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跟腱应力对个体特定几何形状比对个体特定材料属性更敏感:一项有限元分析。

Achilles tendon stress is more sensitive to subject-specific geometry than subject-specific material properties: A finite element analysis.

作者信息

Hansen Wencke, Shim Vickie B, Obst Steven, Lloyd David G, Newsham-West Richard, Barrett Rod S

机构信息

Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia.

Menzies Health Institute Queensland, Griffith University, Gold Coast Campus, Australia; Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.

出版信息

J Biomech. 2017 May 3;56:26-31. doi: 10.1016/j.jbiomech.2017.02.031. Epub 2017 Mar 4.

Abstract

This study used subject-specific measures of three-dimensional (3D) free Achilles tendon geometry in conjunction with a finite element method to investigate the effect of variation in subject-specific geometry and subject-specific material properties on tendon stress during submaximal isometric loading. Achilles tendons of eight participants (Aged 25-35years) were scanned with freehand 3D ultrasound at rest and during a 70% maximum voluntary isometric contraction. Ultrasound images were segmented, volume rendered and transformed into subject-specific 3D finite element meshes. The mean (±SD) lengths, volumes and cross-sectional areas of the tendons at rest were 62±13mm, 3617±984mm and 58±11mm respectively. The measured tendon strain at 70% MVIC was 5.9±1.3%. Subject-specific material properties were obtained using an optimisation approach that minimised the difference between measured and modelled longitudinal free tendon strain. Generic geometry was represented by the average mesh and generic material properties were taken from the literature. Local stresses were subsequently computed for combinations of subject-specific and generic geometry and material properties. For a given geometry, changing from generic to subject-specific material properties had little effect on the stress distribution in the tendon. In contrast, changing from generic to subject-specific geometry had a 26-fold greater effect on tendon stress distribution. Overall, these findings indicate that the stress distribution experienced by the living free Achilles tendon of a young and healthy population during voluntary loading are more sensitive to variation in tendon geometry than variation in tendon material properties.

摘要

本研究采用特定个体的三维(3D)游离跟腱几何测量方法,并结合有限元方法,来研究特定个体几何形状和特定个体材料特性的变化对次最大等长负荷期间肌腱应力的影响。对8名参与者(年龄25 - 35岁)的跟腱在静息状态和70%最大自主等长收缩期间进行了徒手3D超声扫描。对超声图像进行分割、容积渲染,并转换为特定个体的3D有限元网格。静息状态下肌腱的平均(±标准差)长度、体积和横截面积分别为62±13mm、3617±984mm³和58±11mm²。在70%最大自主等长收缩时测得的肌腱应变是5.9±1.3%。使用一种优化方法获得特定个体的材料特性,该方法使测量的和模拟的纵向游离肌腱应变之间的差异最小化。通用几何形状由平均网格表示,通用材料特性取自文献。随后针对特定个体和通用几何形状及材料特性的组合计算局部应力。对于给定的几何形状,从通用材料特性改为特定个体材料特性对肌腱中的应力分布影响很小。相比之下,从通用几何形状改为特定个体几何形状对肌腱应力分布的影响大26倍。总体而言,这些发现表明,年轻健康人群的活体游离跟腱在自主负荷期间所经历的应力分布对肌腱几何形状变化比肌腱材料特性变化更敏感。

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