Journal of Biomechanical Engineering-Transactions of the Asme最新文献

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Contributions of Muscle Forces to Stability and Mobility in Radiography-Driven Models of Total Shoulder Arthroplasty. 全肩关节成形术模型中肌肉力量对稳定性和活动性的贡献。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-25 DOI: 10.1115/1.4069022
Brendan Curran, Casey Myers, Peter Laz, Thor E Andreassen, Kevin B Shelburne
{"title":"Contributions of Muscle Forces to Stability and Mobility in Radiography-Driven Models of Total Shoulder Arthroplasty.","authors":"Brendan Curran, Casey Myers, Peter Laz, Thor E Andreassen, Kevin B Shelburne","doi":"10.1115/1.4069022","DOIUrl":"https://doi.org/10.1115/1.4069022","url":null,"abstract":"<p><p>Several complications are associated with total shoulder arthroplasty (TSA), including glenoid loosening and joint instability. These complications are linked to imbalances in glenohumeral muscle forces, which cause eccentric loading on the edge of the glenoid. The purpose of this study was to develop patient-specific musculoskeletal models of TSA patients using their kinematics acquired with high-speed stereo radiography (HSSR) to predict glenohumeral joint loading and muscle forces for abduction and flexion and describe how these loads differ from their native contralateral side. CT data were collected for both shoulders of 6 TSA patients (3 anatomic, 3 reverse). Models were developed using CT reconstructions of each patient's scapula, humerus, and placed implant geometry with CT derived alignment. Scapula morphing was used to create personalized muscle attachment sites. Simulation of abduction and flexion to quantify muscle and joint forces was driven with limb-specific HSSR kinematics. Reverse TSA increased superior shear force by 11.2% bodyweight (BW) and decreased medial force by 27.5% BW compared to each patient's contralateral shoulder. Lateral deltoid elevation moment arms and stability ratios increased 9.61 mm and 0.58, respectively. Anatomic TSA patients increased humeral internal rotation 52.7 degrees and decreased rotator cuff activation 9.4% BW. Patient-specific musculoskeletal models quantified differences in glenohumeral joint mechanics. This study elucidated muscle and kinematic mechanisms that could lead to edge loading and glenoid loosening in TSA and can inform personalized surgical planning for implant alignment with the goal of improving patient outcomes.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1-37"},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new slant on shear loading: Uncovering its effect on the intervertebral disc. 一种新的斜向剪切载荷:揭示其对椎间盘的影响。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-23 DOI: 10.1115/1.4069004
Jacqueline Rosenberg, Eliana Seider, Sabrina I Sinopoli, Diane E Gregory
{"title":"A new slant on shear loading: Uncovering its effect on the intervertebral disc.","authors":"Jacqueline Rosenberg, Eliana Seider, Sabrina I Sinopoli, Diane E Gregory","doi":"10.1115/1.4069004","DOIUrl":"https://doi.org/10.1115/1.4069004","url":null,"abstract":"<p><p>Introduction Prolonged anterior shear loading may contribute to disc degeneration by damaging the annulus fibrosus. To address this, annular mechanical properties were quantified following static shear loading using a porcine model. Methods Twelve porcine cervical FSUs were dissected, with posterior bony elements removed to isolate shear to the intervertebral disc. Specimens were randomized into two conditions: (1) Shear-loaded (100 N static anterior shear applied to C3/C4, n=6) or (2) Control (0 N, n=6). Shear force was applied via a pin through C4, secured to a testing system to prevent rotation while C3 was clamped such that anterior shear of C3 with respect to C4 resulted. Following 1 hour of loading, two anterior annulus samples were extracted per specimen. The first samples underwent circumferential tensile testing, while the other was prepared for a peel test to assess interlamellar adhesion. Results Tensile properties in the circumferential direction remained unchanged after shear loading. However, interlamellar adhesive stiffness decreased by 52% (p=0.02), and adhesive strength dropped by 46% (p=0.02) in shear-loaded specimens compared to controls. Discussion Shear loading weakened the interlamellar matrix, reducing resistance to delamination and compromising disc integrity. These findings suggest that prolonged shear loading may contribute to early-stage disc damage.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An EMG-Assisted Musculoskeletal Simulation with Concurrent Optimization of Muscle Excitations and Knee Joint Kinematics. 肌电图辅助的肌肉骨骼模拟,同时优化肌肉兴奋和膝关节运动学。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-20 DOI: 10.1115/1.4068973
