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Biomedical subjects

R R Neptune

Publications and source records attributed to R R Neptune.

At least 19 recordsLinked to original sources

Adaptation of muscle coordination to altered task mechanics during steady-state cycling.

The objective of this work was to increase our understanding of how motor patterns are produced during movement tasks by quantifying adaptations in muscle coordination in response to altered task mechanics. We used pedaling as our movement paradigm because it is a constrained cyclical movement that allows for a controlled investigation of test conditions such as movement speed and effort. Altered task mechanics were introduced using an elliptical chainring. The kinematics of the crank were changed from a relatively constant angular velocity using a circular chainring to a widely varying angular velocity using an elliptical chainring. Kinetic, kinematic and muscle activity data were collected from eight competitive cyclists using three different chainrings--one circular and two different orientations of an elliptical chainring. We tested the hypotheses that muscle coordination patterns (EMG timing and magnitude), specifically the regions of active muscle force production, would shift towards regions in the crank cycle in which the crank angular velocity, and hence muscle contraction speeds, were favorable to produce muscle power as defined by the skeletal muscle power-velocity relationship. The results showed that our hypothesis with regards to timing was not supported. Although there were statistically significant shifts in muscle timing, the shifts were minor in absolute terms and appeared to be the result of the muscles accounting for the activation dynamics associated with muscle force development (i.e. the delay in muscle force rise and decay). But, significant changes in the magnitude of muscle EMG during regions of slow crank angular velocity for the tibialis anterior and rectus femoris were observed. Thus, the nervous system used adaptations to the muscle EMG magnitude, rather than the timing, to adapt to the altered task mechanics. The results also suggested that cyclists might work on the descending limb of the power-velocity relationship when pedaling at 90 rpm and sub-maximal power output. This finding might have important implications for preferred pedaling rate selection.

Adaptation, Physiological↗

Muscle contributions to specific biomechanical functions do not change in forward versus backward pedaling.

Previous work had identified six biomechanical functions that need to be executed by each limb in order to produce a variety of pedaling tasks. The functions can be organized into three antagonistic pairs: an Ext/Flex pair that accelerates the foot into extension or flexion with respect to the pelvis, an Ant/Post pair that accelerates the foot anteriorly or posteriorly with respect to the pelvis, and a Plant/Dorsi pair that accelerates the foot into plantarflexion or dorsiflexion. Previous analyses of experimental data have inferred that muscles perform the same function during different pedaling tasks (e.g. forward versus backward pedaling) because the EMG timing was similar, but they did not present rigorous biomechanical analyses to assess whether a muscle performed the same biomechanical function, and if so, to what degree. Therefore, the objective of this study was to determine how individual muscles contribute to these biomechanical functions during two different motor tasks, forward and backward pedaling, through a theoretical analysis of experimental data. To achieve this objective, forward and backward pedaling simulations were generated and a mechanical energy analysis was used to examine how muscles generate, absorb or transfer energy to perform the pedaling tasks. The results showed that the muscles contributed to the same primary Biomechanical functions in both pedaling directions and that synergistic performance of certain functions effectively accelerated the crank. The gluteus maximus worked synergistically with the soleus, the hip flexors worked synergistically with the tibialis anterior, and the vasti and hamstrings functioned independently to accelerate the crank. The rectus femoris used complex biomechanical mechanisms including negative muscle work to accelerate the crank. The negative muscle work was used to transfer energy generated elsewhere (primarily from other muscles) to the pedal reaction force in order to accelerate the crank. Consistent with experimental data, a phase shift was required from those muscles contributing to the Ant/Post functions as a result of the different limb kinematics between forward and backward pedaling, although they performed the same biomechanical function. The pedaling simulations proved necessary to interpret the experimental data and identify motor control mechanisms used to accomplish specific motor tasks, as the mechanisms were often complex and not always intuitively obvious.

Bicycling↗

The influence of foot positioning on ankle sprains.

