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Toward non-clinical validation of fractional flow reserve simulation software: A generic coronary artery geometry 分流储备模拟软件的非临床验证:一个通用的冠状动脉几何。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2024.112483
Ian A. Carr , Sailahari V. Ponnaluri , Andreu Badal , Jackson Hair , P.F. Adrian Magee , Brent A. Craven , Prasanna Hariharan
Medical image-based diagnostic techniques have become increasingly common in the clinic. Estimating fractional flow reserve in coronary stenoses from medical image data is among the most prominent examples. The modeling techniques used in these clinical tools require rigorous experimental validation yet there is currently no standardized, public toolset to help assess model credibility. In this study, we present a generic coronary artery lumen geometry which will form the basis for a future publicly available validation database. We characterize the geometry using proximal and distal diameters along with the mean curvature, total curvature, total torsion, and tortuosity index. The coronary lumen geometry balances anatomic fidelity and simplicity with integration into a future experimental mock circulatory loop in mind. The lumen geometry, along with the data produced by our future work, will be made available for public use in FDA’s Office of Science and Engineering Laboratories Regulatory Science Tool Catalog.
基于图像的医学诊断技术在临床上越来越普遍。从医学图像数据估计冠状动脉狭窄的血流储备分数是最突出的例子之一。这些临床工具中使用的建模技术需要严格的实验验证,但目前还没有标准化的公共工具集来帮助评估模型的可信度。在这项研究中,我们提出了一个通用的冠状动脉管腔几何形状,这将成为未来公开可用的验证数据库的基础。我们使用近端和远端直径以及平均曲率、总曲率、总扭转和扭转指数来表征几何形状。冠状动脉管腔的几何形状平衡了解剖学的保真度和简单性,并融入了未来的实验模拟循环回路。管腔几何形状以及我们未来工作产生的数据将在FDA科学和工程实验室办公室监管科学工具目录中供公众使用。
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引用次数: 0
Coupling biplanar videoradiography with the unified deformable power model to quantify foot and talocrural joint power 双平面放射成像与统一变形力模型的耦合,量化足跖关节力。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112521
Quinn Yetman, Aidan Shimizu, Michael Rainbow
Analysis of the power produced by the foot and ankle during locomotion can provide insights into their function. Foot power is often quantified by applying the unified deformable (UD) power model to the hindfoot while ankle power is quantified by performing three or six degree-of-freedom joint power calculations. These measurements are possible with optical motion capture. Biplanar videoradiography (BVR) provides new opportunities for quantifying foot and ankle power as it provides highly accurate measurements of the individual foot bones that are not possible with optical motion capture. In this paper, we apply the UD power model to the talus to quantify foot power. This novel application of the UD power model also allows us to quantify talocrural joint power. We compared this new method of calculating foot and ankle power with the methods possible with optical motion capture. We found similar trends between the two methods, suggesting that applying the UD power model to the talus can quantify foot and talocrural power. Key differences between the two methods included the magnitude of power and work, as well as the timing of the power curves. These findings support the idea that the foot can actively produce power during propulsion and that the timing of arch and ankle mechanics, and their synchronization, is important for propulsion across locomotor modes.
