Evaluation of the Mechanical Behavior of the Patellar and Semitendinosus Tendons Using Supersonic Shear-wave Imaging (SSI) Elastography and Tensile Tests.

 To analyze the mechanical properties of the patellar (PT) and semitendinosus (ST) tendons from fresh-frozen human cadavers from a tissue bank using supersonic shear-wave imaging (SSI) elastography and tensile tests.  We tested seven PT and five ST samples on a traction machine and performed their simultaneous assessment through SSI. The measurements enabled the comparison of the mechanical behavior of the tendons using the stress x strain curve and shear modulus (μ) at rest.

An OpenSim-Based Closed-Loop Biomechanical Wrist Model for Subject-Specific Pathological Tremor Simulation.

Objective: A pathological tremor (PT) is an involuntary rhythmic movement of varying frequency and amplitude that affects voluntary motion, thus compromising individuals' independence. A comprehensive model incorporating PT's physiological and biomechanical aspects can enhance our understanding of the disorder and provide valuable insights for therapeutic approaches. This study aims to build a biomechanical model of pathological tremors using OpenSim's realistic musculoskeletal representation of the human wrist with two degrees of freedom.

Correlation between the shear modulus measured by elastography (SSI) and tangent modulus from tensile tests of in vitro fresh-frozen human tendons.

Assessing the mechanical properties of tendons in vivo allows for quantifying the degree of pathology and tracking functional improvements. The Supersonic Shearwave Imaging (SSI) technique is a state-of-the-art method for analyzing musculoskeletal tissues in vivo. This technique estimates tissue stiffness as the shear elastic modulus µ [kPa].

Gait analysis of leprosy patients with foot drop using principal component analysis.

Background: Peripheral nerve injury caused by leprosy can lead to foot drop, resulting in an altered gait pattern that has not been previously described using 3D gait analysis.

Methods: Gait kinematics and dynamics were analyzed in 12 patients with unilateral foot drop caused by leprosy and in 15 healthy controls. Biomechanical data from patients' affected and unaffected limbs were compared with controls using inferential statistics and a standard distance, based on principal components analysis (PCA).

Shear wave elastography of the brachioradialis spastic muscle and its correlations with biceps brachialis and clinical scales.

Background: Shear wave elastography technique estimates biological tissue shear elastic modulus (μ[kPa]), which can be used as an objective, muscle-specific indicator of stiffness increase caused by spasticity. We measured both the brachioradialis and biceps brachialis μ in hemiparetic post-stroke patients (n = 11). The spastic arm was compared with the supposedly non-affected contralateral limb and correlated with Fugl-Meyer Assessment and Modified Ashworth Scales.

Postural Control Adaptations in Yoga Single-Leg Support Postures: Comparison Between Practitioners and Nonpractitioners.

This paper investigates whether a group of regular Yoga practitioners shows postural control differences compared with healthy controls while performing single-leg Yoga postures. Ten Yoga practitioners were compared with a control group of 10 nonpractitioners performing two single-leg support Yoga postures: Vrksasana (tree posture) and Natarajasana (dancer posture). Rambling and trembling decomposition of the center of pressure trajectories was implemented using a genetic algorithm spectral optimization that avoids using horizontal forces and was validated with bipedal posture data.

Are isokinetic leg torques and kick velocity reliable predictors of competitive level in taekwondo athletes?

The aim of this study is to analyze how isokinetic knee and hip peak torques and roundhouse kick velocities are related to expertise level (elite vs. sub-elite) in taekwondo athletes. Seven elite and seven sub-elite athletes were tested for kick-specific variables (KSV, composed of kinematic variables and power of impact) and for concentric isokinetic peak torque (PT) at 60°/s and 240°/s.

Effect of Achilles Tendon Mechanics on the Running Economy of Elite Endurance Athletes.

The Achilles tendon stores and releases strain energy, influencing running economy. The present study aims to verify the influence of the Achilles tendon tangent modulus, as a material property, on running economy by comparing two groups of elite endurance-performance athletes undergoing different running training volumes. Twelve athletes, six long-distance runners and six pentathletes, were studied.

Hip Adduction and Abduction Torque-angle Curve Characterization of Speed Skating Athletes.

Speed skating is a cyclic sport which involves the hip abductor muscles, impelling the participant forwards, and adductor muscles, in the recovery phase and decelerating the abduction movement eccentrically. This paper has the objective of describing and comparing the abduction/adduction torque-angle curves of speed skating athletes (N=10) with a group of non-practitioners young participants (N=10). Both groups presented similar peak torques and electromyography patterns for tensor fascia lata, gluteus medius, long adductor and adductor magnus.

Kinematics and muscle forces in women with patellofemoral pain during the propulsion phase of the single leg triple hop test.

Background: Approximately 25% of orthopedic knee conditions are related to patellofemoral pain (PFP), with young women being the most affected. It is thought that this condition is associated with modifications in the kinematics and muscle control patterns of the lower limb during weight-bearing support activities, which increases femur movement under the patella.

Objectives: To compare kinematics and muscle induced acceleration patterns between PFP subjects and healthy controls during the preparation phase of the single leg triple hop test.

Numerical validation of a subject-specific parameter identification approach of a quadriceps femoris EMG-driven model.

Muscle models can be used to estimate muscle forces in motor tasks. Muscle model parameters can be estimated by optimizing cost functions based on error between measured and model-estimated joint torques. This paper is a numerical simulation study addressing whether this approach can accurately identify the parameters of the quadriceps femoris.

