Proportional control using surface electromyography (EMG) enables more intuitive control of a transfemoral prosthesis. However, EMG is a noisy signal which can vary over time, giving rise to the question what approach for knee torque estimation is most suitable for multi-day control. In this study we compared three different modelling frameworks to estimate knee torque in non-weight-bearing situations. The first model contained a convolutional neural network (CNN) which mapped EMG to knee torque directly. The second used a neuromusculoskeletal model (NMS) which used EMG, muscle tendon unit lengths and moment arms to compute knee torque. The third model (Hybrid) used a CNN to map EMG to specific muscle activation, which was used together with NMS components to compute knee torque. Multi-day measurements were conducted on ten able-bodied participants who performed non-weight bearing activities. CNN had the best performance in general and on each day (Normalized Root Mean Squared Error (NRMSE) 9.2 ± 4.4%). The Hybrid model (NRMSE 12.4 ± 3.4%) was able to outperform NMS (NRMSE 14.3 ± 4.2%). The NMS model showed no significant difference between measurement days. The CNN model and Hybrid models had significant performance differences between the first day and all other days. CNNs are suited for multi-day torque estimation in terms of error rate, outperforming the other two model types. NMS was the only model type which was robust over all days. This study investigated the behavior of three model types over multiple days, giving insight in the most suited modelling approach for multi-day torque estimation to be used in prosthetic control.
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http://dx.doi.org/10.3389/frobt.2022.869476 | DOI Listing |
J Orthop Res
January 2025
1-7 Gait and Motion Analysis Center, Yueyang Hospital of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Flexible flatfoot is common among school-age children and significantly affects walking efficiency, balance stability, and joint-movement coordination in children. The demands on the skeletal structure and muscle function are increased during running; however, the impact of a flexible flatfoot on children's running capabilities is unclear. In this study, we aimed to investigate the effects of flexible flatfoot on the running function of school-age children.
View Article and Find Full Text PDFBMC Musculoskelet Disord
January 2025
Department of Orthopedic Surgery, The Second Hospital Affiliated to Shenyang Medical College, Shenyang City, Liaoning Province, China.
Objective: The treatment of comminuted inferior pole patellar fractures has long posed a challenge for orthopedic surgeons. This study aims to compare the biomechanical stability and clinical efficacy of Kirschner wire tension band combined with anchor cross-suture fixation versus traditional partial patellectomy in the treatment of comminuted inferior pole patellar fractures.
Methods: A retrospective analysis was conducted on 14 patients who underwent Kirschner wire tension band combined with anchor cross-suture fixation (Group A) in our department of orthopedics from September 2020 to April 2022.
PLoS One
January 2025
Department of Mechanical Engineering, Vanderbilt University, Nashville, TN, United States of America.
Knee exoskeletons have been developed to assist, stabilize, or improve human movement or recovery. However, exoskeleton designers must implement transparency (i.e.
View Article and Find Full Text PDFAm J Transl Res
December 2024
School of Physical Education, Nanchang University Nanchang, Jiangxi, China.
Objective: To investigate the protective effects of ankle braces in patients with functional ankle instability.
Methods: This retrospective study involved 30 participants recruited from January 2023 to December 2023 at School of Physical Education, Nanchang University. These participants were divided into an ankle brace group wearing braces and a control group without braces.
Cureus
December 2024
Department of Physiotherapy, Institute of Physiotherapy and Health Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, POL.
Introduction: Anterior cruciate ligament (ACL) reconstruction (ACLR) is the gold standard for treating ACL injuries, particularly in soccer players who are at a high risk of knee injury. While professional athletes often return to sport (RTS) within 7-10 months after ACLR, non-elite players experience significant delays. There is a need to investigate neuromuscular deficits and functional asymmetries in the non-elite group, which may persist even after clearance for RTS.
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