分析足部和踝关节在运动过程中产生的能量可以深入了解它们的功能。脚部力量通常通过对后脚应用统一的可变形(UD)力量模型来量化,而踝关节力量则通过进行三自由度或六自由度关节力量计算来量化。这些测量可以通过光学动作捕捉实现。双平面放射成像(BVR)为量化足部和踝关节力量提供了新的机会,因为它提供了光学运动捕捉无法实现的对单个足部骨骼的高度精确测量。在本文中,我们将UD功率模型应用于距骨来量化脚功率。这种新应用的UD功率模型也使我们能够量化城乡联合功率。我们将这种计算足部和踝关节力量的新方法与光学运动捕捉方法进行了比较。我们发现两种方法之间的趋势相似,表明将UD功率模型应用于距骨可以量化足部和距骨农村功率。两种方法的主要区别包括功率和功的大小,以及功率曲线的时间。这些发现支持了这样一种观点,即足部在推进过程中可以主动产生动力,足弓和踝关节力学的时机以及它们的同步,对跨运动模式的推进很重要。
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引用次数: 0
Adding secondary cognitive tasks to drop vertical jumps alters the landing mechanics of athletes with anterior cruciate ligament reconstruction 增加二次认知任务,以下降垂直跳跃改变运动员着陆力学与前交叉韧带重建。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112496
Andrew Strong, Jonas L. Markström
Anterior cruciate ligament (ACL) reinjury rates among athletes remain very high despite screening protocols designed to assess readiness for return to sport. To better identify biomechanical risk factors for ACL injury, combining neurocognitive challenges and high-impact tasks would more closely resemble sporting demands. We investigated the influence of secondary cognitive tasks on landing mechanics during bilateral drop vertical jumps (DVJs) among athletes following ACL reconstruction and whether sex affected these results. We also assessed whether adding secondary cognitive tasks to DVJs influenced loading asymmetries. Forty individuals (20 males) performed three DVJ conditions: (1) without secondary cognitive tasks (DVJ), (2) with secondary cognitive tasks targeting fast decision-making and inhibitory control of the motor action (DVJmot), and (3) with secondary cognitive tasks targeting fast decision-making, inhibitory control, attention, and short-term memory (DVJcogmot). We collected movement mechanics time-series data during the first 100 ms of landing using a motion capture system and force plates and compared outcomes between the three DVJs using functional t-tests. Secondary cognitive tasks altered trunk, hip, knee, and ankle landing mechanics (adjusted p-values < 0.05), representing more upright and stiffer landings. Loading asymmetries were increased by unloading the injured limb (adjusted p-values < 0.05). We found no differences between DVJmot and DVJcogmot or between males and females. Adding secondary cognitive tasks to DVJs better identifies landing mechanics associated with an increased ACL injury risk and inadequate rehabilitation. Future research should focus on optimizing the challenge point of the cognitive and motor tasks and how to best integrate them in RTS testing.
运动员前交叉韧带(ACL)再损伤率仍然很高,尽管筛选方案旨在评估恢复运动的准备情况。为了更好地识别前交叉韧带损伤的生物力学危险因素,结合神经认知挑战和高冲击任务将更接近于运动需求。本研究调查了前交叉韧带重建运动员双侧垂直起跳(DVJs)过程中二次认知任务对着陆力学的影响,以及性别是否影响这些结果。我们还评估了在dvj中加入次要认知任务是否会影响加载不对称性。40名受试者(20名男性)在无辅助认知任务(DVJ)、有辅助认知任务(快速决策和运动动作抑制控制)和有辅助认知任务(快速决策、抑制控制、注意力和短期记忆)三种条件下进行了DVJ实验。我们使用动作捕捉系统和力板收集了着陆前100毫秒的运动力学时间序列数据,并使用功能t检验比较了三种dvj的结果。次要认知任务改变躯干、髋关节、膝关节和踝关节的着陆力学(调整p值)
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引用次数: 0
Immediate and prolonged effects of different exercise intensities on the regularity of joint and coordinative patterns in runners 不同运动强度对跑步者关节和协调模式规律性的即时和长期影响。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112504
Mariana R.C. Aquino , Richard E.A. van Emmerik , Priscila Albuquerque de Araújo , Thales R. Souza , Luciano Sales Prado , Carlos Marcelo Pastre , Juliana M. Ocarino , Sérgio T. Fonseca
Runners who experience insufficient recovery time after training demands may have increased injury risk. Training and exercises can induce fatigue and altered movement patterns, which may best be assessed by examining the dynamics of the movement structure during a sports-related task. This crossover experimental study investigated the immediate and prolonged effects of exercise at different intensities on lower-limb joints and coordinative patterns during a 60-second single-leg squat task in 30 healthy runners. Joints (ankle, knee, hip) and coordination (ankle-knee, knee-hip continuous relative phase) angles were assessed between measurement times (pre, post, post24h, post48h) and protocols (moderate- and high-intensity run, control). A Statistical Parametric Mapping (SPM) one-way repeated measures ANOVA analyzed the joints and coordination time-normalized curves. Additionally, the entropy (i.e., regularity) of the entire time series was assessed by a two-way ANOVA. Lower ankle-knee coordination entropy was observed immediately after running protocols (moderate-intensity, −17.6 %, p = 0.003, η2p = 0.21; high-intensity, −18.6 %, p = 0.001, η2p = 0.22) and was also observed individually on the ankle and knee at post48h (p < 0.001, η2p = 0.10). . No time or protocol effects were observed for SPM analysis. Runners demonstrated more regular (lower entropy) ankle-knee coordination after running protocols, which is related to a less adaptative pattern. In addition, increased regularity was observed on ankle and knee joint angles 48 h after protocols, suggesting an ongoing recovery process. The analysis of time-normalized kinematics was not sensitive to detect the effect of running on movement. Therefore, evaluating the coordination regularity during a single-leg test helped track the effect of exercise and fatigue, even without maximal effort.
