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用于振动环境下腰椎损伤风险分析的神经肌肉人体模型。

A neuromuscular human body model for lumbar injury risk analysis in a vibration loading environment.

机构信息

State Key Laboratory of Advanced Design and Manufacture for Vehicle Body, Hunan University, Changsha, Hunan 410082, China.

Institute for Traffic Medicine, Daping Hospital, Army Medical University, Chongqing 400042, China.

出版信息

Comput Methods Programs Biomed. 2023 Apr;232:107442. doi: 10.1016/j.cmpb.2023.107442. Epub 2023 Feb 24.

Abstract

BACKGROUND AND OBJECTIVE

Long-term intensive exposure to whole-body vibration substantially increases the risk of low back pain and degenerative diseases in special occupational groups, like motor vehicle drivers, military vehicle occupants, aircraft pilots, etc. This study aims to establish and validate a neuromuscular human body model focusing on improvement of the detailed description of anatomic structures and neural reflex control, for lumbar injury analysis in vibration loading environments.

METHODS

A whole-body musculoskeletal in Opensim codes was first improved by including a detailed anatomic description of spinal ligaments, non-linear intervertebral disc, and lumbar facet joints, and coupling a proprioceptive feedback closed-loop control strategy with GTOs and muscle spindles modeling in Python codes. Then, the established neuromuscular model was multi-levelly validated from sub-segments to the whole model, from regular movements to dynamic responses to vibration loadings. Finally, the neuromuscular model was combined with a dynamic model of an armored vehicle to analyze occupant lumbar injury risk in vibration loadings due to different road conditions and traveling velocities.

RESULT

Based on a series of biomechanical indexes, including lumbar joint rotation angles, the lumbar intervertebral pressures, the displacement of the lumbar segments, and the lumbar muscle activities, the validation results show that the present neuromuscular model is available and feasible in predicting lumbar biomechanical responses in normal daily movement and vibration loading environments. Furthermore, the combined analysis with the armored vehicle model predicted similar lumbar injury risk to the experimental or epidemiologic studies. The preliminary analysis results also showed that road types and travelling velocities have substantial combined effects on lumbar muscle activities, and indicated that intervertebral joint pressure and muscle activity indexes can need to be jointly considered for lumbar injury risk evaluation.

CONCLUSION

In conclusion, the established neuromuscular model is an effective tool to evaluate vibration loading effects on injury risk of the human body and assist vehicle design vibration comfort by directly concerning the human body injury itself.

摘要

背景与目的

长期全身振动会显著增加特殊职业群体(如机动车驾驶员、军用车辆乘员、飞机驾驶员等)患下腰痛和退行性疾病的风险。本研究旨在建立和验证一个专注于改进解剖结构和神经反射控制详细描述的人体神经肌肉模型,以分析振动载荷环境下的腰椎损伤。

方法

首先,通过在 Opensim 代码中包含对脊柱韧带、非线性椎间盘和腰椎小关节的详细解剖描述,并在 Python 代码中结合 GTO 和肌梭建模实现本体感受反馈闭环控制策略,对包含完整骨骼肌肉的全身运动学模型进行了改进。然后,从子模型到整体模型、从常规运动到动态响应振动加载,对建立的神经肌肉模型进行多层次验证。最后,将神经肌肉模型与装甲车的动力学模型相结合,分析不同路况和行驶速度下振动载荷对乘员腰椎损伤的风险。

结果

基于一系列生物力学指标,包括腰椎关节旋转角度、腰椎间盘压力、腰椎节段位移和腰椎肌肉活动,验证结果表明,该神经肌肉模型可用于预测正常日常运动和振动加载环境下的腰椎生物力学响应,是可行的。此外,与装甲车模型的联合分析预测了与实验或流行病学研究相似的腰椎损伤风险。初步分析结果还表明,道路类型和行驶速度对腰椎肌肉活动有实质性的综合影响,表明需要联合考虑关节压力和肌肉活动指标来评估腰椎损伤风险。

结论

总之,建立的神经肌肉模型是评估振动载荷对人体损伤风险的有效工具,并通过直接关注人体损伤本身,有助于车辆设计振动舒适性。

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