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Influence of multibody kinematic optimisation pipeline on marker residual errors 多体运动学优化管道对标记残余误差的影响。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-11-01 DOI: 10.1016/j.jbiomech.2024.112395
Vignesh Radhakrishnan, Samadhan Patil, Adar Pelah, Peter Ellison
Residual errors are used as a goodness-of-fit metric of the musculoskeletal model to the experimental data in multibody kinematic optimisation (MKO) analyses. Despite many studies reporting residual errors as a criterion for evaluating their proposed algorithm or model, the validity of residual errors as a performance metric has been questioned, with studies indicating a non-causal relationship between residual errors and computed joint angles. Additionally, the impact of different parameters of an MKO pipeline on residual errors has not been analysed. In our study, we have investigated the effect of each step of the MKO pipeline on residual errors, and the existence of a causal relationship between residual errors and joint angles. Increases in residual errors from the baseline model (13.84 [12.72, 15.15]mm) were obtained for: models with marker registration errors of 1.25 cm (16.36 [15.37, 17.57]mm); models with segment scaling errors of 1.25 cm (14.84 [13.77, 16.24]mm); variation in marker weighting scheme (15.28[14.00, 16.85]mm); and models with differing joint constraints (18.21[17.37, 19.11]mm). We also observed that significant variation in residual errors results in significant variation in computed joint angles, with increases in residual error positively correlated with increases in joint angle errors when the same MKO pipeline is employed. Our findings support the existence of a causal relationship and present the significant effect the MKO pipeline has on residual errors. We believe our results can further the discussion of residual errors as a goodness-of-fit metric, specifically in the absence of artefact-free bone movement.
在多体运动学优化(MKO)分析中,残余误差被用作肌肉骨骼模型与实验数据的拟合度量。尽管许多研究都将残余误差作为评估其提出的算法或模型的标准,但残余误差作为性能指标的有效性一直受到质疑,研究表明残余误差与计算的关节角度之间存在非因果关系。此外,尚未分析 MKO 管道的不同参数对残余误差的影响。在我们的研究中,我们调查了 MKO 管道每个步骤对残余误差的影响,以及残余误差和关节角度之间是否存在因果关系。与基线模型(13.84 [12.72, 15.15]毫米)相比,下列模型的残余误差有所增加:标记配准误差为 1.25 厘米的模型(16.36 [15.37, 17.57]毫米);片段缩放误差为 1.25 厘米的模型(14.84 [13.77, 16.24]毫米);标记加权方案的变化(15.28[14.00, 16.85]毫米);以及具有不同关节约束的模型(18.21[17.37, 19.11]毫米)。我们还观察到,残余误差的显著变化会导致计算关节角度的显著变化,当采用相同的 MKO 管道时,残余误差的增加与关节角度误差的增加呈正相关。我们的研究结果支持因果关系的存在,并展示了 MKO 管道对残余误差的显著影响。我们相信,我们的研究结果能进一步推动将残余误差作为拟合优度指标的讨论,特别是在没有无伪影骨骼运动的情况下。
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引用次数: 0
The Association Between Foot Morphology and Foot Loading During Gait 步态时足部形态与足部负荷之间的关系
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-11-01 DOI: 10.1016/j.jbiomech.2024.112396
Kenzo M. Cotton , Xinyi Dan , Edward Godbold , Naomi Frankston , Milad Zarei , Yan Ma , MaCalus V. Hogan , William Anderst
The perceived association between foot type and injury risk has inspired the development of many foot typing methods. The purpose of this study was to determine how well different foot typing methods explained variations in regional foot loading in asymptomatic adults during gait, while considering age, sex, and walking speed as covariates. Six methods were used to determine foot type in 92 asymptomatic adults. An insole pressure sensor system measured peak force and force-time integral during treadmill walking at a self-selected pace. The foot was divided into nine regions and the association between foot type and foot loading was analyzed using generalized estimating equations (GEE) while accounting for the covariates. Over an average of 250 steps per individual, the results demonstrated variability in the association between regional foot loading and foot type. Specifically, Arch Index and X-Ray Arch Type correlated with hindfoot and midfoot loading, while Foot Posture Index correlated with medial midfoot, forefoot, and toe loading. Calcaneal Pitch and Meary’s Angle correlated with medial hindfoot, midfoot, and forefoot loading, while Varus/valgus angle correlated with loading in the forefoot and toes. The location and direction of associations were generally similar for Calcaneal Pitch, Meary’s Angle, and X-Ray Arch Type, and opposite of Arch Index. The analyses demonstrated that walking speed, age, and sex were all important factors that affected the relationship between plantar loading and foot type. Specific foot type methods correlate better with loading in specific foot regions, potentially making them better to evaluate injury risk in those regions.
