Evidence map›Paper›PMID 32867771›Full record

ArticleBiomedical engineering online2020

Modeling the neuro-mechanics of human balance when recovering from a fall: a continuous-time approach.

Angel Cerda-Lugo, Alejandro González, Antonio Cardenas, Davide Piovesan

Abstract read
In one paragraph

Article in Biomedical engineering online, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Angel Cerda-LugoFaculty of Engineering, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico.
Alejandro GonzálezFaculty of Engineering, CONACyT-Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico. alejandro.gonzalez@uaslp.mx.ORCID http://orcid.org/0000-0001-6803-9719
Antonio CardenasFaculty of Engineering, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico.
Davide PiovesanBiomedical, Industrial and Systems Engineering Department, Gannon University, Erie, PA, USA.

Funding

Consejo Nacional de Cianc ia y Tecnología Cátedras 2016-972
6 · The paper itself

Abstract

backgroundBalance control deteriorates with age and nearly 30% of the elderly population in the United States reports stability problems. Postural stability is an integral task to daily living reliant upon the control of the ankle and hip. To this end, the estimation of joint parameters can be a useful tool when analyzing compensatory actions aimed at maintaining postural stability.

methodsUsing an analytical approach, this study expands on previous work and analyzes a two degrees of freedom human model. The first two modes of vibration of the system are represented by the neuro-mechanical parameters of a second-order, time-varying Kelvin-Voigt model actuated at the ankle and hip. The model is tested using a custom double inverted pendulum and healthy volunteers who were subjected to a positional step-like perturbation during quiet standing. An in silico sensitivity analysis of the influence of inertial parameters was also performed.

resultsThe proposed method is able to correctly identify the time-varying visco-elastic parameters of of a double inverted pendulum. We show that that the parameter estimation method can be applied to standing humans. These results appear to identify a subject-independent strategy to control quiet standing that combines both the modulation of stiffness, and the use of an intermittent control.

conclusionsThis paper presents the analysis of the non-linear system of differential equations representing the control of lumped muscle-tendon units. It utilizes motion capture measurements to obtain the estimates of the system's control parameters by constructing a simple time-dependent regressor for estimating the time-varying parameters of the control with a single perturbation. This work is a step forward into the understanding of the neuro-mechanical control parameters of human recovering from a fall. In previous literature, the analysis is either restricted to the first vibrational mode of an inverted-pendulum model or assumed to be time-invariant. The proposed method allows for the analysis of hip related movement for stability control and highlights the importance of core training.

Indexed as

Accidental FallsMechanical PhenomenaModels, BiologicalNervous System Physiological PhenomenaPostural BalanceBiomechanical PhenomenaComputer SimulationHealthy VolunteersHumansJointsNonlinear DynamicsStanding PositionVibrationDynamic modelHuman balanceParameter estimation

Identifiers

PMID32867771
PMCPMC7457816

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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.