Rapid Predictive Simulations to Study the Interaction Between Motor Control and Musculoskeletal Dynamics in Healthy and Pathological Human Movement

2021 ◽  
pp. 327-331
Author(s):  
Friedl De Groote ◽  
Antoine Falisse
2020 ◽  
Author(s):  
Chang He ◽  
Cai-Hua Xiong ◽  
Ze-Jian Chen ◽  
Wei Fan ◽  
Xiao-Lin Huang

Abstract Background: Upper limb exoskeletons have drawn significant attention in neurorehabilitation because of anthropomorphic mechanical structure analogous to human anatomy. Whereas, the training movements are typically underorganized because most exoskeletons only control the movement of the hand in space, without considering rehabilitation of joint motion, particularly inter-joint postural synergy. The purposes of this study were to explore the application of a postural synergy-based exoskeleton (Armule) reproducing natural human movements for robot-assisted neurorehabilitation and to preliminarily assess its effect on patients' upper limb motor control after stroke. Methods: We developed a novel upper limb exoskeleton based on the concept of postural synergy, which provided five degrees of freedom (DOF) , natural human movements of the upper limb. Eight participants with hemiplegia due to a first-ever, unilateral stroke were recruited and included. They participated in exoskeleton therapy sessions 45 minutes/day, 5 days/week for 4 weeks, with passive/active training under anthropomorphic trajectories and postures. The primary outcome was the Fugl-Meyer Assessment for Upper Extremities (FMA-UE). The secondary outcomes were the Action Research Arm Test(ARAT), modified Barthel Index (mBI) , and exoskeleton kinematic as well as interaction force metrics: motion smoothness in the joint space, postural synergy error, interaction force smoothness, and the intent response rate. Results: After the 4-weeks intervention, all subjects showed significant improvements in the following clinical measures: the FMA-UE ( p =0.02), the ARAT ( p =0.003), and the mBI score ( p <0.001). Besides, all subjects showed significant improvements in motion smoothness ( p =0.004), postural synergy error ( p =0.014), interaction force smoothness ( p =0.004), and the intent response rate ( p =0.008). Conclusions: The subjects were well adapted to our device that assisted in completing functional movements with natural human movement characteristics. The results of the preliminary clinical intervention indicate that the Armule exoskeleton improves individuals’ motor control and activities of daily living (ADL) function after stroke, which might be associated with kinematic and interaction force optimization and postural synergy modification during functional tasks. Clinical trial registration: ChiCTR, ChiCTR1900026656; Date of registration: October 17, 2019. http://www.chictr.org.cn/showproj.aspx?proj=44420


2018 ◽  
Author(s):  
Janna M. Gottwald

This article critically reviews kinematic measures of prospective motor control. Prospective motor control, the ability to anticipatorily adjust movements with respect to task demands and action goals, is an important process involved in action planning. In manual object manipulation tasks, prospective motor control has been studied in various ways, mainly using motion tracking. For this matter, it is crucial to pinpoint the early part of the movement that purely reflects prospective (feed-forward) processes, but not feedback influences from the unfolding movement. One way of defining this period is to rely on a fixed time criterion; another is to base it flexibly on the inherent structure of each movement itself. Velocity—as one key characteristic of human movement—offers such a possibility and describes the structure of movements in a meaningful way. Here, I argue for the latter way of investigating prospective motor control by applying the measure of peak velocity of the first movement unit. I further discuss movement units and their significance in motor development of infants and contrast the introduced measure with other measures related to peak velocity and duration.