人们认为脚型与受伤风险之间存在关联,因此开发了许多脚型分析方法。本研究的目的是确定不同的足型分析方法对无症状成年人步态过程中足部区域负荷变化的解释程度,同时考虑年龄、性别和步行速度等协变因素。我们采用了六种方法来确定 92 名无症状成年人的足型。在跑步机上以自选速度行走时,鞋垫压力传感器系统测量了峰值力和力-时间积分。足部被分为九个区域,在考虑协变量的情况下,使用广义估计方程(GEE)分析了足部类型与足部负荷之间的关系。在每个人平均走 250 步的情况下,结果显示脚部区域负荷与脚部类型之间的关联存在差异。具体来说,足弓指数和 X 射线足弓类型与后足和中足负荷相关,而足部姿势指数与中足内侧、前足和足趾负荷相关。腓骨间距和 Meary 角度与后足内侧、中足和前足的负荷相关,而外翻/外翻角度与前足和脚趾的负荷相关。腓骨距、Meary's Angle 和 X 射线足弓类型的关联位置和方向基本相似,而足弓指数则相反。分析表明,步行速度、年龄和性别都是影响足底负荷与足型之间关系的重要因素。特定足型方法与特定足部区域的负荷相关性更好,可能更适合评估这些区域的受伤风险。
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引用次数: 0
Three-dimensional analysis of locomotion patterns after hindlimb suspension and subsequent long-term reloading in growing rats 对生长期大鼠后肢悬吊和随后长期重装后的运动模式进行三维分析。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-11-01 DOI: 10.1016/j.jbiomech.2024.112389
Norikazu Nishida , Marina Kanehara , Akinori Kaneguchi , Junya Ozawa
The long-term effects of insufficient weight loading during growth on locomotion patterns are not fully understood. The purpose of this study was to determine 1) the effects of hindlimb suspension (HS) in skeletally immature rats on locomotion patterns using a treadmill and a three-dimensional (3D) motion analysis system, and 2) the relationships between locomotion patterns and femoral morphologies, which were reconstructed from 3D computed tomography images taken at 54 weeks old. Four-week-old female rats were subjected to HS four or eight weeks, followed by reloading for until reaching up to 54 weeks old. Age-matched untreated rats served as controls. Motion analysis revealed that four and/or eight weeks of HS resulted in increased pelvis oscillation in the frontal plane during steps, decreased hip adduction angle, and toe-out (increased foot abduction angle) during the load response phase at one and five weeks after reloading. Interestingly, the decreased hip adduction angle and toe-out induced by eight weeks of HS persisted even at 54 weeks old. Pearson’s correlation analysis revealed a strong relationship between the hip adduction angle and femoral anteversion angle (r = -0.78) and a moderate relationship between the medial/lateral condyle height (an index of asymmetric condyle size) and toe-out angle (r = 0.66). These results suggest that insufficient weight loading during growth may induce abnormal locomotion patterns via abnormal femoral morphologies that may persist over time.