Amir Esrafilian, Colin Smith, Jere Lavikainen, Lauri Stenroth, Mika E Mononen, Pasi A Karjalainen, David Saxby, David G Lloyd, Rami Korhonen
{"title":"An EMG-Assisted Musculoskeletal Simulation with Concurrent Optimization of Muscle Excitations and Knee Joint Kinematics.","authors":"Amir Esrafilian, Colin Smith, Jere Lavikainen, Lauri Stenroth, Mika E Mononen, Pasi A Karjalainen, David Saxby, David G Lloyd, Rami Korhonen","doi":"10.1115/1.4068973","DOIUrl":"10.1115/1.4068973","url":null,"abstract":"<p><p>In this study, we developed and validated an electromyography- (EMG) assisted musculoskeletal simulation framework with concurrent optimization of knee kinematics and muscle excitations. The musculoskeletal model had a 12 degree of freedom (DoF) knee joint with personalized articulating surfaces. First, model?s muscle parameters underwent calibration, followed by the EMG-assisted analysis. To assess model?s performance, we compared estimated knee biomechanics against four other simulation approaches, i.e., a 12 DoF knee model with either 1) uncalibrated EMG-assisted and 2) static-optimization (SO) neural solution; and a conventional 1 DoF knee model with either 3) EMG-assisted or 4) SO neural solution. The performance of the models was assessed against in vivo measured values from two grand challenge datasets. For estimated muscle excitations and joint contact force (JCF), the EMG-assisted models outperformed the SO solutions. Compared to the EMG-assisted 1 DoF knee, using EMG-assisted 12 DoF knee improved estimation of muscle excitations, joint moments, and transverse tibiofemoral JCF to a greater extent than compressive tibiofemoral JCF. To estimate compressive tibiofemoral JCF (during walking), the EMG-assisted model with personalized 1 DoF knee may suffice. However, the EMG-assisted 12 DoF knee model is recommended for a more accurate estimation of joint moments, muscle forces, and compressive and transverse tibiofemoral JCF, especially when these quantities can be affected, e.g., due to musculoskeletal disorders. The developed simulation framework provides a viable approach for estimating knee biomechanics accounting for personalized muscle excitation strategy and knee articulating geometries.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1-44"},"PeriodicalIF":1.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inferring Fine Finger Motions for Prosthetic Control: An Ultrasound-based Approach to Real-time Estimation of Finger Kinematics. 用于假肢控制的精细手指运动推断:一种基于超声的手指运动学实时估计方法。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-09 DOI: 10.1115/1.4068887
Dean Zadok, Oren Salzman, Alon Wolf, Alex Bronstein
{"title":"Inferring Fine Finger Motions for Prosthetic Control: An Ultrasound-based Approach to Real-time Estimation of Finger Kinematics.","authors":"Dean Zadok, Oren Salzman, Alon Wolf, Alex Bronstein","doi":"10.1115/1.4068887","DOIUrl":"https://doi.org/10.1115/1.4068887","url":null,"abstract":"<p><p>A central challenge in building robotic prostheses is the creation of a sensor-based system able to read physiological signals from the lower limb and instruct a robotic hand to perform various tasks. Existing systems typically perform discrete gestures such as pointing or grasping, by employing electromyography (EMG) or ultrasound (US) technologies to analyze muscle states. While detecting finger activation has been done in the past, we are interested in detection, or inference, done in the context of fine motions that evolve over time. Examples include motions occurring when performing fine and dexterous tasks such as typing on a keyboard or playing a musical instrument. We consider this task as an important step towards