BIOMECHANICS OF HUMAN MOVEMENT Titolo



Similar documents
Terminology of Human Walking From North American Society for Gait and Human Movement 1993 and AAOP Gait Society 1994

INFORMATION SOCIETIES TECHNOLOGY (IST) PROGRAMME

Movement analysis with stereophotogrammetry: anatomical landmarks calibration

Structure and Function of the Hip

Screening Examination of the Lower Extremities BUY THIS BOOK! Lower Extremity Screening Exam

Knee Kinematics and Kinetics

Lab #7 - Joint Kinetics and Internal Forces

Understanding Planes and Axes of Movement

Structure & Function of the Ankle and Foot. A complicated model of simplicity that you really think little about until you have a problem with one.

Stretching the Major Muscle Groups of the Lower Limb

Determining the Posture, Shape and Mobility of the Spine

Muscle Movements, Types, and Names

Review of Last Lecture - TE

This week. CENG 732 Computer Animation. Challenges in Human Modeling. Basic Arm Model

REHAB 442: Advanced Kinesiology and Biomechanics INTRODUCTION - TERMS & CONCEPTS

Review epidemiology of knee pain. Discuss etiology and the biomechanics of knee pain utilizing current literature/evidence

Chapter 9 The Hip Joint and Pelvic Girdle

The Pilates Studio of Los Angeles / PilatesCertificationOnline.com

Lecture L3 - Vectors, Matrices and Coordinate Transformations

1/15/14. Walking vs Running. Normal Running Mechanics. Treadmill vs. Overground Are they the same? Importance of Gait Analysis.

PHYSICAL EXAMINATION OF THE FOOT AND ANKLE

THE INFLUENCE OF WALL PAINTING ON SHOULDER MUSCLE ACTIVITY AND HORIZONTAL PUSH FORCE

DINAMIC AND STATIC CENTRE OF PRESSURE MEASUREMENT ON THE FORCEPLATE. F. R. Soha, I. A. Szabó, M. Budai. Abstract

Flat foot and lower back pain


Force on Moving Charges in a Magnetic Field

Biomechanics. State of equilibrium is when the sum (or net effect) of forces acting on a body equals zero

Anatomy and Pathomechanics of the Sacrum and Pelvis. Charles R. Thompson Head Athletic Trainer Princeton University

Physics 9e/Cutnell. correlated to the. College Board AP Physics 1 Course Objectives

Lebanese University Faculty of Engineering II. Final year project. Mechanical Engineering Degree. Samer Salloum

Structure & Function of the Knee. One of the most complex simple structures in the human body. The middle child of the lower extremity.

SURFACE ELECTROMYOGRAPHY: DETECTION AND RECORDING

International Standards for the Classification of Spinal Cord Injury Motor Exam Guide

Under 20 of rotation the accuracy of data collected by 2D software is maintained?

The Five Most Common Pathomechanical Foot Types (Rearfoot varus, forefoot varus, equinus, plantarflexed first ray, forefoot valgus)

BIOMECHANICAL MODELS FOR HUMAN GAIT ANALYSES USING INVERSE DYNAMICS FORMULATION

KINEMATICS OF DROP PUNT KICKING IN AUSTRALIAN RULES FOOTBALL COMPARISON OF SKILLED AND LESS SKILLED KICKING

Author: Dr. Society of Electrophysio. Reference: Electrodes. should include: electrode shape size use. direction.

When the fluid velocity is zero, called the hydrostatic condition, the pressure variation is due only to the weight of the fluid.

Read a chapter on Angular Kinematics

MUSCULAR SYSTEM REVIEW. 1. Identify the general functions of the muscular system

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY.

Pattern Characterization of Running and Cutting Maneuvers in Relation to Noncontact

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC

Physics 160 Biomechanics. Angular Kinematics

PATHOLOGIC GAIT -- MUSCULOSKELETAL. Focal Weakness. Ankle Dorsiflexion Weakness COMMON GAIT ABNORMALITIES

2002 Functional Design Systems

Anatomy PHL 212. By Dr Tajdar Husain Khan

Chapter 10 Rotational Motion. Copyright 2009 Pearson Education, Inc.

DEVELOPMENT OF 3D GAIT ANALYZER SOFTWARE BASED ON MARKER POSITION DATA

How to use Plug In Gait

Definition: A joint or articulation is a place in the body where two bones come together.

