Ezquerro Francisco, Simón Antonio, Prado María, Pérez Ana
Department of Mechanical Engineering, University of Málaga, Pza/El Ejido sn, Málaga 29013, Spain.
Med Eng Phys. 2004 Jan;26(1):11-22. doi: 10.1016/s1350-4533(03)00128-0.
A model of the lumbar spine capable of taking into account realistic loads derived from human activity would be of great benefit in studying its normal biomechanical functioning as well as its in vivo behavior in injured and surgically altered states. This paper proposes a method to analyze the mechanical response of the lumbar spine subjected to loads derived from human activity, combining a non-linear finite element model (FEM) and an optimization-based force predicting algorithm. Loads borne by the lumbar spine at the T12-L1 level (joint loads) are first predicted with the optimization algorithm and then applied to the FEM, while a boundary condition prescribing the relative L1-sacrum rotation is imposed onto the FEM to account for three-dimensional physiological thorax-pelvis orientation. The prescribed rotation is achieved through the application of moments on L1. To account for the effect of these moments on lumbar joint loads, an iteration between the optimization technique and the FEM computation has been carried out. This method provides two main benefits over previous studies: first, it allows for the application of any 3D loading condition while considering the real 3D rotation measured between the thorax and the pelvis, and second, it makes it possible to estimate the moments that must be applied on L1 in order to maintain this rotation, taking them into account when predicting joint loads. As an example application of the method, results are presented for the lumbar spine mechanical response at the time of peak T12-L1 joint force during walking.
一个能够考虑到源自人类活动的实际负荷的腰椎模型,对于研究其正常生物力学功能以及在受伤和手术改变状态下的体内行为将大有裨益。本文提出了一种方法,将非线性有限元模型(FEM)和基于优化的力预测算法相结合,以分析承受源自人类活动负荷的腰椎的力学响应。首先使用优化算法预测腰椎在T12-L1水平承受的负荷(关节负荷),然后将其应用于有限元模型,同时在有限元模型上施加规定L1-骶骨相对旋转的边界条件,以考虑三维生理胸廓-骨盆方向。规定的旋转通过在L1上施加力矩来实现。为了考虑这些力矩对腰椎关节负荷的影响,在优化技术和有限元计算之间进行了迭代。与先前的研究相比,该方法有两个主要优点:第一,它允许应用任何三维加载条件,同时考虑胸廓和骨盆之间测量的实际三维旋转;第二,它能够估计为维持这种旋转必须在L1上施加的力矩,并在预测关节负荷时将其考虑在内。作为该方法的一个示例应用,给出了步行过程中T12-L1关节力峰值时腰椎力学响应的结果。
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