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在计算L4L5水平腰椎负荷时对AnyBody全身肌肉骨骼模型的验证。

Validation of the AnyBody full body musculoskeletal model in computing lumbar spine loads at L4L5 level.

作者信息

Bassani Tito, Stucovitz Elena, Qian Zhihui, Briguglio Matteo, Galbusera Fabio

机构信息

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

出版信息

J Biomech. 2017 Jun 14;58:89-96. doi: 10.1016/j.jbiomech.2017.04.025. Epub 2017 May 5.

Abstract

In the panorama of available musculoskeletal modeling software, AnyBody software is a commercial tool that provides a full body musculoskeletal model which is increasingly exploited by numerous researchers worldwide. In this regard, model validation becomes essential to guarantee the suitability of the model in representing the simulated system. When focusing on lumbar spine, the previous works aimed at validating the AnyBody model in computing the intervertebral loads held several limitations, and a comprehensive validation is to be considered as lacking. The present study was aimed at extensively validating the suitability of the AnyBody model in computing lumbar spine loads at L4L5 level. The intersegmental loads were calculated during twelve specific exercise tasks designed to accurately replicate the conditions during which Wilke et al. (2001) measured in vivo the L4L5 intradiscal pressure. Motion capture data of one volunteer subject were acquired during the execution of the tasks and then imported into AnyBody to set model kinematics. Two different approaches in computing intradiscal pressure from the intersegmental load were evaluated. Lumbopelvic rhythm was compared with reference in vivo measurements to assess the accuracy of the lumbopelvic kinematics. Positive agreement was confirmed between the calculated pressures and the in vivo measurements, thus demonstrating the suitability of the AnyBody model. Specific caution needs to be taken only when considering postures characterized by large lateral displacements. Minor discrepancy was found assessing lumbopelvic rhythm. The present findings promote the AnyBody model as an appropriate tool to non-invasively evaluate the lumbar loads at L4L5 in physiological activities.

摘要

在现有的肌肉骨骼建模软件中,AnyBody软件是一款商业工具,它提供了一个全身肌肉骨骼模型,该模型正被全球众多研究人员越来越多地使用。在这方面,模型验证对于确保模型在表示模拟系统方面的适用性至关重要。当关注腰椎时,以往旨在验证AnyBody模型计算椎间负荷能力的研究存在若干局限性,且缺乏全面的验证。本研究旨在广泛验证AnyBody模型在计算L4-L5水平腰椎负荷方面的适用性。在十二项特定运动任务中计算节段间负荷,这些任务旨在准确复制Wilke等人(2001年)在体内测量L4-L5椎间盘内压力时的条件。在执行任务期间采集了一名志愿者受试者的运动捕捉数据,然后将其导入AnyBody以设置模型运动学。评估了两种从节段间负荷计算椎间盘内压力的不同方法。将腰骶节律与体内参考测量值进行比较,以评估腰骶运动学的准确性。计算得到的压力与体内测量值之间确认了正相关性,从而证明了AnyBody模型的适用性。仅在考虑具有大侧向位移特征的姿势时需要特别注意。在评估腰骶节律时发现了微小差异。本研究结果表明AnyBody模型是一种在生理活动中无创评估L4-L5腰椎负荷的合适工具。

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