The goal of this study was to examine the influence of changes in foot positioning at touch-down on ankle sprain occurrence. Muscle model driven computer simulations of 10 subjects performing the landing phase of a side-shuffle movement were performed. The relative subtalar joint and talocural joint angles at touchdown were varied, and each subject-specific simulation was exposed to a set of perturbed floor conditions. The touchdown subtalar joint angle was not found to have a considerable influence on sprain occurrence, while increased touchdown plantar flexion caused increased ankle sprain occurrences. Increased touchdown plantar flexion may be the mechanism which causes ankles with a history of ankle sprains to have an increased susceptibility to subsequent sprains. This finding may also reveal a mechanism by which taping of a sprained ankle or the application of an ankle brace leads to decreased ankle sprain susceptibility.

Ankle Injuries↗

Knee joint loading in forward versus backward pedaling: implications for rehabilitation strategies.

OBJECTIVE: To use forward dynamic simulations of forward and backward pedaling in order to determine whether backward pedaling offers theoretical advantages over forward pedaling to rehabilitate common knee disorders.DESIGN. A comparison of knee joint loads was performed during forward and backward pedaling.BACKGROUND. Pedaling has been shown to be an effective rehabilitation exercise for a variety of knee disorders. Recently, backward gait has been shown to produce greater knee extensor moments and reduced patellofemoral joint loads compared to forward gait. But to date, no study has examined the efficacy of backward pedaling as a safe alternative to forward pedaling in rehabilitation programs.METHODS. A musculoskeletal model and optimization framework was used to generate simulations of forward and backward pedaling. Tibiofemoral and patellofemoral joint reaction forces were quantified.RESULTS. Lower tibiofemoral compressive loads, but higher patellofemoral compressive loads, were observed in backward pedaling. Lower protective anterior-posterior shear force was observed in backward pedaling near peak extension.CONCLUSIONS. Backward pedaling offers reduced tibiofemoral compressive loads for those patients with knee disorders such as menisci damage and osteoarthritis, but higher patellofemoral compressive loads. Therefore, backward pedaling is not recommended for patients experiencing patellofemoral pain. Further, backward pedaling should not be recommended after anterior cruciate ligament injury or reconstruction.RelevanceThe results of this study indicate that the design of rehabilitation programs including pedaling exercises should be injury specific with particular attention paid to the mechanics of the task.

Adult↗

The influence of orthotic devices and vastus medialis strength and timing on patellofemoral loads during running.

OBJECTIVE: To use a musculoskeletal model and simulation of running to examine: (1) the influence of two commonly prescribed treatments for patellofemoral pain (vastus medialis oblique strengthening and orthoses) and (2) the functional significance of timing differences between vastus medialis oblique and vastus lateralis on lateral patellofemoral joint loads. DESIGN: A three-dimensional musculoskeletal model of the lower extremity was used to simulate running at 4 m/s. BACKGROUND: Repetitive and excessive joint loading is often associated with overuse injuries that require clinical treatments to reduce pain and restore function. Affecting one in four runners, patellofemoral pain is one of the most common injuries in running. Although conservative treatments have been reported to successfully treat patellofemoral pain, the effectiveness is often based on subjective or empirical data, which have generated disagreement on the most effective treatment. METHODS: Nine subject specific running simulations were generated and experiments were performed by applying the treatments and timing differences to the nominal simulations. RESULTS: Both treatments significantly reduced the average patellofemoral joint load and the vastus medialis strengthening also significantly reduced the peak patellofemoral joint load. In addition, when the vastus medialis oblique timing was delayed and advanced relative to the vastus lateralis timing, a significant increase and decrease in the joint load was observed, respectively, during the loading response.Conclusions. Increasing vastus medialis oblique strength yielded more consistent results across subjects than the orthosis in reducing patellofemoral joint loads during running. The effect of orthoses was highly variable and sensitive to the individual subject's running mechanics. Vastus medialis oblique activation timing is an important determinant of lateral patellofemoral joint loading during the impact phase. RELEVANCE: These findings indicate that a reduction in patellofemoral pain may be achieved through techniques that selectively increase the vastus medialis oblique strength. Therefore, future studies should be directed towards identifying such techniques. Additionally, the functional significance of timing differences between the vastus medialis oblique and vastus lateralis is an important consideration in patellofemoral pain treatment and orthoses may be beneficial for some patients depending on their running mechanics.

