Examining the influence of mechanical loading on articular cartilage adaptation

有一个常见的误解，即大量的负重运动对关节内的软骨产生负面影响。然而，来自负重活动的机械负荷对于促进软骨营养和关节功能至关重要。负荷不足和负荷过重都会对软骨结构产生负面影响，最佳负荷策略仍不清楚，可能因人群和条件而异。研究机械载荷对体内软骨影响的障碍是缺乏可获得的成像方法，并且依赖于不一定模拟人体解剖结构或现实生理条件的动物研究。这项研究的目的是评估人体如何对习惯性负荷做出反应，以及如何优化生物力学功能以实现功能和寿命。 本提案的目的是（1）开发用于股骨软骨的新型超声成像方法，以评估结构、组成和功能;（2）探索习惯性和终身负重活动对软骨特征的关系;（3）评估各种机械载荷模式对体内软骨特征的影响。我的跨学科方法集成了超声成像和强大的生物力学分析，以进一步阐明人体模型中软骨发育和适应的生物力学机制。这些数据将有助于为促进软骨发育的生物力学适当和循证运动处方提供信息。本提案中概述的短期目标将有助于实现我的研究计划的更广泛目标，该计划旨在了解如何优化生物力学功能，以实现整个生命周期的移动性。关节软骨的正常功能对活动性和寿命至关重要。成像是有用的，因为它有助于我们了解正常和压力条件下的软骨发育。通过结合生物力学评估，我的研究还阐明了体内软骨适应的生物力学机制，这将有助于开发生物力学适当的基于运动的处方，操纵机械负荷的数量和质量。最后，我的研究可能提供一种方法来识别关节疾病的高风险个体。与过去的研究一致，拟议的计划将为HQP发展提供特殊的培训机会，使他们为工业，研究和临床途径的职位做好准备。

There is a common misconception that high volumes of weight-bearing exercise negatively influence cartilage within joints. However, mechanical loading from weight-bearing activities is essential to promote cartilage nutrition and joint function. Both under- and over- loading can negatively influence the cartilage structure, and optimal loading strategies remain unclear and likely vary across populations and conditions. A barrier to studying the influence of mechanical loading on cartilage in vivo is the lack of accessible imaging methods, and reliance on animal studies that do not necessarily mimic human anatomy or realistic physiologic conditions. The objective of this research proposal is to evaluate how the human body responds to habitual loading, and how biomechanical function can be optimized for function and longevity. The aims of this proposal are to (1) develop novel ultrasound imaging methods for femoral cartilage that assess both structure, composition, and function (2) explore the relationship between habitual and lifelong weight-bearing activities on cartilage characteristics and (3) to evaluate the effects of various mechanical loading paradigms on cartilage characteristics in vivo. My interdisciplinary approach integrates ultrasound imaging and robust biomechanical analyses to further elucidate biomechanical mechanisms for cartilage development and adaptation in human models. These data will assist in informing biomechanically appropriate and evidence-based exercise prescriptions that promote cartilage development. The short-term goals outlined in this proposal will contribute to the broader goal of my research program, which seeks to understand how to optimize biomechanical function for mobility across the lifespan. Proper function of articular cartilage is essential to mobility and longevity. Imaging is useful because it assists our understanding of cartilage development under normal and stressful conditions. By incorporating biomechanical assessments, my research also elucidates biomechanical mechanisms for cartilage adaptation in vivo, which will assist in developing biomechanically appropriate exercise-based prescriptions that manipulate the quantity and quality of mechanical loading. Finally, my research may provide a method to identify individuals at high risk for joint disease. Consistent with past research, the proposed program will offer exceptional training opportunities for HQP development that will prepare them for positions in industry, research, and clinical pathways.