Evidence map›Paper›PMID 29941208›Full record

ArticleJournal of biomechanics2018

The interaction of muscle moment arm, knee laxity, and torque in a multi-scale musculoskeletal model of the lower limb.

Donald R Hume, Alessandro Navacchia, Azhar A Ali, Kevin B Shelburne

Abstract read
In one paragraph

Article in Journal of biomechanics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Donald R HumeUniversity of Denver, Center for Orthopaedic Biomechanics, Denver, CO, United States.
Alessandro NavacchiaUniversity of Denver, Center for Orthopaedic Biomechanics, Denver, CO, United States.
Azhar A AliUniversity of Denver, Center for Orthopaedic Biomechanics, Denver, CO, United States.
Kevin B ShelburneUniversity of Denver, Center for Orthopaedic Biomechanics, Denver, CO, United States. Electronic address: Kevin.Shelburne@du.edu.

Funding

A Multi-Scale Finite Element Musculoskeletal Modeling Framework Applied to CurrenR01EB015497 · NIBIB · UNIVERSITY OF DENVER (COLORADO SEMINARY) · PI SHELBURNE, KEVIN B · 2012 to 2015
$1.1M
NIBIB NIH HHS R01 EB015497
6 · The paper itself

Abstract

introductionMusculoskeletal modeling allows insight into the interaction of muscle force and knee joint kinematics that cannot be measured in the laboratory. However, musculoskeletal models of the lower extremity commonly use simplified representations of the knee that may limit analyses of the interaction between muscle forces and joint kinematics. The goal of this research was to demonstrate how muscle forces alter knee kinematics and consequently muscle moment arms and joint torque in a musculoskeletal model of the lower limb that includes a deformable representation of the knee.

methodsTwo musculoskeletal models of the lower limb including specimen-specific articular geometries and ligament deformability at the knee were built in a finite element framework and calibrated to match mean isometric torque data collected from 12 healthy subjects. Muscle moment arms were compared between simulations of passive knee flexion and maximum isometric knee extension and flexion. In addition, isometric torque results were compared with predictions using simplified knee models in which the deformability of the knee was removed and the kinematics at the joint were prescribed for all degrees of freedom.

resultsPeak isometric torque estimated with a deformable knee representation occurred between 45° and 60° in extension, and 45° in flexion. The maximum isometric flexion torques generated by the models with deformable ligaments were 14.6% and 17.9% larger than those generated by the models with prescribed kinematics; by contrast, the maximum isometric extension torques generated by the models were similar. The change in hamstrings moment arms during isometric flexion was greater than that of the quadriceps during isometric extension (a mean RMS difference of 9.8 mm compared to 2.9 mm, respectively). DISCUSSION: The large changes in the moment arms of the hamstrings, when activated in a model with deformable ligaments, resulted in changes to flexion torque. When simulating human motion, the inclusion of a deformable joint in a multi-scale musculoskeletal finite element model of the lower limb may preserve the realistic interaction of muscle force with knee kinematics and torque.

Indexed as

AdultBiomechanical PhenomenaFemaleHumansKneeKnee JointMaleModels, BiologicalMuscle, SkeletalRange of Motion, ArticularTorqueFinite elementLigamentMusculoskeletal modelingTorque

Identifiers

PMID29941208
PMCPMC8230728

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.