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Determining a musculoskeletal system's pre-stretched state using continuum-mechanical forward modelling and joint

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  • 1Fraunhofer Institute for Manufacturing Engineering and Automation IPA, Nobelstr. 12, 70569, Stuttgart, Germany. okan.avci@ipa.fraunhofer.de.

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Summary

Determining muscle fiber pre-stretch is crucial for understanding joint range of motion. This study developed an optimization process to accurately calculate muscle pre-stretch, vital for biomechanical analysis and clinical applications.

Keywords:
Computational finite element modellingContinuum–mechanical muscle modelElbow muscle–tendon-complexForward musculoskeletal system simulationIn silico orthopaedicsPre-stretched joint system optimization

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Area of Science:

  • Biomechanics
  • Musculoskeletal modeling
  • Computational biology

Background:

  • Muscle pre-tension influences joint range of motion (RoM) and contraction.
  • In vivo measurement of muscle pre-stretch is currently not feasible.
  • Accurate muscle fiber pre-stretch is critical for understanding biomechanical function and pathological conditions.

Purpose of the Study:

  • To develop an optimization process for determining muscle fiber pre-stretches in the forearm.
  • To analyze the influence of individual muscle pre-stretches on forearm flexion and extension RoM.
  • To establish the importance of accurate pre-stretch determination for clinical applications.

Main Methods:

  • Utilized a 3D continuum mechanical forward simulation for motion analysis.
  • Developed an optimization process to calculate muscle fiber pre-stretches based on human forearm data.
  • Employed RoM values from a healthy individual to balance flexion and extension motion.

Main Results:

  • Identified dominant muscles (m. brachialis, m. biceps brachii, m. triceps brachii) influencing the objective flexion ratio.
  • Revealed a negative correlation between two flexor pre-stretches and a positive correlation with the primary extensor (m. triceps brachii) along the optimal path.
  • Demonstrated significant deviations (up to 15 degrees in motion, 40% in muscle force) when comparing global optimum with other solutions.

Conclusions:

  • Accurate determination of muscle fiber pre-stretch is essential for precise biomechanical modeling.
  • The findings highlight the critical role of pre-stretch in normal joint function and potential for pathological disorders.
  • This method has implications for surgical applications like free muscle or tendon transfer, improving outcomes.