Biomedical subjects

Darryl G Thelen

Publications and source records attributed to Darryl G Thelen.

9 recordsLinked to original sources

PubMed2006

Neuromusculoskeletal models provide insights into the mechanisms and rehabilitation of hamstring strains.

Neuromusculoskeletal models are used to investigate hamstring mechanics during sprinting. We show that peak hamstring stretch occurs during late swing phase and is invariant with speed, but does depend on tendon compliance and the action of other muscles in the lumbopelvic region. The insights gained are relevant for improving the scientific basis of hamstring strain injury prevention and rehabilitation programs.

Biomechanical Phenomena↗

PubMed2005

Identifying the time of occurrence of a hamstring strain injury during treadmill running: a case study.

BACKGROUND: While hamstring strain injuries are common during sprinting, the mechanisms of injury are not well understood. In this study, we analyzed the running kinematics of an athlete obtained at the time of an acute hamstring strain injury. The purpose was to identify the period of the gait cycle during which the hamstring was likely injured, as well as to characterize the biomechanical conditions associated with the injury. METHODS: A male professional skier injured his right biceps femoris long head while running at 5.36 m/s on a treadmill with a 15% incline. Whole body kinematics were recorded at the time of injury. A linear periodic prediction model was used to determine when individual marker trajectories deviated from a cyclic periodic pattern, indicating the mechanical response to injury. A three-dimensional musculoskeletal model was used to compute joint angles and hamstring musculotendon lengths during the injurious running trial. These data were used with estimates of neuromuscular latencies and electromechanical delays to identify the most likely time period of injury. FINDINGS: Based upon the earliest indications in marker trajectories, a 130 ms period during the late swing phase of the gait cycle was identified as the period of injury. During this period, the biceps femoris reached a peak musculotendon length that was estimated to be 12% beyond the length seen in an upright posture and exceeded the normalized peak length of the medial hamstrings. INTERPRETATION: This case provides quantitative data suggesting that the biceps femoris muscle is susceptible to an lengthening contraction injury during the late swing phase of the running gait cycle.

Adult↗

PubMed2005

Using computed muscle control to generate forward dynamic simulations of human walking from experimental data.

The objective of this study was to develop an efficient methodology for generating muscle-actuated simulations of human walking that closely reproduce experimental measures of kinematics and ground reaction forces. We first introduce a residual elimination algorithm (REA) to compute pelvis and low back kinematic trajectories that ensure consistency between whole-body dynamics and measured ground reactions. We then use a computed muscle control (CMC) algorithm to vary muscle excitations to track experimental joint kinematics within a forward dynamic simulation. CMC explicitly accounts for delays in muscle force production resulting from activation and contraction dynamics while using a general static optimization framework to resolve muscle redundancy. CMC was used to compute muscle excitation patterns that drove a 21-degrees-of-freedom, 92 muscle model to track experimental gait data of 10 healthy young adults. Simulated joint kinematics closely tracked experimental quantities (mean root-mean-squared errors generally less than 1 degrees), and the time histories of muscle activations were similar to electromyographic recordings. A simulation of a half-cycle of gait could be generated using approximately 30 min of computer processing time. The speed and accuracy of REA and CMC make it practical to generate subject-specific simulations of gait.

Algorithms↗

PubMed2005

The effect of walking speed on lower-extremity joint powers among elderly adults who exhibit low physical performance.

OBJECTIVES: To compare peak joint powers and joint angles between comfortable and fast walking speeds among a group of elderly adults who exhibit low physical performance, and to test the primary hypothesis that peak ankle powers would not change when walking speed was increased, but that peak hip power output would increase significantly with speed. DESIGN: Three-dimensional analysis of joint kinematics and kinetics during comfortable and fast walking by both healthy and low-performing elderly adults (age, >70y). SETTING: Gait laboratory. PARTICIPANTS: Twenty-four healthy elderly adults and 27 elders who exhibited low performance on a standard battery of walking, standing balance, and chair-rise tasks that places them at risk of mobility-related disability. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak lower-extremity joint powers and joint angles. RESULTS: Low-performing elders increased both ankle and hip power outputs to increase walking speed. However, peak ankle power remained significantly below that of the healthy elderly adults even when the low-performing elders walked at a faster gait speed. Joint-power changes in the low-performing elderly were accompanied by a reduction in hip extension and ankle dorsiflexion, and an increase in transverse pelvic rotation. CONCLUSIONS: Compared with healthy elderly, the low-performing elderly adults showed speed-independent differences in ankle and hip mechanics that may reflect underlying neuromuscular impairments. In particular, an understanding of the interdependent contributions of hip flexibility and ankle power limitations seem important to inform interventions to maintain gait into advanced age.

Aged↗

PubMed2005

Hamstring muscle kinematics during treadmill sprinting.

INTRODUCTION/PURPOSE: The objective of this study was to characterize hamstring muscle kinematics during sprinting, so as to provide scientific data to better understand injury mechanisms and differences in injury rates between muscles. METHODS: We conducted three-dimensional motion analyses of 14 athletes performing treadmill sprinting at speeds ranging from 80 to 100% of maximum. Scaled musculoskeletal models were used to estimate hamstring muscle-tendon lengths throughout the sprinting gait cycle for each speed. We tested the hypothesis that the biceps femoris (BF) long head would be stretched a greater amount, relative to its length in an upright posture, than the semitendinosus (ST) and semimembranosus (SM). We also tested the hypothesis that increasing from submaximal to maximal sprinting speed would both increase the magnitude and delay the occurrence of peak muscle-tendon length in the gait cycle. RESULTS: Maximum hamstring lengths occurred during the late swing phase of sprinting and were an average of 7.4% (SM), 8.1% (ST), and 9.5% (BF) greater than the respective muscle-tendon lengths in an upright configuration. Peak lengths were significantly larger in the BF than the ST and SM (P < 0.01), occurred significantly later in the gait cycle at the maximal speed (P < 0.01), but did not increase significantly with speed. Differences in the hip extension and knee flexion moment arms between the biarticular hamstrings account for the intermuscle variations in the peak lengths that were estimated. CONCLUSIONS: We conclude that intermuscle differences in hamstring moment arms about the hip and knee may be a factor contributing to the greater propensity for hamstring strain injuries to occur in the BF muscle.

