-moderate T8 iSCI, were tested 4 weeks following injury. The Basso Beattie Bresnahan locomotor score was used to verify injury severity. Animals had reflective markers placed on the bony prominences of their limb joints and were filmed in 3D while walking on a treadmill. Joint angles and segment motion were analyzed quantitatively, and complexity of joint angle trajectory and overall gait were calculated using permutation entropy and principal component analysis, respectively. Following treadmill testing, the animals were euthanized and hindlimb muscles removed. Excised muscles were tested for mass, density, fiber length, pennation angle, and relaxed sarcomere length. Results Muscle parameters were similar between groups with no evidence of muscle atrophy. The animals showed overextension of the ankle, which was compensated for by a decreased range of motion at the knee. Left-right coordination was altered, leading to left and right knee movements that are entirely out of phase, with one joint moving while the other is stationary. Movement patterns remained symmetric. Permutation entropy measures indicated changes in complexity on a joint specific basis, with the largest changes at the ankle. No significant difference was seen using principal component analysis. Rats were able to achieve stable weight bearing locomotion at reasonable speeds on the treadmill despite these deficiencies. Conclusions Decrease in supraspinal control following iSCI causes a loss of complexity of ankle kinematics. This loss can be entirely due to loss of supraspinal control in the absence of muscle atrophy and may be quantified using permutation entropy. Joint-specific differences in kinematic complexity may be attributed to different sources of motor control. This work indicates the importance of the ankle for rehabilitation interventions following spinal cord injury

    Identifying Plant and Feedback in Human Posture Control

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    Human upright bipedal stance is a classic example of a control system consisting of a plant (i.e., the physical body and its actuators) and feedback (i.e., neural control) operating continuously in a closed loop. Determining the mechanistic basis of behavior in a closed loop control system is problematic because experimental manipulations or deficits due to trauma/injury influence all parts of the loop. Moreover, experimental techniques to open the loop (e.g., isolate the plant) are not viable because bipedal upright stance is not possible without feedback. The goal of the proposed study is to use a technique called closed loop system identification (CLSI) to investigate properties of the plant and feedback separately. Human upright stance has typically been approximated as a single-joint inverted pendulum, simplifying not only the control of a multi-linked body but also how sensory information is processed relative to body dynamics. However, a recent study showed that a single-joint approximation is inadequate. Trunk and leg segments are in-phase at frequencies below 1 Hz of body sway and simultaneously anti-phase at frequencies above 1 Hz during quiet stance. My dissertation studies have investigated the coordination between the leg and trunk segments and how sensory information is processed relative to that coordination. For example, additional sensory information provided through visual or light touch information led to a change of the in-phase pattern but not the anti-phase pattern, indicating that the anti-phase pattern may not be neurally controlled, but more a function of biomechanical properties of a two-segment body. In a subsequent study, I probed whether an internal model of the body processes visual information relative to a single or double-linked body. The results suggested a simple control strategy that processes sensory information relative to a single-joint internal model providing further evidence that the anti-phase pattern is biomechanically driven. These studies suggest potential mechanisms but cannot rule out alternative hypotheses because the source of behavioral changes can be attributed to properties of the plant and/or feedback. Here I adopt the CLSI approach using perturbations to probe separate processes within the postural control loop. Mechanical perturbations introduce sway as an input to the feedback, which in turn generates muscle activity as an output. Visual perturbations elicit muscle activity (a motor command) as an input to the plant, which then triggers body sway as an output. Mappings of muscle activity to body sway and body sway to muscle activity are used to identify properties of the plant and feedback, respectively. The results suggest that feedback compensates for the low-pass properties of the plant, except at higher frequencies. An optimal control model minimizing the amount of muscle activation suggests that the mechanism underlying this lack of compensation may be due to an uncompensated time delay. These techniques have the potential for more precise identification of the source of deficits in the postural control loop, leading to improved rehabilitation techniques and treatment of balance deficits, which currently contributes to 40% of nursing home admissions and costs the US health care system over $20B per year
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