higher adoption rates of robotic prostheses among arm amputees, as it has the potential to dramatically increase functionality in performing daily tasks. To this end, we present an end-to-end robotic system, which can successfully infer fine finger motions in real time. This is achieved by modeling the hand as a robotic manipulator and using it as an intermediate representation to encode muscles&amp;#39; dynamics from US images. We evaluated our method by collecting data from a group of subjects and demonstrating how it can be used to replay music played on the piano or text typed on a computer keyboard. To the best of our knowledge, this is the first study demonstrating these downstream tasks within an end-to-end system.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1-25"},"PeriodicalIF":1.7,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revisiting Murray's Law in Pulmonary Arteries: Exploring Branching Patterns and Principles. 重新审视默里的肺动脉定律:探索分支模式和原理。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-09 DOI: 10.1115/1.4068886
Sofia Altieri Correa, Amirreza Kachabi, Mitchel Colebank, Christopher Miles, Naomi Chesler
{"title":"Revisiting Murray's Law in Pulmonary Arteries: Exploring Branching Patterns and Principles.","authors":"Sofia Altieri Correa, Amirreza Kachabi, Mitchel Colebank, Christopher Miles, Naomi Chesler","doi":"10.1115/1.4068886","DOIUrl":"https://doi.org/10.1115/1.4068886","url":null,"abstract":"<p><p>In 1926, Cecil D. Murray published a fundamental law of physiology relating the form and function of branched vessels. Murray's Law predicts that the diameter of a parent vessel branching into two child branches is mathematically related by a cube law based on parabolic flow and power minimization with vascular volume. This law is foundational for computational analyses of branching vascular structures. However, pulmonary arteries exhibit morphometric and hemodynamic characteristics that may deviate from classical predictions. This study investigates the morphometry of pulmonary arterial networks, examining relationships between parent and child vessel diameters across species. We analyzed three-dimensional segmentations of pulmonary arterial geometries from healthy subjects across four species: human (n=7), canine (n=5), swine (n=4), and murine (n=3). Our findings reveal an average exponent value of 2.31 (± 0.60) in humans, 2.13 (± 0.54) in canine, 2.10 (± 0.49) in swine and 2.59 (± 0.58) in murine, all lower than the predicted value of 3.0 from Murray's Law. Extending Murray's Law to fully-developed pulsatile flow based on minimal impedance, we show that mean flow is proportional to radius raised to a power between 2.1 and 3, depending on the Womersley number. Our findings suggest that while Murray's Law provides a useful baseline, pulmonary artery branching follows a different optimization principle depending on Womersley number. This study contributes to a deeper understanding of pulmonary arterial structure-function relationships and implications for vascular disease modeling.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Material characterization of ovine lung parenchyma at pressures representing the breathing cycle. 在代表呼吸循环的压力下,绵羊肺实质的物质特性。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-06 DOI: 10.1115/1.4068872
Patricia K Thomas, Eugene Ablordeppey, Grace Liverett, Olivia Rutherford, Tyler Roy, Philip Brown, F Scott Gayzik
{"title":"Material characterization of ovine lung parenchyma at pressures representing the breathing cycle.","authors":"Patricia K Thomas, Eugene Ablordeppey, Grace Liverett, Olivia Rutherford, Tyler Roy, Philip Brown, F Scott Gayzik","doi":"10.1115/1.4068872","DOIUrl":"https://doi.org/10.1115/1.4068872","url":null,"abstract":"<p><p>Lung tissue behavior at different physiological pressures has not been well studied. The objectives of this study therefore were to characterize lung tissue at different physiologically relevant pressures within the breathing cycle, quantifying how the tissue deforms, and determining associated shear moduli. We utilized fresh ovine lungs harvested and tested within 8 hours of sacrifice, using spherical indentation and digital image correlation (DIC). Tests were