Product Introduction MyoMuscle. Telemyo DTS-System. Telemetry system for EMG and Biomechanical Sensors.

An overview of the anatomy of the canine hindlimb

The biomechanics of running

The Biomechanics of Baseball Pitching

Chapter 18 Static Equilibrium


CHAPTER 9 BODY ORGANIZATION

Correlation between Lower Extremity Biomechanical Parameters and Injuries in Dancers: Longitudinal and Biomechanical Perspectives

The Knee Internal derangement of the knee (IDK) The Knee. The Knee Anatomy of the anteromedial aspect. The Knee

Kyu-Jung Kim Mechanical Engineering Department, California State Polytechnic University, Pomona, U.S.A.

Dynamics of Vertical Jumps

Laboratory Guide. Anatomy and Physiology

The goals of surgery in ambulatory children with cerebral

Anatomy & Physiology 120. Lab #7 Muscle Tissue and Skeletal Muscles

Chapter 9 The Hip Joint and Pelvic Girdle

Xco-Trainer: empty talk or real effect?

Rotation Matrices and Homogeneous Transformations

The patellofemoral joint and the total knee replacement

Chapter 6. Components of Elasticity. Musculotendinous Unit. Behavioral Properties of the Musculotendinous Unit. Biomechanics of Skeletal Muscle

Computer modeling of gait abnormalities in cerebral palsy: application to treatment planning

Introduction. I. Objectives. II. Introduction. A. To become familiar with the terms of direction and location.

Neuromechanical Redundancy for Gait Compensation in Transtibial Amputees. Kinsey Herrin, B.S. Advisor: Young-Hui Chang, Ph.D.

Biceps Tenodesis Protocol

Functional Anatomy and Lower Extremity Biomechanics

Anatomy and Physiology 121: Muscles of the Human Body

REHAB 544 FUNCTIONAL ANATOMY OF THE UPPER EXTREMITY & LOWER EXTREMITY

Biomechanics of the Lumbar Spine

Over-Supination and Peroneal Tendinosis

The coordinated movement of the lumbo pelvic hip complex during running: a literature review

Surgical Art. Formulaic Drawing Method. DRAWING WORKSHOP Learning to sketch for patient notes

Standards for surface electromyography: the European project "Surface EMG for non-invasive assessment of muscles (SENIAM)

Diagnostic MSK Case Submission Requirements

The Insall Scott Kelly Center for Orthopaedics and Sports Medicine 210 East 64th Street, 4 th Floor, New York, NY 10065

PHY121 #8 Midterm I

Reflex Response (Patellar Tendon) Using BIOPAC Reflex Hammer Transducer SS36L

Sample Questions for the AP Physics 1 Exam

Factors Influencing Human Postures

Lab 7: Rotational Motion

KIN Biomechanics LAB: Ground Reaction Forces - Linear Kinetics

American Osteopathic Academy of Sports Medicine James McCrossin MS ATC, CSCS Philadelphia Flyers April 23 rd, 2015

An inertial haptic interface for robotic applications

o Understand the anatomy of the covered areas. This includes bony, muscular and ligamentous anatomy.

Unified Lecture # 4 Vectors

Transcription:

SUMMER SCHOOL 2006 Monte S.Pietro, Bologna ADVANCED TECHNOLOGIES FOR NEURO-MOTOR ASSESSMENT AND REHABILITATION BIOMECHANICS OF HUMAN MOVEMENT Titolo Rita Stagni, Silvia Fantozzi, Angelo Cappello Biomedical Engineering Unit, DEIS, University of Bologna Aurelio Cappozzo Department of Human Movement and Sport Sciences IUSM, Rome Biomechanics, kinematics, kinetics Biomechanics is the science concerned with the internal and external forces acting on the human body and the effects produced by these forces. inematics is the branch of biomechanics concerned with the study of movement from a geometrical point of view. inetics is the branch of biomechanics concerned with what causes a body to move the way it does.

