Insights into muscle metabolic energetics: Modelling muscle-tendon mechanics and metabolic rates during walking across speeds

Prior studies have produced models to predict metabolic rates based on experimental observations of isolated muscle contraction from various species. Such models can provide reliable predictions of metabolic rates in humans if muscle properties and control are accurately modeled. This study aimed to examine how muscle-tendon model calibration and metabolic energy models influenced estimation of muscle-tendon states and time-series metabolic rates, to evaluate the agreement with empirical data, and to provide predictions of the metabolic rate of muscle groups and gait phases across walking speeds. Three-dimensional musculoskeletal simulations with prescribed kinematics and dynamics were performed. An optimal control formulation was used to compute muscle-tendon states with four levels of individualization, ranging from a scaled generic model and muscle controls based on minimal activations, to calibration of passive muscle forces, personalization of Achilles and quadriceps tendon stiffnesses, to finally informing muscle controls with electromyography. We computed metabolic rates based on existing models. Simulations with calibrated passive forces and personalized tendon stiffness most accurately estimate muscle excitations and fiber lengths. Interestingly, the inclusion of electromyography did not improve our estimates. The whole-body average metabolic cost was better estimated using Bhargava et al. 2004 and Umberger 2010 models. We estimated metabolic rate peaks near early stance, pre-swing, and initial swing at all walking speeds. Plantarflexors accounted for the highest cost among muscle groups at the preferred speed and was similar to the cost of hip adductors and abductors combined. Also, the swing phase accounted for slightly more than one-quarter of the total cost in a gait cycle, and its relative cost decreased with walking speed.Comment: 33 pages, 7 figure

Assisting walking balance using a bio-inspired exoskeleton controller

Background: Balance control is important for mobility, yet exoskeleton research has mainly focused on improving metabolic energy efficiency. Here we present a biomimetic exoskeleton controller that supports walking balance and reduces muscle activity. Methods: Humans restore balance after a perturbation by adjusting activity of the muscles actuating the ankle in proportion to deviations from steady-state center of mass kinematics. We designed a controller that mimics the neural control of steady-state walking and the balance recovery responses to perturbations. This controller uses both feedback from ankle kinematics in accordance with an existing model and feedback from the center of mass velocity. Control parameters were estimated by fitting the experimental relation between kinematics and ankle moments observed in humans that were walking while being perturbed by push and pull perturbations. This identified model was implemented on a bilateral ankle exoskeleton. Results: Across twelve subjects, exoskeleton support reduced calf muscle activity in steady-state walking by 19% with respect to a minimal impedance controller (p < 0.001). Proportional feedback of the center of mass velocity improved balance support after perturbation. Muscle activity is reduced in response to push and pull perturbations by 10% (p = 0.006) and 16% (p < 0.001) and center of mass deviations by 9% (p = 0.026) and 18% (p = 0.002) with respect to the same controller without center of mass feedback. Conclusion: Our control approach implemented on bilateral ankle exoskeletons can thus effectively support steady-state walking and balance control and therefore has the potential to improve mobility in balance-impaired individuals.Support Biomechanical Engineerin

Identifying the limitations in balance control of elderly using predictive simulations of human posture and gait

Falls in the elderly are a major threat not for only their independency but also because the major cost for the healthcare system. Many researchers use experiments in subjects to study balance reactions and how they decline in the elderly. These experiments describe the changes in their reactions, but it is quit hard to know what they are related to as many aspects of the human body change with aging. We propose that by using computer representations of the human body we can better understand what specific aspects impose the largest risks as they prevent elderly to recover balance. To develop these computer representations we will perform experiments that will perturb the posture and gait using an exoskeleton. Using this approach, we will be able to predict the effect of age-related changes, such as muscle weakness, on balance. This will allow us to detect the muscles that are most important to remain stable. This information can then be used in training protocols.status: publishe

Cranial ultrasound after forceful midpelvis vacuum extraction at term

Peer Reviewe

Ultrasound-based optimal parameter estimation improves assessment of calf muscle-tendon interaction during walking

We present and evaluate a new approach to estimate calf muscle-tendon parameters and calculate calf muscle-tendon function during walking. We used motion analysis, ultrasound, and EMG data of the calf muscles collected in six young and six older adults during treadmill walking as inputs to a new optimal estimation algorithm. We used estimated parameters or scaled generic parameters in an existing approach to calculate muscle fiber lengths and activations. We calculated the fit with experimental data in terms of root mean squared differences (RMSD) and coefficients of determination (R 2 ). We also calculated the calf muscle metabolic energy cost. RMSD between measured and calculated fiber lengths and activations decreased and R 2 increased when estimating parameters compared to using scaled generic parameters. Moreover, R 2 between measured and calculated gastrocnemius medialis fiber length and soleus activations increased by 19 % and 70 %, and calf muscle metabolic energy decreased by 25% when using estimated parameters compared to using scaled generic parameters at speeds not used for estimation. This new approach estimates calf muscle-tendon parameters in good accordance with values reported in literature. The approach improves calculations of calf muscle-tendon interaction during walking and highlights the importance of individualizing calf muscle-tendon parameters.status: publishe