目前还不完全清楚生长期体重负荷不足对运动模式的长期影响。本研究的目的是利用跑步机和三维(3D)运动分析系统确定:1)骨骼尚未发育成熟的大鼠后肢悬吊(HS)对运动模式的影响;2)运动模式与股骨形态之间的关系。对四周大的雌性大鼠进行为期四周或八周的 HS 治疗,然后进行重装治疗,直至大鼠长到 54 周大。年龄匹配的未接受治疗的大鼠作为对照组。运动分析表明,4周和/或8周的HS会导致大鼠在迈步时骨盆在前方平面的摆动增加、髋关节内收角减小,以及在重新加载后1周和5周的负荷反应阶段脚趾外展(足外展角增大)。有趣的是,八周的 HS 导致的髋关节内收角减小和脚趾外展现象甚至在 54 周龄时仍然存在。皮尔逊相关分析表明,髋关节内收角与股骨内翻角之间存在很强的相关性(r = -0.78),髁内/外侧高度(髁大小不对称的指标)与趾外翻角之间存在中等程度的相关性(r = 0.66)。这些结果表明,生长过程中体重负荷不足可能会通过股骨形态异常诱发运动模式异常,这种异常可能会长期存在。
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引用次数: 0
Frequency and amplitude dependence of nuclear displacement and phase delay in mechanical vibrations for determining cellular natural frequency 用于确定蜂窝固有频率的机械振动中核位移和相位延迟的频率和振幅依赖性。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-11-01 DOI: 10.1016/j.jbiomech.2024.112403
Yuri Kuroki, Toshihiko Shiraishi
Cultured cells biochemically respond to mechanical vibrations. However, the mechanisms of sensing mechanical vibrations and transducing biochemical responses remain unclear. A previous study reported that the expression of the alkaline phosphatase gene of osteoblastic cell under mechanical vibrations peaks at 50 Hz, which seems like a resonance curve in the mechanical vibration theory. Since forced displacement excitation is a dynamic mechanical stimulus that differs from other static mechanical stimuli in that an external force is equivalent to inertia, force is apparently exerted on the mass element by considering the equation of motion. In this study, the method for obtaining the change of a nucleus’s relative displacement to an excited dish was refined, and the frequency and acceleration amplitude dependence of the nucleus’s relative displacement and phase delay under mechanical vibrations was demonstrated by regarding a cell model as a vibration system. The change of the relative displacement of a HeLa nucleus to an excited dish decreases with increasing frequency in the 12.5–100 Hz range at 0.5 G and increases with increasing acceleration amplitude in the 0.5–2.0 G range at 50 Hz. Phase reversal occurs between 12.5 Hz and 50 Hz, which suggests the existence of the natural frequency of the cell between 12.5 Hz and 50 Hz. The single actin filament tension estimated from the nucleus’s relative displacement change was 2.3–10 pN and can be a biochemical response of the mechanotransducer. These findings can contribute to clarifying the mechanism of cell mechanotransduction in dynamic mechanical stimuli.
培养细胞会对机械振动产生生化反应。然而,感知机械振动和传递生化反应的机制仍不清楚。之前有研究报告称,成骨细胞碱性磷酸酶基因在机械振动下的表达峰值为 50 赫兹,这似乎是机械振动理论中的共振曲线。由于强迫位移激励是一种动态机械刺激,与其他静态机械刺激不同的是,外力等同于惯性,通过考虑运动方程,力显然是施加在质量元件上的。本研究完善了获得细胞核相对于受激皿的位移变化的方法,并将细胞模型视为振动系统,证明了机械振动下细胞核相对位移和相位延迟的频率和加速度振幅依赖性。在 0.5 G 条件下,HeLa 细胞核与激励盘的相对位移变化在 12.5-100 Hz 范围内随频率增加而减小,在 50 Hz 条件下,在 0.5-2.0 G 范围内随加速度振幅增加而增大。相位在 12.5 Hz 和 50 Hz 之间发生逆转,这表明细胞的固有频率存在于 12.5 Hz 和 50 Hz 之间。根据细胞核的相对位移变化估算出的单根肌动蛋白丝张力为 2.3-10 pN,这可能是机械换能器的生化反应。这些发现有助于阐明细胞在动态机械刺激下的机械传导机制。
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引用次数: 0
Evaluation of mandibular motions in patients with anterior disc displacement during mouth opening and closing using finite helical axis 使用有限螺旋轴评估椎间盘前移位患者在张口和闭口时的下颌骨运动。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-11-01 DOI: 10.1016/j.jbiomech.2024.112393
Haidong Teng , Hedi Ma , Bingmei Shao , Zhan Liu
