Dienes Jack A, Hu Xiao, Janson Kevin D, Slater Conrad, Dooley Emily A, Christ George J, Russell Shawn D
Biomedical Engineering Department, University of Virginia, Charlottesville, VA, United States.
Mechanical and Aerospace Engineering Department, University of Virginia, Charlottesville, VA, United States.
Front Bioeng Biotechnol. 2019 Jun 19;7:146. doi: 10.3389/fbioe.2019.00146. eCollection 2019.
There is currently a substantial volume of research underway to develop more effective approaches for the regeneration of functional muscle tissue as treatment for volumetric muscle loss (VML) injury, but few studies have evaluated the relationship between injury and the biomechanics required for normal function. To address this knowledge gap, the goal of this study was to develop a novel method to quantify the changes in gait of rats with tibialis anterior (TA) VML injuries. This method should be sensitive enough to identify biomechanical and kinematic changes in response to injury as well as during recovery. Control rats and rats with surgically-created VML injuries were affixed with motion capture markers on the bony landmarks of the back and hindlimb and were recorded walking on a treadmill both prior to and post-surgery. Data collected from the motion capture system was exported for analysis in OpenSim and Matlab. force testing indicated that the VML injury was associated with a significant deficit in force generation ability. Analysis of joint kinematics showed significant differences at all three post-surgical timepoints and gait cycle phase shifting, indicating augmented gait biomechanics in response to VML injury. In conclusion, this method identifies and quantifies key differences in the gait biomechanics and joint kinematics of rats with VML injuries and allows for analysis of the response to injury and recovery. The comprehensive nature of this method opens the door for future studies into dynamics and musculoskeletal control of injured gait that can inform the development of regenerative technologies focused on the functional metrics that are most relevant to recovery from VML injury.
目前,有大量研究正在进行,以开发更有效的方法来再生功能性肌肉组织,作为治疗大面积肌肉损失(VML)损伤的手段,但很少有研究评估损伤与正常功能所需生物力学之间的关系。为了填补这一知识空白,本研究的目标是开发一种新方法,用于量化患有胫前肌(TA)VML损伤的大鼠的步态变化。这种方法应该足够灵敏,能够识别因损伤以及恢复过程中产生的生物力学和运动学变化。将对照大鼠和通过手术造成VML损伤的大鼠在背部和后肢的骨性标志上粘贴运动捕捉标记,并在手术前后在跑步机上行走时进行记录。从运动捕捉系统收集的数据被导出,以便在OpenSim和Matlab中进行分析。 力测试表明,VML损伤与力产生能力的显著缺陷有关。关节运动学分析显示,在术后所有三个时间点均存在显著差异,且步态周期发生相移,表明对VML损伤的步态生物力学有所增强。总之,该方法识别并量化了患有VML损伤的大鼠在步态生物力学和关节运动学方面的关键差异,并能够分析对损伤和恢复的反应。这种方法的全面性为未来关于受伤步态的动力学和肌肉骨骼控制的研究打开了大门,这些研究可为专注于与从VML损伤恢复最相关的功能指标的再生技术的开发提供信息。