Adult↗

The effects of ankle compliance and flexibility on ankle sprains.

PURPOSE: The goal of this study was to examine the influence of changes in subtalar joint flexibility and compliance on ankle sprain occurrence. METHODS: Muscle model driven simulations of 10 subjects performing the landing phase of a side-shuffle movement were performed. The passive flexibility or compliance of the subtalar joint was varied, and each subject-specific simulation was exposed to a set of perturbed floor conditions. RESULTS: Increases in flexibility and compliance both led to an increase in the occurrence of excessive supination, while changes in flexibility had a greater influence. Changes in flexibility or compliance caused only small changes in the occurrence of excessive supination torques. CONCLUSION: These results suggest that increased mechanical laxity does not directly cause an increase in sprain occurrence during side-shuffle movements.

Ankle Injuries↗

Cadence, power, and muscle activation in cycle ergometry.

PURPOSE: Based on the resistance-rpm relationship for cycling, which is not unlike the force-velocity relationship of muscle, it is hypothesized that the cadence which requires the minimal muscle activation will be progressively higher as power output increases. METHODS: To test this hypothesis, subjects were instrumented with surface electrodes placed over seven muscles that were considered to be important during cycling. Measurements were made while subjects cycled at 100, 200, 300, and 400 W at each cadence: 50, 60, 80, 100, and 120 rpm. These power outputs represented effort which was up to 32% of peak power output for these subjects. RESULTS: When all seven muscles were averaged together, there was a proportional increase in EMG amplitude each cadence as power increased. A second-order polynomial equation fit the EMG:cadence results very well (r2 = 0.87- 0.996) for each power output. Optimal cadence (cadence with lowest amplitude of EMG for a given power output) increased with increases in power output: 57 +/- 3.1, 70 +/- 3.7, 86 +/- 7.6, and 99 +/- 4.0 rpm for 100, 200, 300, and 400 W, respectively. CONCLUSION: The results confirm that the level of muscle activation varies with cadence at a given power output. The minimum EMG amplitude occurs at a progressively higher cadence as power output increases. These results have implications for the sense of effort and preferential use of higher cadences as power output is increased.

Adult↗

General coordination principles elucidated by forward dynamics: minimum fatique does not explain muscle excitation in dynamic tasks.

The target article presents a framework for coordination of one- and two-joint muscles in a variety of tasks. Static optimization analyses were performed that minimize muscle fatigue, and it is claimed that the predicted muscle forces account for essential features of EMG activity qualitatively well. However, static optimization analyses use the observed joint moments, which implicitly assumes that they minimize the total muscle fatigue of the task. We use a forward dynamics (i.e., relationship between muscle forces and the kinematics and kinetics of task performance) modeling approach to show that this assumption does not appear to be true in cycling (which was used as an example task in the target article). Our results challenge the hypothesized coordination framework and the underlying concept that general coordination principles for dynamic tasks can be elucidated using inverse-dynamics-based analyses.

Biomechanical Phenomena↗

Computer modeling and simulation of human movement. Applications in sport and rehabilitation.

Computer modeling and simulation of human movement plays an increasingly important role in sport and rehabilitation, with applications ranging from sport equipment design to understanding pathologic gait. The complex dynamic interactions within the musculoskeletal and neuromuscular systems make analyzing human movement with existing experimental techniques difficult but computer modeling and simulation allows for the identification of these complex interactions and causal relationships between input and output variables. This article provides an overview of computer modeling and simulation and presents an example application in the field of rehabilitation.

Algorithms↗

A theoretical analysis of preferred pedaling rate selection in endurance cycling.