BTS BTS VHS Some variables and parameters can be measured Anthropometric parameters Segmental kinematics (stereophotogrammetry, wearable sensors, etc) External forces and moments (dynamometry, baropodometry, etc) Muscular electrical activity (electromyography) Metabolic energy (indirect calorimetry) Gait Analysis Laboratory LTM ISTLER TELEMG PLATFORM AMPLIFIER DYNAMIC ELECTROMYOGRAPHY SYSTEM BTS BTS Cameras & Infra-red Strobes BTS BTS DIGIVEC BTS ELITEplus BTS BTS BTS BTS Dynamometric Platforms BTS STEREOPHOTOGRAMMETRIC SYSTEM Videocamera VHS AND DIGITAL RECORDING SYSTEM

The estimable quantities 1 2 3 4 Instantaneous bone pose (virtual representation of the skeletal system in motion) Relative movement between adjacent bones (joint kinematics) Forces transmitted by muscles-tendons-ligaments-bones (joint kinetics) Muscular mechanical work/power system energy variation (joint energetics) INSTANTANEOUS 3D BONE POSE In order to describe the pose of the bone as a rigid body we assume a local reference frame such that the local coordinates of the bone points are time invariant y l Y g x l Z g z l X g

The description of the pose The problem is now the mathematical description of the position and orientation of the local reference frame with respect to the global one y l Y g x l z l Z g X g Numerical description of the pose vs time (3-D case) y l Six scalar quantities in each sampled instant of time Y g x l position vector g tl O l g θ l g t lj = g g g [ t t t ]; j =1,..., k lxj lyj lzj z l orientation vector Z g X g g θ lj g g g [ θ θ ]; j =1,..., k = θ lxj lyj lzj orientation matrix g R lj j =1,..., k

The orientation matrix of the local frame with respect to the global one is defined by: 1st column x l axis versor components 2nd column y l axis versor components 3rd column z l axis versor components These components are the cosines of the angles between each versor and the XYZ global axes. JOINT INEMATICS

Anatomical planes and axes y V axis ML axis Sagittal plane z Transverse plane AP axis x Frontal (coronal) plane Hip flexion-extension Flexion (+) Extension (-) θ a θ a

nee flexion-extension Flexion (-) Extension (+) θ a θ g Ankle dorsal and plantar flexion Dorsal flexion (+) θ c Neutral position Plantar flexion (-) θ c

A lower limb model H Hypotheses: Planar motion (sagittal plane) Joints are modelled using cylindrical hinges (1 dof) θ h A θ a θ k M Joint centres: H Hip nee A Ankle M Metatarsus-phalanx V toe Experimental protocol H Y g Joint centres: X g A M H A M greater trochanter lateral femoral epicondyle lateral malleolus metatarsus-phalanx V toe

Flexion-extension angles of the lower limb joints during walking H hip [deg] 40-20 θ h knee 0-60 Y g θ k 90 X g A θ a M ankle 30 0 50 100 [% cycle] Motor task classification

The description of 3-D joint kinematics 1) starts from the knowledge, in each sampled instant of time, of the pose of the bony segments involved in the laboratory frame 2) entails the estimation of the instantaneous pose (position and orientation) of one bony segment relative to the other. y g z g x g Motion capture provides these data y c z c x c y c y g mathematical operator z c yc x c z c x g x c position vector g p ij = z g g g g [ p p p ]; i = 1,..., c; j = 1,..., k xij position vectors yij zij g t g cj θ = cj g g g [ t t t ]; j =1,..., k cxj orientation vector g g g [ θ θ ]; j =1,..., k = θ cxj cyj cyj g czj czj orientation matrix R ; j =1,..., k cj

Relative pose In any given instant of time: Femur Tibia y cp g global position vector global position vector g g g g g g g t = [ t t t ] t = [ t t t ] P Px Py Pz D Dx Dy Dz proximal frame z cp P x cp global orientation matrix g Rcp global orientation matrix g Rcd distal frame z cd D x cd y cd relative position vector & relative orientation matrix Relative position In any given instant of time: Femur Tibia z cd z cp g tpd D P x cd y cd y cp x cp g global position vector + g Rcp global position vector g g g g g g g t = [ t t t ] t = [ t t t ] P Px relative position vector in the proximal frame g cp cp t Py PD t t PD PD = g = = t cp Pz D R g t g g P t D cp R g g g T g g T g ( Rcp ) td ( Rcp ) tp D t P Dx Dy Dz

