Effect of a personal weight transfer device on muscle activities and joint flexions in the stooped posture

Repetitive work in the stooped posture is a known risk factor for developing low back disorders (LBDs); regardless, the stooped posture is widespread throughout the world in the agriculture, construction, and mining industries. An on-body weight transfer device was tested as a possible intervention for reducing the risk of developing LBDs.Eighteen subjects (11 male and 7 female), with no history of LBDs, performed stooped posture tasks in the laboratory. Surface electromyograms of the erector spinae, rectus abdominis, biceps femoris, and tibialis anterior muscles were recorded. Bodily joint flexions were measured with a combination of inclinometers and electrogoniometers.When wearing the device in the stooped posture, biceps femoris activity and lumbar flexion were significantly reduced. Subjects who did not experience flexion–relaxation had a significant reduction in lumbar erector spinae activity.By reducing back muscle activity, and by limiting lumbar flexion, the device could reduce the risk of developing LBDs for those who work while adopting the stooped posture. The device may also be beneficial for those with existing LBDs. Follow up field studies are needed to confirm the long-term potential benefits of such an intervention approach.     

A model-based study of passive joint properties on muscle effort during static stance

This study examined the impact of lower extremity joint stiffnesses and simulated joint contractures on the muscle effort required to maintain static standing postures after a spinal cord injury (SCI). Static inverse computer simulations were performed with a three-dimensional 15 degree of freedom musculoskeletal model placed in 1600 different standing postures. The required lower extremity muscle forces were calculated through an optimization routine that minimized the sum of the muscle stresses squared, which was used as an index of the muscle effort required for each standing posture. Joint stiffnesses were increased and decreased by 100 percent of their nominal values, and contractures were simulated to determine their effects on the muscle effort for each posture. Nominal muscle and passive properties for an individual with a SCI determined the baseline muscle effort for comparisons. Stiffness changes for the ankle plantar flexion/dorsiflexion, hip flexion/extension, and hip abduction/adduction directions had the largest effect on reducing muscle effort by more than 5 percent, while changes in ankle inversion/eversion and knee flexion/extension had the least effect. For erect standing, muscle effort was reduced by more than 5 percent when stiffness was decreased at the ankle plantar flexion/dorsiflexion joint or hip flexion/extension joint. With simulated joint contractures, the postural workspace area decreased and muscle effort was not reduced by more than 5 percent for any posture. Using this knowledge, methods can be developed through the use of orthoses, physical therapy, surgery or other means to appropriately augment or diminish these passive moments during standing with a neuroprosthesis.     

The sensitivity of endpoint forces produced by the extrinsic muscles of the thumb to posture

This study utilizes a biomechanical model of the thumb to estimate the force produced at the thumb-tip by each of the four extrinsic muscles. We used the principle of virtual work to relate joint torques produced by a given muscle force to the resulting endpoint force and compared the results to two separate cadaveric studies. When we calculated thumb-tip forces using the muscle forces and thumb postures described in the experimental studies, we observed large errors. When relatively small deviations from experimentally reported thumb joint angles were allowed, errors in force direction decreased substantially. For example, when thumb posture was constrained to fall within ±15° of reported joint angles, simulated force directions fell within experimental variability in the proximal–palmar plane for all four muscles. Increasing the solution space from ±1° to an unbounded space produced a sigmoidal decrease in error in force direction. Changes in thumb posture remained consistent with a lateral pinch posture, and were generally consistent with each muscle’s function. Altering thumb posture alters both the components of the Jacobian and muscle moment arms in a nonlinear fashion, yielding a nonlinear change in thumb-tip force relative to muscle force. These results explain experimental data that suggest endpoint force is a nonlinear function of muscle force for the thumb, support the continued use of methods that implement linear transformations between muscle force and thumb-tip force for a specific posture, and suggest the feasibility of accurate prediction of lateral pinch force in situations where joint angles can be measured accurately.     