训练后恢复时间不足的跑步者可能会增加受伤的风险。训练和锻炼可以引起疲劳和改变运动模式,这可能最好通过检查运动相关任务中运动结构的动态来评估。本交叉实验研究调查了30名健康跑步者在60秒单腿深蹲任务中,不同强度运动对下肢关节和协调模式的即时和长期影响。在测量时间(前、后、后24h、后48h)和方案(中、高强度跑步、对照)之间评估关节(踝关节、膝关节、髋关节)和协调(踝关节-膝关节、膝关节-髋关节连续相对相位)角度。统计参数映射(SPM)单向重复测量方差分析分析关节和协调时间归一化曲线。此外,通过双向方差分析评估整个时间序列的熵(即规律性)。跑步方案后立即观察到下踝关节协调熵(中等强度,- 17.6%,p = 0.003, η2p = 0.21;高强度,- 18.6%,p = 0.001, η2p = 0.22), 48h后在踝关节和膝关节也分别观察到(p 2p = 0.10)。SPM分析没有观察到时间或方案效应。跑步者在跑步方案后表现出更规律(更低熵)的踝关节-膝关节协调,这与较低的适应性模式有关。此外,治疗后48小时观察到踝关节和膝关节角度的规律性增加,表明持续的恢复过程。时间归一化运动学分析对于检测运动对运动的影响并不敏感。因此,评估单腿测试期间的协调规律有助于追踪运动和疲劳的影响,即使没有最大的努力。
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引用次数: 0
Adapting lateral stepping control to walk on winding paths 适应在弯曲路径上行走的横向步进控制。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112495
Anna C. Render , Joseph P. Cusumano , Jonathan B. Dingwell
Most often, gait biomechanics is studied during straight-ahead walking. However, real-life walking imposes various lateral maneuvers people must navigate. Such maneuvers challenge people’s lateral balance and can induce falls. Determining how people regulate their stepping movements during such complex walking tasks is therefore essential. Here, 24 adults (12F/12M; Age 25.8±3.5yrs) walked on wide or narrow virtual paths that were either straight, slowly-winding, or quickly-winding. From each trial, we computed time series of participants’ step widths and their lateral body positions relative to their path. We applied our Goal Equivalent Manifold framework – an analysis of how task-level redundancy impacts motor regulation – to quantify how participants adjusted their step width and lateral position from step to step as they walked on these paths. On the narrower paths, participants walked with narrower steps and less lateral position and step width variability. They did so by correcting step-to-step deviations in lateral position more, while correcting step-to-step deviations in step width less. On the winding paths, participants took both narrower and more variable steps. Interestingly, on slowly-winding paths, participants corrected step-to-step deviations in step width more by correcting step-to-step deviations in lateral position less: i.e., they prioritized maintaining step width over position. Conversely, on quickly-winding paths, participants strongly corrected step-to-step deviations in both step width and lateral position: i.e., they prioritized maintaining both approximately equally, consistent with trying to maximize their maneuverability. These findings have important implications for persons who have elevated fall risk.
