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    Linking cortex and contraction : integrating models along the corticomuscular pathway
    (2023) Haggie, Lysea; Schmid, Laura; Röhrle, Oliver; Besier, Thor; McMorland, Angus; Saini, Harnoor
    Computational models of the neuromusculoskeletal system provide a deterministic approach to investigate input-output relationships in the human motor system. Neuromusculoskeletal models are typically used to estimate muscle activations and forces that are consistent with observed motion under healthy and pathological conditions. However, many movement pathologies originate in the brain, including stroke, cerebral palsy, and Parkinson’s disease, while most neuromusculoskeletal models deal exclusively with the peripheral nervous system and do not incorporate models of the motor cortex, cerebellum, or spinal cord. An integrated understanding of motor control is necessary to reveal underlying neural-input and motor-output relationships. To facilitate the development of integrated corticomuscular motor pathway models, we provide an overview of the neuromusculoskeletal modelling landscape with a focus on integrating computational models of the motor cortex, spinal cord circuitry, α-motoneurons  and skeletal muscle in regard to their role in generating voluntary muscle contraction. Further, we highlight the challenges and opportunities associated with an integrated corticomuscular pathway model, such as challenges in defining neuron connectivities, modelling standardisation, and opportunities in applying models to study emergent behaviour. Integrated corticomuscular pathway models have applications in brain-machine-interaction, education, and our understanding of neurological disease.
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    Determination of muscle shape deformations of the tibialis anterior during dynamic contractions using 3D ultrasound
    (2024) Sahrmann, Annika S.; Vosse, Lukas; Siebert, Tobias; Handsfield, Geoffrey G.; Röhrle, Oliver
    Purpose: In this paper, we introduce a novel method for determining 3D deformations of the human tibialis anterior (TA) muscle during dynamic movements using 3D ultrasound. Materials and Methods: An existing automated 3D ultrasound system is used for data acquisition, which consists of three moveable axes, along which the probe can move. While the subjects perform continuous plantar- and dorsiflexion movements in two different controlled velocities, the ultrasound probe sweeps cyclically from the ankle to the knee along the anterior shin. The ankle joint angle can be determined using reflective motion capture markers. Since we considered the movement direction of the foot, i.e., active or passive TA, four conditions occur: slow active, slow passive, fast active, fast passive. By employing an algorithm which defines ankle joint angle intervals, i.e., intervals of range of motion (ROM), 3D images of the volumes during movement can be reconstructed. Results: We found constant muscle volumes between different muscle lengths, i.e., ROM intervals. The results show an increase in mean cross-sectional area (CSA) for TA muscle shortening. Furthermore, a shift in maximum CSA towards the proximal side of the muscle could be observed for muscle shortening. We found significantly different maximum CSA values between the fast active and all other conditions, which might be caused by higher muscle activation due to the faster velocity. Conclusion: In summary, we present a method for determining muscle volume deformation during dynamic contraction using ultrasound, which will enable future empirical studies and 3D computational models of skeletal muscles.
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    Engineered bioinspired natural dynamics and their synergy with control and learning in legged robots
    (2022) Ruppert, Felix; Schmitt, Syn (Prof. Dr.)
