Universität Stuttgart
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Item Open Access 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, OliverPurpose: 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.Item Open Access The effect of multidirectional loading on contractions of the M. medial gastrocnemius(2021) Ryan, David S.; Stutzig, Norman; Helmer, Andreas; Siebert, Tobias; Wakeling, James M.Research has shown that compression of muscle can lead to a change in muscle force. Most studies show compression to lead to a reduction in muscle force, although recent research has shown that increases are also possible. Based on methodological differences in the loading design between studies, it seems that muscle length and the direction of transverse loading influence the effect of muscle compression on force production. Thus, in our current study we implement these two factors to influence the effects of muscle loading. In contrast to long resting length of the medial gastrocnemius (MG) in most studies, we use a shorter MG resting length by having participant seated with their knees at a 90° angle. Where previous studies have used unidirectional loads to compress the MG, in this study we applied a multidirectional load using a sling setup. Multidirectional loading using a sling setup has been shown to cause muscle force reductions in previous research. As a result of our choices in experimental design we observed changes in the effects of muscle loading compared to previous research. In the present study we observed no changes in muscle force due to muscle loading. Muscle thickness and pennation angle showed minor but significant increases during contraction. However, no significant changes occurred between unloaded and loaded trials. Fascicle thickness and length showed different patterns of change compared to previous research. We show that muscle loading does not result in force reduction in all situations and is possibly linked to differences in muscle architecture and muscle length.Item Open Access A muscle model for injury simulation(2023) Millard, Matthew; Kempter, Fabian; Fehr, Jörg; Stutzig, Norman; Siebert, TobiasCar accidents frequently cause neck injuries that are painful, expensive, and difficult to simulate. The movements that lead to neck injury include phases in which the neck muscles are actively lengthened. Actively lengthened muscle can develop large forces that greatly exceed the maximum isometric force. Although Hill-type models are often used to simulate human movement, this model has no mechanism to develop large tensions during active lengthening. When used to simulate neck injury, a Hill model will underestimate the risk of injury to the muscles but may overestimate the risk of injury to the structures that the muscles protect. We have developed a musculotendon model that includes the viscoelasticity of attached crossbridges and has an active titin element. In this work we evaluate the proposed model to a Hill model by simulating the experiments of Leonard et al. [1] that feature extreme active lengthening.Item Open Access Digital assessments of motor-cognitive performance in young and older adults : behavioral and neural correlates(2024) Park, Soo-Yong; Schott, Nadja (Prof. Dr.)Today's technological advances enable us to have a healthy life. Maintaining mental and physical health is one of the most critical aspects of our healthy life with increasing age. Moreover, one of the many ways to stay healthy is to detect problems of motor or cognitive impairment early and accurately in terms of assessment. Digital assessment can help uncover subtle differences in specific motor and cognitive declines. This early detection can lead to an adequate intervention on time, allowing for preliminary prevention before symptoms occur. From a different perspective, exercise effect on our bodies and minds is indescribable. Physical exercise induces cellular and molecular changes in our body, which positively change the structure and function of the brain. These positive changes in our brains can result in improved cognitive function. These effects are attributed to physical activity over a long-term period. However, understanding the acute effects of exercise-induced changes is also essential to potentially explain chronic effects. Also, identifying exercise-induced cortical activation patterns should be considered for cognitive function enhancements. For this reason, it is necessary to investigate the effect of exercise protocol composition, such as exercise intensity and duration, on cognitive function based on neural correlates. Based on these aspects, the present thesis is divided into two parts. In the first part (Part I: Assessment), the paper-pencil version of Trail-Making-Test (ppTMT), a neuropsychological assessment commonly used to investigate cognitive functions, was compared with the digital Trail-Making-Test (dTMT) developed on a tablet version. We verified its reliability and validity by comparing these two versions of TMT. Also, the dTMT was applied in patients with Parkinson's disease to detect subtle differences in fine motor and cognitive performance deterioration. As a strength of the dTMT, the measurement of additional variables for examining the applicability to the clinical field allowed the decomposition of cognitive abilities and observation of changes in performance during the task. The second part (Part II: exercise intervention) investigated the acute effects of exercise-induced cortical activation on cognitive performance using the dTMT. We used functional near-infrared spectroscopy (fNIRS) to measure hemodynamic response in the brain's frontal lobe and motor cortex for immediate and sustained effects of acute exercise with different exercise intensities. Finally, the interaction of these two parts (assessment and exercise intervention) and the neural mechanisms led to the following discussions. First, we confirmed the value of digital assessment as an early detection tool for motor and cognitive impairment. Second, we identified which exercise intervention positively induces cortical changes in our brain by accompanying the improvement of cognitive performance. The present thesis discussed the role of digital measurement and exercise intervention in maintaining our health and in which direction we should go for our future.Item Open Access