An EMG-Assisted Muscle-Force Driven Finite Element Analysis Pipeline to Investigate Joint- and Tissue-Level Mechanical Responses in Functional Activities: Towards a Rapid Assessment Toolbox
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An EMG-Assisted Muscle-Force Driven Finite Element Analysis Pipeline to Investigate Joint- and Tissue-Level Mechanical Responses in Functional Activities : Towards a Rapid Assessment Toolbox. / Esrafilian, Amir; Stenroth, Lauri; Mononen, Mika E.; Vartiainen, Paavo; Tanska, Petri; Karjalainen, Pasi A.; Suomalainen, Juha Sampo; Arokoski, J.; Saxby, David J.; Lloyd, David G.; Korhonen, Rami K.
In: IEEE Transactions on Biomedical Engineering, Vol. 69, No. 9, 01.09.2022, p. 2860-2871.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - An EMG-Assisted Muscle-Force Driven Finite Element Analysis Pipeline to Investigate Joint- and Tissue-Level Mechanical Responses in Functional Activities
T2 - Towards a Rapid Assessment Toolbox
AU - Esrafilian, Amir
AU - Stenroth, Lauri
AU - Mononen, Mika E.
AU - Vartiainen, Paavo
AU - Tanska, Petri
AU - Karjalainen, Pasi A.
AU - Suomalainen, Juha Sampo
AU - Arokoski, J.
AU - Saxby, David J.
AU - Lloyd, David G.
AU - Korhonen, Rami K.
N1 - Publisher Copyright: © 1964-2012 IEEE.
PY - 2022/9/1
Y1 - 2022/9/1
N2 - Joint tissue mechanics (e.g., stress and strain) are believed to have a major involvement in the onset and progression of musculoskeletal disorders, e.g., knee osteoarthritis (KOA). Accordingly, considerable efforts have been made to develop musculoskeletal finite element (MS-FE) models to estimate highly detailed tissue mechanics that predict cartilage degeneration. However, creating such models is time-consuming and requires advanced expertise. This limits these complex, yet promising, MS-FE models to research applications with few participants and makes the models impractical for clinical assessments. Also, these previously developed MS-FE models have not been used to assess activities other than gait. This study introduces and verifies a semi-automated rapid state-of-the-art MS-FE modeling and simulation toolbox incorporating an electromyography- (EMG) assisted MS model and a muscle-force driven FE model of the knee with fibril-reinforced poro(visco)elastic cartilages and menisci. To showcase the usability of the pipeline, we estimated joint- and tissue-level knee mechanics in 15 KOA individuals performing different daily activities. The pipeline was verified by comparing the estimated muscle activations and joint mechanics to existing experimental data. To determine the importance of the EMG-assisted MS analysis approach, results were compared to those from the same FE models but driven by static-optimization-based MS models. The EMG-assisted MS-FE pipeline bore a closer resemblance to experiments compared to the static-optimization-based MS-FE pipeline. Importantly, the developed pipeline showed great potential as a rapid MS-FE analysis toolbox to investigate multiscale knee mechanics during different activities of individuals with KOA.
AB - Joint tissue mechanics (e.g., stress and strain) are believed to have a major involvement in the onset and progression of musculoskeletal disorders, e.g., knee osteoarthritis (KOA). Accordingly, considerable efforts have been made to develop musculoskeletal finite element (MS-FE) models to estimate highly detailed tissue mechanics that predict cartilage degeneration. However, creating such models is time-consuming and requires advanced expertise. This limits these complex, yet promising, MS-FE models to research applications with few participants and makes the models impractical for clinical assessments. Also, these previously developed MS-FE models have not been used to assess activities other than gait. This study introduces and verifies a semi-automated rapid state-of-the-art MS-FE modeling and simulation toolbox incorporating an electromyography- (EMG) assisted MS model and a muscle-force driven FE model of the knee with fibril-reinforced poro(visco)elastic cartilages and menisci. To showcase the usability of the pipeline, we estimated joint- and tissue-level knee mechanics in 15 KOA individuals performing different daily activities. The pipeline was verified by comparing the estimated muscle activations and joint mechanics to existing experimental data. To determine the importance of the EMG-assisted MS analysis approach, results were compared to those from the same FE models but driven by static-optimization-based MS models. The EMG-assisted MS-FE pipeline bore a closer resemblance to experiments compared to the static-optimization-based MS-FE pipeline. Importantly, the developed pipeline showed great potential as a rapid MS-FE analysis toolbox to investigate multiscale knee mechanics during different activities of individuals with KOA.
KW - daily activities
KW - electromyography
KW - finite element analysis
KW - Knee osteoarthritis
KW - musculoskeletal modeling
KW - rapid multiscale modeling
UR - http://www.scopus.com/inward/record.url?scp=85125706743&partnerID=8YFLogxK
U2 - 10.1109/TBME.2022.3156018
DO - 10.1109/TBME.2022.3156018
M3 - Journal article
C2 - 35239473
AN - SCOPUS:85125706743
VL - 69
SP - 2860
EP - 2871
JO - IEEE Transactions on Biomedical Engineering
JF - IEEE Transactions on Biomedical Engineering
SN - 0018-9294
IS - 9
ER -
ID: 319253917