EFFECT OF CHANGES IN THE LENGTH OF THE COMPONENTS OF THE MUSCULOTENDINOUS ELEMENT OF THE ELBOW FLEXOR MUSCLES ON THE ISOMETRIC FORCE AND JOINT TORQUE

Authors

DOI:

https://doi.org/10.15674/0030-59872023448-55

Keywords:

elbow joint, torque, contracture

Abstract

Immobilization of the joint leads to the formation of immobilization contracture, which is accompanied by a decrease in the elasticity of tendons and muscles, i.e. loss of full contraction and stretching. The torque in human joints is one of the key indicators in assessing rehabilitation. Objective. To study the effect of changes in the strength, length of muscles and tendons of the elbow joint on the torque in flexion. Methods. The basic OpenSim model arm26 was used for modeling. To determine the change in the length of the components of the muscle-tendon element (MTE), their length was determined at a 90° angle of elbow flexion. The decrease in muscle strength was considered a loss per day for elbow flexors — 1.2 %, extensors — 1.1 %. The decrease in strength was calculated for a period of immobilization of 45 days. Three models were created: Normal — a model without changes in muscle parameters; Contracture — a change in the length of muscles and tendons; Contracture + muscle (CM) — an additional decrease in muscle strength. Results. The obtained data of torques when changing the length of the MTE components showed their increase in conditions of unchanged isometric muscle strength. But this option is not possible after immobilization of the limb. Therefore, it is closer to the real model of СM, in which the torque is significantly reduced by the amount of decrease in muscle strength. These models show a tendency that the change in the components of the MTE due to immobilization increases the joint torque and, when trying to apply excessive force during joint development, can lead to traumatic consequences. During immobilization, the flexor muscles shorten, which prevents the patient from fully extending the elbow joint. Conclusions. This work on predicting the elbow joint torque generated by the muscles can be useful in studying specific clinical situations with elbow joint contractures, but cannot be fully transferred to practice due to the significant conventionality of the model parameters. However, the modeling method can show trends in changes in muscle function parameters when their geometry changes.

Author Biographies

Olexiy Tyazhelov, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, Prof. in Orthopaedics and Traumatology

Mykola Rykun, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD

Oleksandr Branitskyi, National Pirogov Memorial Medical University, Vinnytsya. Ukraine

