TY - JOUR A1 - Melzner, Maximilian A1 - Engelhardt, Lucas A1 - Simon, Ulrich A1 - Dendorfer, Sebastian T1 - Electromyography-Based Validation of a Musculoskeletal Hand Model JF - Journal of Biomechanical Engineering N2 - Regarding the prevention of injuries and rehabilitation of the human hand, musculoskeletal simulations using an inverse dynamics approach allow for insights of the muscle recruitment and thus acting forces on the hand. Currently, several hand models from various research groups are in use, which are mainly validated by the comparison of numerical and anatomical moment arms. In contrast to this validation and model-building technique by cadaver studies, the aim of this study is to further validate a recently published hand model [1] by analyzing numerically calculated muscle activities in comparison to experimentally measured electromyographical signals of the muscles. Therefore, the electromyographical signals of 10 hand muscles of five test subjects performing seven different hand movements were measured. The kinematics of these tasks were used as input for the hand model, and the numerical muscle activities were computed. To analyze the relationship between simulated and measured activities, the time difference of the muscle on- and off-set points was calculated, which resulted in a mean on- and off-set time difference of 0.58 s between the experimental data and the model. The largest differences were detected for movements that mainly addressed the wrist. One major issue comparing simulated and measured muscle activities of the hand is cross-talk. Nevertheless, the results show that the hand model fits the experiment quite accurately despite some limitations and is a further step toward patient-specific modeling of the upper extremity. KW - Elektromyographie KW - Biomechanik KW - Simulation KW - Electromyography KW - Muscle KW - Musculoskeletal system KW - Signals KW - Simulation Y1 - 2021 U6 - https://doi.org/10.1115/1.4052115 VL - 144 IS - 2 PB - American Society of Mechanical Engineers, ASME ER - TY - JOUR A1 - Auer, Simon A1 - Kurbowitsch, Simone A1 - Süß, Franz A1 - Renkawitz, Tobias A1 - Krutsch, Werner A1 - Dendorfer, Sebastian T1 - Mental stress reduces performance and changes musculoskeletal loading in football-related movements JF - Science and Medicine in Football N2 - Purpose: Football players have a high risk of leg muscle injuries, especially when exposed to mental stress. Hence, this study investigated the musculoskeletal response of elite youth football players during highly dynamic movements under stress. The hypothesis is that mental stress reduces performance and changes the muscular forces exerted. Materials & methods: Twelve elite youth football players were subjected to mental stress while performing sports-specific change-of-direction movements. A modified version of the d2 attention test was used as stressor. The kinetics are computed using inverse dynamics. Running times and exerted forces of injury-prone muscles were analysed. Results: The stressor runs were rated more mentally demanding by the players (p = 0.006, rs = 0.37) with unchanged physical demand (p = 0.777, rs = 0.45). This resulted in 10% longer running times under stress (p < 0.001, d = −1.62). The musculoskeletal analysis revealed higher peak muscle forces under mental stress for some players but not for others. Discussion: The study shows that motion capture combined with musculoskeletal computation is suitable to analyse the effects of stress on athletes in highly dynamic movements. For the first time in football medicine, our data quantifies an association between mental stress with reduced football players’ performance and changes in muscle force. KW - Biomechanics KW - muscle injury KW - attention KW - musculoskeletal simulation Y1 - 2020 U6 - https://doi.org/10.1080/24733938.2020.1860253 VL - 5 IS - 4 SP - 323 EP - 329 PB - Taylor & Francis ER - TY - JOUR A1 - Engelhardt, Lucas A1 - Melzner, Maximilian A1 - Havelkova, Linda A1 - Fiala, Pavel A1 - Christen, Patrik A1 - Dendorfer, Sebastian A1 - Simon, Ulrich T1 - A new musculoskeletal AnyBodyTM detailed hand model JF - Computer Methods in Biomechanics and Biomedical Engineering N2 - Musculoskeletal research questions regarding