Wu J Z, Dong R G, Smutz W P, Schopper A W
E&CTB/HELD, National Institute for Occupational Safety and Health, Center for Disease Control and Prevention, 1095 Willowdale Road, Morgantown, WV 26505, USA.
J Biomech. 2003 Mar;36(3):383-92. doi: 10.1016/s0021-9290(02)00427-x.
An extended exposure to repeated loading on fingertip has been associated to many vascular, sensorineural, and musculoskeletal disorders in the fingers, such as carpal tunnel syndrome, hand-arm vibration syndrome, and flexor tenosynovitis. A better understanding of the pathomechanics of these sensorineural and vascular diseases in fingers requires a formulation of a biomechanical model of the fingertips and analyses to predict the mechanical responses of the soft tissues to dynamic loading. In the present study, a model based on finite element techniques has been developed to simulate the mechanical responses of the fingertips to dynamic loading. The proposed model is two-dimensional and incorporates the essential anatomical structures of a finger: skin, subcutaneous tissue, bone, and nail. The skin tissue is assumed to be hyperelastic and viscoelastic. The subcutaneous tissue was considered to be a nonlinear, biphasic material composed of a hyperelastic solid and an invicid fluid, while its hydraulic permeability was considered to be deformation dependent. Two series of numerical tests were performed using the proposed finger tip model to: (a) simulate the responses of the fingertip to repeated loading, where the contact plate was assumed to be fixed, and the bone within the fingertip was subjected to a prescribed sinusoidal displacement in vertical direction; (b) simulate the force response of the fingertip in a single keystroke, where the keyboard was composed of a hard plastic keycap, a rigid support block, and a nonlinear spring. The time-dependent behavior of the fingertip under dynamic loading was derived. The model predictions of the time-histories of force response of the fingertip and the phenomenon of fingertip separation from the contacting plate during cyclic loading agree well with the reported experimental observations.
指尖反复承受负荷的长期暴露与手指的许多血管、感觉神经和肌肉骨骼疾病有关,如腕管综合征、手臂振动综合征和屈指肌腱腱鞘炎。要更好地理解手指这些感觉神经和血管疾病的病理力学,需要建立指尖的生物力学模型并进行分析,以预测软组织对动态负荷的力学响应。在本研究中,已开发出一种基于有限元技术的模型,用于模拟指尖对动态负荷的力学响应。所提出的模型是二维的,纳入了手指的基本解剖结构:皮肤、皮下组织、骨骼和指甲。皮肤组织假定为超弹性和粘弹性的。皮下组织被视为一种由超弹性固体和无粘性流体组成的非线性双相材料,其水力渗透率被认为与变形有关。使用所提出的指尖模型进行了两组数值试验,以:(a) 模拟指尖对反复负荷的响应,其中假定接触板是固定的,指尖内的骨骼在垂直方向上受到规定的正弦位移;(b) 模拟单次击键时指尖的力响应,其中键盘由硬塑料键帽、刚性支撑块和非线性弹簧组成。得出了指尖在动态负荷下随时间变化的行为。指尖力响应随时间变化的模型预测以及循环加载过程中指尖与接触板分离的现象与所报道的实验观察结果吻合良好。