Modulation of the human nociceptive reflex by cyclic movements

During static conditions the nociceptive reflex is known to vary as a function of, for example, the stimulus position, stimulus intensity, and muscle contraction. The aim of the present human study was to investigate whether the reflex and the corresponding perception of pain are modulated by cyclic movements of the limb involved. Reflexes, evoked by nociceptive electric stimulation of the sural nerve, were recorded from the biceps femoris and the rectus femoris muscles in eight volunteers. Four different experiments were performed to compare the nociceptive reflex and pain score elicited during active isometric/dynamic flexion/extension of the knee joint. The amplitudes of the reflexes were largest for the dynamic conditions. The reflexes, evoked during dynamic extension and isometric contraction of the rectus femoris muscle, had the shortest latencies but the recordings from the biceps femoris muscle were larger than from the rectus femoris muscle. Knee joint angle recordings showed that the largest angle variations occurred for the dynamic conditions and were only marginally disturbed for the isometric conditions. A given stimulus intensity evoked the highest pain intensity during isometric contractions. This indicates that there would seem to be no causal relationship between the size of the nociceptive reflex and the pain intensity.     

The trackmaker of Apatopus (Late Triassic, North America): implications for the evolution of archosaur stance and gait

Abstract:  For some decades, a major focus of research has been on how locomotor modes changed in some archosaurian reptiles from a more or less 'sprawling' to an 'erect' posture, whether there were discrete intermediate stages, and how many times 'erect' posture evolved. The classic paradigm for the evolution of stance and gait in archosaurs, a three-stage transition from sprawling to 'semi-erect' to erect posture, has been replaced by a subtler understanding of a continuum of changing limb joint angles. We suggest a further separation of terminology related to stance vs. gait so as not to entail different processes: 'sprawling' and 'erect' should refer to continua of stance; 'rotatory' and 'parasagittal' are more appropriate ends of a continuum that describes the motions of gait. We show that the Triassic trackway Apatopus best fits the anatomy and proportions of phytosaurs, based on a new reconstruction of their foot skeleton; it is less likely to have been made by another pseudosuchian or non-archosaurian archosauromorph. Moreover, the trackmaker was performing the high walk. A phytosaurian trackmaker would imply that the common ancestor of pseudosuchians, and therefore archosaurs could approximate the high walk (depending on phylogeny), and if so, erect stance and parasagittal gait did not evolve independently in pseudosuchians and ornithosuchians, although the kinematic mechanisms differed in the two groups. It remains to be seen how far outside Archosauria, if at all, more or less erect posture and parasagittal gait may have evolved.     

Somatosensory graviception inhibits the soleus H-reflex in standing man - a parabolic flight experiment-

The purpose of this study was to investigate how gravity level affects the excitability of the soleus muscle (SOL) motoneuron pool to la afferent input while erect posture is maintained in humans. Three healthy male subjects participated in an experiment whereby three different gravity conditions (micro gravity (MG), normal gravity (NG), and hyper gravity) were imposed using a parabolic flight procedure. The SOL H-reflex was evoked every 2 seconds while the subjects kept an erect posture. The background electromyographic activity (BGA) of the SOL was almost absent during MG. The SOL H-reflex amplitude was significantly larger during MG than during NG. These results suggest that the somatosensory systems detecting a load at the lower limbs and/or vertebral column play a role in reducing the excitability of the SOL motoneuron pool to la afferent inputs by presynaptic inhibition.     

Posture, gait and the ecological relevance of locomotor costs and energy-saving mechanisms in tetrapods

A reanalysis of locomotor data from functional, energetic, mechanical and ecological perspectives reveals that limb posture has major effects on limb biomechanics, energy-saving mechanisms and the costs of locomotion. Regressions of data coded by posture (crouched vs. erect) reveal nonlinear patterns in metabolic cost, limb muscle mass, effective mechanical advantage, and stride characteristics. In small crouched animals energy savings from spring and pendular mechanisms are inconsequential and thus the metabolic cost of locomotion is driven by muscle activation costs. Stride frequency appears to be the principal functional parameter related to the decreasing cost of locomotion in crouched animals. By contrast, the shift to erect limb postures invoked a series of correlated effects on the metabolic cost of locomotion: effective mechanical advantage increases, relative muscle masses decrease, metapodial limb segments elongate dramatically (as limbs shift from digitigrade to unguligrade designs) and biological springs increase in size and effectiveness. Each of these factors leads to decreases in the metabolic cost of locomotion in erect forms resulting from real and increasing contributions of pendular savings and spring savings. Comparisons of the relative costs and ecological relevance of different gaits reveal that running is cheaper than walking in smaller animals up to the size of dogs but running is more expensive than walking in horses. Animals do not necessarily use their cheapest gaits for their predominant locomotor activity. Therefore, locomotor costs are driven more by ecological relevance than by the need to optimize locomotor economy.     