the prevention or rehabilitation of the hand can be addressed using inverse dynamics simulations when experiments are not possible. To date, no complete human hand model implemented in a holistic human body model has been fully developed. The aim of this work was to develop, implement, and validate a fully detailed hand model using the AnyBody Modelling System (AMS) (AnyBody, Aalborg, Denmark). To achieve this, a consistent multiple cadaver dataset, including all extrinsic and intrinsic muscles, served as a basis. Various obstacle methods were implemented to obtain with the correct alignment of the muscle paths together with the full range of motion of the fingers. These included tori, cylinders, and spherical ellipsoids. The origin points of the lumbrical muscles within the tendon of the flexor digitorum profundus added a unique feature to the model. Furthermore, the possibility of an entire patient-specific scaling based on the hand length and width were implemented in the model. For model validation, experimental datasets from the literature were used, which included the comparison of numerically calculated moment arms of the wrist, thumb, and index finger muscles. In general, the results displayed good comparability of the model and experimental data. However, the extrinsic muscles showed higher accordance than the intrinsic ones. Nevertheless, the results showed, that the proposed developed inverse dynamics hand model offers opportunities in a broad field of applications, where the muscles and joint forces of the forearm play a crucial role. KW - Musculoskeletal KW - hand KW - AnyBody KW - inverse dynamics KW - moment arm Y1 - 2020 U6 - https://doi.org/10.1080/10255842.2020.1851367 VL - 24 IS - 7 SP - 777 EP - 787 PB - Taylor & Francis ER - TY - JOUR A1 - Saffert, Anne-Sophie A1 - Melzner, Maximilian A1 - Dendorfer, Sebastian T1 - Biomechanical analysis of the right elevated glenohumeral joint in violinists during legato-playing JF - Technology and Health Care N2 - BACKGROUND: Many statistics reveal that violin players suffer most often from musculoskeletal disorders compared to musicians of other instrument groups. A common phenomenon, especially observed in violin beginners, is the tendency to elevate the right shoulder during playing the violin. This can probably lead to serious disorders in long-term practice with repetitive movements. OBJECTIVE: For this reason, this study investigated the relationship between the right shoulder elevation and the force in the right glenohumeral joint during violin playing. It was hypothesized that the forces in the right glenohumeral joint are higher during playing with the right shoulder raised compared to playing in normal posture. METHODS: Motion capture data from four experienced violinists was recorded and processed by means of musculoskeletal simulation to get the force and elevation angle while playing with raised shoulder and in normal position. RESULTS: The results indicate that the absolute values of the resulting force, as well as the forces in the mediolateral, inferosuperior, and anteroposterior directions, are higher in playing the violin with the shoulder raised than in a normal posture. CONCLUSIONS: Elevating the right shoulder while playing the violin may pose a potential problem. KW - Biomechanische Analyse KW - Schultergelenk KW - Verletzung KW - Violinspiel KW - biomechanics KW - violin KW - shoulder elevation KW - shoulder joint force KW - musculoskeletal disease Y1 - 2022 U6 - https://doi.org/10.3233/THC-219001 N1 - Corresponding author: Anne-Sophie Saffert VL - 30 IS - 1 SP - 177 EP - 186 PB - IOS Press ER - TY - JOUR A1 - Auer, Simon A1 - Süß, Franz A1 - Dendorfer, Sebastian T1 - Using markerless motion capture and musculoskeletal models: An evaluation of joint kinematics JF - Technology and Health Care N2 - BACKGROUND: This study presents a comprehensive comparison between a marker-based motion capture system (MMC) and a video-based motion capture system (VMC) in the context of kinematic analysis using musculoskeletal models. OBJECTIVE: Focusing on joint angles, the study aimed to evaluate the accuracy of VMC as a viable alternative for biomechanical research. METHODS: Eighteen healthy subjects performed isolated movements