Relative orientation In any given instant of time: y cp Femur global position matrix g Rcp Tibia global position matrix g Rcd z cp x cp z cd x cd y cd relative orientation vector in the proximal frame cp R = cd g T g ( Rcp ) Rcd In summary The two systems of reference are assumed to be aligned, then the distal system of reference moves in its new position, and then it rotates in its new orientation y d y d x d y p z d z p x d x p z d

In summary At the time t 1 at the time t 2 and so forth Motion is described as the ensemble of the positions and orientations of the distal bone with respect to the proximal bone determined in sampled instants of time during the observation interval y d t 1 t 2 y d y p x d x d x d y d y d x d z d z d z p x p z d z d Orientation orientation matrix of the distal relative to the proximal cluster frame cp R cd cosθxd = cosθxd cosθxd xp y p zp cosθ cosθ cosθ ydxp ydy p ydzp cosθ cosθ cosθ zdxp zd y p zdzp y d cp Rcd y p x d z p This matrix, and the three independent scalar quantities embedded in it, completely describe the orientation of the distal relative to the proximal bone. However, the relevant scalar components have no physical meaning and, as such, do not convey readable information about joint rotation. x p z d

Orientation orientation vector of the distal relative to the proximal cluster frame cp θ cd = θ n = cp cp cd cd cp cp cp [ θ θ θ ] cdx cdy cdz z p y p y d x p z d n x d cp θcd cp Thevector n a virtualaxisof rotation, and cp θcd cd represents a virtualrotation represents This vector, and the three independent scalar quantities embedded in it, completely describe the orientation of the distal relative to the proximal bone. However, the relevant scalar components have no physical meaning as such. Problem Relative position and orientation descriptions illustrated so far carry all the necessary information relative to joint kinematics, but have no direct use in movement analysis

Orientation The orientation of the distal relative to the proximal cluster frame may be described using a sequence of three rotations about selected axes (Euler Angles). These rotations have a physical meaning, Nevertheless, still represent an abstraction! Example: hip joint pelvis frame y p y d z p z d femur frame x p x d

Example: hip joint Starting orientation Orientation at time t y p y d y p y d z d z p z z d x p p x d x p x d First rotation: flexion-extension Rotation about the axis z d1 : femur or pelvis medio-lateral axis y p y d1 γ z d1 z p x p x d1

Second rotation: abduction-adduction Rotation about the axis x d2 : femur antero-posterior axis y p y d1 y d2 z d2 z d1 z p x d2 x d1 x p α Second rotation: internal-external rotation Rotation about the axis y d2 : femur longitudinal axis y p y d3 y d2 z d2 z p z d3 β x p x d3 x d2

In summary A generic orientation of a distal relative to a proximal frame may be obtained as a result of three successive and ordered rotations about two or three different axes (belonging to either frames). The three angles of the rotation sequence α, β, γ depend on both the axes about which the rotations are made to occur the relevant sequence The Cardan convention The rotation sequence illustrated previously provides angles that are often referred to as Cardan Angles* Grood ES, Suntay WJ. A joint co-ordinate system for the clinical description of three-dimensional motions: application to the knee. Transactions of ASME Biomechanical Engineering 1983

JOINT ANGLES ABDUCTION (+) FLEXION (+) ADDUCTION (-) EXTENSION (-) EXT. ROTATION (-) INT. ROTATION (+) (Grood and Suntay, ASME J.Bionech. 1983) A question What happens if the rotation sequence is changed? Given an orientation of the distal relative to the proximal frame, y p z d y d z p x p x d depending on the sequence selected the following descriptions are obtained: [deg] yxz xyz zyx xyz yzx zxy α 0.6 19.4 10.0 0.6 1.3 10.0 β 11.2 21.7 4.9 11.2 10.0 5.0 γ 60.5 58.5 60.9 60.4 60.5 60.0

The orientation vector convention orientation vector of the distal relative to the proximal frame cp θ cd = θ n = cp cp cd cd??? [ θ θ θ ] y d cdx cdy cdz y p x d z p x p z d cp θcd The problem is: in what system of reference should this vector be represented? The options are: either the proximal or the distal frame the joint axes as defined by the Cardan convention Do not forget: it is a totally abstract representation! Woltring HJ. 3-D attitude representation of human joints: A standardization proposal. Journal of Biomechanics 1994 Sensitivity of the knee joint kinematics to the angular convention 1 - Cardan convention 2 - Orientation vector projection on the proximal axes 3 - Orientation vector projection on the Cardan (joint) axes