Effects of a posture-sensing air seat device (PSASD) on kinematics and trunk muscle activity during continuous computer work

The prevalence and incidence of musculoskeletal disorders is high with computer workers, and poor sitting posture can be considered a factor contributing to low back discomfort. In the clinical literature, maintaining a neutral spinal curvature has been considered an optimal sitting posture. This study investigated the flexion and lateral flexion of trunk movements and trunk muscle activity during computer work with and without a posture-sensing air seat device (PSASD). By sensing a certain amount of increased pressure over the baseline, posture-related visual feedback was given to participants through the PSASD. Eleven regular computer workers participated in this study. PSASD had the function of alerting the subject to their poor posture by using visual feedback. Subjects performed 20 min of computer work with and without a PSASD. Surface electromyography was used to measure the activity of the erector spine and internal abdominal oblique. Kinematic data were obtained using an electrogoniometer. The results showed that the mean of trunk flexion and lateral flexion was significantly reduced with PSASD. The activity of the erector spine and internal oblique was significantly higher with the PSASD than without. Our findings indicated that the PSASD helps to prevent habitual poor posture by maintaining an erect sitting posture during prolonged computer work.     

Stresses exerted in the hindlimb muscles of common chimpanzees (Pan troglodytes) during bipedal locomotion

Recent studies have indicated that chimpanzee bipedality is mechanically inefficient and dynamically unlike that of humans, thus undermining the chimpanzee analogy for mechanical aspects of the early evolution of hominid bipedalism. This paper continues this theme by measuring the forces and stresses engendered by the muscles during bipedal locomotion, for an untrained chimpanzee and for data from chimpanzees which have been encouraged to walk bipedally, presented in the literature. Peak stresses in the triceps surae were lower for the untrained chimpanzee than for the trained subjects because during the late stance phase, when peak ankle moments occur, the centre of pressure of the ground reaction force on the foot of the untrained chimpanzee stayed close to the ankle joint. In contrast, for the trained subjects it moved closer to the toes, as in human bipedalism. Quadriceps and hip extensor stresses are approximately 30% larger for the untrained chimpanzee than for the trained subjects, because the trained chimpanzees walked with a more erect posture. These results may reflect the way in which muscles can develop in response to training, since research on humans has shown that muscle physiological cross-sectional area increases as a result of exercise, resulting in smaller stresses for a given muscle force. During a slow walk, untrained chimpanzees were found to exert far greater muscle stresses than humans do when running at moderate speed, particularly in the muscles that extend the hip, because of the bent-hip, bent-knee posture.     

常规肌力康复训练联合血流限制训练对前交叉韧带重建术后患者膝关节功能、股四头肌功能和平衡功能的影响

摘要 目的：探讨常规肌力康复训练联合血流限制训练对前交叉韧带（ACL）重建术后患者膝关节功能、股四头肌功能和平衡功能的影响。方法：选取2020年9月-2022年7月期间我院收治的ACL重建术患者82例。根据随机数字表法分为对照组（n=41,接受常规肌力康复训练）和研究组（n=41,接受常规肌力康复训练联合血流限制训练）。比较两组膝关节功能、股四头肌功能、平衡功能和并发症发生率。结果：治疗6周后,研究组膝关节Lysholm评分高于对照组,膝关节肿胀程度、大腿周径差值小于对照组,膝关节最大屈曲角度大于对照组（P<0.05）。治疗6周后,研究组股四头肌厚度薄于对照组,平均功率、峰力矩大于对照组（P<0.05）。治疗6周后,研究组站立平衡平均压力峰值差、缓慢弯膝平均压力峰值差、向下蹲位平均压力峰值差小于对照组（P<0.05）。研究组（4.88%）的并发症发生率低于对照组（24.39%）（P<0.05）。结论：ACL重建术后患者应用血流限制训练联合常规肌力康复训练进行干预,可有效改善患者膝关节功能、股四头肌功能和平衡功能,降低并发症发生率。     