with 17 joint degrees of freedom, and their kinematic data were collected using both an MMC and a VMC setup. The kinematic data were entered into the AnyBody Modelling System, which enables the calculation of joint angles. The mean absolute error (MAE) was calculated to quantify the deviations between the two systems. RESULTS: The results showed good agreement between VMC and MMC at several joint angles. In particular, the shoulder, hip and knee joints showed small deviations in kinematics with MAE values of 4.8∘, 6.8∘ and 3.5∘, respectively. However, the study revealed problems in tracking hand and elbow movements, resulting in higher MAE values of 13.7∘ and 27.7∘. Deviations were also higher for head and thoracic movements. CONCLUSION: Overall, VMC showed promising results for lower body and shoulder kinematics. However, the tracking of the wrist and pelvis still needs to be refined. The research results provide a basis for further investigations that promote the fusion of VMC and musculoskeletal models. KW - biomechanics KW - range of motion KW - musculoskeletal system KW - optical motion capture Y1 - 2024 U6 - https://doi.org/10.3233/THC-240202 SN - 0928-7329 N1 - Corresponding author der OTH Regensburg: Sebastian Dendorfer SP - 1 EP - 10 PB - IOS Press ER - TY - GEN A1 - Dendorfer, Sebastian T1 - The influence of modeling parameters in the AnyBody Modeling System on muscle and joint loading in the shoulder T2 - International Shoulder Group Meeting Y1 - 2021 VL - 05 ER - TY - CHAP A1 - Gross, Simon A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - Combined Experimental and Numerical Approach to Investigate Changes in Muscle Recruitment Pattern of the Back Muscles during Exhausting Exercise T2 - World Congress Biomechanics Dublin, 2018 N2 - In recent years, musculoskeletal computation has become a widely used tool to investigate joint and muscle forces within the human body. However, the issue of muscle fatigue is not considered adequately in most models and is a challenging task. One aspect that needs to be examined is the interaction of muscles during an exhausting task. Therefore, an experimental study was designed to analyze the changes of back muscle recruitment pattern during such exercises. In this study 38 subjects (27 male, 11 female, height = 177±8.5 cm, weight = 74.0±13.6 kg) participated. Each subject had to perform three static and three dynamic exhausting exercises where the back muscles were loaded with subject specific forces using a dynamometer adapter especially designed for the trunk muscles. To collect the muscle activity, twelve surface electromyography sensors were applied on the back, and four on the abdominal muscles. Muscle activity and fatigue were analyzed by calculating the maximum voluntary contraction normalized signal and the median frequency. At first the fatigue of m. erector spinae and m. multifidi was analyzed, since these muscles carry the main load during the exercises. Subsequently the activity of the m. trapezius, m. rectus abdominis and m. obliquus externus were investigated to determine recruitment patterns. To gain more detailed information of these patterns a numerical model was built using the AnyBody Modeling System™. Analyzing the measurements, we can observe an increasing muscle activity during isokinetic exercises while the force is constant. Since the activity in the simulation is defined as the current force output divided by the strength of the muscle, the strength parameter was scaled down based on the measured data, assuming a linear force – activity correlation, and using a numerical algorithm considering the influence of cross talk. The results show, that changes in recruitment pattern can be divided into three major subgroups. Prior to total exhaustion, some of the subjects show additional activation of muscles in the trapezius region, while other subjects show an additional activation of abdominal muscles, increasing the intra-abdominal pressure which supports the spine. In the third group an activation in both regions can be observed. The numerical simulations show an increasing activity of abdominal muscles as well as muscles in the upper back. Especially the m. latissimus dorsi shows a significantly higher activity. The