大多数情况下,步态生物力学研究在直线行走。然而,现实生活中的行走要求人们必须驾驭各种横向动作。这样的动作会挑战人的横向平衡,并可能导致跌倒。因此,确定人们在如此复杂的行走任务中如何调节他们的步伐是至关重要的。这里,24个成人(12F/12M;年龄(25.8±3.5岁)在宽或窄的虚拟路径上行走,这些路径要么笔直,要么缓慢蜿蜒,要么快速蜿蜒。从每个试验中,我们计算了参与者的步宽和他们相对于路径的侧体位置的时间序列。我们应用我们的目标等效流形框架(任务级冗余如何影响运动调节的分析)来量化参与者在这些路径上行走时如何一步一步地调整他们的步宽和横向位置。在较窄的路径上,参与者走的台阶较窄,横向位置和台阶宽度变化较小。他们通过更多地纠正横向位置的步进偏差,而纠正步宽的步进偏差较少来做到这一点。在蜿蜒的小路上,参与者走的是更窄、更多变的台阶。有趣的是,在缓慢弯曲的路径上,参与者通过更少地纠正横向位置上的一步到一步的偏差来纠正步宽上的一步到一步的偏差:即,他们优先考虑保持步宽而不是位置。相反,在快速弯曲的路径上,参与者强烈地纠正了步宽和横向位置的一步到一步的偏差:即,他们优先考虑保持两者大致相等,与尝试最大化他们的可操作性相一致。这些发现对有较高跌倒风险的人具有重要意义。
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引用次数: 0
What about the mechanical behaviour and modelling of arteries in radial direction?
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112500
Itziar Ríos-Ruíz , Miguel A. Martínez , Estefanía Peña
Understanding the physiological behaviour of arteries in the radial direction is crucial for establishing a reference point to detect and analyse pathological changes. In this study, the influence of the radial component of the aorta will be investigated by performing experimental tests on porcine aortic tissue in the three main directions of the aorta: circumferential, longitudinal and radial. The results obtained in all directions will be analysed and compared in order to contribute to a comprehensive understanding of the healthy behaviour of the vessel.
Our results demonstrate that the aorta exhibits nonlinear behaviour under compression and tensile loading in the radial direction. Moreover, tissue stiffening progresses more prominently under compression compared to tensile loading. We have found that the tensile stiffness in the ATA is higher compared to the other two regions examined. The Neo-Hookean and Demiray models were selected to describe the isotropic contribution when fitting the uniaxial response of the circumferential and longitudinal samples using the GOH model. Neo-Hookean model fall short (R2=0.235) in accurately replicating the observed behaviour of the aorta in the radial direction and Demiray model showing better fitting results (R2=0.994).
{"title":"What about the mechanical behaviour and modelling of arteries in radial direction?","authors":"Itziar Ríos-Ruíz ,&nbsp;Miguel A. Martínez ,&nbsp;Estefanía Peña","doi":"10.1016/j.jbiomech.2025.112500","DOIUrl":"10.1016/j.jbiomech.2025.112500","url":null,"abstract":"<div><div>Understanding the physiological behaviour of arteries in the radial direction is crucial for establishing a reference point to detect and analyse pathological changes. In this study, the influence of the radial component of the aorta will be investigated by performing experimental tests on porcine aortic tissue in the three main directions of the aorta: circumferential, longitudinal and radial. The results obtained in all directions will be analysed and compared in order to contribute to a comprehensive understanding of the healthy behaviour of the vessel.</div><div>Our results demonstrate that the aorta exhibits nonlinear behaviour under compression and tensile loading in the radial direction. Moreover, tissue stiffening progresses more prominently under compression compared to tensile loading. We have found that the tensile stiffness in the ATA is higher compared to the other two regions examined. The Neo-Hookean and Demiray models were selected to describe the isotropic contribution when fitting the uniaxial response of the circumferential and longitudinal samples using the GOH model. Neo-Hookean model fall short (<span><math><mrow><msup><mrow><mi>R</mi></mrow><mrow><mn>2</mn></mrow></msup><mo>=</mo><mn>0</mn><mo>.</mo><mn>235</mn></mrow></math></span>) in accurately replicating the observed behaviour of the aorta in the radial direction and Demiray model showing better fitting results (<span><math><mrow><msup><mrow><mi>R</mi></mrow><mrow><mn>2</mn></mrow></msup><mo>=</mo><mn>0</mn><mo>.</mo><mn>994</mn></mrow></math></span>).</div></div>","PeriodicalId":15168,"journal":{"name":"Journal of biomechanics","volume":"182 ","pages":"Article 112500"},"PeriodicalIF":2.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143210027","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
Vastus lateralis muscle architecture, quality, and stiffness are determinants of maximal performance in athletes? 股外侧肌的结构、质量和僵硬度是运动员最大表现的决定因素。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112491