Evolution of the lumbosacral angle

The lumbosacral angle (LSA) was studied in 131 children ranging in age from birth to 5 years. This angle increases from an average of 20 degrees at birth to an average of 70 degrees at the age of 5 years; it remains at that level thereafter. This study demonstrates that the formation of the LSA is not related to increasing age, height, or weight. Nor do obstetrical requirements seems to play any major role in the formation of the lumbosacral angle. Rather, it appears that the development of the LSA is related to the progressive acquisition of erect posture and the ontogeny of bipedal locomotion. This angle is almost nil in the nonprimate mammals (who only infrequently stand erect). It is minimal in monkeys who occasionally assume bipedal postures and increases somewhat in living apes who engage in facultative bipedal positional behavior. In the early australopithecines, the LSA is increased over that in apes, and it reaches its maximum in Homo sapiens. Deviations from normal and healthy erect posture in Homo sapiens result in corresponding changes in the lumbosacral angle. Lumbar and sacral angles (both forming the lumbosacral angle) are almost equal in all mammalian species. Since the sacral angle of Australopithecus afarensis is approximately 15 degrees, it can be implied that its lumbosacral angle was small, thus attesting to its "imperfect" erect posture and "primitive" form of bipedal locomotion.     

The role of proprioceptive information in programming of anticipatory postural components of voluntary movements

Anticipatory components of the EMG activity of the postural muscles during a voluntary movement were analyzed to find out how the CNS regulates these components in response to changes in the movement parameters and what information is used for programming these components. The fast lift of an arm in an erect posture was used as a model. The parameters of the movement were modified by varying weights held in the hand (0.5, 1.0, and 1.5 kg) and the preliminary information on these weights: lifting the hand holding a weight and lifting an unknown weight from a support in the absence of information on its value or after receiving verbal information on it. Our experiments showed that the program of maintaining an erect posture while performing a fast voluntary lift of the arm involves anticipatory adjustments of postural muscles (the soleus muscle, biceps muscle of the thigh, and sacrospinal muscle) using information on the parameters of the movement to be performed. For all these muscles, the anticipation time did not depend on either experimental conditions or the velocity of lifting the arm. The duration of the activity and its amount had different dependences on the lifted weight. The parameters of inhibition of the soleus muscle did not depend on the lifted weight, the activity of the biceps muscle of the thigh was mainly regulated by varying its amplitude, and the regulation of the sacrospinal muscle involved both amplitude and duration changes. It was shown that the adjustment of anticipatory movement components can be only based on proprioceptive rather than verbal (conscious) information.     

The effects of fatigue on the resultant joint moment, agonist and antagonist electromyographic activity at different angles during dynamic knee extension efforts.

Examination of the effects of fatigue on antagonist function can provide information on the role of antagonists in limiting the resultant joint moment and stabilizing the knee. Therefore, the purpose of this study was to examine the moment, agonist and antagonist electromyographic (EMG) activity levels at different angular positions during an isokinetic muscular endurance knee extension test. Fifteen healthy males (age 22.6+/-1.9 yr) performed 34 maximal isokinetic concentric efforts of the knee extensors at 120 degrees s(-1). The EMG activity of vastus medialis and biceps femoris was recorded using surface electrodes. The motion ranged from 90 degrees to 0 degrees of knee flexion. The average moment and average EMG (AEMG) at 10-35 degrees, 36-55 degrees and 56-80 degrees angular position intervals were calculated for each repetition. Twenty eight efforts were further analysed. The moment of force demonstrated a decline of 70% at the end of the test. Two-way repeated measures analysis of variance tests indicated that this decline was significant (p < 0.05). No significant effects of angular position on fatigue moment characteristics were found. The agonist (vastus medialis) AEMG during the first repetition demonstrated a significant increase of 40-60% towards the middle part of the test (p < 0.05). In the second part of the test, the VM AEMG at longer muscle lengths was significantly higher compared to the initial efforts whereas the AEMG at short muscle lengths returned to initial values. The antagonist AEMG at all angular positions did not change significantly during the test. The decline in the resultant joint moment could be attributed to the effects of fatigue on the agonist muscle function. The agonist AEMG fatigue-patterns are dependent on the length of the muscle and may be due to alterations in the motor unit recruitment and/or activation failure in the quadriceps muscle. The biceps femoris maintains constant submaximal (21-33% of the maximum) AEMG activity which may play an important role in the stability of the knee joint. The contribution of antagonist activity to the resultant joint moment increases during the last part of an isokinetic concentric muscle endurance test.     