Understanding temporomandibular joint (TMJ) kinematics is essential for the clinical diagnosis and treatment of TMJ disorders. Yet, a comprehensive description of mandibular motion information in patients with anterior disc displacement (ADD) is lacking. The finite helical axis (FHA) is a mathematical model describing the motion of a rigid body in space. This model quantifies mandibular motion patterns by differentiating between rotation around the FHA and translation along it. This study aimed to compare the mandibular motion patterns between patients with ADD and asymptomatic subjects during mouth opening and closing utilizing the FHA. Ten asymptomatic subjects (2 females and 8 males, aged 19–22) and ten patients with ADD (8 females and 2 males, aged 19–57) were tracked using an optical motion tracking system for mouth opening and closing. The FHA during mouth opening and closing was determined from motion trajectory. The distance from the condylar center to the FHA (dCP), the angles between the FHA and the head coordinate system (θx, θy, θz), and the global fluctuation of the FHA spatial orientation (θf) were further calculated. In addition, the helical axis of each frame relative to the initial frame was computed to determine the maximum rotation angle (Θmax) and maximum offset (Tmax) of mandibular motion during mouth opening and closing. It was found that Θmax, Tmax, dLCPmean, dLCPmin, θx, and θf for patients with ADD differed significantly from those of asymptomatic subjects. These findings imply that the FHA effectively describes the disparities between patients with ADD and asymptomatic subjects.
了解颞下颌关节(TMJ)运动学对于临床诊断和治疗颞下颌关节疾病至关重要。然而,目前还缺乏对椎间盘前移位(ADD)患者下颌骨运动信息的全面描述。有限螺旋轴(FHA)是一种描述刚体在空间运动的数学模型。该模型通过区分围绕 FHA 轴的旋转和沿 FHA 轴的平移来量化下颌骨的运动模式。本研究旨在利用 FHA 比较注意力缺失症患者和无症状受试者在张口和闭口时的下颌骨运动模式。研究人员使用光学运动跟踪系统对 10 名无症状受试者(2 名女性和 8 名男性,年龄 19-22 岁)和 10 名注意力缺失症患者(8 名女性和 2 名男性,年龄 19-57 岁)的张闭嘴动作进行了跟踪。根据运动轨迹确定张口和闭口时的 FHA。进一步计算了从髁突中心到 FHA 的距离(dCP)、FHA 与头部坐标系之间的角度(θx、θy、θz)以及 FHA 空间方位的全局波动(θf)。此外,还计算了每一帧相对于初始帧的螺旋轴,以确定张口和闭口时下颌骨运动的最大旋转角度(Θmax)和最大偏移量(Tmax)。结果发现,注意力缺失症患者的 Θmax、Tmax、dLCPmean、dLCPmin、θx 和 θf 与无症状受试者有显著差异。这些发现表明,FHA 能有效地描述注意力缺失症患者与无症状者之间的差异。
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引用次数: 0
Exploring healthy knee kinematic phenotypes obtained through dynamic CT imaging: A cluster analysis study 探索通过动态 CT 成像获得的健康膝关节运动表型:聚类分析研究
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-11-01 DOI: 10.1016/j.jbiomech.2024.112402
E.H.S. Teule , S.A.W. van de Groes , G. Hannink , N. Verdonschot , D. Janssen
Dynamic Computed Tomography (CT) emerges as a pivotal imaging modality for the assessment of knee joint kinematics. However, integrating dynamic CT into clinical practice necessitates a thorough understanding of healthy knee kinematics, as large variation in kinematics has been described within healthy populations. Therefore, this study aims to identify and describe healthy phenotypes with homogenous knee kinematics using a clustering approach. A total of 120 healthy knees from 64 participants underwent dynamic CT scanning during knee extension and flexion. Eight tibiofemoral (TF) and patellofemoral kinematic parameters were extracted, after which K-means clustering was applied to identify homogenous kinematic clusters. Kinematic phenotypes were obtained by calculating the median and interquartile range (IQR) for all kinematic parameters per cluster. Two distinct clusters were found, comprising 53 (Cluster 1) and 67 (Cluster 2) knees. Statistically significant differences between the clusters were found in six out of eight kinematic parameters. The most notable differences were observed in TF rotations, with cluster 1 exhibiting a greater amount of internal and adduction rotation of the tibia compared to cluster 2. The two kinematic phenotypes provide new insights into the nuanced variation within a healthy cohort and can serve as reference for future studies evaluating pathological kinematic phenotypes using dynamic CT.