Adolescent↗

PubMed2005

Simulation of biceps femoris musculotendon mechanics during the swing phase of sprinting.

INTRODUCTION/PURPOSE: Characterization of hamstring mechanics during sprinting is fundamental to understanding musculotendon injury mechanisms. The objective of this study was to use muscle-actuated forward dynamic simulations to investigate musculotendon mechanics of the biceps femoris long head during the swing phase of sprinting. METHODS: We used a three-dimensional linked segment model with 26 Hill-type musculotendon actuators to simulate swing phase dynamics. Muscle excitations were computed that drove the linked segment model to track measured hip and knee motion of an individual sprinting on a treadmill. The simulations were used to investigate the effect of tendon compliance on the excursions and power development of the muscle and tendinous components of the biceps femoris. RESULTS: The biceps femoris musculotendon complex underwent a stretch-shortening cycle over the latter half of swing phase, with the shortening portion occurring in the final 10% of the gait cycle. Biceps femoris excitation increased markedly between 70 and 80% of the gait cycle and continued through the end of swing. Following the onset of excitation, stretch of the muscle component slowed considerably while the tendon lengthened and stored elastic energy. Simulating the sprinting movement with a more compliant tendon increased tendon elastic energy storage, thereby reducing peak muscle stretch and negative muscle work. CONCLUSIONS: Muscle-actuated forward dynamic simulation provides a powerful approach for investigating biomechanical factors that may contribute to the occurrence of hamstring musculotendon injuries.

Adolescent↗

PubMed2004

Effects of step length on stepping responses used to arrest a forward fall.

This study investigated effects of step length on the stepping response used to arrest an impending forward fall. Twelve healthy young (mean age 22, S.D. 3.3 years) males participated by recovering balance with a single step following a forward lean-and-release. Participants were instructed to step to one of three floor targets representing small, natural, and large step lengths. The effect of step length was examined on the primary outcome variables: pushoff time, liftoff and landing time, swing duration, balance recovery time, landing impulse, and center of mass (COM) characteristics. Pushoff and liftoff times were not affected by step length, although swing phase duration, landing and recovery times and the anterior-posterior (AP) impulse at landing increased with increasing step length. The results support the idea of an invariant step preparation phase. Given that our participants naturally chose not to utilize a step as short as they were capable of employing, healthy young individuals do not minimize recovery time nor strength requirements when selecting their step length.

Accidental Falls↗

PubMed2003

Generating dynamic simulations of movement using computed muscle control.

Computation of muscle excitation patterns that produce coordinated movements of muscle-actuated dynamic models is an important and challenging problem. Using dynamic optimization to compute excitation patterns comes at a large computational cost, which has limited the use of muscle-actuated simulations. This paper introduces a new algorithm, which we call computed muscle control, that uses static optimization along with feedforward and feedback controls to drive the kinematic trajectory of a musculoskeletal model toward a set of desired kinematics. We illustrate the algorithm by computing a set of muscle excitations that drive a 30-muscle, 3-degree-of-freedom model of pedaling to track measured pedaling kinematics and forces. Only 10 min of computer time were required to compute muscle excitations that reproduced the measured pedaling dynamics, which is over two orders of magnitude faster than conventional dynamic optimization techniques. Simulated kinematics were within 1 degrees of experimental values, simulated pedal forces were within one standard deviation of measured pedal forces for nearly all of the crank cycle, and computed muscle excitations were similar in timing to measured electromyographic patterns. The speed and accuracy of this new algorithm improves the feasibility of using detailed musculoskeletal models to simulate and analyze movement.

Adult↗

PubMed2003

Adjustment of muscle mechanics model parameters to simulate dynamic contractions in older adults.

The generation of muscle-actuated simulations that accurately represent the movement of old adults requires a model that accounts for changes in muscle properties that occur with aging. An objective of this study was to adjust the parameters of Hill-type musculo-tendon models to reflect nominal age-related changes in muscle mechanics that have been reported in the literature. A second objective was to determine whether using the parametric adjustments resulted in simulated dynamic ankle torque behavior similar to that seen in healthy old adults. The primary parameter adjustment involved decreasing maximum isometric muscle forces to account for the loss of muscle mass and specific strength with age. A review of the literature suggested the need for other modest adjustments that account for prolonged muscular deactivation, a reduction in maximum contraction velocity, greater passive muscle stiffness and increased normalized force capacity during lengthening contractions. With age-related changes incorporated, a musculo-tendon model was used to simulate isometric and isokinetic contractions of ankle plantarflexor and dorsiflexor muscles. The model predicted that ankle plantarflexion power output during 120 deg/s shortening contractions would be over 40% lower in old adults compared to healthy young adults. These power losses with age exceed the 30% loss in isometric strength assumed in the model but are comparable to 39-44% reductions in ankle power outputs measured in healthy old adults of approximately 70 years of age. Thus, accounting for age-related changes in muscle properties, other than decreased maximum isometric force, may be particularly important when simulating movements that require substantial power development.

Adult↗