Timing of Muscle Response to a Sudden Leg Perturbation: Comparison between Adolescents and Adults with Down Syndrome

Movement disturbances associated with Down syndrome reduce mechanical stability, worsening the execution of important tasks such as walking and upright standing. To compensate these deficits, persons with Down syndrome increase joint stability modulating the level of activation of single muscles or producing an agonist-antagonist co-activation. Such activations are also observed when a relaxed, extended leg is suddenly released and left to oscillate passively under the influence of gravity (Wartenberg test). In this case, the Rectus femoris of adults with Down syndrome displayed peaks of activation after the onset of the first leg flexion. With the aim to verify if these muscular reactions were acquired during the development time and to find evidences useful to give them a functional explanation, we used the Wartenberg test to compare the knee joint kinematics and the surface electromyography of the Rectus femoris and Biceps femoris caput longus between adolescents and adults with Down syndrome. During the first leg flexion, adolescents and adults showed single Rectus femoris activations while, a restricted number of participants exhibited agonist-antagonist co-activations. However, regardless the pattern of activation, adults initiated the muscle activity significantly later than adolescents. Although most of the mechanical parameters and the total movement variability were similar in the two groups, the onset of the Rectus femoris activation was well correlated with the time of the minimum acceleration variability. Thus, in adolescents the maximum mechanical stability occurred short after the onset of the leg fall, while adults reached their best joint stability late during the first flexion. These results suggest that between the adolescence and adulthood, persons with Down syndrome explore a temporal window to select an appropriate timing of muscle activation to overcome their inherent mechanical instability.     

Testing of a biomechanical model of the lumbar muscle force distribution using quasi-static loading exercises.

The study of lumbar muscle force distribution in response to externally applied loads is based on the introduction of biomechanical models of the lumbar region. The evaluation of such models requires the execution of loading exercises while monitoring the EMG activity of certain lumbar muscles. This work uses muscle activity maps as the major design tool of such exercises, provided that the subject is constrained to an upright erect posture. The maps describe the predicted muscle force for a given combination of externally applied bending moments. A series of shoulder adduction exercises were designed and the EMG signals of eight lumbar muscles were measured while subjects performed the exercises. The results show good agreement between the model predictions and the EMG measurements, especially when the load and the muscle were contralateral to one another.     

The morphology of the gluteus maximus during human evolution: Prerequisite or consequence of the upright bipedal posture?

The human gluteus maximus differs from that of the other hominoids because of its size and bony attachments. These differences raise questions concerning their sequence of appearance in human evolution. Given that humans practice a unique locomotor style, one wonders if the human gluteus maximus morphology is a prerequisite or a consequence of upright bipedal locomotion. This question is addressed using a computer model that evaluates muscle leverage in a variety of locomotor postures. In this model, the human-like, or ape-like, muscular pattern is imposed upon a representative hindlimb of each of the five extant hominoids. Shapes of the skeletal elements (i.e. ilium and ischium lengths) are adjusted in the computer to simulate an evolutionary progression from an ape to a human skeletal morphology. Changes in the leverage of different parts of the gluteus maximus (measured as moment arms) are monitored during this transition. The results show how the mechanical leverages of the gluteus maximus would have changed in a variety of hypothetical evolutionary sequences that describe an ape to human transition. Although the hominoid models exhibit minor differences in these simulations, they all show that the postural and locomotor functions of the gluteus maximus would become more difficult if musculoskeletal morphology changed to the human-like pattern before erect bipedal posture was adopted. Conversely, small adjustments in the ape-like musculoskeletal condition support an erect bipedal posture. These results suggest that a human like posture would have preceded the appearance of the human-like musculoskeletal morphology. Human gluteal morphology, therefore, is a consequence and not a prerequisite of the upright bipedal posture.     

