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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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    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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    Modeling the chemoelectromechanical behavior of skeletal muscle using the parallel open-source software library OpenCMISS
    (2013) Heidlauf, Thomas; Röhrle, Oliver
    An extensible, flexible, multiscale and multiphysics model for non-isometric skeletal muscle behavior is presented. The skeletal muscle chemoelectromechanical model is based on a bottom-up approach modeling the entire excitation-contraction pathway by strongly coupling a detailed biophysical model of a half-sarcomere to the propagation of action potentials along skeletal muscle fibers, and linking cellular parameters to a transversely isotropic continuum-mechanical constitutive equation describing the overall mechanical behavior of skeletal muscle tissue. Since the multiscale model exhibits separable time scales, a special emphasis is placed on employing computationally efficient staggered solution schemes. Further, the implementation builds on the open-source software library OpenCMISS and uses state-ofthe-art parallelization techniques taking advantage of the unique anatomical fiber architecture of skeletal muscles. OpenCMISS utilizes standardized data structures for geometrical aspects (FieldML) and cellular models (CellML). Both standards are designed to allow for a maximum on flexibility, reproducibility, and extensibility. The results demonstrate the model´s capability of simulating different aspects of non-isometric muscle contraction and to efficiently simulate the chemoelectromechanical behavior in complex skeletal muscles such as the tibialis anterior muscle.
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    A physiology-guided classification of active-stress and active-strain approaches for continuum-mechanical modeling of skeletal muscle tissue
    (2021) Klotz, Thomas; Bleiler, Christian; Röhrle, Oliver
    The well-established sliding filament and cross-bridge theory explain the major biophysical mechanism responsible for a skeletal muscle's active behavior on a cellular level. However, the biomechanical function of skeletal muscles on the tissue scale, which is caused by the complex interplay of muscle fibers and extracellular connective tissue, is much less understood. Mathematical models provide one possibility to investigate physiological hypotheses. Continuum-mechanical models have hereby proven themselves to be very suitable to study the biomechanical behavior of whole muscles or entire limbs. Existing continuum-mechanical skeletal muscle models use either an active-stress or an active-strain approach to phenomenologically describe the mechanical behavior of active contractions. While any macroscopic constitutive model can be judged by it's ability to accurately replicate experimental data, the evaluation of muscle-specific material descriptions is difficult as suitable data is, unfortunately, currently not available. Thus, the discussions become more philosophical rather than following rigid methodological criteria. Within this work, we provide a extensive discussion on the underlying modeling assumptions of both the active-stress and the active-strain approach in the context of existing hypotheses of skeletal muscle physiology. We conclude that the active-stress approach resolves an idealized tissue transmitting active stresses through an independent pathway. In contrast, the active-strain approach reflects an idealized tissue employing an indirect, coupled pathway for active stress transmission. Finally the physiological hypothesis that skeletal muscles exhibit redundant pathways of intramuscular stress transmission represents the basis for considering a mixed-active-stress-active-strain constitutive framework.
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    A physiologically based, multi-scale model of skeletal muscle structure and function
    (2012) Röhrle, Oliver; Davidson, John B.; Pullan, Andrew J.
    Models of skeletal muscle can be classified as phenomenological or biophysical. Phenomenological models predict the muscle’s response to a specified input based on experimental measurements. Prominent phenomenological models are the Hill-type muscle models, which have been incorporated into rigid-body modeling frameworks, and three-dimensional continuum-mechanical models. Biophysically based models attempt to predict the muscle’s response as emerging from the underlying physiology of the system. In this contribution, the conventional biophysically based modeling methodology is extended to include several structural and functional characteristics of skeletal muscle. The result is a physiologically based, multi-scale skeletal muscle finite element model that is capable of representing detailed, geometrical descriptions of skeletal muscle fibers and their grouping. Together with a well-established model of motor-unit recruitment, the electro-physiological behavior of single muscle fibers within motor units is computed and linked to a continuummechanical constitutive law. The bridging between the cellular level and the organ level has been achieved via a multi-scale constitutive law and homogenization. The effect of homogenization has been investigated by varying the number of embedded skeletal muscle fibers and/or motor units and computing the resulting exerted muscle forces while applying the same excitatory input. All simulations were conducted using an anatomically realistic finite element model of the tibialis anterior muscle. Given the fact that the underlying electro-physiological cellular muscle model is capable of modeling metabolic fatigue effects such as potassium accumulation in the T-tubular space and inorganic phosphate build-up, the proposed framework provides a novel simulation-based way to investigate muscle behavior ranging from motor-unit recruitment to force generation and fatigue.
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    A multiscale chemo-electro-mechanical skeletal muscle model to analyze muscle contraction and force generation for different muscle fiber arrangements
    (2014) Heidlauf, Thomas; Röhrle, Oliver
    The presented chemo-electro-mechanical skeletal muscle model relies on a continuum-mechanical formulation describing the muscle's deformation and force generation on the macroscopic muscle level. Unlike other three-dimensional models, the description of the activation-induced behavior of the mechanical model is entirely based on chemo-electro-mechanical principles on the microscopic sarcomere level. Yet, the multiscale model reproduces key characteristics of skeletal muscles such as experimental force-length and force-velocity data on the macroscopic whole muscle level. The paper presents the methodological approaches required to obtain such a multiscale model, and demonstrates the feasibility of using such a model to analyze differences in the mechanical behavior of parallel-fibered muscles, in which the muscle fibers either span the entire length of the fascicles or terminate intrafascicularly. The presented results reveal that muscles, in which the fibers span the entire length of the fascicles, show lower peak forces, more dispersed twitches and fusion of twitches at lower stimulation frequencies. In detail, the model predicted twitch rise times of 38.2 ms and 17.2 ms for a 12 cm long muscle, in which the fibers span the entire length of the fascicles and with twelve fiber compartments in series, respectively. Further, the twelve-compartment model predicted peak twitch forces that were 19 % higher than in the single-compartment model. The analysis of sarcomere lengths during fixed-end single twitch contractions at optimal length predicts rather small sarcomere length changes. The observed lengths range from 75 to 111 % of the optimal sarcomere length, which corresponds to a region with maximum filament overlap. This result suggests that stability issues resulting from activation-induced stretches of non-activated sarcomeres are unlikely in muscles with passive forces appearing at short muscle length.