results lead to the conclusion that prior to total exhaustion, additional muscles are recruited to support the main muscles. It was shown that abdominal muscles are activated to support back muscles by pressurizing the trunk cavity to delay total exhaustion as long as possible. In conclusion, the results show that changes in muscle recruitment pattern need to be considered when introducing muscle fatigue to musculoskeletal models. Y1 - 2018 ER - TY - CHAP A1 - Jungtäubl, Dominik A1 - Aurbach, Maximilian A1 - Melzner, Maximilian A1 - Spicka, Jan A1 - Süß, Franz A1 - Dendorfer, Sebastian T1 - EMG-Based Validation of Musculoskeletal Models Considering Crosstalk T2 - International Conference BIOMDLORE, June 28 - 30 2018, Białystok, Poland N2 - BACKGROUND: Validation and verification of multibody musculoskeletal models sEMG is a difficult process because of the reliability of sEMG data and the complex relationship of muscle force and sEMG. OBJECTIVE: This work aims at comparing experimentally recorded and simulated muscle activities considering a numerical model for crosstalk. METHODS: For providing an experimentally derived reference data set, subjects were performing elevations of the arm, where the activities of the contemplated muscle groups were measured by sEMG sensors. Computed muscle activities were further processed and transformed into an artificial electromyographical signal, which includes a numerical crosstalk model. In order to determine whether the crosstalk model provides a better agreement with the measured muscle activities, the Pearson correlation coefficient has been computed as a qualitative way of assessing the curve progression of the data sets. RESULTS: The results show an improvement in the correlation coefficient between the experimental data and the simulated muscle activities when taking crosstalk into account. CONCLUSIONS: Although the correlation coefficient increased when the crosstalk model was utilized, it is questionable if the discretization of both, the crosstalk and the musculoskeletal model, is accurate enough. KW - musculoskeletal modeling KW - validation KW - surface electromyography KW - crosstalk Y1 - 2018 U6 - https://doi.org/10.1109/BIOMDLORE.2018.8467211 ER - TY - CHAP A1 - Süß, Franz A1 - Kubowitsch, Simone A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - Investigation of cognitive stress induced changes in spinal disc forces due to altered kinematics and muscle activity T2 - World Congress Biomechanics, Dublin, 2018 Y1 - 2018 ER - TY - CHAP A1 - Süß, Franz A1 - Kubowitsch, Simone A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - The influence of mental stress on spinal disc loading and muscle activity T2 - 23th Congress of the European Society of Biomechanics, Sevilla, Spain, 2017 Y1 - 2017 ER - TY - CHAP A1 - Pilling, A. A1 - Süß, Franz A1 - Kubowitsch, Simone A1 - Dendorfer, Sebastian T1 - Experimental workflow for determining psychological stress from physiological biosignals T2 - Jahrestagung der BIOMEDIZINISCHEN TECHNIK und Dreiländertagung der MEDIZINISCHEN PHYSIK, Dresden, Germany, 2017 Y1 - 2017 ER - TY - CHAP A1 - Gross, Simon A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - Investigation of external load dependent static and dynamic muscle fatigue T2 - 23th Congress of the European Society of Biomechanics, Sevilla, Spain, 2017 Y1 - 2017 ER - TY - CHAP A1 - Kubowitsch, Simone A1 - Süß, Franz A1 - Jansen, Petra A1 - Dendorfer, Sebastian T1 - Comparison of dynamic muscular imbalances in back pain patients and healthy controls T2 - World Congress Biomechanics Dublin, 2018 Y1 - 2018 ER - TY - CHAP A1 - Seefried, C. A1 - Aurbach, Maximilian A1 - Wyss, C. A1 - Dendorfer, Sebastian T1 - Achilles tendon lengthening alters stresses in the growth plate T2 - International Conference BIOMDLORE, June 28 - 30 2018, Białystok, Poland Y1 - 2018 ER - TY - GEN A1 - Dendorfer, Sebastian T1 - The influence of mental stress on the musculoskeletal system Y1 - 2020 ER - TY - CHAP A1 - Weber, Tim A1 - Renkawitz, Tobias A1 - Grifka, Joachim A1 - Bulstra, Sjoerd K. A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - The musculoskeletal load scenario of computer-assisted Femur-First THR up to one year after surgery T2 - VI International Conference