nils-herrmann/clean_scirepeval huggingface dataset:
Frequency-dependent contributions of sagittal-plane foot force to upright human standing.
Venue: Journal of biomechanics

Quiet standing is a mechanically unstable postural objective that humans typically perform with ease. Control of upright posture requires stabilization of both translational and rotational degrees-of-freedom that is accomplished by neuro-muscular coordination. This coordination produces a force at the ground-foot interface (F) that is quantified by magnitude, direction (θF), and point of application (center-of-pressure, CP). Previous research has shown that the nervous system controls muscle activation such that CP motion occurs at both slow and fast time scales. However, it is unknown how θF varies with respect to CP and how that relationship varies across time scales. We present a novel method for assessing the frequency-dependent relative variation in θF and CP. The center-of-pressure (CP) and direction of the ground-on-foot force (F) in the sagittal-plane during quiet standing were decomposed into 0.2 Hz-width frequency bands within 0.4-8.0 Hz. The relation between the direction and CP was approximately linear with a slope positively related to frequency. These frequency-dependent features of F have critical implications for understanding balance strategy because the translational and rotational acceleration effects of F were coupled, but with opposite phasing at high versus low frequencies. Such results suggest a system tuned for one stability mode at low frequencies and another mode at higher frequencies. This frequency-wise approach to examining the translational and rotational effects of humans' preferred F may be useful for establishing balance rehabilitation metrics, directing study of the underlying neural mechanisms responsible for the observed coordination, and for setting a biometric standard to inform biomimetic prosthetics and robotics.
Does force myography recorded at the wrist correlate to resistance load levels during bicep curls?
Venue: Journal of biomechanics

Resistance strength training is a proven method to improve bone density and muscle strength. A solution capable of automatically detecting the resistance force level exerted by a user from a wrist-based device can offer great convenience to the trainee and hence facilitate a better training outcome. In this short communication, we present our investigation aimed at exploring if force myographic (FMG) signals recorded at the wrist can predict the relative resistance levels that are associated with different weights. Specifically, we investigated the Spearman's correlations between the wrist FMG signal features and the dumbbell weights during a bicep curl exercise. 10 volunteers were recruited to perform a total of 100 curl actions, which included both the hammer and regular curls while the wrist FMG signals were being recorded. Three sets of weights ranging from 0.2 lb to 8 lb were used. For the hammer curls, a median correlation coefficient of 0.92 with an interquartile range (IQR) of 0.03 was obtained. For the regular curls, a 0.94 median correlation with a 0.02 IQR was obtained. We also used the data from the first 36 curls to generate a classifier model and applied it onto the rest of the data. An averaged validation accuracy of 88% was obtained. The results of this study showed the potential use of wrist FMG signal to detect different levels of the load during exercises; such information could potentially be used as feedback in fitness, sports, and rehabilitation activities.
Experimental evaluation of pressure drop for flows of air and heliox through upper and central conducting airway replicas of 4- to 8-year-old children.
Venue: Journal of biomechanics

Airway resistance describes the ratio between pressure drop and flow rate through the conducting respiratory airways. Analytical models of airway resistance for tracheobronchial airways have previously been developed and assessed without upper airways positioned upstream of the trachea. This work investigated pressure drop as a function of flow rate and gas properties for upper and central airway replicas of 10 child subjects, ages 4-8. Replica geometries were built based on computed tomography scan data and included airways from the nose through 3-5 distal branching airway generations. Pressure drop through the replicas was measured for constant inspiratory flows of air and heliox. For both the nose-throat and branching airways, the relationship between non-dimensional coefficient of friction, CF, with Reynolds number, Re, was found to resemble the turbulent Blasius equation for pipe flow, where CF∝Re-0.25. Additionally, pressure drop ratios between heliox and air were consistent with analytical predictions for turbulent flow. The presence of turbulence in the branching airways likely resulted from convection of turbulence produced upstream in the nose and throat. An airway resistance model based on the Blasius pipe friction correlation for turbulent flow was proposed for prediction of pressure drop through the branching bronchial airways downstream from the upper airway.
Merged plantarflexor muscle activity is predictive of poor walking performance in post-stroke hemiparetic subjects.
Venue: Journal of biomechanics

