Page 326 - Biomedical Engineering and Design Handbook Volume 1, Fundamentals
P. 326

ELECTROMYOGRAPHY AS A TOOL TO ESTIMATE MUSCLE FORCES  303

                                         D
                                           1200
                                                                   RF
                                                                   VM
                                          Muscle force (N)  400    VL
                                                                   VI
                                            800




                                             0
                                              0.0       0.2      0.4       0.6
                                                               Time (s)
                                                    Muscle force profiles of knee extensors
                                         E
                                           1600
                                                        ST       BFS
                                                                 MG
                                                        SM
                                          Muscle force (N)  800  BFL  LG
                                           1200

                                            400

                                             0
                                              0.0       0.2      0.4       0.6
                                                               Time (s)
                                                     Muscle force profiles of knee flexors
                                        FIGURE 12.11  Predicted results of the knee joint on trial 2 of a young
                                        healthy subject after tuning the model using data from trial 1. (Positive
                                        joint moment indicates knee extension. The data started from heel strike
                                        to toe off.) (Continued)


                            The results show that once the parameters are calibrated (e.g., the model is tuned), the model
                          can then be used to predict the joint moments of new tasks with new muscle activation patterns.
                          This provides confidence that the calibrated model parameters are anatomically and physiologically
                          representative of each specific subject, which makes the model an alternative way to estimate muscle
                          forces.


              12.6 LIMITATIONS AND FUTURE DEVELOPMENT
              OF EMG-DRIVEN MODELS

                          There are several assumptions and limitations of this approach. First, although model parameters are
                          tuned for each subject, the models do not account for differences in musculoskeletal size. In the
                          future, a subject-specific musculoskeletal models may be developed based on a subject’s MRI,
                          X-ray, or ultrasound images. Parameters that would be measured include the bone structure, muscu-
                          lotendon length, pennation angle, moment arm, etc. Second, although the gastrocnemius’s length
                          changes at the knee are accounted for in the above formulation, the model is essentially single-joint.
                          This specific example does not attempt to balance the moments at the knee as well as the ankle, and
                          a multijoint model combining both the ankle and knee may be included for more detailed gait stud-
                          ies involving other muscles. However, this can be remedied. In the multijoint model of Bassett et al.
   321   322   323   324   325   326   327   328   329   330   331