MD, PhD

References

  1. Tyazhelov, O., Khasawneh, A. A. M., Karpinska, O., Karpinsky, M., & Bitsadze, M. (2023). Conceptual model of the process of formation of immobilization contractures. Orthopaedics, traumatology and prosthetics, (3–4), 52–61. https://doi.org/10.15674/0030-598720223-452-61
  2. Couppé, C., Suetta, C., Kongsgaard, M., Justesen, L., Hvid, L. G., Aagaard, P., Kjær, M., & Magnusson, S. P. (2012). The effects of immobilization on the mechanical properties of the patellar tendon in younger and older men. Clinical Biomechanics, 27 (9), 949–954. https://doi.org/10.1016/j.clinbiomech.2012.06.003
  3. Holzbaur, K. R. S., Murray, W. M., & Delp, S. L. (2005). A Model of the Upper Extremity for Simulating Musculoskeletal Surgery and Analyzing Neuromuscular Control. Annals of Biomedical Engineering, 33 (6), 829–840. https://doi.org/10.1007/s10439-005-3320-7
  4. Introductory OpenSim Tutorial at GCMAS 2015. Annual Meeting, Portland, Oregon, USA. Retrieved from https://www.etouches.com/ehome/gcmas2015/220035/?&
  5. Shao, Q., Bassett, D. N., Manal, K., & Buchanan, T. S. (2009). An EMG-driven model to estimate muscle forces and joint moments in stroke patients. Computers in Biology and Medicine, 39 (12), 1083–1088. https://doi.org/10.1016/j.compbiomed.2009.09.002
  6. Hu, B., Tao, H., Lu, H., Zhao, X., Yang, J., & Yu, H. (2021). An Improved EMG-Driven Neuromusculoskeletal Model for Elbow Joint Muscle Torque Estimation. Applied Bionics and Biomechanics, 2021, 1985741. https://doi.org/10.1155/2021/1985741
  7. Hamm, K. (2020). Biomechanics of Human Movement. Retrieved from https://pressbooks.bccampus.ca/humanbiomechanics/
  8. Radmilovic, M., Urukalo, D., Jankovic, M. M., Dujovic, S. D., Tomić, T. J. D., Trumić, M., & Jovanović, K. (2023). Elbow Joint Stiffness Functional Scales Based on Hill’s Muscle Model and Genetic Optimization. Sensors, 23 (3), 1709. https://doi.org/10.3390/s23031709
  9. Campbell, M., Varley-Campbell, J., Fulford, J., Taylor, B., Mileva, K. N., & Bowtell, J. L. (2019). Effect of Immobilisation on Neuromuscular Function In Vivo in Humans: A Systematic Review. Sports Medicine, 49 (6), 931–950. https://doi.org/10.1007/s40279-019-01088-8
  10. Ethier, J. (2019). Short Head Biceps Exercises. Retrieved from https://builtwithscience.com/workouts/short-head-biceps-exercises
  11. Kendal, F. P., McCreary, E. K. (1983). Muscle Testing and Function (3rd Ed.). Williams & Wilkins.
  12. An, K. N., Kaufman, K. R., & Chao, E. Y. S. (1989). Physiological considerations of muscle force through the elbow joint. Journal of Biomechanics, 22 (11–12), 1249–1256. https://doi.org/10.1016/0021-9290(89)90227-3
  13. Koo, T. K. K., Mak, A. F. T., & Hung, L. K. (2002). In vivo determination of subject-specific musculotendon parameters: applications to the prime elbow flexors in normal and hemiparetic subjects. Clinical Biomechanics, 17 (5), 390–399. https://doi.org/10.1016/s0268-0033(02)00031-1
  14. Hansen, E. A., Lee, H.-D., Barrett, K., & Herzog, W. (2003). The shape of the force–elbow angle relationship for maximal voluntary contractions and sub-maximal electrically induced contractions in human elbow flexors. Journal of Biomechanics, 36 (11), 1713–1718. https://doi.org/10.1016/s0021-9290(03)00167-2
  15. Linnamo, V., Strojnik, V., & Komi, P. V. (2006). Maximal force during eccentric and isometric actions at different elbow angles. European Journal of Applied Physiology, 96 (6), 672–678. https://doi.org/10.1007/s00421-005-0129-x
  16. Kasprisin, J. E., & Grabiner, M. D. (2000). Joint angle-dependence of elbow flexor activation levels during isometric and isokinetic maximum voluntary contractions. Clinical Biomechanics, 15 (10), 743–749. https://doi.org/10.1016/s02680033(00)00036-x
  17. Yang, J., Lee, J., Lee, B., Kim, S., Shin, D., Lee, Y., Lee, J., Han, D., & Choi, S. (2014). The Effects of Elbow Joint Angle Changes on Elbow Flexor and Extensor Muscle Strength and Activation. Journal of Physical Therapy Science, 26 (7), 1079–1082.
  18. Eastman, J., White, H., Evans, J., Augsburger, S., Wallace, J., Riley, S., & Iwinski, H. (2022). What is the minimum torque required to obtain passive elbow end range of motion? Gait & Posture, 93, 235–239. https://doi.org/10.1016/j.gaitpost.2022.02.010

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How to Cite

Tyazhelov, O. ., Karpinska, O. ., Rykun, M. ., & Branitskyi, O. . (2024). EFFECT OF CHANGES IN THE LENGTH OF THE COMPONENTS OF THE MUSCULOTENDINOUS ELEMENT OF THE ELBOW FLEXOR MUSCLES ON THE ISOMETRIC FORCE AND JOINT TORQUE. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (4), 48–55. https://doi.org/10.15674/0030-59872023448-55

Issue

No. 4 (2023)

Section

ORIGINAL ARTICLES

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