Muscle-Tendon Unit Length Measurement Using 3D Ultrasound in Passive Conditions: OpenSim Validation and Development of Personalized Models.

This study investigated the validity of using OpenSim to measure muscle-tendon unit (MTU) length of the bi-articular lower limb muscles in several postures (shortened, lengthened, a combination of shortened and lengthened involving both joints, neutral and standing) using 3D freehand ultrasound (US), and to propose new personalized models. MTU length was measured on 14 participants and 6 bi-articular muscles (semimembranosus SM, semitendinosus ST, biceps femoris BF, rectus femoris RF, gastrocnemius medialis GM and gastrocnemius lateralis GL), considering 5 to 6 postures. MTU length was computed using OpenSim with three different models: OS (the generic OpenSim scaled model), OS + INSER (OS with personalized 3D US MTU insertions), OS + INSER + PATH (OS with personalized 3D US MTU insertions and path obtained from one posture). Significant differences in MTU length were found between OS and 3D US models for RF, GM and GL (from - 6.3 to 10.9%). Non-significant effects were reported for the hamstrings, notably for the ST (- 1.5%) and BF (- 1.9%), while the SM just crossed the alpha level (- 3.4%, p = 0.049). The OS + INSER model reduced the magnitude of bias by an average of 4% for RF, GM and GL. The OS + INSER + PATH model showed the smallest biases in length estimates, which made them negligible and non-significant for all the MTU (i.e. ≤ 2.2%). A 3D US pipeline was developed and validated to estimate the MTU length from a limited number of measurements. This opens up new perspectives for personalizing musculoskeletal models using low-cost user-friendly devices.

New insights into lumbar flexion tests based on inverse and direct kinematic musculoskeletal modeling.

Measurement of maximal lumbar flexion is considered to be a crucial element in the assessment of lumbar spine mechanics in situations as diverse as physiotherapy, orthopaedics, ergonomics, sport or aging. However, currently, there is no consensus on a reference test. This study aims to characterise five maximal lumbar flexion tests (four classical tests and a new, specifically-developed test designed to constrain pelvic retroversion) based on a three-dimensional, participant-specific musculoskeletal model. Twenty-six male and female participants performed the five tests. Movements were modelled in OpenSim to estimate change in length in lumbar, hamstring and gluteus muscles, together with lumbar flexion and pelvic tilt. These so-called "inverse" kinematic results were compared using a two-way ANOVA (sex×test). In a second step, lumbar muscle change in length was computed using a direct kinematic method. Lumbar flexion and lumbar muscle change in length were found to be greater when participants were in seated postures, with little pelvic retroversion. Female participants were observed to have less lumbar flexion than male participants (77±14° and 91±12°, respectively). Hip extensor muscles (hamstrings and gluteus) were fully stretched during each of the five tests. Our results highlight the specific roles of hamstrings, gluteus and lumbar muscles into reaching maximal lumbar flexion. Coupling inverse and direct kinematic methods proved to be a useful tool to enhance our knowledge of lumbar tests. Our findings help to characterise the role of the muscles involved in lumbar flexion, and we propose some recommendations for improving and standardising these tests.

Changes in Motor Coordination Induced by Local Fatigue during a Sprint Cycling Task.

PURPOSE: This study investigated how muscle coordination is adjusted in response to a decrease in the force-generating capacity of one muscle group during a sprint cycling task. METHODS: Fifteen participants were tested during a sprint before and after a fatigue electromyostimulation protocol was conducted on the quadriceps of one leg. Motor coordination was assessed by measuring myoelectrical activity, pedal force, and joint power. RESULTS: The decrease in force-generating capacity of the quadriceps (-28.0% ± 6.8%) resulted in a decrease in positive knee extension power during the pedaling task (-34.4 ± 30.6 W; P = 0.001). The activity of the main nonfatigued synergist and antagonist muscles (triceps surae, gluteus maximus and hamstrings) of the ipsilateral leg decreased, leading to a decrease in joint power at the hip (-30.1 ± 37.8 W; P = 0.008) and ankle (-20.8 ± 18.7 W; P = 0.001). However, both the net power around the knee and the ability to effectively orientate the pedal force were maintained during the extension by reducing the coactivation and the associated negative power produced by the hamstrings. Adaptations also occurred in flexion phases in both legs, exhibiting an increased power (+17.9 ± 28.3 [P = 0.004] and +19.5 ± 21.9 W [P = 0.026]), associated with an improvement in mechanical effectiveness. CONCLUSION: These results demonstrate that the nervous system readily adapts coordination in response to peripheral fatigue by (i) decreasing the activation of adjacent nonfatigued muscles to maintain an effective pedal force orientation (despite reducing pedal power) and (ii) increasing the neural drive to muscles involved in the flexion phases such that the decrease in total pedal power is limited.