Position The position vector is represented relative to two points (rigid with the proximal and distal bone, respectively, and a set of axes of choice y d? t PD = position vector??? [ t t t ] PDx PDy PDz y p P? t PD z d D x d The selected points may be the origins of the frames involved x p z p Position The position vector is represented relative to two points (rigid with the proximal and distal bone, respectively) and a set of axes of choice y p P? t PD x p y d z d D x d? t PD = position vector??? [ t t t ] PDx PDy PDz The selected points may be the origins of the frames involved or two points arbitrarily identified z p thus the three scalar quantities that represent position depend on the choice of the two reference points and the set of axes.

The axes with respect to which we represent the position vector An option is represented by the joint axes: y d y d2 y p P? t PD z d D x d z d z p c b a z p x p x d1 c a b displacement along the distal z axis (coinciding with the proximal z axis) displacement along the distal x axis (after the first rotation) displacement along the distal y axis (after the second) The points with respect to which we represent the position vector Example with reference to the knee joint: D P A point (P) in the proximal set of axes A point (D) in the distal set of axes P and D coincide while the subject assumes an orthostatic posture

In summary The six degrees of freedom of a joint according to the Cardan convention y d2 z d z p γ c b a x d1 β α γ α β c a b about the distal z axis (coinciding with the proximal z axis) about the distal x axis (after the first rotation) about the distal y axis (after the second rotation) displacement along the distal z axis (coinciding with the proximal z axis) displacement along the distal x axis (after the first rotation) displacement along the distal y axis (after the second) In summary In order to determine the six quantities that describe the position and orientation of the distal bone relative to the proximal bone the following entities must be defined: A set of orthogonal axes rigid with the proximal bone (p) A set of orthogonal axes rigid with the distal bone (d) A point (P) in the proximal set of axes A point (D) in the distal set of axes The three axes with respect to which the position vector of the distal bone relative to the proximal bone is represented The axis about which the first rotation is performed The axis about which the second rotation is performed The axis about which the third rotation is performed

nee joint kinematics vs orientation of the proximal axes The representation of joint kinematics, whatever convention is chosen, is very sensitive to the definition of the set of axes involved proximal frame rotated about the y axis of ±5 proximal frame rotated about the x axis of ±5 nominal reference systems The two requirements are met by using anatomical frames These sets of axes are repeatable because they rely on identifiable anatomical landmarks They are anatomical axes and define anatomical planes: thus, the joint six degrees of freedom may be named in a manner consistent with functional anatomy The definition of anatomical frames is not unique Possible definitions are

Pelvis Conventional Gait Model (Plug-in-Gait di VICON) 1 Calibrated Anatomical System Technique (CAST) 2 ISB recommendation 3 1 Davis III RB, Ounpuu S, Tyburski D, Gage JR. A gait analysis data collection and reduction technique. Human Movement Sciences, 1991 2 Cappozzo A, Catani F, Croce UD, Leardini A. Position and orientation in space of bones during movement: Anatomical frame dedinition and determination.clinical Biomechanics 1995 3 Wu G, Cavanagh PR. ISB recommendations for standardization in the reporting of kinematic data. Journal of Biomechanics 1995 Femur Conventional Gait Model CAST ISB recommendation TF Centre of head of the femur

Femur Conventional Gait Model CAST ISB recommendation Mid-point between the femur epicondyles EL EM Femur Conventional Gait Model CAST ISB recommendation

JOINT INETICS The problem: musculo-skeletal loading Example: internal loads acting at the knee

Loads transmitted by relevant tissues http://www.rad.upenn.edu/rundle/nee/kneemricont.html Loads transmitted by relevant tissues Patellar tendon Posterior Cruciate Ligament Biceps Femoris Medial Collateral Ligament Sartorius Muscle Gastrocnemius, Medial Head Plantaris Semimembranosus Muscle Gastrocnemius, Lateral Head http://www.rad.upenn.edu/rundle/nee/kneemricont.html

Loads transmitted by relevant tissues http://www.rad.upenn.edu/rundle/nee/kneemricont.html Loads transmitted by relevant tissues Patellar tendon Gastrocnemius, Medial Head Gastrocnemius, Lateral Head http://www.rad.upenn.edu/rundle/nee/kneemricont.html