动态计算机断层扫描(CT)是评估膝关节运动学的重要成像方式。然而,要将动态 CT 应用于临床实践,就必须全面了解健康膝关节的运动学特性,因为健康人群的运动学特性存在很大差异。因此,本研究旨在使用聚类方法识别和描述具有同质膝关节运动学特征的健康表型。共有 64 名参与者的 120 个健康膝关节接受了膝关节伸屈时的动态 CT 扫描。提取了八个胫骨股骨(TF)和髌骨运动学参数,然后应用 K-means 聚类方法识别同质运动学群组。通过计算每个聚类的所有运动学参数的中位数和四分位距(IQR),得出运动学表型。发现了两个不同的簇,分别由 53 个(簇 1)和 67 个(簇 2)膝关节组成。在八个运动学参数中,有六个参数在组群间存在统计学意义上的显著差异。最明显的差异体现在TF旋转上,与第2组相比,第1组表现出更大的胫骨内旋和内收旋转。这两种运动学表型为了解健康人群中的细微变化提供了新的视角,可作为未来使用动态 CT 评估病理运动学表型研究的参考。
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引用次数: 0
A novel rigid Foot-Ground contact model for Predicting ground reaction forces and center of pressure during normal gait 用于预测正常步态下地面反作用力和压力中心的新型刚性足地接触模型。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-11-01 DOI: 10.1016/j.jbiomech.2024.112383
Xianzhi Gao , Lu Wang , Liang Jiang , Xue Chen , Zixin Wang , Sen Zhao , Qing Sun , Bo Huo
Ground reaction forces (GRFs) and center of pressure (COP) are essential for understanding human motion and evaluating biomechanical parameters, but measuring them with force plates is often limited in many scenarios. In this study, we propose a novel methodology for estimating GRFs and COP during normal gait based on a rigid foot–ground contact model, referred to as the COP phase transition continuity model (COP-PTCM). The GRFs and COP are calculated based on the Newton-Euler Equations during the single support phase (SSP). Considering the spatiotemporal continuity of the COP trajectory during normal gait, the COP data for the double support phase (DSP) is obtained by an improved logistic function fitted using the COP data from the SSP. GRFs during the DSP are optimized using the minimum energy hypothesis. The COP-PTCM method is used to estimate the GRFs and COP of ten participants during normal gait, and the results are compared with simultaneously measured force plate data, yielding the relative root mean square error (rRMSE) between measured and estimated GRFs in the anterior-posterior, vertical, and medial–lateral directions are 10.90±2.09 %, 4.73±1.44 %, and 15.17±1.69 %, respectively. Additionally, the rRMSE between measured and estimated COP in the anterior-posterior direction is 11.23±0.03 %. The above comparison validates the effectiveness and accuracy of the proposed method.