EVOLUTION OF HINDLIMB POSTURE IN ARCHOSAURS: LIMB STRESSES IN EXTINCT VERTEBRATES

Abstract:  During the Triassic, some 250–200 million years ago, the basal archosaurs showed a transition from sprawling to erect posture. Past studies focused on changes in bone morphology, especially on the joints, as they reorientated from a sprawling to an erect posture. Here we introduce a biomechanical model to estimate the magnitude of femur stress in different postures, in order to determine the most reasonable postures for five basal archosaurs along the line to crocodiliforms (the rhynchosaur Stenaulorhynchus , the basal archosaur Erythrosuchus , the 'rauisuchian' Batrachotomus , the aetosaurs Desmatosuchus and Typothorax ). The results confirm a sprawling posture in basal taxa and an erect posture in derived taxa. Erect posture may have evolved as a strategy to reduce large bending stresses on the limb bone caused by heavy body weights in larger forms.     

膝骨性关节炎患者登梯时下肢肌肉活动和膝关节负荷的分析

目的:分析膝骨性关节炎患者(KOA)登梯时下肢肌群肌电活动与关节角冲量与正常人的差异,为康复方案设计提供生物力学参考。方法:采用Qualisys三维运动分析系统以及Delsys无线表面肌电系统对招募10名符合纳排标准的膝骨性关节炎患者和10名正常人进行登梯活动的步态检测,采用下肢肌群均方根值、股内外侧肌协同收缩比值、股二头肌和股外侧肌共同活动比值和髋、膝关节在冠状面和矢状面上角冲量对比分析与两组登梯时下肢肌群收缩模式对关节负荷的影响。结果:与正常对照相比,上梯时膝骨性关节炎患者股直肌均方根值RMS(Root Mean Square)增大(P0.05),膝骨性关节炎患者股内外侧肌收缩均方根值比值(RMS(Vastus Medialis)VM/(Vastus Lateralis)VL)减小(P0.05),膝骨性关节炎患者腘绳肌与股外侧肌收缩比值(RMS(Biceps Femoris)BF/VL增大(P0.05)。下梯时,膝骨性关节炎患者股直肌均方根值(RMS)增大(P0.05),臀大肌均方根值(RMS)减小(P0.05),股内外侧肌收缩均方根比值(RMS VM/VL)减小(P0.05)。上梯时,膝骨性关节炎患者髋、膝关节冠状面上的关节角冲量大于正常人(P0.05),膝关节在矢状面上关节角冲量大于正常组(P0.05),下梯髋、膝关节冠状面、矢状面上的角冲量无统计学差异(P0.05)。KOA组VM/VL、BF/VL与膝关节在冠状面和矢状面上的角冲量的改变没有直接的相关性(P0.05)。结论:膝骨性关节炎患者在登梯活动时股直肌的收缩活动增加,股内外侧肌的协同收缩下降,主动肌与拮抗肌的共同收缩增加,膝骨性关节炎患者在面对登梯活动时下肢肌群选择性激活和高激活状态协调一致,促进关节稳定。虽然下肢神经肌肉的收缩模式和膝关节负荷之间没有直接的相关性,可能是对膝关节负荷产生影响的生物力学因素较多,神经肌肉的收缩模式只是部分影响因素,后续将增加其他生物力学因素进一步研究。     

A three-dimensional model of the rat hindlimb: musculoskeletal geometry and muscle moment arms

As a first step towards developing a dynamic model of the rat hindlimb, we measured muscle attachment and joint center coordinates relative to bony landmarks using stereophotogrammetry. Using these measurements, we analyzed muscle moment arms as functions of joint angle for most hindlimb muscles, and tested the hypothesis that postural change alone is sufficient to alter the function of selected muscles of the leg. We described muscle attachment sites as second-order curves. The length of the fit parabola and residual errors in the orthogonal directions give an estimate of muscle attachment sizes, which are consistent with observations made during dissection. We modeled each joint as a moving point dependent on joint angle; relative endpoint errors less than 7% indicate this method as accurate. Most muscles have moment arms with a large range across the physiological domain of joint angles, but their moment arms peak and vary little within the locomotion domain. The small variation in moment arms during locomotion potentially simplifies the neural control requirements during this phase. The moment arms of a number of muscles cross zero as angle varies within the quadrupedal locomotion domain, indicating they are intrinsically stabilizing. However, in the bipedal locomotion domain, the moment arms of these muscles do not cross zero and thus are no longer intrinsically stabilizing. We found that muscle function is largely determined by the change in moment arm with joint angle, particularly the transition from quadrupedal to bipedal posture, which may alter an intrinsically stabilizing arrangement or change the control burden.