Lee Sang Wook, Kamper Derek G
Sensory Motor Performance Program, Rehabilitation Institute of Chicago, Chicago, IL 60611, USA.
IEEE Trans Biomed Eng. 2009 Sep;56(9):2253-62. doi: 10.1109/TBME.2009.2019119. Epub 2009 Apr 7.
The purpose of this study was to examine force transmission from one of the major multiarticular muscles of the finger, flexor digitorum profundus (FDP), to the index finger. Specifically, we examined whether the popular moment arm (MA)-joint torque technique of modeling muscle force transmission can accurately represent the effects of the FDP on finger movement. A dynamic finger model employing geometric MA values (model I) was compared with another model including realistic tendon force transformation mechanisms via pulley structures and joint reaction forces (model II). Finger flexion movements generated by these models were compared with those obtained from in vivo stimulation experiments. The model with the force transformation mechanisms (model II) resulted in more realistic joint spatial coordination (i.e., proximal interphalangeal > metacarpophalangeal > or = distal interphalangeal) than the MA-based model (model I) in relation to the movement patterns evoked by stimulation. Also, the importance of the pulley structures and passive joint characteristics was confirmed in the model simulation; altering/eliminating these components significantly changed the spatial coordination of the joint angles during the resulting movements. The results of this study emphasize the functional importance of the force transformation through various biomechanical components, and suggest the importance of including these components when investigating finger motor control, such as for examining injury mechanisms or designing rehabilitation protocols.
本研究的目的是研究手指主要多关节肌肉之一的指深屈肌(FDP)向示指的力传递。具体而言,我们研究了模拟肌肉力传递的常用力臂(MA)-关节扭矩技术是否能准确反映FDP对手指运动的影响。将采用几何MA值的动态手指模型(模型I)与另一个包含通过滑轮结构和关节反作用力的实际肌腱力转换机制的模型(模型II)进行比较。将这些模型产生的手指屈曲运动与体内刺激实验获得的运动进行比较。与基于MA的模型(模型I)相比,具有力转换机制的模型(模型II)在刺激诱发的运动模式方面产生了更符合实际的关节空间协调(即近端指间关节>掌指关节>或=远端指间关节)。此外,在模型模拟中证实了滑轮结构和被动关节特性的重要性;改变/消除这些组件会显著改变运动过程中关节角度的空间协调。本研究结果强调了通过各种生物力学组件进行力转换的功能重要性,并表明在研究手指运动控制时,如检查损伤机制或设计康复方案时,纳入这些组件的重要性。