Institute for Bioengineering of Catalonia , Barcelona , Spain ; Department of Information and Communication Technologies, Universitat Pompeu Fabra , Barcelona , Spain.
Front Bioeng Biotechnol. 2015 Aug 5;3:111. doi: 10.3389/fbioe.2015.00111. eCollection 2015.
During daily activities, complex biomechanical interactions influence the biophysical regulation of intervertebral disks (IVDs), and transfers of mechanical loads are largely controlled by the stabilizing action of spine muscles. Muscle and other internal forces cannot be easily measured directly in the lumbar spine. Hence, biomechanical models are important tools for the evaluation of the loads in those tissues involved in low-back disorders. Muscle force estimations in most musculoskeletal models mainly rely, however, on inverse calculations and static optimizations that limit the predictive power of the numerical calculations. In order to contribute to the development of predictive systems, we coupled a predictive muscle model with the passive resistance of the spine tissues, in a L3-S1 musculoskeletal finite element model with osmo-poromechanical IVD descriptions. The model included 46 fascicles of the major back muscles that act on the lower spine. The muscle model interacted with activity-related loads imposed to the osteoligamentous structure, as standing position and night rest were simulated through distributed upper body mass and free IVD swelling, respectively. Calculations led to intradiscal pressure values within ranges of values measured in vivo. Disk swelling led to muscle activation and muscle force distributions that seemed particularly appropriate to counterbalance the anterior body mass effect in standing. Our simulations pointed out a likely existence of a functional balance between stretch-induced muscle activation and IVD multiphysics toward improved mechanical stability of the lumbar spine understanding. This balance suggests that proper night rest contributes to mechanically strengthen the spine during day activity.
在日常活动中,复杂的生物力学相互作用会影响椎间盘的生物物理调节,机械负荷的传递在很大程度上受到脊柱肌肉稳定作用的控制。肌肉和其他内力不能轻易地直接在腰椎处测量。因此,生物力学模型是评估涉及下腰痛的组织中负荷的重要工具。然而,大多数肌肉骨骼模型中的肌肉力估计主要依赖于逆计算和静态优化,这限制了数值计算的预测能力。为了促进预测系统的发展,我们将预测肌肉模型与脊柱组织的被动阻力耦合在一起,在一个具有渗透-多孔椎间盘描述的 L3-S1 肌肉骨骼有限元模型中。该模型包括作用于下脊柱的主要背部肌肉的 46 个肌束。肌肉模型与施加在骨-韧带结构上的与活动相关的负荷相互作用,通过分别分布的上身质量和自由椎间盘肿胀模拟站立和夜间休息。计算得出的椎间盘内压力值在体内测量的范围内。椎间盘肿胀导致肌肉激活和肌肉力分布,这些分布似乎特别适合抵消站立时的前体重效应。我们的模拟指出,在拉伸诱导的肌肉激活和椎间盘多物理之间可能存在一种功能平衡,以提高对腰椎理解的机械稳定性。这种平衡表明,适当的夜间休息有助于在白天活动期间增强脊柱的机械强度。