Fábio Juner Lanferdini , Heinrich Leon Souza Viera , Lucas Gidiel-Machado , Tiago Dutra Leite-Nunes , Isadora Miotto Soldatelli , Lauren Benetti Porporatti , Silvana Correa Matheus , Daniela Lopes dos Santos , Michele Forgiarini Saccol , Luiz Fernando Freire Royes
Understanding intrinsic muscular adaptations more deeply can help clarify their relationships with sports performance. Therefore, the aim of this study was to determine if vastus lateralis muscle architecture, quality and stiffness can explain knee extensor maximal torque and countermovement and squat jump performance of athletes. One hundred and two athletes were evaluated based on the architecture, quality and stiffness of the vastus lateralis at rest. Furthermore, the knee extensor maximal voluntary isometric contraction and maximal concentric contraction at 60°/s and vertical jumps countermovement and squat jump performance were measured. Stepwise linear regression showed vastus lateralis echo intensity and muscle thickness determine knee extensor maximal voluntary isometric contraction (r2 = 0.435) and knee extensor maximal concentric contraction at 60°/s (r2 = 0.400) in athletes. Moreover, vastus lateralis echo intensity, muscle thickness and pennation angle can determine athletes’ performance during countermovement (r2 = 0.439–0.578) and squat-jump (r2 = 0.459–0.570). The findings emphasize that vastus lateralis muscle architecture and quality is an important determinant of maximal knee extensor torque (40–44 %) and countermovement (44–58 %) and squat-jump (46–57 %) performance. Our results demonstrate that the muscle architecture and quality of the vastus lateralis are important determinants of torque and power output performance across various sports disciplines.
更深入地了解内在的肌肉适应可以帮助阐明它们与运动表现的关系。因此,本研究的目的是确定股外侧肌的结构、质量和刚度是否可以解释运动员的膝关节伸肌最大扭矩、反动作和深蹲跳表现。根据静止时股外侧肌的结构、质量和刚度对102名运动员进行了评估。此外,还测量了膝关节伸肌在60°/s的最大自主等距收缩和最大同心收缩,以及垂直跳跃、反动作和深蹲跳的表现。逐步线性回归显示,运动员股外侧肌回声强度和肌肉厚度决定膝关节伸肌最大自主等距收缩(r2 = 0.435)和60°/s时膝关节伸肌最大同心圆收缩(r2 = 0.400)。此外,股外侧肌回声强度、肌肉厚度和笔角对运动员在反动作(r2 = 0.439 ~ 0.578)和深蹲跳(r2 = 0.459 ~ 0.570)中的表现有影响。研究结果强调,股外侧肌的结构和质量是最大膝关节伸肌扭矩(40- 44%)、反向运动(44- 58%)和深蹲跳(46- 57%)表现的重要决定因素。我们的研究结果表明,在各种运动项目中,股外侧肌的肌肉结构和质量是扭矩和功率输出性能的重要决定因素。
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引用次数: 0
Reliability of running gait variability measures calculated from inertial measurement units 由惯性测量单元计算的跑步步态变异性测量的可靠性。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112515
Ben. D.M. Jones , Jon Wheat , Kane Middleton , David L. Carey , Ben Heller
Changes to the variability within biomechanical signals may reflect a change in the health of the human system. However, for running gait variability measures calculated from wearable device data, it is unknown whether a between-day difference reflects a shift in system dynamics reflective of a change in human health or is a result of poor between-day reliability of the measurement device or the biomechanical signal. This study investigated the reliability of stride time and sacral acceleration variability measures calculated from inertial measurement units (IMUs). Nineteen runners completed six treadmill running trials on two occasions seven days apart. Stride time and sacral acceleration signals were obtained using IMUs. Stride time variability and complexity were calculated using the coefficient of variation (CV) and detrended fluctuation analysis (DFA), respectively. Sacral acceleration regularity was quantified using sample entropy with a range of input parameters m (vector length) and r (similarity threshold). Between-day reliability was assessed using the intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change. Stride time CV displayed moderate relative reliability (ICC = 0.672), but with a large absolute minimum detectable change = 0.525 %, whilst stride time DFA-α displayed poor relative reliability (ICC = 0.457) and yielded large minimum detectable changes (≥ 0.208). Sample entropy displayed good relative reliability in mediolateral and resultant sacral acceleration signals for certain combinations of the parameters m and r, although again with large minimum detectable changes. Researchers should be cognisant of these reliability metrics when interpreting changes in running gait variability measures in clinical contexts.