Asymmetry in elite rowers: effect of ergometer design and stroke rate.

Between limb movement asymmetries and foot force production asymmetries are thought to be detrimental for both rower's performance and risk of injury, particularly when rowing frequently on ergometers. Several ergometers with different designs can be used by rowers as part of their indoor training. Hence, this study aimed to compare asymmetries in lower limb joint kinematics and foot force production with respect to ergometer design and rowing intensity. A new symmetry index was proposed to assess these asymmetries in elite rowers during a test on three ergometers. Additionally, the asymmetry in lower limb length was assessed to investigate its relationship with kinematic and kinetic asymmetries. Parameters describing medium (5-10%) or high (>10%) asymmetries were compared between rowing ergometers and intensities. Results indicated medium asymmetries for the ankle joint angle and hip-knee joint accelerations and high asymmetries for the resultant force and the ankle joint acceleration associated with a low inter-stroke variability. Kinetic asymmetry was neither correlated to kinematic asymmetry nor with lower limb length asymmetry. The use of a mobile ergometer led to higher joint acceleration asymmetries. Further studies are necessary to investigate the relation between these findings and muscular adaptations that may increase the risk of lower-back injury.

Improvement of upper extremity kinematics estimation using a subject-specific forearm model implemented in a kinematic chain.

Human movement reconstruction is still difficult due to noise generated by the use of skin markers. The a priori definition of a kinematic chain associated with a global optimisation method allows reducing these deleterious effects. When dealing with the forearm, this approach can be improved by personalising the two axes of rotation because their common modelling is not representative of joint geometry. The aim of the present study is to evaluate the kinematic effects of personalising these two axes of rotation, determined by a functional method and implemented in a kinematic chain (AXIS model). The AXIS model was compared with a reference model (ISB model), in which the forearm axes of rotation were defined according to the recommendations of the International Society of Biomechanics. The kinematic comparison (15 subjects and 3 tasks) was based on marker residuals (actual versus model-determined), joint kinematic root mean square differences (AXIS versus ISB) and joint amplitudes (AXIS versus ISB). The AXIS model improved the pose of the forearm and hand. The reduction in marker residuals for these segments ranged between 23% and 60%. The use of a functional method was also beneficial in personalising the flexion-extension and pronation-supination axes of the forearm. The contribution of pronation-supination, in terms of joint amplitudes, was increased by 15% during the specific task. The approach developed in this study is all the more interesting since this forearm model could be integrated into a kinematic chain to be used with a global approach becoming increasingly popular in biomechanics.

Computation of the 3D kinematics in a global frame over a 40m-long pathway using a rolling motion analysis system.

A rolling motion analysis system has been purpose-built to acquire an accurate three-dimensional kinematics of human motion with large displacement. Using this device, the kinematics is collected in a local frame associated with the rolling motion analysis system. The purpose of this paper is to express the local kinematics of a subject walking on a 40 m-long pathway in a global system of co-ordinates. One participant performed five trials of walking while he was followed by a rolling eight camera optoelectronic motion analysis system. The kinematics of the trials were reconstructed in the global frame using two different algorithms and 82 markers placed on the floor organized in two parallel and horizontal lines. The maximal error ranged from 0.033 to 0.187 m (<0.5% of the volume diagonal). As a result, this device is accurate enough for acquiring the kinematics of cyclic activities with large displacements in ecological environment.

Relative shank to thigh length is associated with different mechanisms of power production during elite male ergometer rowing.

