02 Fakultät Bau- und Umweltingenieurwissenschaften

Permanent URI for this collectionhttps://elib.uni-stuttgart.de/handle/11682/3

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Open Access
Determining a musculoskeletal system’s pre-stretched state using continuum-mechanical forward modelling and joint range optimization
(2024) Avci, Okan; Röhrle, Oliver
The subject-specific range of motion (RoM) of a musculoskeletal joint system is balanced by pre-tension levels of individual muscles, which affects their contraction capability. Such an inherent pre-tension or pre-stretch of muscles is not measureable with in vivo experiments. Using a 3D continuum mechanical forward simulation approach for motion analysis of the musculoskeletal system of the forearm with 3 flexor and 2 extensor muscles, we developed an optimization process to determine the muscle fibre pre-stretches for an initial arm position, which is given human dataset. We used RoM values of a healthy person to balance the motion in extension and flexion. The performed sensitivity study shows that the fibre pre-stretches of the m. brachialis , m. biceps brachii and m. triceps brachii with 91% dominate the objective flexion ratio, while m. brachiradialis and m. anconeus amount 7.8% and 1.2%. Within the multi-dimensional space of the surrogate model, 3D sub-spaces of primary variables, namely the dominant muscles and the global objective, flexion ratio, exhibit a path of optimal solutions. Within this optimal path, the muscle fibre pre-stretch of two flexors demonstrate a negative correlation, while, in contrast, the primary extensor, m. triceps brachii correlates positively to each of the flexors. Comparing the global optimum with four other designs along the optimal path, we saw large deviations, e.g., up to 15 ∘in motion and up to 40% in muscle force. This underlines the importance of accurate determination of fibre pre-stretch in muscles, especially, their role in pathological muscular disorders and surgical applications such as free muscle or tendon transfer.
Open Access
Effects of blood flow restriction on motoneurons synchronization
(2025) Taleshi, Mansour; Bubeck, Franziska; Gizzi, Leonardo; Vujaklija, Ivan
Blood flow restriction (BFR) is a peripheral intervention that induces transient and reversible physiological perturbations. While this intervention offers a unique model to explore neuromuscular responses in multiple contexts, its impact on neural input to motoneurons remains unclear. Here, the influence of BFR on muscle force control, behavior, and neural input to motoneurons during isometric-trapezoidal and isometric-sinusoidal little finger abduction precision tasks has been studied. Sixteen healthy participants performed the tasks under pre-BFR, during BFR, and at two post-BFR conditions. High-density surface electromyography (EMG) was recorded from the abductor digiti minimi muscle, and motor unit spike trains (MUST) were decomposed using blind source separation technique. Coherence between cumulative spike trains (CSTs) of identified motor units was calculated to assess common synaptic input in the delta and alpha frequency bands. As expected, during BFR application, participants reported higher level of discomfort and significant deterioration in force-tracking performance, as measured using root mean square error (RMSE). Following the BFR release, the level of discomfort, along with impaired neuromuscular performance were reduced to pre-BFR condition. Coherence analysis revealed a prominent peak in the alpha band. The mean z-score coherence in the alpha band showed a reduction of 27% for isometric-trapezoidal and 31% for isometric-sinusoidal conditions from pre-BFR to BFR, followed by a rebound post-BFR intervention with increases of 13% and 20%, respectively. In the delta band, coherence values were consistently higher during sinusoidal tasks compared to trapezoidal ones. These findings indicate that brief BFR application led to decrease in motoneuron synchronization and force control precision likely due to desensitization as shown by changes in coherence alpha band.
Open Access
Longitudinal and transverse muscle stiffness change differently with knee osteoarthritis and do not align with stiffness sensation
(2025) Dieterich, Angela V.; Skerl, Katrin; Paskali, Filip; Gizzi, Leonardo; Azan, Mehrin; Carvalho, Gabriela F.; Kohl, Matthias; Haueise, Andreas
Knee osteoarthritis (OA) is a prevalent joint condition associated with disability, pain, and stiffness in the muscles surrounding the knee. Myofascial and massage techniques are employed to alleviate these symptoms. Unclear is whether muscle stiffness is measurably increased in the painful muscles, and how measured muscle stiffness relates to perceived stiffness, pain, and functional impairment. Given muscle anisotropy, stiffness changes may occur in the longitudinal plane parallel to muscle fibers or perpendicularly in the transverse plane. Shear wave velocity (SWV) was measured in both scanning planes in 21 individuals with diagnosed knee OA, 21 sex- and age-matched controls, and 20 young controls , focusing on the gastrocnemius medialis and vastus lateralis muscles under four conditions: (a) resting state, (b) holding the shank against gravity, (c) double-leg stance, and (d) single-leg stance. Median stiffness measures, the ratio of longitudinal-to-transverse stiffness, and the ratio of single-leg stance-to-baseline stiffness were compared between groups using the Kruskal- Wallis and Pairwise Asymptotic Wilcoxon rank sum tests. Correlations with the Knee Injury and Osteoarthritis Outcome Score and the Tampa Scale of Kinesiophobia were examined. Longitudinal stiffness of the gastrocnemius medialis muscle was significantly lower in the OA group at double-leg (P = 0.033) and single-leg stance (P = 0.019), with tendencies toward lower median stiffness in both muscles across most tasks. Transverse stiffness of the vastus lateralis muscle was significantly higher in the OA group at baseline (P = 0.027), with tendencies toward higher median stiffness in both muscles across most tasks. Significant moderate to excellent correlations support the clinical relevance of both longitudinal and transverse stiffness measurements. Measured and perceived stiffness were not correlated. Study results suggest that knee OA may differentially affect muscle stiffness in the longitudinal and transverse planes and that transverse stiffness measures may have clinical relevance.