生物力学信号变异性的变化可能反映了人体系统健康状况的变化。然而,对于从可穿戴设备数据计算的跑步步态变异性测量,尚不清楚日差是否反映了反映人类健康变化的系统动力学的变化,还是由于测量设备或生物力学信号的日差可靠性。本研究探讨了从惯性测量单元(imu)计算的步幅时间和骶骨加速度变异性测量的可靠性。19名跑步者在间隔7天的两次跑步机上完成了6次跑步试验。用imu获取步幅时间和骶部加速度信号。分别采用变异系数(CV)和去趋势波动分析(DFA)计算步幅时间变异性和复杂性。使用样本熵量化骶骨加速度规律,输入参数范围为m(向量长度)和r(相似阈值)。采用类内相关系数(ICC)、测量标准误差(SEM)和最小可检测变化来评估日间信度。步幅时间CV具有中等的相对信度(ICC = 0.672),但具有较大的绝对最小可检测变化= 0.525%;步幅时间DFA-α具有较差的相对信度(ICC = 0.457),但具有较大的最小可检测变化(≥0.208)。对于参数m和r的某些组合,样本熵在中外侧和由此产生的骶骨加速信号中显示出良好的相对可靠性,尽管同样具有较大的最小可检测变化。研究人员在解释临床环境中跑步步态变异性测量的变化时,应该认识到这些可靠性指标。
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引用次数: 0
The influence of simulated worn shoe and foot inversion on heel internal biomechanics during running impact: A subject-specific finite element analysis 模拟破鞋和足部倒置对跑步冲击中足跟内部生物力学的影响:一项特定主题的有限元分析。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112517
Yang Song , Xuanzhen Cen , Meizi Wang , Kovács Bálint , Qitao Tan , Dong Sun , Shunxiang Gao , Fengping Li , Yaodong Gu , Yan Wang , Ming Zhang
This study explored how systematic changes in running shoe degradation and foot inversion alter the distribution and peak value of heel pressure and calcaneus stress, as well as the total stress-concentration exposure (TSCE) within the calcaneal bone. A foot-shoe finite element model was employed and three shoe wear conditions (new shoe (CON), moderate worn shoe (MWSC), excessive worn shoe (EWSC)) coupled with three foot inversion angles (0°, 10°, 20°) were further modulated. Simulations were conducted at the impact peak instant during running. Compared to CON0, heel pressure during neutral landings shifted medially and increased with progressive shoe wear, peaking under EWSC0. This shift expanded the high-pressure area by 1.333 cm2 and raised peak pressure by 24.42 %. Foot inversion landings exhibited an opposite trend: increased shoe wear promoted balanced pressure distribution, centralizing the load and eliminating high-pressure areas under EWSC10, where peak pressure was 11.36 % lower than CON10. Calcaneus stress during neutral landings, initially concentrated on the medial calcaneal surface and inferior tuberosity, intensified with wear, expanding high-stress area by 5.276 cm2 and increasing peak stress by 22.79 % under EWSC0. For foot inversion, the high-stress region shifted to the inferior tuberosity, with wear reducing peak stress by 10.41 % and eliminating high-stress area in EWSC10 compared to CON10. TSCE analysis revealed that EWSC10 had the lowest stress exposure (0 %kPa) across all conditions. Worn-out shoes would exacerbate heel internal biomechanics, while these effects may be mitigated by foot inversion, likely due to the formation of a relatively flat and larger contact area between the lateral sole and the ground.