The effect of anthropometric differences in shank to thigh length ratio upon timing and magnitude of joint power production during the drive phase of the rowing stroke was investigated in 14 elite male rowers. Rowers were tested on the RowPerfect ergometer which was instrumented at the handle and foot stretcher to measure force generation, and a nine segment inverse dynamics model used to calculate the rower's joint and overall power production. Rowers were divided into two groups according to relative shank thigh ratio. Time to half lumbar power generation was significantly earlier in shorter shank rowers (p = 0.028) compared to longer shank rowers, who showed no lumbar power generation during the same period of the drive phase. Rowers with a relatively shorter shank demonstrated earlier lumbar power generation during the drive phase resulting from restricted rotation of the pelvic segment requiring increased lumbar extension in these rowers. Earlier lumbar power generation and extension did not appear to directly affect performance measures of the short shank group, and so can be attributed to a technical adaptation developed to maximise rowing performance.

Is the principle of minimization of secondary moments validated during various fingertip force production conditions?

During the application of fingertip forces with simultaneous flexion of the four fingers, namely index, middle, ring, and little fingers, a stable force sharing among fingers is adopted. Several studies have hypothesized that this stable force sharing is established to minimize unnecessary rotational moments (different from the main flexion moments). This principle labeled "minimization of secondary moments" is presented in the literature as a principle used by the central nervous system to solve musculoskeletal redundancy. However, this principle has only been tested with one solicited degree of freedom and in one finger posture. Our study tests this principle with various degrees of freedom solicited as secondary moments and in two different finger postures. Participants (n=6) were asked to apply a downward vertical force using their four fingers with the forearm placed in two different configurations: a "horizontal" condition (involving flexion/extension and pronation/supination at the wrist joint) and a "vertical" condition (involving flexion/extension and radial/ulnar deviation at the wrist joint). Additionally, two finger postures were tested in each forearm configuration: in the first, the distal inter-phalangeal joints (DIP) were extended and the proximal inter-phalangeal joints (PIP) highly flexed. In the second finger posture, both DIP and PIP joints were flexed. The resultant four-finger force and the relative involvement of each finger in the resultant four-finger force (force sharing) were analyzed. Results showed that the finger postures did not influence the finger force sharing, showing that the minimization of the secondary moment principle was stable among the finger joint angle configurations. Nonetheless, the relative involvement of each finger was dependent on the secondary degree of freedom solicited (pronation/supination vs. radial/ulnar). The modifications of the finger force sharing between the "horizontal" and "vertical" conditions were in accordance with the principle of minimization of the secondary moments.

Middle and ring fingers are more exposed to pulley rupture than index and little during sport-climbing: a biomechanical explanation.

BACKGROUND: Finger pulley injury is a common incident observed during sport-climbing. The total rupture of one or several pulleys is highly debilitating and requires surgical reconstruction and/or rehabilitation programs. Literature reports show that fingers are not equally exposed to this injury. The ring and middle fingers are usually injured while the index and little fingers are less exposed. The objective of this study was to determine the biomechanical factors leading to the enhanced exposure of ring and middle finger pulleys. METHOD: Eight subjects were required to exert maximal four-finger force in a specific sport-climbing finger posture. External fingertip forces and finger joint postures were used as input data of a specifically developed biomechanical model of the four fingers (i.e., index, middle, ring and little). This model was based on classical Newton static laws and used an optimization process to quantify the flexor tendon tensions and the pulley forces in each finger. Passive participation of ligaments was also considered into mechanical equations. FINDINGS: Results showed that two main factors could explain the enhanced exposure of ring and middle fingers. Firstly, the fingertip force intensities applied by these two fingers were higher than those observed for the index and little fingers. Secondly, results show that the pulley forces of the ring and middle fingers were close to their rupture thresholds, while it was not the case for the two other fingers. This could be explained by a specific localisation of the finger pulleys of the ring and middle fingers leading to enhanced pulley forces. INTERPRETATION: These results are relevant and could help clinicians to understand finger pulley pathologies and adapt the surgical interventions to reconstruct the fingers pulleys.