Stroke is the leading cause of long-term disability and individuals post-stroke often experience impaired walking ability. The plantarflexor (PF) muscles are critical to walking through their contributions to the ground reaction forces and body segment energetics. Previous studies have shown muscle activity during walking can be grouped into co-excited muscle sets, or modules. Improper co-activation, or merging of modules, is a common impairment in individuals post-stroke. The purpose of this study was to determine the influence of merged PF modules on walking performance in individuals post stroke by examining balance control, body support and propulsion, and walking symmetry. Muscle modules were identified using non-negative matrix factorization to classify subjects as having an independent or merged PF module. The merged group had decreased balance control with a significantly higher frontal plane whole-body angular momentum than both the independent and control groups, while the independent and control groups were not significantly different. The merged group also had higher paretic braking and nonparetic propulsion than both the independent and control groups. These results remained when comparisons were limited to subjects who had the same number of modules, indicating this was not a general effect due to subjects with merged PF having fewer modules. It is likely that a merged PF module is indicative of general PF dysfunction even when some activation occurs at the appropriate time. These results suggest an independent PF module is critical to walking performance, and thus obtaining an independent PF module should be a crucial aim of stroke rehabilitation.
A manipulability analysis of human walking.
Venue: Journal of biomechanics

From the literature of biomechanics, it is now clear that humans use elevating, lowering and delayed-lowering strategies in order to maintain stability during perturbed walking. The main purpose of this study is to provide insights into the role of manipulability in selection of these strategies. A 37 degrees of freedom (DoFs) model of the human body is developed to evaluate the manipulability indices during walking. The model is considered as a tree-like structure and its forward kinematics equations and the Jacobian are derived based on the Denavit-Hartenberg (DH) convention. A hybrid genetic algorithm (HGA) is then employed to map the experimental kinematics of a human to the model. The kinematic and dynamic manipulability indices of the swing phase of walking are evaluated concentrating on early, mid and late swing phases. The results indicate that the manipulability indices can characterize well the selection of elevating, lowering and delayed-lowering strategies at different stages of the swing phase. The results kinematically describe the reason of selecting delayed-lowering strategy at mid-swing phase that was not obvious in previous studies. Moreover, the results show that at mid-swing phase of walking the kinematic maneuverability is lower than that of the early and late swing phases.
The effects of total ankle arthroplasty on postural stability and loading symmetry in quiet stance.
Venue: Journal of biomechanics

Ankle osteoarthritis is a debilitating condition affecting about 1% of the population with approximately 50,000 new instances annually. One treatment is total ankle arthroplasty (TAA), however, its effects on balance are not well understood. This study analyzed balance over a two-year period following TAA. 408 subjects (177 left, 231 right ankles) diagnosed with end-stage ankle osteoarthritis performed quiet standing trials while center of pressure (COP) data were collected. Data were compared across three time points (pre-op, 1-year, and 2-years post-op) and between surgical and non-surgical limbs using a linear mixed model with significance set at P = 0.05. COP excursions in the feet-together condition were not significantly different between limbs after 2 years in anteroposterior or mediolateral directions (P = 0.06, 0.08) after being significantly different between limbs in the anteroposterior (P = 0.014) and mediolateral direction (P < 0.001) pre-op. The vertical ground reaction force significantly decreased across time in the non-surgical limb, while reciprocally increasing in the surgical limb (P < 0.001). After 2 years, no significant difference in vertical ground reaction force between limbs existed (P = 0.20). Limb asymmetry indices decreased at each time point in both conditions (all P < 0.001) and were not significantly different from zero after 2 years in the feet-together condition (P = 0.290). In conclusion, surgical limb balance improved compared to pre-op, resulting in increased symmetry between limbs after 2 years. Vertical ground reaction forces on both limbs converge and limb asymmetry indices approach zero two years post-op. Differences in the COP excursion-loading symmetry relationship between limbs could be useful for identifying instability in other pathologies.
A calibrated EMG-informed neuromusculoskeletal model can appropriately account for muscle co-contraction in the estimation of hip joint contact forces in people with hip osteoarthritis.
Venue: Journal of biomechanics

Abnormal hip joint contact forces (HJCF) are considered a primary mechanical contributor to the progression of hip osteoarthritis (OA). Compared to healthy controls, people with hip OA often present with altered muscle activation patterns and greater muscle co-contraction, both of which can influence HJCF. Neuromusculoskeletal (NMS) modelling is non-invasive approach to estimating HJCF, whereby different neural control solutions can be used to estimate muscle forces. Static optimisation, available within the popular NMS modelling software OpenSim, is a commonly used neural control solution, but may not account for an individual's unique muscle activation patterns and/or co-contraction that are often evident in pathological population. Alternatively, electromyography (EMG)-assisted neural control solutions, available within CEINMS software, have been shown to account for individual activation patterns in healthy people. Nonetheless, their application in people with hip OA, with conceivably greater levels of co-contraction, is yet to be explored. The aim of this study was to compare HJCF estimations using static optimisation (in OpenSim) and EMG-assisted (in CEINMS) neural control solutions during walking in people with hip OA. EMG-assisted neural control solution was more consistent with both EMG and joint moment data than static optimisation, and also predicted significantly higher HJCF peaks (p < 0.001). The EMG-assisted neural control solution also accounted for more muscle co-contraction than static optimisation (p = 0.03), which probably contributed to these higher HJCF peaks. Findings suggest that the EMG-assisted neural control solution may estimate more physiologically plausible HJCF than static optimisation in a population with high levels of co-contraction, such as hip OA.
Biomechanics in posture space: Properties and relevance of principal accelerations for characterizing movement control.
Venue: Journal of biomechanics

