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通过利用踝关节力矩和剪切波弹性成像进行力估计来研究体内胫前肌力学

In vivo tibialis anterior muscle mechanics through force estimation using ankle joint moment and shear wave elastography.

作者信息

Kaya Keles Cemre Su, Hiller Jennifer, Zimmer Manuela, Ates Filiz

机构信息

Institute of Structural Mechanics and Dynamics in Aerospace Engineering, University of Stuttgart, Stuttgart, Germany.

出版信息

Sci Rep. 2025 Sep 12;15(1):32461. doi: 10.1038/s41598-025-18292-4.

Abstract

Understanding how individual muscles contribute to joint mechanics is crucial for biomechanics. This study investigated the tibialis anterior (TA) shear modulus using shear wave elastography (SWE) and studied its relationship with ankle angle, contraction intensity, and joint moment-derived TA force and stress. Fourteen healthy volunteers (seven females, 26.43 ± 3.67 years) participated. SWE from TA, EMG, and ankle joint moment data were collected across ankle angles (- 15° dorsiflexion to 45° plantar flexion) during rest, maximum voluntary contraction (MVC), and isometric submaximal contractions. TA muscle length, passive ankle joint moment, and TA passive shear modulus increased with increasing plantar flexion (p < 0.001). During MVC, ankle joint moment peaked at 15° (50.13 Nm ± 15.54 Nm) whereas shear modulus remained unchanged (122.96 ± 9.87 kPa) across muscle lengths (p = 0.068). SWE reflected contractions at 25%, 50%, and 75% MVC (p < 0.001). TA force estimates peaked between 15° and 30°, with no significant decrease beyond this range. While SWE captured length-dependent passive properties and contraction intensity changes, the shear modulus at MVC (a stiffness measure obtained from SWE) did not align with the tangent modulus (derived from joint-moment-based force-length characteristics). Emphasizing the need for validation, SWE could serve as a valuable tool for understanding muscle mechanics and muscles' roles in joint dynamics.

摘要

了解单个肌肉如何对关节力学产生影响对于生物力学至关重要。本研究使用剪切波弹性成像(SWE)研究了胫骨前肌(TA)的剪切模量,并研究了其与踝关节角度、收缩强度以及关节力矩衍生的TA力和应力之间的关系。14名健康志愿者(7名女性,年龄26.43±3.67岁)参与了研究。在休息、最大自主收缩(MVC)和等长次最大收缩期间,收集了TA的SWE、肌电图(EMG)和踝关节力矩数据,涵盖踝关节角度(背屈15°至跖屈45°)。TA肌肉长度、被动踝关节力矩和TA被动剪切模量随跖屈增加而增加(p<0.001)。在MVC期间,踝关节力矩在15°时达到峰值(50.13 Nm±15.54 Nm),而剪切模量在整个肌肉长度上保持不变(122.96±9.87 kPa)(p=0.068)。SWE反映了25%、50%和75%MVC时的收缩情况(p<0.001)。TA力估计值在15°至30°之间达到峰值,超过此范围后无显著下降。虽然SWE捕捉到了长度依赖性的被动特性和收缩强度变化,但MVC时的剪切模量(从SWE获得的一种刚度测量值)与切线模量(从基于关节力矩的力-长度特性得出)不一致。强调了验证的必要性,SWE可作为理解肌肉力学以及肌肉在关节动力学中作用的有价值工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a83b/12432256/f8e383fb8c7e/41598_2025_18292_Fig1_HTML.jpg

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