    The performance of legged locomotion relies on the successful mitigation of unstructured, rough terrain in the presence of sparse information and neurosensory delays. Bioinspired walking systems benefit from carefully engineered passive compliant behavior that models the inherent elastic behavior of muscle-tendon structures in animals. To leverage the passive behavior that provides energy efficiency, passive stability as well as simplified control and learning tasks to the system, locomotion control and learning algorithms have to be designed and coordinated with the natural system dynamics in mind to achieve similar locomotion behavior we see in animals. The major contribution of this thesis is the synergy of a bio-inspired leg design with biarticular muscle-tendon structures, a wearable force and pressure sensor design for closed-loop control in legged locomotion, a biologically inspired closed-loop central pattern generator with reflex-like feedback and a learning approach that enables the locomotion controller to leverage the carefully engineered natural dynamics of the robot to learn convincing locomotion skills and increase energy efficiency. The first contribution is a biologically inspired leg design focusing on the biarticular lower leg muscle-tendon structure in vertebrate animals. The biarticular elasticity provides two-dimensional passive impedance to the leg and allows the storage of energy orthogonal to the leg axis direction. The leg blueprint is characterized in its capability to store and release elastic energy in the biarticular structure. The stored energy can be recuperated back into the system and increases the energy efficiency of the leg. This leg design achieves the lowest relative cost of transport documented for all dynamically hopping and running robots. The second contribution introduces the concept of training wheels, temporary mechanical modifications to the system dynamics that shape the learning reward landscape and simplify learning locomotion directly in hardware. Through deliberate changes to the system dynamics, in this case, reduced gravity, the reward landscape can be shaped to simplify the learning process. Learning with this training wheel is safer due to smoother reward landscapes with shallower gradients. Also, the initial guess for initiating the machine learning algorithm is simplified, because the salient gradient set of viable reward signals is bigger. During the learning process, the training wheel influence can be gradually reduced and the learning algorithm converges to the solution of the initial learning problem without training wheels. The third contribution presents a rugged, lightweight force and pressure sensor for feedback information and biomechanical analysis. The sensor can be mounted on a robotic foot and provides continuous force and pressure feedback during locomotion in unstructured and soft terrain. The sensor is based on a pressure sensor, encapsulated in a polyurethane dome with an air cavity around the pressure sensor. External forces deform the sensor dome and the rising pressure in the air cavity is measured by the pressure sensor. Based on the dome geometry and material, the sensor range can be adjusted for different load cases. The sensor can be used in arrays to measure pressure distributions as well as a wearable force sensor in wet or granular media where classical force plates can not be utilized. The final contribution synergizes the individual contributions into a neuroinspired learning approach that matches a bioinspired closed-loop central pattern generator with reflex-like neuroelastic feedback to the natural dynamics of a quadruped robot with biarticular legs. Through sparse contact feedback from the foot sensor, the bioinspired central pattern generator can neuroelastically mitigate short-term perturbations to adapt the robot to its environment. Because the robot dynamics and the control task dynamics initially do not match, the controller uses the neuroelastic feedback to minimize the discrepancy between commanded and measured robot behavior. The amount of feedback activity during level walking can be used as a proxy to estimate the amount of dynamics mismatching. By minimizing the amount of required neuroelastic feedback the robot learns to neuroplastically match its control task dynamics to its natural dynamics through Bayesian optimization. Through the synergy of mechanics and control the biomechatronic system benefits from both the individual functionality of its components as well as their interplay during locomotion. The designed natural dynamics provide advantageous passive behavior to the robot and the bioinspired controller learns to leverage the natural dynamics to achieve convincing locomotion.
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    Effect of neglecting passive spinal structures : a quantitative investigation using the forward-dynamics and inverse-dynamics musculoskeletal approach
    (2023) Meszaros-Beller, Laura; Hammer, Maria; Schmitt, Syn; Pivonka, Peter
    Inverse-dynamics (ID) analysis is an approach widely used for studying spine biomechanics and the estimation of muscle forces. Despite the increasing structural complexity of spine models, ID analysis results substantially rely on accurate kinematic data that most of the current technologies are not capable to provide. For this reason, the model complexity is drastically reduced by assuming three degrees of freedom spherical joints and generic kinematic coupling constraints. Moreover, the majority of current ID spine models neglect the contribution of passive structures. The aim of this ID analysis study was to determine the impact of modelled passive structures (i.e., ligaments and intervertebral discs) on remaining joint forces and torques that muscles must balance in the functional spinal unit. For this purpose, an existing generic spine model developed for the use in the demoa software environment was transferred into the musculoskeletal modelling platform OpenSim. The thoracolumbar spine model previously used in forward-dynamics (FD) simulations provided a full kinematic description of a flexion-extension movement. By using the obtained in silico kinematics, ID analysis was performed. The individual contribution of passive elements to the generalised net joint forces and torques was evaluated in a step-wise approach increasing the model complexity by adding individual biological structures of the spine. The implementation of intervertebral discs and ligaments has significantly reduced compressive loading and anterior torque that is attributed to the acting net muscle forces by −200% and −75%, respectively. The ID model kinematics and kinetics were cross-validated against the FD simulation results. This study clearly shows the importance of incorporating passive spinal structures on the accurate computation of remaining joint loads. Furthermore, for the first time, a generic spine model was used and cross-validated in two different musculoskeletal modelling platforms, i.e., demoa and OpenSim, respectively. In future, a comparison of neuromuscular control strategies for spinal movement can be investigated using both approaches.