One objective of this study was to investigate whether neuromuscular quantities were associated with preferred pedaling rate selection during submaximal steady-state cycling from a theoretical perspective using a musculoskeletal model with an optimal control analysis. Specific neuromuscular quantities of interest were the individual muscle activation, force, stress and endurance. To achieve this objective, a forward dynamic model of cycling and optimization framework were used to simulate pedaling at three different rates of 75, 90 and 105 rpm at 265 W. The pedaling simulations were produced by optimizing the individual muscle excitation timing and magnitude to reproduce experimentally collected data. The results from these pedaling simulations indicated that all neuromuscular quantities were minimized at 90 rpm when summed across muscles. In the context of endurance cycling, these results suggest that minimizing neuromuscular fatigue is an important mechanism in pedaling rate selection. A second objective was to determine whether any of these quantities could be used to predict the preferred pedaling rate. By using the quantities with the strongest quadratic trends as the performance criterion to be minimized in an optimal control analysis, these quantities were analyzed to assess whether they could be further minimized at 90 rpm and produce normal pedaling mechanics. The results showed that both the integrated muscle activation and average endurance summed across all muscles could be further minimized at 90 rpm indicating that these quantities cannot be used individually to predict preferred pedaling rates.

Adult↗

The influence of pedaling rate on bilateral asymmetry in cycling.

The objectives of this study were to (1) determine whether bilateral asymmetry in cycling changed systematically with pedaling rate, (2) determine whether the dominant leg as identified by kicking contributed more to average power over a crank cycle than the other leg, and (3) determine whether the dominant leg asymmetry changed systematically with pedaling rate. To achieve these objectives, data were collected from 11 subjects who pedaled at five different pedaling rates ranging from 60 to 120 rpm at a constant workrate of 260 W. Bilateral pedal dynamometers measured two orthogonal force components in the plane of the bicycle. From these measurements, asymmetry was quantified by three dependent variables, the percent differences in average positive power (%AP), average negative power (%AN), and average crank power (%AC). Differences were taken for two cases--with respect to the leg generating the greater total average for each power quantity at 60 rpm disregarding the measure of dominance, and with respect to the dominant leg as determined by kicking. Simple linear regression analyses were performed on these quantities both for the subject sample and for individual subjects. For the subject sample, only the percent difference in average negative power exhibited a significant linear relationship with pedaling rate; as pedaling rate increased, the asymmetry decreased. Although the kicking dominant leg contributed significantly greater average crank power than the non-dominant leg for the subject sample, the non-dominant leg contributed significantly greater average positive power and average negative power than the dominant leg. However, no significant linear relationships for any of these three quantities with pedaling rate were evident for the subject sample because of high variability in asymmetry among the subjects. For example, significant linear relationships existed between pedaling rates and percent difference in total average power per leg for only four of the 11 subjects and the nature of these relationships was different (e.g. positive versus negative slopes). It was concluded that pedaling asymmetry is highly variable among subjects and that individual subjects may exhibit different systematic changes in asymmetry with pedaling rate depending on the quantity of interest.

Adult↗

The association between negative muscle work and pedaling rate.

The objective of this research was to use a pedal force decomposition approach to quantify the amount of negative muscular crank torque generated by a group of competitive cyclists across a range of pedaling rates. We hypothesized that negative muscular crank torque increases at high pedaling rates as a result of the activation dynamics associated with muscle force development and the need for movement control, and that there is a correlation between negative muscular crank torque and pedaling rate. To test this hypothesis, data were collected during 60, 75, 90, 105 and 120 revolutions per minute (rpm) pedaling at a power output of 260 W. The statistical analysis supported our hypothesis. A significant pedaling rate effect was detected in the average negative muscular crank torque with all pedaling rates significantly different from each other (p < 0.05). There was no negative muscular crank torque generated at 60 rpm and negligible amounts at 75 and 90 rpm. But substantial negative muscular crank torque was generated at the two highest pedaling rates (105 and 120 rpm) that increased with increasing pedaling rates. This result suggested that there is a correlation between negative muscle work and the pedaling rates preferred by cyclists (near 90 rpm), and that the cyclists' ability to effectively accelerate the crank with the working muscles diminishes at high pedaling rates.

Adult↗

Muscle coordination and function during cutting movements.