Human movements, recorded through kinematic data, can be described by means of principal component analysis (PCA) through a small set of variables representing correlated segment movements. The PC-eigenvectors then form a basis in the associated vector space of postural changes. Similar to 3D movements, the kinematics in this posture space can be quantified through 'principal' positions (PPs), velocities (PVs) and accelerations (PAs). The PAs represent a novel set of variables characterizing neuro-muscular control. The aim of the current technical note was to (i) compare the variance explained by PAs with the variance explained by PPs; (ii) clarify the relationship between PAs and segment accelerations; and (iii) compare variability of the first principal acceleration (PA1) with the local dynamic stability (largest Lyapunov exponent, LyE) of the first principal position (PP1). A PCA was applied on 3D upper-body positions collected by an Xsens inertial sensor system as nineteen volunteers performed a bimanual repetitive tapping task. The main finding revealed that the PP-explained variance considerably differed from the PA-explained variance, indicating that the latter should be considered when reducing the dimensionality in postural movement analysis through a PCA. Further, the current study formally established that the acceleration curves obtained from differentiating segment positions and from linear combinations of PAs are identical. Finally, a strong correlation, r(17) = 0.92, p < 0.001, was observed between the cycle-to-cycle variability in PA1 and the LyE calculated for PP1, supporting the notion that PA variability and LyE share some of the information they provide about movement control.
The relationship between whole bone stiffness and strength is age and sex dependent.
Venue: Journal of biomechanics

Accurately estimating whole bone strength is critical for identifying individuals that may benefit from prophylactic treatments aimed at reducing fracture risk. Strength is often estimated from stiffness, but it is not known whether the relationship between stiffness and strength varies with age and sex. Cadaveric proximal femurs (44 Male: 18-78 years; 40 Female: 24-95 years) and radial (36 Male: 18-89 years; 19 Female: 24-95 years) and femoral diaphyses (34 Male: 18-89 years; 19 Female: 24-95 years) were loaded to failure to evaluate how the stiffness-strength relationship varies with age and sex. Strength correlated significantly with stiffness at all sites and for both sexes, as expected. However, females exhibited significantly less strength for the proximal femur (58% difference, p < 0.001). Multivariate regressions revealed that stiffness, age and PYD were significant negative independent predictors of strength for the proximal femur (Age: M: p = 0.005, F: p < 0.001, PYD: M: p = 0.022, F: p = 0.025), radial diaphysis (Age: M = 0.055, PYD: F = 0.024), and femoral diaphysis (Age: M: p = 0.014, F: p = 0.097, PYD: M: p = 0.003, F: p = 0.091). These results indicated that older bones tended to be significantly weaker for a given stiffness than younger bones. These results suggested that human bones exhibit diminishing strength relative to stiffness with aging and with decreasing PYD. Incorporating these age- and sex-specific factors may help to improve the accuracy of strength estimates.
Biomechanical contributions of upper cervical ligamentous structures in Type II odontoid fractures.
Venue: Journal of biomechanics

Fractures of the odontoid present frequently in spinal trauma, and Type II odontoid fractures, occurring at the junction of the odontoid process and C2 vertebrae, represent the bulk of all traumatic odontoid fractures. It is currently unclear what soft-tissue stabilizers contribute to upper cervical motion in the setting of a Type II odontoid fracture, and evaluation of how concomitant injury contributes to cervical stability may inform surgical decision-making as well as allow for the creation of future, accurate, biomechanical models of the upper cervical spine. The objective of the current study was to determine the contribution of soft-tissue stabilizers in the upper cervical spine following a Type II odontoid fracture. Eight cadaveric C0-C2 specimens were evaluated using a robotic testing system with motion tracking. The unilateral facet capsule (UFC) and anterior longitudinal ligament (ALL) were serially resected to determine their biomechanical role following odontoid fracture. Range of motion (ROM) and moment at the end of intact specimen replay were the primary outcomes. We determined that fracture of the odontoid significantly increases motion and decreases resistance to intact motion for flexion-extension (FE), axial rotation (AR), and lateral bending (LB). Injury to the UFC increased AR by 3.2° and FE by 3.2°. ALL resection did not significantly increase ROM or decrease end-point moment. The UFC was determined to contribute to 19% of intact flexion resistance and 24% of intact AR resistance. Overall, we determined that Type II fracture of the odontoid is a significant biomechanical destabilizer and that concurrent injury to the UFC further increases upper cervical ROM and decreases resistance to motion in a cadaveric model of traumatic Type II odontoid fractures.
Mechanism of reducing knee adduction moment by shortening of the knee lever arm via medio-lateral manipulation of foot center of pressure: A pilot study.
Venue: Journal of biomechanics