on Computational Bioengineering, Barcelona, Sept. 2015 Y1 - 2015 UR - https://www.researchgate.net/publication/281745827_The_musculoskeletal_load_scenario_of_computer-assisted_Femur-First_THR_up_to_one_year_after_surgery ER - TY - CHAP A1 - Gross, Simon A1 - Süß, Franz A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - Simulating fatigue in musculoskeletal models using surface electromyography, ECCOMAS Congress, Crete, Greece, 201 T2 - ECCOMAS Congress, Crete, Greece, 2016 Y1 - 2016 ER - TY - CHAP A1 - Kubowitsch, Simone A1 - Süß, Franz A1 - Jansen, Petra A1 - Dendorfer, Sebastian T1 - Muscular imbalances during experimentally induced stress T2 - 23th Congress of the European Society of Biomechanics, Sevilla, Spain, 2017 Y1 - 2017 ER - TY - CHAP A1 - Süß, Franz A1 - Kubowitsch, Simone A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - The influence of stress on spinal loading T2 - ESEM webconference, Dez. 2017 Y1 - 2016 ER - TY - CHAP A1 - Dendorfer, Sebastian A1 - Kubowitsch, Simone T1 - The interaction of mental stress and biomechanics T2 - Health Technology Triangle, Weiden, 2016 Y1 - 2016 ER - TY - CHAP A1 - Weber, Tim A1 - Renkawitz, Tobias A1 - Bulstra, Sjoerd K. A1 - Grifka, Joachim A1 - Verkerke, Gijsbertus Jacob A1 - Dendorfer, Sebastian T1 - Biomechanics of computer-assisted vs. conventional THR after one year follow up T2 - XXV Congress of the International Society of Biomechanics, Glasgow, UK, 12th-16th July 2015 Y1 - 2015 ER - TY - CHAP A1 - Ignasiak, Dominika A1 - Dendorfer, Sebastian A1 - Ferguson, Stephen J. T1 - Thoracolumbar spine model with articulated rigcage for the prediction of dynamic spinal loading T2 - International Workshop on Spine Loading and Deformation: From Loading to Recovery, 2-4 July 2015, Julius Wolff Institute, Charité-Universitatsmedizin Berlin, Germany Y1 - 2015 ER - TY - CHAP A1 - Weber, Tim A1 - Dendorfer, Sebastian A1 - Bulstra, Sjoerd K. A1 - Grifka, Joachim A1 - Verkerke, Gijsbertus Jacob A1 - Renkawitz, Tim T1 - Navigated Femur First Total Hip Arthroplasty leads to improved Biomechanical Outcome after surgery T2 - ORS annual meeting, Las Vegas, USA, 2015 Y1 - 2015 ER - TY - CHAP A1 - Penzkofer, Rainer A1 - Grechenig, S. A1 - Kujat, Richard A1 - Angele, Peter A1 - Dendorfer, Sebastian T1 - Biomechanical comparison of the dorsal femur condyles and the iliac crest in terms of failure behavior T2 - XXV Congress of the International Society of Biomechanics, Glasgow, UK, 12th-16th July 2015 Y1 - 2015 ER - TY - CHAP A1 - Weber, Tim A1 - Dendorfer, Sebastian A1 - Bulstra, Sjoerd K. A1 - Verkerke, Gijsbertus Jacob A1 - Renkawitz, Tobias T1 - Musculoskeletal modeling for orthopedic surgery – Applications and chances T2 - Orthopedics meets Engineering, Regensburg, 2015 Y1 - 2015 ER - TY - CHAP A1 - Putzer, Michael A1 - Dendorfer, Sebastian T1 - Sensitivity of lumbar spine loading to anatomical parameters T2 - International Workshop on Spine Loading and Deformation: From Loading to Recovery, 2-4 July 2015, Julius Wolff Institute, Charité-Universitatsmedizin Berlin, Germany Y1 - 2015 ER - TY - CHAP A1 - Dendorfer, Sebastian T1 - Mechanobiology – Impact on regeneration and degradation T2 - Translations in Regenerative Medicine, TIRM and FIFA Symposium, Regensburg, 2015 Y1 - 2015 ER - TY - CHAP A1 - Al-Munajjed, Amir Andreas A1 - Nolte, Daniel A1 - Rasmussen, John A1 - Dendorfer, Sebastian T1 - Force distribution in the foot during braking – a musculoskeletal approach T2 - Human Modeling Symposium 2014, Munich, Germany N2 - High loads can appear in the individual joints of the human foot while the driver uses the pedals, in particular, during breaking. Measuring these internal forces is very difficult or almost impossible; therefore, advanced models are necessary to perform musculoskeletal simulations. The objective of this investigation was to see what loads are acting in the individual foot joints from the phalanges to calcaneus and talus during different brake scenarios. The Glasgow-Maastricht AnyBody Foot Model with 26 separate segments, connected by joints, ligaments and muscles was used inside the AnyBody Modeling System to compute individual mid foot joint loads. The amount, the direction of the force and additionally also the load insertion