PURPOSE: The objectives of this study were to: 1) establish a database of kinematic and EMG data during cutting movements, 2) describe normal muscle function and coordination of 12 lower extremity muscles during cutting movements susceptible to ankle sprains, and 3) identify potential muscle coordination deficiencies that may lead to ankle sprain injuries. METHODS: Kinematic, EMG, and GRF data were collected from 10 recreationally active male subjects during both a side-shuffle and v-cut movement. RESULTS: The data showed that muscles functioned similarly during both movements. The primary function of the hip and knee extensors was to decelerate the center-of-mass during landing and to provide propulsion during toe-off. The hip add/abductors functioned primarily to stabilize the hip rather than provide mechanical power. The ankle plantar flexors functioned to provide propulsion during toe-off, and the gastrocnemius had an additional burst of activity to plantarflex the foot before touchdown during the side-shuffle to help absorb the impact. The tibialis anterior functioned differently during each movement: to dorsiflex and supinate the foot after toe-off in preparation for the next step cycle during the side-shuffle and to dorsiflex the foot before impact to provide the heel-down landing and ankle stability in the stance phase during the v-cut. CONCLUSIONS: The muscles crossing the ankle joint, especially the tibialis anterior and peroneus longus, may play an important role to prevent ankle sprain injuries. Both muscles provided stability about the subtalar joint by preventing excessive joint rotations. Future theoretical studies with forward dynamic simulations incorporating individual muscle actuators are needed to quantify the segment accelerations induced by active muscles which may prevent or lead to ankle sprain injuries.

Adult↗

Optimization algorithm performance in determining optimal controls in human movement analyses.

The objective of this study was to evaluate the performance of different multivariate optimization algorithms by solving a "tracking" problem using a forward dynamic model of pedaling. The tracking problem was defined as solving for the muscle controls (muscle stimulation onset, offset, and magnitude) that minimized the error between experimentally collected kinetic and kinematic data and the simulation results of pedaling at 90 rpm and 250 W. Three different algorithms were evaluated: a downhill simplex method, a gradient-based sequential quadratic programming algorithm, and a simulated annealing global optimization routine. The results showed that the simulated annealing algorithm performed for superior to the conventional routines by converging more rapidly and avoiding local minima.

Algorithms↗

Standard mechanical energy analyses do not correlate with muscle work in cycling.

The goal of this study was to assess the utility of experimental methods to quantify mechanical energy expenditure (MEE) in human movement. To achieve this goal, a theoretical model of steady-state cycling driven by individual muscle actuators was used to produce two distinct pedal simulations. The simulations yielded the same pedaling rate and power output, but one reduced the MEE by avoiding eccentric muscle contractions. Contractile element force and length change in the individual muscles was used to quantify the total positive and negative work produced by the muscles. Three methods using external measurements were applied to the simulated movement. The three methods to quantify MEE were based on: (1) segment kinematic measurements, (2) work done by total joint powers and (3) intercompensated joint powers, i.e. negative work from one joint is transferred to an adjacent joint where energy is being generated (positive work) via biarticular muscles. The results showed that none of the MEE analyses were correlated to the MEE of the individual muscles, with errors reaching 40%. Errors were mainly attributed to the inability of the MEE methods to account for co-contractions of antagonistic muscle groups. This phenomenon occurred primarily when one muscle generated force during activation while the antagonist generated force during deactivation.

Bicycling↗

Evaluation of performance criteria for simulation of submaximal steady-state cycling using a forward dynamic model.