Loads transmitted by relevant tissues Semimembranosus Muscle Patellar tendon Gastrocnemius, Medial Head Gastrocnemius, Lateral Head http://www.rad.upenn.edu/rundle/nee/kneemricont.html Loads transmitted by relevant tissues Bone-to-bone Semimembranosus Muscle Patellar tendon Gastrocnemius, Medial Head Gastrocnemius, Lateral Head http://www.rad.upenn.edu/rundle/nee/kneemricont.html

Forces transmitted by muscles http://www.rad.upenn.edu/rundle/nee/kneemricont.html Forces transmitted by muscles distributed forces are assumed to be parallel and uniform Q centroid of the cross sectional area F p F g F h Q http://www.rad.upenn.edu/rundle/nee/kneemricont.html

Forces transmitted by muscles Bone-to-bone F h Semimembranosus Muscle F p Patellar tendon F g Gastrocnemius, Medial Head Gastrocnemius, Lateral Head http://www.rad.upenn.edu/rundle/nee/kneemricont.html Forces exchanged between bones Bone-to-bone F h Semimembranosus Muscle F p Patellar tendon F g Gastrocnemius, Medial Head Gastrocnemius, Lateral Head http://www.rad.upenn.edu/rundle/nee/kneemricont.html http://www.rad.upenn.edu/rundle/nee/kneemricont.html

Forces exchanged between bones: resultant force and couple Bone-to-bone F h Semimembranosus Muscle F p Patellar tendon F b F g Gastrocnemius, Medial Head Gastrocnemius, Lateral Head Q http://www.rad.upenn.edu/rundle/nee/kneemricont.html http://www.rad.upenn.edu/rundle/nee/kneemricont.html Forces exchanged between bones: resultant force and couple X Bone-to-bone F h Semimembranosus Muscle assumption F p Patellar tendon F b F g Gastrocnemius, Medial Head Gastrocnemius, Lateral Head Q http://www.rad.upenn.edu/rundle/nee/kneemricont.html http://www.rad.upenn.edu/rundle/nee/kneemricont.html

Forces exchanged between bones: resultant force Q? http://www.rad.upenn.edu/rundle/nee/kneemricont.html Forces exchanged between bones: resultant force LE Q ME http://www.rad.upenn.edu/rundle/nee/kneemricont.html http://www.rad.upenn.edu/rundle/nee/kneemricont.html

Forces exchanged between bones: resultant force and couple Bone-to-bone F h Semimembranosus Muscle F p Patellar tendon F b C b F g Gastrocnemius, Medial Head Gastrocnemius, Lateral Head Q http://www.rad.upenn.edu/rundle/nee/kneemricont.html Internal load modelling Bone-to-bone F h Semimembranosus Muscle F p Patellar tendon F b C b F g Gastrocnemius, Medial Head Gastrocnemius, Lateral Head http://www.rad.upenn.edu/rundle/nee/kneemricont.html

Internal load modelling Muscles, tendons and ligaments are treated as if they were ropes! no 3-D modelling no interaction with surrounding muscles and bony structures is taken into consideration Continuum mechanics (FEM) and a 3-D approach should be used Construction of the free-body diagram of the shank and foot system

The equations of motion (limited to plane motion) R + W + F + F + F + F = ma h g p b CM M + M + M + M + M + M R W Fh Fg Fp F b + C b + C R = I α C b F h Fb F g R Fp W C R Intersegmental force and couple: definition C b C is F h Fb F g F is R Fp R W W C R F is C is = F + F + F + F h = M g p C R F + M F + M F + M h g p F + b b C b for the time being the point is chosen arbitrarily

Intersegmental force and couple: estimation (limited to plane motion) R + W + Fis = macm MR + MW + M F + C is is + C R = Iα C is R F is kinematic quantities inertia parameters W reaction forces C R inematic quantities For each body segment of interest, the following quantities are estimated: position vector and orientation matrix,relative to the laboratory (g) frame, of the anatomical frame (a), in each sampled instant of time local position vector of the intersegmental loads reduction point g t g a, Ra a p

inematic quantities & inertia parameters For each body segment of interest, the following quantities are estimated: position vector and orientation matrix,relative to the laboratory (g) frame, of the anatomical frame (a), in each sampled instant of time local position vector of the intersegmental loads reduction point mass local position vector of the CM principal axes of inertia (i) orientation matrix relative to the anatomical frame (a) moments of inertia g t m a pcm a Βi x,iy,iz I g a, Ra a p Intersegmental force and couple: estimate C is R F is R + W + F = ma is CM M + M + M + C R W Fis is + C R = I α W C R

