Peter M. Kuetzing , Ulrich M. Scheven , Ellen M. Arruda
{"title":"Submaximal low-strain cyclic loading induces localized inelastic deformation & diminished energy dissipation in the anterior cruciate ligament","authors":"Peter M. Kuetzing , Ulrich M. Scheven , Ellen M. Arruda","doi":"10.1016/j.jmbbm.2025.107309","DOIUrl":null,"url":null,"abstract":"<div><div>Submaximal loading during routine activities is an understudied contributor to evolving mechanics preceding acute Anterior Cruciate Ligament (ACL) injury. This study characterizes the history-dependent mechanical response of the anteromedial (AM) bundle of the ACL subjected to repeated submaximal low-strain cyclic loading and intermittent recovery periods. This loading regime represents early-stage behavior often referred to as preconditioning, which is important for achieving steady-state mechanics but also for understanding the onset of irreversible changes. Digital image correlation (DIC) reveals the development of localized inelastic deformation in regions corresponding to clinically observed acute ACL tears. Complementary repeated cycle-recovery (RCR) experiments reveal that inelastic deformation and normalized hysteresis follow a dual-regime pattern, with pronounced early-cycle attenuation followed by a linear-log response. These findings indicate that submaximal loading induces irreversible mechanical changes on short time scales and establishes a mechanistic link between physiological relevant load histories and increased site-specific susceptibility of the ACL.</div></div>","PeriodicalId":380,"journal":{"name":"Journal of the Mechanical Behavior of Biomedical Materials","volume":"175 ","pages":"Article 107309"},"PeriodicalIF":4.1000,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Mechanical Behavior of Biomedical Materials","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1751616125004254","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/12/11 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Submaximal loading during routine activities is an understudied contributor to evolving mechanics preceding acute Anterior Cruciate Ligament (ACL) injury. This study characterizes the history-dependent mechanical response of the anteromedial (AM) bundle of the ACL subjected to repeated submaximal low-strain cyclic loading and intermittent recovery periods. This loading regime represents early-stage behavior often referred to as preconditioning, which is important for achieving steady-state mechanics but also for understanding the onset of irreversible changes. Digital image correlation (DIC) reveals the development of localized inelastic deformation in regions corresponding to clinically observed acute ACL tears. Complementary repeated cycle-recovery (RCR) experiments reveal that inelastic deformation and normalized hysteresis follow a dual-regime pattern, with pronounced early-cycle attenuation followed by a linear-log response. These findings indicate that submaximal loading induces irreversible mechanical changes on short time scales and establishes a mechanistic link between physiological relevant load histories and increased site-specific susceptibility of the ACL.
期刊介绍:
The Journal of the Mechanical Behavior of Biomedical Materials is concerned with the mechanical deformation, damage and failure under applied forces, of biological material (at the tissue, cellular and molecular levels) and of biomaterials, i.e. those materials which are designed to mimic or replace biological materials.
The primary focus of the journal is the synthesis of materials science, biology, and medical and dental science. Reports of fundamental scientific investigations are welcome, as are articles concerned with the practical application of materials in medical devices. Both experimental and theoretical work is of interest; theoretical papers will normally include comparison of predictions with experimental data, though we recognize that this may not always be appropriate. The journal also publishes technical notes concerned with emerging experimental or theoretical techniques, letters to the editor and, by invitation, review articles and papers describing existing techniques for the benefit of an interdisciplinary readership.