Prominent conservative treatment options for medial-compartment knee osteoarthritis include footwear that reduces knee adduction moment (KAM) correlated with detrimental loads in the medial compartment of the knee, thus providing clinical benefit. The proposed mechanism by which they reduce KAM is a lateral shift in foot center of pressure (COP) and a consequent shortening of the knee lever arm (KLA), thereby reducing KAM, which can be simply calculated as KLA multiplied by the frontal plane ground reaction force (FP-GRF). The present study investigated this mechanism for a unique biomechanical device capable of shifting COP by means of moveable convex elements attached to the shoe. Fourteen healthy young male subjects underwent gait analysis in two COP configurations of the device for comparison: (1) laterally and (2) medially deviated. Average midstance KLA and KAM were decreased by 8.2% and 8.7%, respectively, in the lateral COP compared to medial. Ground reaction force parameters, frontal plane knee angle (FP-KA), and spine lateral flexion angle (SLF) did not differ between COP configurations. No study parameters differed for terminal stance. Linear mixed effects models showed that COP and FP-GRF components, but not FP-KA and SLF, were significant predictors of KLA. In addition, KLA and FP-GRF were significant predictors of KAM; although, FP-GRF did not change significantly with medio-lateral COP shift, while KLA did. This suggests that the mechanism by which the study device reduces KAM is primarily through shortening of KLA brought on by a lateral shift in COP.
Effect of implementing magnetic resonance imaging for patient-specific OpenSim models on lower-body kinematics and knee ligament lengths.
Venue: Journal of biomechanics

OpenSim models are typically based on cadaver findings that are generalized to represent a wide range of populations, which curbs their validity. Patient-specific modelling through incorporating magnetic resonance imaging (MRI) improves the model's biofidelity with respect to joint alignment and articulations, muscle wrapping, and ligament insertions. The purpose of this study was to determine if the inclusion of an MRI-based knee model would elicit differences in lower limb kinematics and resulting knee ligament lengths during a side cut task.



Eleven participants were analyzed with the popular Rajagopal OpenSim model, two variations of the same model to include three and six degrees of freedom knee (DOF), and a fourth version featuring a four DOF MRI-based knee model. These four models were used in an inverse kinematics analysis of a side cut task and the resulting lower limb kinematics and knee ligament lengths were analyzed.



The MRI-based model was more responsive to the movement task than the original Rajagopal model while less susceptible to soft tissue artifact than the unconstrained six DOF model. Ligament isometry was greatest in the original Rajagopal model and smallest in the six DOF model.



When using musculoskeletal modelling software, one must acutely consider the model choice as the resulting kinematics and ligament lengths are dependent on this decision. The MRI-based knee model is responsive to the kinematics and ligament lengths of highly dynamic tasks and may prove to be the most valid option for continuing with late-stage modelling operations such as static optimization.
Escherichia coli lipopolysaccharide induces alveolar epithelial cell stiffening.
Venue: Journal of biomechanics

Application of lipopolysaccharide (LPS) is a widely employed model to mimic acute respiratory distress syndrome (ARDS). Available data regarding LPS-induced biomechanical changes on pulmonary epithelial cells are limited only to P. aeruginosa LPS. Considering that LPS from different bacteria could promote a specific mechanical response in epithelial cells, we aim to assess the effect of E. coli LPS, widely employed as a model of ARDS, in the biomechanics of alveolar epithelial cells.



Young's modulus (E) of alveolar epithelial cells (A549) was measured by atomic force microscopy every 5 min throughout 60 min of experiment after treatment with LPS from E. coli (100 μg/mL). The percentage of cells presenting actin stress fibers (F-actin staining) was also evaluated. Control cells were treated with culture medium and the values obtained were compared with LPS-treated cells for each time-point.



Application of LPS induced significant increase in E after 20 min (77%) till 60 min (104%) in comparison to controls. Increase in lung epithelial cell stiffness induced by LPS was associated with a higher number of cells presenting cytoskeletal remodeling.



The observed effects of E. coli LPS on alveolar epithelial cells suggest that this widely-used LPS is able to promote a quick formation of actin stress fibers and stiffening cells, thereby facilitating the disruption of the pulmonary epithelial barrier.