Forces exchanged between foot and floor (ground reactions) R C R Forces exchanged between foot and floor (ground reactions)

Foot-ground contact area during level walking BIOM-Essen/Hennig Forces acting on the force plate in a given instant of time Y C X F O Z distributed forces force-couple system

The force plate supplies six scalar quantities F Y C O X O Z F x F y F z C x C y C z Reaction force and couple For each body segment interacting with the environment, the following quantities are estimated: three force components three couple components. These quantities are given with respect to the dynamometer frame. Since, normally, the kinematic quantities are given with respect to another set of axes (referred to as the laboratory axes), the transformation matrix between the former and the latter set is to be provided. Y X Z

Intersegmental force and couple: estimate F is C is R + W + Fis = macm MR + MW + M F + C is is + C R = Iα R? inverse dynamics C R W Fis C is How accurately do we estimate the intersegmental force and couple? Do intersegmental loads carry functional information? Intersegmental force and couple: accuracy factors The physical model (degrees of freedom) Inertia parameter estimate Time differentiation External forces Position and orientation reconstruction of the model links External and internal anatomical landmarks identification

Intersegmental force and couple: accuracy Model (includes input data errors) fidelity assessment Herbert Hatze, Journal of Biomechanics, 2002 estimated measured open kinematic chain 2-D model 3 dof R R C R C R Intersegmental force and couple: accuracy estimated using photogrammetric data (inverse dynamics) measured A-P FORCE (N) VERTICAL FORCE (N) M-L COUPLE (Nm) 50 850 100 0-50 0 100 % of task duration 800 750 700 650 50 0 0-50 100 0 100-100 -150 % of task duration -200 % of task duration average rms difference = 17% of peak-to-peak value average correlation coefficient = 0.87

O Redundancy may be exploited for fine tuning the parameters and variables involved. In the bottom-up approach a possible criterium is to minimize the trunk residual moment and force. C R R Intersegmental force and couple: accuracy Position and orientation reconstruction of the model links photogrammetric errors soft tissue artefacts anatomical landmark identification

Shank soft tissue artefacts: effect on knee intersegmental couple Intersegmental couple [Nm] Flexion/extension Adduction/abduction Internal/external rot. % of stance Manal et al., Gait and Posture, 2002 Problems still seeking for an optimal solution minimization of skin movement artefacts and/or their assessment and compensation minimization of misidentification of both internal and external anatomical landmarks identification of the bone-to-bone resultant force application line standardization of procedures muscle, tendon, and ligament modelling

Do intersegmental loads carry functional information? C is R F is R + W + Fis = macm MR + MW + M F + C is is + C R = Iα W C R all vectors are represented in the global (inertial frame) The intersegmental couple C is C b R F is R F h Fb F g Fp W W C R C R C is = M F h + M F g + M F p + M F b + C b point was chosen arbitrarily!

Forces exchanged between bones: resultant force and couple X Bone-to-bone F h Semimembranosus Muscle assumption F p Patellar tendon F b F g Gastrocnemius, Medial Head Gastrocnemius, Lateral Head Q http://www.rad.upenn.edu/rundle/nee/kneemricont.html http://www.rad.upenn.edu/rundle/nee/kneemricont.html The muscular moment C is C b R F is R F h Fb F g F p W W C R C R C is = M F h + M F g + M F p + M F b + C b Q there exists a point Q for which M + C 0 F b b = thus: C = M + M + M is Q F h Q F g Q F p In this case we may refer to the intersegmental couple as muscular moment

The challenge is to find the point Q for which it is true that Q MF b + C b = 0 Q and thus: C = M + M + M is Q F h Q F g Q F p NIH If the knee joint is modelled using a spherical hinge C b C b F h F b F g F h F b F g R F p R Q F p W W C R C R by definition C b = 0 M Q F b = 0 and, thus, the intersegmental couple is the muscular moment

The muscular forces C is C b R F is R F h F b F g F p W W C R C R C = M + M + M is Q F h This relationship cannot be solved with respect to a single muscular force* unless it is known or assumed that only one muscular force is present Q F g Q F p Gait Analysis

Gait Phases INVERSE PENDULUM The body center of mass rotates around the support and increases its potential energy during the initial stance phase: This energy is converted in kinetic form during the second stance phase (Cavagna et al. 1977). Il center of mass is accelerated forward.

