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A shell finite element model of the pelvic floor muscles
Authors:D. d'Aulignac  E.B. Pires  T. Mascarenhas  R.M. Natal Jorge
Affiliation:1. Instituto Superior Técnico, Departamento de Engenharia Civil e Arquitectura and ICIST , Av. Rovisco Pais, 1049-001, Lisboa, Portugal;2. Faculdade de Medicina, Universidade do Porto, Hospital de S?o Jo?o, Departamento de Ginecologia e Obstetrícia , Porto, Portugal;3. Faculty of Engineering, University of Porto, IDMEC , Portugal
Abstract:The pelvic floor gives support to the organs in the abdominal cavity. Using the dataset made public in (Janda et al. J. Biomech. (2003 Janda, S., van der Helm, F.C.T. and de Blok, B. 2003. Measuring morphological parameters of the pelvic floor for finite element modelling purposes. J. Biomech., 36(6): 749757. [Crossref] [Google Scholar]) 36(6), pp. 749–757), we have reconstructed the geometry of one of the most important parts of the pelvic floor, the levator ani, using NURB surfaces. Once the surface is triangulated, the corresponding mesh is used in a finite element analysis with shell elements.

Based on the 3D behavior of the muscle we have constructed a shell that takes into account the direction of the muscle fibers and the incompressibility of the tissue. The constitutive model for the isotropic strain energy and the passive strain energy stored in the fibers is adapted from Humphrey's model for cardiac muscles. To this the active behavior of the skeletal muscle is added.

We present preliminary results of a simulation of the levator ani muscle under pressure and with active contraction. This research aims at helping simulate the damages to the pelvic floor that can occur after childbirth.
Keywords:Pelvic floor  Shell finite elements  Humphrey's model
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