地面反作用力(GRFs)和压力中心(COP)对于理解人体运动和评估生物力学参数至关重要,但在许多情况下,使用测力板测量地面反作用力和压力中心往往受到限制。在本研究中,我们提出了一种基于刚性足地接触模型(称为 COP 相变连续性模型 (COP-PTCM))的估算正常步态下 GRFs 和 COP 的新方法。在单支撑阶段(SSP),根据牛顿-欧拉方程计算 GRF 和 COP。考虑到正常步态时 COP 轨迹的时空连续性,双支撑阶段(DSP)的 COP 数据是通过使用 SSP 的 COP 数据拟合改进的对数函数获得的。DSP 期间的 GRF 采用最小能量假设进行优化。COP-PTCM 方法用于估算 10 名参与者正常步态时的 GRF 和 COP,并将结果与同时测量的力板数据进行比较,得出前后方向、垂直方向和内外侧方向的 GRF 测量值与估算值之间的相对均方根误差(rRMSE)分别为 10.90±2.09%、4.73±1.44% 和 15.17±1.69%。此外,前后方向的测量值和估计值之间的 rRMSE 为 11.23±0.03 %。上述比较验证了所提方法的有效性和准确性。
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引用次数: 0
Evaluation of lower-body gait kinematics on outdoor surfaces using wearable sensors 利用可穿戴传感器评估户外地面上的下半身步态运动学
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-10-30 DOI: 10.1016/j.jbiomech.2024.112401
Vaibhav R. Shah , Phillipe C. Dixon , Alexander P. Willmott
The effects of outdoor surfaces on gait are unclear due to difficulties associated with motion tracking outside laboratories. Today, inertial measurement unit (IMU) systems can be deployed to understand the biomechanical adaptations required to navigate real-world environments successfully. This study used IMUs devices to identify lower-limb kinematic adaptations while walking on outdoor surfaces. We hypothesize that gait adaptations between surface types will present as differences in lower-limb joint angles. Thirty able-bodied adults performed walking trials with IMUs on the lower back, thighs, and shanks. Outdoor walking surfaces were flat and even (flateven) (0° grade cement), cobblestone, grass, slope up, slope down, stairs up, and stairs down. A complementary-based sensor fusion algorithm was used to compute hip and knee joint flexion–extension angles, and data were normalized to 100 % of the gait cycle based on foot-strike events. Flateven walking was compared against all other surfaces. Two-sample one-dimensional statistical parametric mapping (1d-SPM) t-tests were used to identify differences between angles (α ≤ 0.05). Significant differences in joint angles were identified when grass, slope up, slope down, stairs up, and stairs down walking were compared with flateven (p ≤ 0.005). Moreover, differences were found between slope and stair conditions (p ≤ 0.004). No significant differences were noted between flateven and cobblestone. This study demonstrates that gait adaptations driven by differences in surface types can be observed using IMU sensors in an outdoor setting.
由于在实验室外进行运动跟踪存在困难,室外路面对步态的影响尚不清楚。如今,可以利用惯性测量单元(IMU)系统来了解在真实世界环境中成功导航所需的生物力学适应性。本研究使用 IMUs 设备来识别在户外表面行走时的下肢运动适应性。我们假设不同表面类型之间的步态适应将表现为下肢关节角度的差异。30 名健全成年人在下背部、大腿和小腿上使用 IMU 进行了行走试验。室外行走的路面包括平整路面(0°坡度水泥路面)、鹅卵石路面、草地路面、上坡路面、下坡路面、上楼梯路面和下楼梯路面。使用基于互补的传感器融合算法来计算髋关节和膝关节的屈伸角度,并根据脚击事件将数据归一化为步态周期的 100%。平地行走与所有其他地面进行了比较。采用二样本一维统计参数映射(1d-SPM)t 检验来确定角度之间的差异(α ≤ 0.05)。当草地、上坡、下坡、上楼梯和下楼梯行走与平地行走进行比较时,发现关节角度存在显著差异(p ≤ 0.005)。此外,斜坡和楼梯条件之间也存在差异(p ≤ 0.004)。平坦路面和鹅卵石路面之间没有明显差异。这项研究表明,在户外环境中使用 IMU 传感器可以观察到由表面类型差异引起的步态适应。
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引用次数: 0
Reliability of a novel neck external loading dynamometer 新型颈部外部负荷测力计的可靠性。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-10-29 DOI: 10.1016/j.jbiomech.2024.112400
Marc Julia , Loic Damm , Simon Pla , Jean-Paul Micallef , Arnaud Dupeyron , Stéphane Perrey
Cervistab is an electro-pneumatic device that produces flexion push-loading events in an ecological rugby position (i.e. similar to on-pitch position) to assess neck extensors muscle response to a flexion perturbation. This response is important for preventing head/neck injuries in Rugby, however there is a clear lack of validated devices in the literature.