Real-time muscle state estimation from EMG signals during isometric contractions using Kalman filters.

State-space control of myoelectric devices and real-time visualization of muscle forces in virtual rehabilitation require measuring or estimating muscle dynamic states: neuromuscular activation, tendon force and muscle length. This paper investigates whether regular (KF) and extended Kalman filters (eKF), derived directly from Hill-type muscle mechanics equations, can be used as real-time muscle state estimators for isometric contractions using raw electromyography signals (EMG) as the only available measurement. The estimators' amplitude error, computational cost, filtering lags and smoothness are compared with usual EMG-driven analysis, performed offline, by integrating the nonlinear Hill-type muscle model differential equations (offline simulations-OS).

Predicting muscle forces during the propulsion phase of single leg triple hop test.

Functional biomechanical tests allow the assessment of musculoskeletal system impairments in a simple way. Muscle force synergies associated with movement can provide additional information for diagnosis. However, such forces cannot be directly measured noninvasively.

The influence of aging on the isometric torque sharing patterns among the plantar flexor muscles.

Purpose: Physiological cross-sectional area (PCSA) reduction of the triceps surae (TS) muscles during aging suggests a proportional loss of torque among its components: soleus, medial and lateral gastrocnemii. However, direct measurements of muscle forces in vivo are not feasible. The purpose of this paper was to compare, between older and young women, isometric ankle joint torque sharing patterns among TS muscles and tibialis anterior (TA).

In vivo passive mechanical properties estimation of Achilles tendon using ultrasound.

A methodology is proposed for estimating Achilles tendon tangent modulus in vivo, to account for its large deformations and non-linear behavior. True stress is found dividing the axial force by the tendon true cross-sectional area (CSA), whose shrinking caused by axial tension is estimated with Poisson׳s coefficient. The true strain is calculated as the integral of incremental deformations along the tendon length change.

Variations in the spatial distribution of the amplitude of surface electromyograms are unlikely explained by changes in the length of medial gastrocnemius fibres with knee joint angle.

This study investigates whether knee position affects the amplitude distribution of surface electromyogram (EMG) in the medial gastrocnemius (MG) muscle. Of further concern is understanding whether knee-induced changes in EMG amplitude distribution are associated with regional changes in MG fibre length. Fifteen surface EMGs were acquired proximo-distally from the MG muscle while 22 (13 male) healthy participants (age range: 23-47 years) exerted isometric plantar flexion at 60% of their maximal effort, with knee fully extended and at 90 degrees flexion.

Time perception distortion in neuropsychiatric and neurological disorders.

There is no sense organ specifically dedicated to time perception, as there is for other senses such as hearing and vision. However, this subjective sense of time is fundamental to our conception of reality and it creates the temporal course of events in our lives. Here, we explored neurobiological relations from the clinical perspective, examining timing ability in patients with different neurological and psychiatric conditions (e.

Input error analysis of an EMG-driven muscle model of the plantar flexors.

EMG is a useful tool for quantifying muscle forces and studying motor control strategies. However, the relationship between EMG and muscle force is not trivial, and depends in part on muscle dynamics. This work has the following objectives: the first, to find muscle excitations and partial joint torque contribution patterns in isometric plantar flexions, considering low and medium/high contractions.

Individual-specific muscle maximum force estimation using ultrasound for ankle joint torque prediction using an EMG-driven Hill-type model.

EMG-driven models can be used to estimate muscle force in biomechanical systems. Collected and processed EMG readings are used as the input of a dynamic system, which is integrated numerically. This approach requires the definition of a reasonably large set of parameters.

Myoelectric hand prosthesis force control through servo motor current feedback.

This paper presents the prehension force closed-loop control design of a mechanical finger commanded by electromyographic signal (EMG) from a patient's arm. The control scheme was implemented and tested in a mechanical finger prototype with three degrees of freedom and one actuator, driven by arm muscles EMG of normal volunteers. Real-time indirect estimation of prehension force was assessed by measuring the DC servo motor actuator current.

Effect of muscle model parameter scaling for isometric plantar flexion torque prediction.

This paper uses a EMG-driven Hill-type muscle model to estimate individual muscle forces of the triceps surae in isometric plantar flexion contractions. A uniform group of 20 young physical-active adult males was instructed to follow a specific contraction protocol with low (20%MVC) and medium-high (60%MVC) contractions, separated by relaxing intervals. The torque calculated by summing the individual muscle forces multiplied by the respective moment arms was compared to the torque measured by a dynamometer.

A 'cheap' optimal control approach to estimate muscle forces in musculoskeletal systems.

This paper shows a new method to estimate the muscle forces in musculoskeletal systems based on the inverse dynamics of a multi-body system associated optimal control. The redundant actuator problem is solved by minimizing a time-integral cost function, augmented with a torque-tracking error function, and muscle dynamics is considered through differential constraints. The method is compared to a previously implemented human posture control problem, solved using a Forward Dynamics Optimal Control approach and to classical static optimization, with two different objective functions.

Moment arms and musculotendon lengths estimation for a three-dimensional lower-limb model.

This paper presents a set of polynomial expressions that can be used as regression equations to estimate length and three-dimensional moment arms of 43 lower-limb musculotendon actuators. These equations allow one to find, at a low computational cost, the musculotendon geometric parameters required for numerical simulation of large musculoskeletal models. Nominal values for these biomechanical parameters were established using a public-domain musculoskeletal model of the lower limb (IEEE Trans.