2021 ◽  
Vol 3 ◽  
Author(s):  
Arata Kimura ◽  
Toshiharu Yokozawa ◽  
Hiroki Ozaki

Coordination is a multidisciplinary concept in human movement science, particularly in the field of biomechanics and motor control. However, the term is not used synonymously by researchers and has substantially different meanings depending on the studies. Therefore, it is necessary to clarify the meaning of coordination to avoid confusion. The meaning of coordination in motor control from computational and ecological perspectives has been clarified, and the meanings differed between them. However, in biomechanics, each study has defined the meaning of the term and the meanings are diverse, and no study has attempted to bring together the diversity of the meanings of the term. Therefore, the purpose of this study is to provide a summary of the different meanings of coordination across the theoretical landscape and clarify the meaning of coordination in biomechanics. We showed that in biomechanics, coordination generally means the relation between elements that act toward the achievement of a motor task, which we call biomechanical coordination. We also showed that the term coordination used in computational and ecological perspectives has two different meanings, respectively. Each one had some similarities with biomechanical coordination. The findings of this study lead to an accurate understanding of the concept of coordination, which would help researchers formulate their empirical arguments for coordination in a more transparent manner. It would allow for accurate interpretation of data and theory development. By comprehensively providing multiple perspectives on coordination, this study intends to promote coordination studies in biomechanics.


2012 ◽  
Vol 35 (4) ◽  
pp. 223-224
Author(s):  
Natalia Dounskaia

AbstractVaesen suggests that motor control is not among the primary origins of the uniqueness of human tool use. However, recent findings show that cognitive processes involved in control of human limb movements may be much more sophisticated than it was believed previously. The sophistication of movement control may substantially contribute to the uniqueness of humans in tool use.


2021 ◽  
Vol 288 (1946) ◽  
pp. 20202432
Author(s):  
Friedl De Groote ◽  
Antoine Falisse

Locomotion results from complex interactions between the central nervous system and the musculoskeletal system with its many degrees of freedom and muscles. Gaining insight into how the properties of each subsystem shape human gait is challenging as experimental methods to manipulate and assess isolated subsystems are limited. Simulations that predict movement patterns based on a mathematical model of the neuro-musculoskeletal system without relying on experimental data can reveal principles of locomotion by elucidating cause–effect relationships. New computational approaches have enabled the use of such predictive simulations with complex neuro-musculoskeletal models. Here, we review recent advances in predictive simulations of human movement and how those simulations have been used to deepen our knowledge about the neuromechanics of gait. In addition, we give a perspective on challenges towards using predictive simulations to gain new fundamental insight into motor control of gait, and to help design personalized treatments in patients with neurological disorders and assistive devices that improve gait performance. Such applications will require more detailed neuro-musculoskeletal models and simulation approaches that take uncertainty into account, tools to efficiently personalize those models, and validation studies to demonstrate the ability of simulations to predict gait in novel circumstances.


PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1638 ◽  
Author(s):  
Leng-Feng Lee ◽  
Brian R. Umberger

Computer modeling, simulation and optimization are powerful tools that have seen increased use in biomechanics research. Dynamic optimizations can be categorized as either data-tracking or predictive problems. The data-tracking approach has been used extensively to address human movement problems of clinical relevance. The predictive approach also holds great promise, but has seen limited use in clinical applications. Enhanced software tools would facilitate the application of predictive musculoskeletal simulations to clinically-relevant research. The open-source software OpenSim provides tools for generating tracking simulations but not predictive simulations. However, OpenSim includes an extensive application programming interface that permits extending its capabilities with scripting languages such as MATLAB. In the work presented here, we combine the computational tools provided by MATLAB with the musculoskeletal modeling capabilities of OpenSim to create a framework for generating predictive simulations of musculoskeletal movement based on direct collocation optimal control techniques. In many cases, the direct collocation approach can be used to solve optimal control problems considerably faster than traditional shooting methods. Cyclical and discrete movement problems were solved using a simple 1 degree of freedom musculoskeletal model and a model of the human lower limb, respectively. The problems could be solved in reasonable amounts of time (several seconds to 1–2 hours) using the open-source IPOPT solver. The problems could also be solved using the fmincon solver that is included with MATLAB, but the computation times were excessively long for all but the smallest of problems. The performance advantage for IPOPT was derived primarily by exploiting sparsity in the constraints Jacobian. The framework presented here provides a powerful and flexible approach for generating optimal control simulations of musculoskeletal movement using OpenSim and MATLAB. This should allow researchers to more readily use predictive simulation as a tool to address clinical conditions that limit human mobility.


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