This study tested the reliability of this new device designed to investigate the extensor neck muscle response to flexion head push-loading event. Twelve healthy volunteers were tested with Cervistab in a test/retest protocol. Participants experienced push-loading events with preloading on extensors muscles at 50 % and 20 % of their maximum voluntary isometric extension strength. Muscle mechanical latency, non-reflex and reflex rates of force development were measured twice, 7 days apart. Reliability was assessed by intraclass correlation coefficient (ICC), coefficient of variation (CV), and the Bland and Altman graphical approach.
For both preloading conditions, muscle mechanical latency showed good ICC values from 0.81 to 0.88 and good CV (3.5%). Non-reflex and reflex rates of force development showed good reliability with ICC ranging from 0.78 to 0.89, and moderate CV values ranging from 8.5% to 14.5%, depending on the preloading condition (20% and 50% of maximal isometric extension contraction respectively). Bland and Altman plots showed no significant fixed or proportional bias.
Overall, the reliability of measurements obtained with Cervistab is good. Cervistab can be used in practice to improve our understanding of the neuromechanical factors that influence neck stability, to help prevent head/neck injuries and to guide the decision to return to play after a head or neck injury.
Cervistab 是一种电动气动装置,可在生态橄榄球姿势(即类似于球场上的姿势)下产生屈曲推力加载事件,以评估颈部伸肌对屈曲扰动的反应。这种反应对于预防橄榄球运动中的头颈部损伤非常重要,但文献中明显缺乏经过验证的设备。本研究测试了这一新设备的可靠性,该设备旨在研究颈部伸肌对屈曲头部推力加载事件的反应。12 名健康志愿者接受了 Cervistab 的测试/重测方案。测试者体验了推力加载事件,对伸肌的预压分别为其最大自主等长伸展力量的 50% 和 20%。对肌肉机械潜伏期、非反射和反射的力量发展速度进行了两次测量,每次间隔 7 天。可靠性通过类内相关系数(ICC)、变异系数(CV)以及布兰德和阿尔特曼图形方法进行评估。在两种预负荷条件下,肌肉机械潜伏期均显示出良好的 ICC 值(0.81 至 0.88)和良好的 CV 值(3.5%)。非反射和反射发力率显示出良好的可靠性,ICC 为 0.78 至 0.89,中等 CV 值为 8.5% 至 14.5%,具体取决于预负荷条件(分别为最大等长伸展收缩的 20% 和 50%)。布兰德和阿尔特曼图显示没有明显的固定偏差或比例偏差。总体而言,使用 Cervistab 进行测量的可靠性良好。Cervistab 可用于提高我们对影响颈部稳定性的神经机械因素的认识,帮助预防头颈部损伤,并为头部或颈部损伤后重返赛场的决定提供指导。
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引用次数: 0
Potential recovery of arm strength capability in a post-breast cancer treatment population: A simulation analysis 乳腺癌治疗后人群臂力的潜在恢复能力:模拟分析
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2024-10-29 DOI: 10.1016/j.jbiomech.2024.112398
Jacquelyn M. Maciukiewicz, Clark R. Dickerson
Arm dysfunction often follows breast cancer treatments. Diversity in treatment makes it challenging to explore how exercise impacts dysfunction in survivors. This study computationally simulated treatment scenarios to identify a theoretical maximal producible force (aided by muscular training) and the internal muscle forces required to produce that force in a compromised system. An existing shoulder model was modified to reduce the capacity of certain muscles to mimic lower-functioning breast cancer populations. Capacity of muscles were increased to emulate training, with maximums dictated based on damage from treatment-specific scenarios (radiation, chemotherapy, combination treatment). Maximum force, torque, and muscle forces were extracted for each treatment scenario, a maximum (unaltered) non-cancer reference, and baseline (breast cancer survivor) force, across 2 maximum isometric force exertions (adduction and internal rotation). Overall, 70–80 % of strength was recoverable with successful retraining. Specifically, for both exertions’ recruitment of primary movers (adductors or internal rotators) and scapular and glenohumeral stabilizers, increased from the baseline level in each scenario, with highest recruitment at the non-cancer reference force level. Although no post-training scenario reached non-cancer reference control population force levels, achieving 70–80 % of force could enable more successful daily task performance, return to work and enhance overall physical self-efficacy.