The objectives of this study were twofold. The first was to develop a forward dynamic model of cycling and an optimization framework to simulate pedaling during submaximal steady-state cycling conditions. The second was to use the model and framework to identify the kinetic, kinematic, and muscle timing quantities that should be included in a performance criterion to reproduce natural pedaling mechanics best during these pedaling conditions. To make this identification, kinetic and kinematic data were collected from 6 subjects who pedaled at 90 rpm and 225 W. Intersegmental joint moments were computed using an inverse dynamics technique and the muscle excitation onset and offset were taken from electromyographic (EMG) data collected previously (Neptune et al., 1997). Average cycles and their standard deviations for the various quantities were used to describe normal pedaling mechanics. The model of the bicycle-rider system was driven by 15 muscle actuators per leg. The optimization framework determined both the timing and magnitude of the muscle excitations to simulate pedaling at 90 rpm and 225 W. Using the model and optimization framework, seven performance criteria were evaluated. The criterion that included all of the kinematic and kinetic quantities combined with the EMG timing was the most successful in replicating the experimental data. The close agreement between the simulation results and the experimentally collected kinetic, kinematic, and EMG data gives confidence in the model to investigate individual muscle coordination during submaximal steady-state pedaling conditions from a theoretical perspective, which to date has only been performed experimentally.

Adult↗

Pedal and knee loads using a multi-degree-of-freedom pedal platform in cycling.

To provide a scientific basis for the design of bicycle pedals which possibly alleviate over-use knee injuries, two hypotheses were tested in the present study. The two hypotheses were: (1) that the three-dimensional pedal constraint loads; and (2) that the three-dimensional intersegmental knee loads would be reduced more significantly by a foot/pedal platform allowing both adduction/abduction and inversion/eversion rotations simultaneously than by a platform which allowed either rotation individually. To test these hypotheses, pedal load and lower limb kinematic data were collected from 10 subjects who pedaled with four pedal platforms which allowed zero, one, and two degrees of freedom. A number of quantities describing both pedal loads and intersegmental knee loads was computed for each of the four pedal platforms using a previously reported biomechanical model. The quantities included the positive and negative extremes, averages, and areas, as well as the total absolute area and RMS. Quantities were compared using analysis of variance techniques. The key results were that there were significant reductions in the coupled nondriving moments at the pedal for the dual-rotation platform compared to each of the single-rotation cases. The significant reductions in the coupled moments at the pedal were not manifest at the knee. However, a general nonsignificant reduction in both coupled knee moments was evident. Also, the valgus knee moment was significantly reduced by the dual-rotation platform compared to the inversion/eversion only design. Although the axial knee moment was not significantly reduced by the dual-rotation platform over the adduction/abduction design, there was a general nonsignificant reduction. The lack of significance in knee load results occurred because of high intersubject variability. Accordingly, load reduction benefits made by introducing the second degree of freedom need to be considered individually.

Adult↗

The effect of pedaling rate on coordination in cycling.

To further understand lower extremity neuromuscular coordination in cycling, the objectives of this study were to examine the effect of pedaling rate on coordination strategies and interpret any apparent changes. These objectives were achieved by collecting electromyography (EMG) data of eight lower extremity muscles and crank angle data from ten subjects at 250 W across pedaling rates ranging from 45 to 120 RPM. To examine the effect of pedaling rate on coordination, EMG burst onset and offset and integrated EMG (iEMG) were computed. In addition, a phase-controlled functional group (PCFG) analysis was performed to interpret observed changes in the EMG patterns in the context of muscle function. Results showed that the EMG onset and offset systematically advanced as pedaling rate increased except for the soleus which shifted later in the crank cycle. The iEMG results revealed that muscles responded differently to increased pedaling rate. The gastrocnemius, hamstring muscles and vastus medialis systematically increased muscle activity as pedaling rate increased. The gluteus maximus and soleus had significant quadratic trends with minimum values at 90 RPM, while the tibialis anterior and rectus femoris showed no significant association with pedaling rate. The PCFG analysis showed that the primary function of each lower extremity muscle remained the same at all pedaling rates. The PCFG analysis, which accounts for muscle activation dynamics, revealed that the earlier onset of muscle excitation produced muscle activity in the same region of the crank cycle. Also, while most of the muscles were excited for a single functional phase, the soleus and rectus femoris were excited during two functional phases. The soleus was classified as an extensor-bottom transition muscle, while the rectus femoris was classified as a top transition-extensor muscle. Further, the relative emphasis of each function appeared to shift as pedaling rate was increased, although each muscle remained bifunctional.

Adult↗