本研究探讨了跑鞋退化和足部倒置的系统性变化如何改变跟骨压力和跟骨应力的分布和峰值,以及跟骨内的总应力集中暴露(TSCE)。采用足-鞋有限元模型,对新鞋(CON)、中度磨损鞋(MWSC)、过度磨损鞋(EWSC)三种鞋底磨损工况以及足部倒置角度(0°、10°、20°)进行进一步调制。在运行时的冲击峰值瞬间进行了仿真。与CON0相比,中性着地时脚跟压力向中间移动,并随着鞋子磨损的增加而增加,在EWSC0时达到峰值。这一转变使高压面积扩大了1.333 cm2,峰值压力提高了24.42%。足部倒转着地呈现相反的趋势:鞋磨损的增加促进了压力分布的平衡,使负荷集中,消除了EWSC10下的高压区,其中压力峰值比CON10低11.36%。中性着地时跟骨应力主要集中在跟骨内侧表面和下结节,随磨损加剧,高应力面积扩大5.276 cm2,峰值应力增加22.79%。对于足部倒置,高应力区转移到下结节,与CON10相比,磨损使EWSC10的峰值应力降低了10.41%,消除了高应力区。TSCE分析显示,EWSC10在所有条件下的应力暴露最低(0% kPa)。穿旧的鞋子会加剧脚跟内部的生物力学,而这些影响可以通过脚的倒置来缓解,这可能是由于在外侧鞋底和地面之间形成了相对平坦和更大的接触面积。
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引用次数: 0
Using functional calibration methods to estimate the midfoot joint center in planovalgus feet 应用功能标定方法估计平外翻足的足中部关节中心。
IF 2.4 3区 医学 Q3 BIOPHYSICS Pub Date : 2025-02-01 DOI: 10.1016/j.jbiomech.2025.112493
Sarah Campos, Firooz Salami, Marco Götze, Katharina Gather, Sebastian I. Wolf
In order to improve the understanding foot function in the presence of planovalgus foot deformity, functional joint center determination is applied to the ankle and midfoot for application in 3D-gait analysis. Gait data of 36 patients with planovalgus (PV) foot deformity as well as of 33 typically developing (TD) subjects were collected using foot markers according to the Heidelberg Foot Measurement method. During single-limb stance subjects performed a circular movement of the foot and ankle (CIR) by drawing a circle with the hallux in the air. Midfoot joint center location as well as kinematics was calculated based (a) on functional calibration, (b) via a simple midpoint approach, and (c) via linear regression. All typically developing participants were able to perform the CIR movement with sufficient ROM for calibration whereas 10 % of the participants with idiopathic PV foot deformity and 72 % of the participants with a neurogenic PV foot were not able to perform this movement adequately. Nevertheless, the regression approach led to almost the same location of the midfoot joint center compared to the functional method with similar kinematics. PV feet show substantially larger Forefoot/Hindfoot flexion and Forefoot/Hindfoot adduction in gait compared to TD feet. On top, feet with neurologic background show reduced ROM of these angles in gait. The CIR movement task may prove useful in future studies monitoring active ranges of ankle and midfoot motion since the kinematics of this task may also be directly assessed via the proposed regression approach.
为了提高对足跖外翻畸形足部功能的理解,将功能关节中心测定应用于踝关节和足中部,用于3d步态分析。根据Heidelberg足部测量法,采用足部标记物收集36例平外翻足畸形患者和33例正常发育(TD)受试者的步态数据。在单肢站立时,受试者通过在空中画一个圆圈来完成脚和脚踝的圆周运动(CIR)。根据(a)功能校准,(b)通过简单的中点方法,(c)通过线性回归计算足中部关节中心位置和运动学。所有正常发育的参与者都能够进行CIR运动,并有足够的ROM进行校准,而10%的特发性PV足畸形参与者和72%的神经源性PV足参与者无法充分完成该运动。然而,与具有相似运动学的功能方法相比,回归方法导致了几乎相同的足中部关节中心位置。与TD足相比,PV足在步态中表现出更大的前/后足屈曲和前/后足内收。在上面,有神经学背景的脚在步态中显示出这些角度的ROM减少。CIR运动任务可能在未来监测踝关节和足中部活动范围的研究中被证明是有用的,因为该任务的运动学也可以通过提出的回归方法直接评估。
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引用次数: 0
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Journal of biomechanics
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