乳腺癌治疗后常常会出现手臂功能障碍。治疗方法的多样性使得探索运动如何影响幸存者的功能障碍具有挑战性。本研究通过计算模拟治疗方案,确定理论上可产生的最大力量(通过肌肉训练辅助),以及在受损系统中产生该力量所需的肌肉内力。对现有的肩部模型进行了修改,降低了某些肌肉的能力,以模拟功能较低的乳腺癌患者。增加肌肉能力以模拟训练,最大值则根据特定治疗方案(放疗、化疗、综合治疗)造成的损伤来确定。针对每种治疗方案、最大(未改变的)非癌症参考值和基线(乳腺癌幸存者)力,在 2 个最大等长力运动(内收和内旋)中提取最大力、扭矩和肌肉力。总体而言,通过成功的再训练,70%-80% 的力量可以恢复。具体来说,在这两种用力中,主要运动者(内收肌或内旋肌)以及肩胛骨和盂肱稳定器的募集量在每种情况下都比基线水平有所增加,其中非癌症参考力水平的募集量最高。虽然训练后没有一个方案达到非癌症参考对照人群的力量水平,但达到 70%-80% 的力量水平可以使日常任务的执行更加成功,重返工作岗位,并增强整体的身体自我效能感。
{"title":"Potential recovery of arm strength capability in a post-breast cancer treatment population: A simulation analysis","authors":"Jacquelyn M. Maciukiewicz,&nbsp;Clark R. Dickerson","doi":"10.1016/j.jbiomech.2024.112398","DOIUrl":"10.1016/j.jbiomech.2024.112398","url":null,"abstract":"<div><div>Arm dysfunction often follows breast cancer treatments. Diversity in treatment makes it challenging to explore how exercise impacts dysfunction in survivors. This study computationally simulated treatment scenarios to identify a theoretical maximal producible force (aided by muscular training) and the internal muscle forces required to produce that force in a compromised system. An existing shoulder model was modified to reduce the capacity of certain muscles to mimic lower-functioning breast cancer populations. Capacity of muscles were increased to emulate training, with maximums dictated based on damage from treatment-specific scenarios (radiation, chemotherapy, combination treatment). Maximum force, torque, and muscle forces were extracted for each treatment scenario, a maximum (unaltered) non-cancer reference, and baseline (breast cancer survivor) force, across 2 maximum isometric force exertions (adduction and internal rotation). Overall, 70–80 % of strength was recoverable with successful retraining. Specifically, for both exertions’ recruitment of primary movers (adductors or internal rotators) and scapular and glenohumeral stabilizers, increased from the baseline level in each scenario, with highest recruitment at the non-cancer reference force level. Although no post-training scenario reached non-cancer reference control population force levels, achieving 70–80 % of force could enable more successful daily task performance, return to work and enhance overall physical self-efficacy.</div></div>","PeriodicalId":15168,"journal":{"name":"Journal of biomechanics","volume":"177 ","pages":"Article 112398"},"PeriodicalIF":2.4,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of biomechanics
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