Ground Reaction Forces in Normal Gait 0.1 Medial/ Lateral Anterior/ Posterior 0-0.2 0.3 0-0.3 1.2 Courtesy of National Institutes of Health - USA Vertical 0.6 0 Scaled by body weight 0 50 100 % stance Center of Pressure during Normal Gait

Joint Moments during Normal Gait Courtesy of National Institutes of Health - USA Hip Flexor (+) nee Extensor (+) Nm/kg Ankle Dorsiflexor (+) 1.0 0-1.0 1.0 0-1.0 0.5-0.75-2.00 0 25 50 75 100 % stance Joint Moment Interpretation Limitations Cannot distribute moment among each agonist of a muscle group Moment does not account for co-contraction (moment = agonist + antagonist effects) Moment reflects contributions from active (muscular) and passive (ligament, joint contact) sources Areas of caution End range of motion External devices orthoses, prostheses

Electromyography Electromyography Electromyography (EMG) Study of muscle function through the examination of the muscle s electric signals Why EMG? Estimate in vivo muscle forces for various activities Help solving the inverse dynamic problem Detect muscle fatigue Quantify pathological muscle behaviour

Luigi Galvani 1791 History Observed the relationship between muscle and electricity by depolarizing frog legs with metal rods Father of neurophysiology De Viribus Electricitatis work was introduced Carlo Matteucci 1838 Proved that electric currents originated in muscles Du Bois-Reymond 1849 Designed a Galvanometer to record electrical current Reduced skin impedance by rubbing blisters on his arms and opening them Galvani De Luca 1985

EMG types Surface EMG (SEMG) Electrodes are applied to the surface of the skin. Used to measure muscle signals in large muscles that lie close to the surface of the skin Indwelling EMG Electrodes are inserted into the muscle (usually via a needle) Used to measure muscle signals in small or deep muscles, which cannot be adequately monitored using SEMG. EMG Characteristics Ranges from 0-10mV (peak to peak) Usable frequency range: 0-500Hz Dominant frequencies 50-150Hz Random in nature Mixture of signals from different motor units

Action Potentials De Luca 1982 Surface or Indwelling EMG Electrodes Single electrode with reference Measure action potential at one electrode Subtract common as measured from reference Two electrodes with reference Measure action potentials at both electrodes Use differential amplifier Subtract common signal at source Amplify differences

Noise EMG signals are very small External noise Electronics noise Recording/measuring equipment Ambient noise TV, radio, overhead lights Motion artifact Movement of electrodes or wires Electrode Placement Place electrodes In line with muscle fibers At the midline of the muscle Not over or near tendon insertion sites or innervation zone (motor point) Electrical stimulation at this point results in muscle contraction Action potentials move oddly and EMG detection is affected Reference electrode is far away and over electrically neutral area

Electrode Placement De Luca Effects of Muscle Fatigue on EMG Signal De Luca

Experimental Example Agonist and Antagonist Muscle Activity De Luca 1985

Data Acquisition and Analysis Sampling 1024 Hz, 12 bit resolution Bandpass 1 st order filter: 10-500Hz Filter Data Full wave rectified 4 th order Butterworth filter: Fc = 3Hz (smooth) Further analysis options Integrated over specific time periods for iemg EMG Limitations Difficult to compare between subjects SEMG is not appropriate for all muscles Electrode positioning must be consistent MVC can vary between days and time of day Can t ensure that all motor units are firing for MVC Difficult to hold isometric contractions for some muscles Force is not proportional to EMG amplitude for many muscles MUST CALIBRATE AT START OF SESSION

SUMMER SCHOOL 2006 Monte S.Pietro, Bologna ADVANCED TECHNOLOGIES FOR NEURO-MOTOR ASSESSMENT AND REHABILITATION