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一种基于模型的方法,用于估计与躯干肌力改变相关的腰椎节段运动学变化。

A model-based approach for estimation of changes in lumbar segmental kinematics associated with alterations in trunk muscle forces.

作者信息

Shojaei Iman, Arjmand Navid, Meakin Judith R, Bazrgari Babak

机构信息

F. Joseph Halcomb III, M.D. Department of Biomedical Engineering, University of Kentucky, Lexington, KY 40506, USA.

Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran.

出版信息

J Biomech. 2018 Mar 21;70:82-87. doi: 10.1016/j.jbiomech.2017.09.024. Epub 2017 Oct 6.


DOI:10.1016/j.jbiomech.2017.09.024
PMID:29029957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5844798/
Abstract

The kinematics information from imaging, if combined with optimization-based biomechanical models, may provide a unique platform for personalized assessment of trunk muscle forces (TMFs). Such a method, however, is feasible only if differences in lumbar spine kinematics due to differences in TMFs can be captured by the current imaging techniques. A finite element model of the spine within an optimization procedure was used to estimate segmental kinematics of lumbar spine associated with five different sets of TMFs. Each set of TMFs was associated with a hypothetical trunk neuromuscular strategy that optimized one aspect of lower back biomechanics. For each set of TMFs, the segmental kinematics of lumbar spine was estimated for a single static trunk flexed posture involving, respectively, 40° and 10° of thoracic and pelvic rotations. Minimum changes in the angular and translational deformations of a motion segment with alterations in TMFs ranged from 0° to 0.7° and 0 mm to 0.04 mm, respectively. Maximum changes in the angular and translational deformations of a motion segment with alterations in TMFs ranged from 2.4° to 7.6° and 0.11 mm to 0.39 mm, respectively. The differences in kinematics of lumbar segments between each combination of two sets of TMFs in 97% of cases for angular deformation and 55% of cases for translational deformation were within the reported accuracy of current imaging techniques. Therefore, it might be possible to use image-based kinematics of lumbar segments along with computational modeling for personalized assessment of TMFs.

摘要

来自成像的运动学信息,如果与基于优化的生物力学模型相结合,可能为个性化评估躯干肌力(TMFs)提供一个独特的平台。然而,只有当当前成像技术能够捕捉到由于TMFs差异导致的腰椎运动学差异时,这种方法才可行。在优化过程中使用脊柱的有限元模型来估计与五组不同TMFs相关的腰椎节段运动学。每组TMFs都与一种假设的躯干神经肌肉策略相关联,该策略优化了下背部生物力学的一个方面。对于每组TMFs,分别针对涉及40°和10°胸椎和骨盆旋转的单个静态躯干屈曲姿势估计腰椎的节段运动学。随着TMFs改变,运动节段的角变形和平移变形的最小变化分别为0°至0.7°和0毫米至0.04毫米。随着TMFs改变,运动节段的角变形和平移变形的最大变化分别为2.4°至7.6°和0.11毫米至0.39毫米。在97%的角变形情况和55%的平移变形情况中,两组TMFs每种组合之间腰椎节段运动学的差异在当前成像技术报告的精度范围内。因此,结合基于图像的腰椎节段运动学和计算模型来进行TMFs的个性化评估可能是可行的。

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本文引用的文献

[1]
Lumbopelvic rhythm in the sagittal plane: A review of the effects of participants and task characteristics.

Int Musculoskelet Med. 2016

[2]
Subject-specific 2D/3D image registration and kinematics-driven musculoskeletal model of the spine.

J Biomech. 2017-5-24

[3]
Subject-specific biomechanics of trunk: musculoskeletal scaling, internal loads and intradiscal pressure estimation.

Biomech Model Mechanobiol. 2016-12

[4]
Accuracy and repeatability of quantitative fluoroscopy for the measurement of sagittal plane translation and finite centre of rotation in the lumbar spine.

Med Eng Phys. 2016-7

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Image driven subject-specific finite element models of spinal biomechanics.

J Biomech. 2016-4-11

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An optimization-based method for prediction of lumbar spine segmental kinematics from the measurements of thorax and pelvic kinematics.

Int J Numer Method Biomed Eng. 2015-12

[7]
Comparison of eight published static finite element models of the intact lumbar spine: predictive power of models improves when combined together.

J Biomech. 2014-4-5

[8]
Interaction between pain, movement, and physical activity: short-term benefits, long-term consequences, and targets for treatment.

Clin J Pain. 2015-2

[9]
Cumulative mechanical low-back load at work is a determinant of low-back pain.

Occup Environ Med. 2014-3-27

[10]
Altered disc compression in children with idiopathic low back pain: an upright magnetic resonance imaging backpack study.

Spine (Phila Pa 1976). 2014-2-1

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