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    Generation, probing, and biophysical stimulation of human microtissues in microfluidic Organ-on-Chip platforms
    (Stuttgart : Institute for Modelling and Simulation of Biomechanical Systems, Chair of Continuum Biomechanics and Mechanobiology, University of Stuttgart, 2022) Schneider, Oliver; Röhrle, Oliver (Prof., PhD)
    Over the last decade Organ-on-Chip (OoC) emerged as disruptive technology combining aspects of microfluidics and tissue engineering. OoCs culture human tissues in tailored microenvironments under microfluidic perfusion, yielding an unprecedented recapitulation of human physiology. So far, most systems predominantly focus on physiological tissue generation. However, it is crucial to integrate stimulation and readout capabilities, leveraging OoCs from bare tissue generation tools to advanced integrated experimental platforms. This thesis focuses on the development and characterization of novel microphysiological systems to probe and actuate tissues on the microscale. We present two Heart-on-Chip platforms enabling the generation of aligned cardiac muscle fibers and investigate the integration of force and O2 sensing as well as electrical stimulation capabilities. Furthermore, we introduce and characterize two OoCs enabling the precise delivery of biomechanical stretch and compression stimuli. All in all, the systems developed in the framework of this thesis provide a flexible toolkit amenable for disease modeling or personalized medicine, offering advanced experimental capabilities for manipulating and interrogating integrated tissues.
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    Variations in muscle activity and exerted torque during temporary blood flow restriction in healthy individuals
    (2021) Gizzi, Leonardo; Yavuz, Utku Ş.; Hillerkuss, Dominic; Geri, Tommaso; Gneiting, Elena; Domeier, Franziska; Schmitt, Syn; Röhrle, Oliver
    Recent studies suggest that transitory blood flow restriction (BFR) may improve the outcomes of training from anatomical (hypertrophy) and neural control perspectives. Whilst the chronic consequences of BFR on local metabolism and tissue adaptation have been extensively investigated, its acute effects on motor control are not yet fully understood. In this study, we compared the neuromechanical effects of continuous BFR against non-restricted circulation (atmospheric pressure-AP), during isometric elbow flexions. BFR was achieved applying external pressure either between systolic and diastolic (lower pressure-LP) or 1.3 times the systolic pressure (higher pressure-HP). Three levels of torque (15, 30, and 50% of the maximal voluntary contraction-MVC) were combined with the three levels of pressure for a total of 9 (randomized) test cases. Each condition was repeated 3 times. The protocol was administered to 12 healthy young adults. Neuromechanical measurements (torque and high-density electromyography-HDEMG) and reported discomfort were used to investigate the response of the central nervous system to BFR. The investigated variables were: root mean square (RMS), and area under the curve in the frequency domain-for the torque, and average RMS, median frequency and average muscle fibres conduction velocity-for the EMG. The discomfort caused by BFR was exacerbated by the level of torque and accumulated over time. The torque RMS value did not change across conditions and repetitions. Its spectral content, however, revealed a decrease in power at the tremor band (alpha-band, 5-15 Hz) which was enhanced by the level of pressure and the repetition number. The EMG amplitude showed no differences whilst the median frequency and the conduction velocity decreased over time and across trials, but only for the highest levels of torque and pressure. Taken together, our results show strong yet transitory effects of BFR that are compatible with a motor neuron pool inhibition caused by increased activity of type III and IV afferences, and a decreased activity of spindle afferents. We speculate that a compensation of the central drive may be necessary to maintain the mechanical output unchanged, despite disturbances in the afferent volley to the motor neuron pool.
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    Permeability estimation of regular porous structures : a benchmark for comparison of methods
    (2021) Wagner, Arndt; Eggenweiler, Elissa; Weinhardt, Felix; Trivedi, Zubin; Krach, David; Lohrmann, Christoph; Jain, Kartik; Karadimitriou, Nikolaos; Bringedal, Carina; Voland, Paul; Holm, Christian; Class, Holger; Steeb, Holger; Rybak, Iryna
    The intrinsic permeability is a crucial parameter to characterise and quantify fluid flow through porous media. However, this parameter is typically uncertain, even if the geometry of the pore structure is available. In this paper, we perform a comparative study of experimental, semi-analytical and numerical methods to calculate the permeability of a regular porous structure. In particular, we use the Kozeny-Carman relation, different homogenisation approaches (3D, 2D, very thin porous media and pseudo 2D/3D), pore-scale simulations (lattice Boltzmann method, Smoothed Particle Hydrodynamics and finite-element method) and pore-scale experiments (microfluidics). A conceptual design of a periodic porous structure with regularly positioned solid cylinders is set up as a benchmark problem and treated with all considered methods. The results are discussed with regard to the individual strengths and limitations of the used methods. The applicable homogenisation approaches as well as all considered pore-scale models prove their ability to predict the permeability of the benchmark problem. The underestimation obtained by the microfluidic experiments is analysed in detail using the lattice Boltzmann method, which makes it possible to quantify the influence of experimental setup restrictions.
