A three-dimensional biomechanical evaluation of quadriceps and hamstrings function using electrical stimulation

Betsy V. Hunter, Darryl G. Thelen, Yasin Y. Dhaher

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Neurological disorders such as stroke impair locomotor control and result in abnormal 3-D gait kinematics. Establishment of effective rehabilitation strategies requires an understanding of how individual muscles contribute to pathological movement. Forward dynamic simulations account for complexities of interjoint coupling and can be used to predict dynamic muscle function. However to date, limited experimental validations of dynamic models have been performed. Our objective was to measure 3-D movement induced by the biceps femoris (BF), rectus femoris (RF), and vastus lateralis (VL) in limb configurations corresponding to the swing phase of gait, and to assess the biomechanical factors that affect dynamic function. Subjects were positioned in a robotic gait orthosis that included a compliant interface. Electrical stimulation was introduced into individual muscles while induced hip and knee joint movements were recorded. Measured hip to knee sagittal plane acceleration ratios were consistent with dynamic musculoskeletal model simulations. However RF and VL induced substantially larger frontal plane hip movements than model-based predictions. Sensitivity analyses on musculoskeletal model parameters revealed that muscle function depends primarily on moment arm assumptions. Though generic musculoskeletal models are suitable for predicting sagittal plane muscle function, improvements in moment arm accuracy are essential for investigation of 3-D pathological gait.

Original languageEnglish (US)
Article number4773251
Pages (from-to)167-175
Number of pages9
JournalIEEE Transactions on Neural Systems and Rehabilitation Engineering
Volume17
Issue number2
DOIs
StatePublished - Apr 1 2009
Externally publishedYes

Keywords

  • Biarticular muscle
  • Dynamic function
  • Musculo skeletal modeling
  • Three-dimensional muscle function

ASJC Scopus subject areas

  • Internal Medicine
  • Neuroscience(all)
  • Biomedical Engineering

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