conducted at three different pressures - 0, 4, and 10 cmH2O. Lungs from a total of ten animals were tested. The resulting instantaneous shear modulus, relaxed shear modulus, and shear modulus ratio were used for statistical analyses, via a mixed effect model. The instantaneous shear modulus had trending differences between pressures (0.05 < p < 0.1), however, the relaxed shear modulus did not (p > 0.1). The modulus ratio was considered significantly different, as p < 0.05. When comparing pressurized (4 and 10 cm H20 together) to non-pressurized, both instantaneous and relaxed shear moduli were significantly lower than the ambient pressure state.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1-25"},"PeriodicalIF":1.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Microstructure and in-plane mechanical property comparison of human and porcine cornea. 人与猪角膜的显微结构及面内力学性能比较。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-05 DOI: 10.1115/1.4068828
Hamed Hatami-Marbini, Md Esharuzzaman Emu
{"title":"Microstructure and in-plane mechanical property comparison of human and porcine cornea.","authors":"Hamed Hatami-Marbini, Md Esharuzzaman Emu","doi":"10.1115/1.4068828","DOIUrl":"https://doi.org/10.1115/1.4068828","url":null,"abstract":"<p><p>The present work characterized mechanical properties of human and porcine cornea along nasal-temporal (NT) and superior-inferior (SI) directions. Cornea, the transparent tissue at front of the eye, has a significant role in vision. Because of easy accessibility and comparable dimensions, porcine cornea has been widely used for investigating human corneal properties. There exist contradictory reports on anisotropic mechanical properties of porcine and human cornea. Here, similarities and differences between human and porcine corneal biomechanics were characterized using a biaxial testing machine (ElectroForce Planar Biaxial TestBench, TA Instruments) and a uniaxial testing device (RSA-G2 Solids Analyzer, TA Instruments). Furthermore, transmission electron microscopy was done to characterize the microstructure of samples. Both biaxial and uniaxial experiments showed that neither human nor porcine cornea had anisotropic tensile properties along SI and NT directions. The tensile properties obtained from uniaxial tests were significantly lower than biaxial measurements (P < 0.05). Both testing methods gave significantly larger peak stress and tangent modulus for human cornea (p < 0.05). The human corneal collagen fibril diameter, interfibrillar spacing, and lamellar projected thickness were significantly smaller (P < 0.05). The lamellar projected thickness of each species along SI and NT directions was significantly different (P < 0.05). The differences and similarities between mechanical response of porcine and human cornea were discussed in terms of microstructure of their extracellular matrices. It was concluded that researchers should be informed about the mechanical differences between human and porcine cornea.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1-29"},"PeriodicalIF":1.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhanced Human Crawling Phase Recognition Based on Kinematic Synergies and Machine Learning. 基于运动协同和机器学习的增强人类爬行阶段识别。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-05 DOI: 10.1115/1.4068865
Qiliang Xiong, Xiaolong Shu, Bo Liu, Ying Chen
{"title":"Enhanced Human Crawling Phase Recognition Based on Kinematic Synergies and Machine Learning.","authors":"Qiliang Xiong, Xiaolong Shu, Bo Liu, Ying Chen","doi":"10.1115/1.4068865","DOIUrl":"https://doi.org/10.1115/1.4068865","url":null,"abstract":"<p><strong>Background: </strong>Hands-and-knees crawling, an effective rehabilitation method for children with motor impairments, requires precise phase detection for optimizing assistive devices. However, research on phase detection in human crawling remains limited. The research explores whether multi-joint kinematic synergy features provide better accuracy than traditional time-domain features.