Assessment and Evaluation of Hill-type Muscle Models for Predicting In Vivo Force

描述（由申请人提供）：hill型肌肉模型广泛适用于运动功能评估，对改进康复策略的设计至关重要，是肌肉驱动模拟的关键组成部分，旨在识别由于年龄或神经肌肉损伤而限制活动的因素。尽管hill型模型被广泛使用，但很少有研究检验其在体内时变条件下的准确性和有效性。拟议项目的首要目标是测试和改进使用先进的hill型模型评估人体肌肉功能的方法，以及肌电活动和肌肉结构的非侵入性测量。主要创新目标是实现我们最近开发的两元素hill型模型，具有独立的快速和缓慢收缩元素，在肌肉驱动的人体循环模拟中，并预测在一系列速度和几何条件下的腓肠肌力，这些力与基于3D超声的肌腱应变测量实验确定的力相比有利。我们之前的工作表明，一种由肌电图记录的快、慢运动单元的招募模式驱动的新型双元素模型，比具有平均纤维特性的传统单元素模型能更好地预测原位和体内肌肉力。然而，由于山羊动物模型的尺寸较大，我们无法通过实验评估肌肉的F-V特征，这可能会降低模型的预测能力。该研究通过使用一种新的小动物模型（大鼠远端后肢肌肉）来解决这一限制，在不同刺激条件下对F-V和循环功率输出进行创新的原位分析。这些分析，连同肌肉形状变化的体内三维x射线成像，将进一步推进二元模型。目前的工作解决了两个特定的目标，批判性地扩大了hill型模型对与康复相关的人类运动功能临床评估的影响：目标#1评估了一元与二元模型的准确性，该模型可以在人类受试者骑自行车的特定模拟中估计随时间变化的肌肉力，使用新颖的基于3D超声的肌腱张力、肌束拉伸和肌肉厚度测量。目的2研究运动单元招募和刺激频率如何影响原位肌肉机械输出，目的是更好地预测原位和体内肌肉的力量和功率。双单元模型的改进将基于原位收缩动力学，新的体内肌肉肌腱力和筋束应变测量，以及创新的3D x射线视频透视。Aim 2的见解将迭代地纳入Aim 1中测试的人类循环模拟。

DESCRIPTION (provided by applicant): Hill-type muscle models are broadly applicable to the assessment of motor function and critical to the design of improved rehabilitative strategies, serving as key components of muscle- driven simulations aimed at identifying factors that limit mobility due to age or neuromuscular impairment. Despite the ubiquitous use of Hill-type models, few studies have examined their accuracy and validity under in vivo, time-varying conditions. An overarching goal of the proposed project is to test and refine methods for assessing human muscle function using advanced Hill-type models, together with non-invasive measures of electromyographic activity and muscle structure. The lead innovative aim is to implement our recently developed two-element Hill-type model, with independent fast and slow contractile elements, within muscle-driven simulations of human cycling and to predict gastrocnemius forces across a range of speed and ergometry conditions that compare favorably to the forces determined experimentally from 3D ultrasound-based measures of tendon strain. Our previous work showed that a novel two-element model, driven by recruitment patterns of fast and slow motor units derived from EMG recordings, generates significantly better predictions of in situ and in vivo muscle force than traditional one-element models with average fiber properties. However, due to the large size of our goat animal model, we were unable to experimentally assess the muscles' F-V characteristics, which may have diminished the model's predictive capability. The proposed research addresses this limitation by using a new small animal model (rat distal hindlimb muscles) to conduct innovative in situ analyses of F-V and cyclical power output under varying stimulation conditions. These analyses, together with in vivo 3D X-ray imaging of muscle shape changes, will further advance the two-element model. The current work addresses two specific aims, critically broadening the impact of Hill-type models on clinical assessment of human motor function related to rehabilitation: Aim #1 evaluates the accuracy with which one- vs two-element models can estimate time-varying muscle forces within subject-specific simulations of human subjects pedaling on a cycle ergometer, using novel 3D ultrasound-based measures of tendon strain, fascicle pennation and muscle thickness. Aim #2 examines how motor unit recruitment and stimulation frequency affect in situ muscle mechanical output, with the goal of better predicting muscle force and power in situ and in vivo. Refinement of the two-element model will be based on in situ contractile dynamics, novel in vivo muscle-tendon force and fascicle strain measures, and innovative 3D X-ray video fluoroscopy. Insights from Aim 2 will be iteratively incorporated into the simulations of human cycling tested in Aim 1.