Das untere Sprunggelenk als biomechanischer Einflussfaktor : Entwicklung und Anwendung eines IMU-Systems zur Beschreibung der Orientierung der Achsen des Sprunggelenks(2020) Schlechtweg, Sascha; Alt, Wilfried (Prof. Dr.)Item Open Access Improving the accuracy of musculotendon models for the simulation of active lengthening(2023) Millard, Matthew; Kempter, Fabian; Stutzig, Norman; Siebert, Tobias; Fehr, JörgVehicle accidents can cause neck injuries which are costly for individuals and society. Safety systems could be designed to reduce the risk of neck injury if it were possible to accurately simulate the tissue-level injuries that later lead to chronic pain. During a crash, reflexes cause the muscles of the neck to be actively lengthened. Although the muscles of the neck are often only mildly injured, the forces developed by the neck’s musculature affect the tissues that are more severely injured. In this work, we compare the forces developed by MAT_156, LS-DYNA’s Hill-type model, and the newly proposed VEXAT muscle model during active lengthening. The results show that Hill-type muscle models underestimate forces developed during active lengthening, while the VEXAT model can more faithfully reproduce experimental measurements.Item Open Access Effects of acute exercise at different intensities on fine motor‐cognitive dual‐task performance while walking : a functional near‐infrared spectroscopy study(2021) Park, Soo‐Yong; Reinl, Maren; Schott, NadjaStudies on the effects of acute exercises on cognitive functions vary greatly and depend on the duration and intensity of exercise and the type of cognitive tasks. This study aimed to investigate the neural correlates that underpin the acute effects of high‐intensity interval (HIIE) versus moderate‐intensity continuous exercise (MCE) on fine motor‐cognitive performance while walking (dual‐task, DT) in healthy young adults. Twenty‐nine healthy right‐handers (mean age: 25.1 years ± 4.04; 7 female) performed the digital trail‐making‐test (dTMT) while walking (5 km/h) before and after acute exercise. During task performance, the hemodynamic activation of the frontopolar area (FPA), dorsolateral prefrontal (DLPFC), and motor cortex (M1) was recorded using functional near‐infrared spectroscopy (fNIRS). Both HIIE and MCE resulted in improved dTMT performance, as reflected by an increase in the number of completed circles and a reduction in the time within and between circuits (reflecting improvements in working memory, inhibition, and decision making). Notably, HIIE evoked higher cortical activity on all brain areas measured in the present study than the MCE group. To our knowledge, these results provide the first empirical evidence using a mobile neuroimaging approach that both HIIE and MCE improve executive function during walking, likely mediated by increased activation of the task‐related area of the prefrontal cortex and the ability to effectively use, among other things, high fitness levels as neural enrichment resources.Item Open Access Associations of motor performance and executive functions: comparing children with Down syndrome to chronological and mental age-matched controls(2022) Klotzbier, Thomas J.; Holfelder, Benjamin; Schott, NadjaBackground. Children with Down syndrome (DS) exhibit lower motor and cognitive performance than typically developing children (TD). Although there is a relationship between these two developmental domains, only a few studies have addressed this association in children with DS compared to groups of the same chronological age (CA) or mental age (MA) within one study. This study aimed to fill this research gap. Method and Procedures. The Movement Assessment Battery for Children-2 and the Trail-Making Test was used to assess motor and cognitive performances in 12 children (M = 10.5 ± 10.08) with DS, 12 CA-matched, and 12 MA-matched controls. Results. There are significant group differences in the motor dimension (total test score; p < 0.001, η2p = 0.734), for processing speed (p < 0.001, η2p = 0.396), and cognitive flexibility (p < 0.001, η2p = 0.498). Between TD-CA and both other groups, the differences in the magnitude of correlations for the motor dimension balance are also significant (compared to DS: z = −2.489; p = 0.006, and to TD-MA: z = −3.12; p < 0.001). Conclusions. Our results suggest that the relationships depend on the studied cognitive and motor skills. It seems crucial to select a wide range of tasks for both domains that are as isolated as possible for future studies, to better understand the relationships between cognitive and motor skills in children with DS.Item Open Access Assessing basic and higher-level psychological needs satisfied through physical activity(2023) Dunton, Genevieve F.; Do, Bridgette; Crosley-Lyons, Rachel; Naya, Christine H.; Hewus, Micaela; Kanning, MartinaItem Open Access Dynamic human body models in vehicle safety : an overview(2023) Fahse, N.; Millard, M.; Kempter, F.; Maier, S.; Roller, M.; Fehr, J.Significant trends in the vehicle industry are autonomous driving, micromobility, electrification and the increased use of shared mobility solutions. These new vehicle automation and mobility classes lead to a larger number of occupant positions, interiors and load directions. As safety systems interact with and protect occupants, it is essential to place the human, with its variability and vulnerability, at the center of the design and operation of these systems. Digital human body models (HBMs) can help meet these requirements and are therefore increasingly being integrated into the development of new vehicle models. This contribution provides an overview of current HBMs and their applications in vehicle safety in different driving modes. The authors briefly introduce the underlying mathematical methods and present a selection of HBMs to the reader. An overview table with guideline values for simulation times, common applications and available variants of the models is provided. To provide insight into the broad application of HBMs, the authors present three case studies in the field of vehicle safety: (i) in-crash finite element simulations and injuries of riders on a motorcycle; (ii) scenario-based assessment of the active pre-crash behavior of occupants with the Madymo multibody HBM; (iii) prediction of human behavior in a take-over scenario using the EMMA model.