</p><p><strong>Methods: </strong>Nine healthy adults participated in the study, where accelerometers and pressure sensors were used to capture motion data during crawling. The data were pre-processed and used to define four distinct phases of crawling and kinematic synergy features were extracted using Singular Value Decomposition (SVD)-based Principal Component Analysis (PCA). Machine learning models, including Classification and Regression Trees (CART), K-Nearest Neighbors (KNN), and Error-Correcting Output Codes Support Vector Machines (ECOC-SVM), were trained to recognize the crawling phases. Their performance was compared to that of time-domain features.</p><p><strong>Results: </strong>The phase recognition method based on multi-joint kinematic synergies achieved an average accuracy of 89.37%. Specifically, the accuracy for CART was 88.41%, for KNN was 85.51%, and for ECOC-SVM was 94.20%. In comparison, the phase recognition using traditional time-domain features yielded lower accuracy, with overall accuracies of 78.98% for CART, 76.09% for KNN, and 85.51% for ECOC-SVM Conclusion: The findings demonstrate that using kinematic synergy features significantly improves the accuracy of crawling phase recognition compared to traditional time-domain features. This research provides valuable insights into the design and control of rehabilitation robots based on human kinematic synergies.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1-44"},"PeriodicalIF":1.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The 2025 Richard Skalak Award and Editors' Choice Papers. 2025年理查德·斯卡拉克奖和编辑之选论文。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-04 DOI: 10.1115/1.4068823
Thao Vicky Nguyen, C Ross Ethier
{"title":"The 2025 Richard Skalak Award and Editors' Choice Papers.","authors":"Thao Vicky Nguyen, C Ross Ethier","doi":"10.1115/1.4068823","DOIUrl":"https://doi.org/10.1115/1.4068823","url":null,"abstract":"","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":"1"},"PeriodicalIF":1.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Design and Validation of a Cable-Driven Joint Actuator for Pediatric Knee Orthoses. 儿童膝关节矫形器缆索驱动关节驱动器的设计与验证。
IF 1.7 4区 医学
Journal of Biomechanical Engineering-Transactions of the Asme Pub Date : 2025-06-01 DOI: 10.1115/1.4068369
Jason J Wiebrecht, Jacob A Strick, Ryan J Farris, Jerzy T Sawicki
{"title":"Design and Validation of a Cable-Driven Joint Actuator for Pediatric Knee Orthoses.","authors":"Jason J Wiebrecht, Jacob A Strick, Ryan J Farris, Jerzy T Sawicki","doi":"10.1115/1.4068369","DOIUrl":"10.1115/1.4068369","url":null,"abstract":"<p><p>Robot-assisted gait rehabilitation is an increasingly common therapeutic intervention for enhancing locomotion and improving quality of life for children with lower-limb mobility impairments. However, there are few systems specifically designed for pediatric use, and those that do exist are largely cumbersome, bulky, and noncustom devices that ultimately reduce therapy effectiveness. This paper introduces the Cable-Driven Joint System (CDJS), a novel approach for pediatric gait rehabilitation that addresses these shortcomings in a lightweight and compact robotic device using the patient's professionally fitted orthosis. The CDJS consists of a 2.1 kg actuation unit that is held by a clinician which delivers assistive torques through a Bowden cable transmission to a 0.3 kg joint mounted to user-custom bracing. This work details an actuator benchtop evaluation, demonstrating a peak torque of 20 N·m, peak velocity of 7.2 rad/s, bandwidth of 9.7 Hz, and a mass moment of inertia of 58.38 kg cm2. An actuator model was developed and evaluated in simulation, showing a strong correlation with the experimental torque data (R-squared = 0.95) and indicating a transmission efficiency of 72%. In-air gait tracking experiments on an emulated subject showed that the CDJS assisted the subject to track a nominal knee trajectory with an average root-mean-squared error of 2.56 deg at a continuous torque of 1.37 N·m. These results suggest that the cable-driven actuator meets the design requirements for use in pediatric gait rehabilitation and is ready for implementation in clinical device trials.</p>","PeriodicalId":54871,"journal":{"name":"Journal of Biomechanical Engineering-Transactions of the Asme","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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