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    Editorial - somatosensory integration in human movement : perspectives for neuromechanics, modelling and rehabilitation
    (2021) Gizzi, Leonardo; Vujaklija, Ivan; Sartori, Massimo; Röhrle, Oliver; Severini, Giacomo
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    Experiments meet simulations : understanding skeletal muscle mechanics to address clinical problems
    (2024) Ateş, Filiz; Röhrle, Oliver
    This article aims to present some novel experimental approaches and computational methods providing detailed insights into the mechanical behavior of skeletal muscles relevant to clinical problems associated with managing and treating musculoskeletal diseases. The mechanical characterization of skeletal muscles in vivo is crucial for better understanding of, prevention of, or intervention in movement alterations due to exercise, aging, or pathologies related to neuromuscular diseases. To achieve this, we suggest an intraoperative experimental method including direct measurements of human muscle forces supported by computational methodologies. A set of intraoperative experiments indicated the major role of extracellular matrix (ECM) in spastic cerebral palsy. The force data linked to joint function are invaluable and irreplaceable for evaluating individual muscles however, they are not feasible in many situations. Three‐dimensional, continuum‐mechanical models provide a way to predict the exerted muscle forces. To obtain, however, realistic predictions, it is important to investigate the muscle not by itself, but embedded within the respective musculoskeletal system, for example, a 6‐muscle upper arm model, and the ability to obtain non‐invasively, or at least, minimally invasively material parameters for continuum‐mechanical skeletal muscle models, for example, by presently proposed homogenization methodologies. Botulinum toxin administration as a treatment option for spasticity is exemplified by combining experiments with modeling to find out the mechanical outcomes of altered ECM and the controversial effects of the toxin. The potentials and limitations of both experimental and modeling approaches and how they need each other are discussed.
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    The use of nonnormalized surface EMG and feature inputs for LSTM-based powered ankle prosthesis control algorithm development
    (2023) Keleş, Ahmet Doğukan; Türksoy, Ramazan Tarık; Yucesoy, Can A.
    Advancements in instrumentation support improved powered ankle prostheses hardware development. However, control algorithms have limitations regarding number and type of sensors utilized and achieving autonomous adaptation, which is key to a natural ambulation. Surface electromyogram (sEMG) sensors are promising. With a minimized number of sEMG inputs an economic control algorithm can be developed, whereas limiting the use of lower leg muscles will provide a practical algorithm for both ankle disarticulation and transtibial amputation. To determine appropriate sensor combinations, a systematic assessment of the predictive success of variations of multiple sEMG inputs in estimating ankle position and moment has to conducted. More importantly, tackling the use of nonnormalized sEMG data in such algorithm development to overcome processing complexities in real-time is essential, but lacking. We used healthy population level walking data to (1) develop sagittal ankle position and moment predicting algorithms using nonnormalized sEMG, and (2) rank all muscle combinations based on success to determine economic and practical algorithms. Eight lower extremity muscles were studied as sEMG inputs to a long-short-term memory (LSTM) neural network architecture: tibialis anterior (TA), soleus (SO), medial gastrocnemius (MG), peroneus longus (PL), rectus femoris (RF), vastus medialis (VM), biceps femoris (BF) and gluteus maximus (GMax). Five features extracted from nonnormalized sEMG amplitudes were used: integrated EMG (IEMG), mean absolute value (MAV), Willison amplitude (WAMP), root mean square (RMS) and waveform length (WL). Muscle and feature combination variations were ranked using Pearson’s correlation coefficient (r > 0.90 indicates successful correlations), the root-mean-square error and one-dimensional statistical parametric mapping between the original data and LSTM response. The results showed that IEMG+WL yields the best feature combination performance. The best performing variation was MG + RF + VM (rposition = 0.9099 and rmoment = 0.9707) whereas, PL (rposition = 0.9001, rmoment = 0.9703) and GMax+VM (rposition = 0.9010, rmoment = 0.9718) were distinguished as the economic and practical variations, respectively. The study established for the first time the use of nonnormalized sEMG in control algorithm development for level walking.