point was varied for several simulations. Figure 1: Seated musculoskeletal body model with applied brake force and forces for the lateral, intermediate and medial cuneiform-navicular joint for two different brake forces. The simulation showed that for the different brake scenarios, different muscles will be activated in the human and therefore different loads are apply in the fore-and mid-foot, respectively. The torso of the subject was assumed to be fixed in the seat. Further studies are ongoing to simulate the seat as an elastic element that allows different H-point locations according to the different loadings in the foot from the brake pedal using a new inverse dynamics analysis method called force-dependent kinematics. Y1 - 2014 UR - https://www.researchgate.net/publication/281229902_Force_distribution_in_the_foot_during_braking_-a_musculoskeletal_approach ER - TY - CHAP A1 - Weber, Tim A1 - Dendorfer, Sebastian A1 - Bulstra, Sjoerd K. A1 - Verkerke, Gijsbertus Jacob A1 - Renkawitz, Tobias T1 - Biomechanical Outcome after computer-assisted vs. Conventional THR T2 - ANSYS Conference & 32th CADFEM Users' Meeting 2014, 04.-06. Juni, Nürnberg Y1 - 2014 UR - https://www.researchgate.net/publication/264547774_Biomechanical_outcome_after_computer-assisted_vs_conventional_THR ER - TY - CHAP A1 - Striegl, B. A1 - Kujat, Richard A1 - Dendorfer, Sebastian T1 - Quantitative analysis of cartilage surface by confocal laser scanning microscopy T2 - Biomedizinische Technik Y1 - 2014 U6 - https://doi.org/10.1515/bmt-2014-4012 VL - 59 IS - s1-A SP - 24 ER - TY - CHAP A1 - Putzer, Michael A1 - Galibarov, Pavel E. A1 - Dendorfer, Sebastian T1 - Influence of vertebral parameters on lumbar spine loading T2 - Pre-meeting SpineFX, Eurospine 2013, Liverpool, UK Y1 - 2013 ER - TY - JOUR A1 - Weber, Tim A1 - Dullien, Silvia A1 - Grifka, Joachim A1 - Renkawitz, Tobias A1 - Dendorfer, Sebastian T1 - Validation of a Motion Capture Laboratory and a new marker-placement protcol for clinical applications JF - Gait & Posture Y1 - 2013 U6 - https://doi.org/10.1016/j.gaitpost.2013.07.229 VL - 38 IS - Suppl. 1 SP - 113 EP - 114 ER - TY - CHAP A1 - Weber, Tim A1 - Dullien, Silvia A1 - Putzer, Michael A1 - Dendorfer, Sebastian A1 - Renkawitz, Tobias T1 - Biomechanical outcome after computer-assisted vs. conventional THR – study concept and preliminary gait analysis results T2 - GAMMA Workshop, Hannover, 2012 Y1 - 2012 ER - TY - CHAP A1 - Weber, Tim A1 - Dendorfer, Sebastian A1 - Renkawitz, Tobias A1 - Dullien, Silvia A1 - Grifka, Joachim T1 - Clinical gait analysis combined with musculoskeletal modelling – coding a new generation of evaluation instruments T2 - Deutsche Gesellschaft für Biomechanik, Murnau, 2011 Y1 - 2011 ER - TY - CHAP A1 - Spreiter, G. A1 - Galibarov, Pavel E. A1 - Dendorfer, Sebastian A1 - Ferguson, Stephen J. T1 - Influence of kyphosis on spinal loading T2 - 10th International Symposium Computer Methods in Biomechanics and Biomedical Engineering (CMBBE) Meeting, 11. - 14. April 2012, Berlin Y1 - 2012 ER - TY - CHAP A1 - Putzer, Michael A1 - Weber, Tim A1 - Dendorfer, Sebastian T1 - Design studies on hip prosthesis using patient specific data T2 - Simpleware Users meeting, November 9th 2011, Bristol, UK Y1 - 2011 ER - TY - CHAP A1 - Dendorfer, Sebastian T1 - The effect of multifidus muscles atrophy following disc herniation on disc loading T2 - Deutsche Gesellschaft für Biomechanik, Murnau, 2011 Y1 - 2011 ER - TY - CHAP A1 - Galibarov, Pavel E. A1 - Al-Munajjed, Amir Andreas A1 - Dendorfer, Sebastian A1 - Christensen, Soeren Toerholm A1 - Rasmussen, John T1 - The effect of varying the stiffness of spinal fusion devices on the adjacent levels using multibody dynamics simulation T2 - Orthopaedic Proceedings N2 - INTRODUCTION Several clinical studies demonstrated long-term adjacent-level effects after implantation of spinal fusion devices[1]. These effects have been reported as adjacent joint degeneration and the development of new symptoms correlating with adjacent segment degeneration[2] and the trend has therefore gone to motion preservation devices; however, these effects have not been understood very well and have not been investigated thoroughly[3]. The aim of this study is to investigate the effect of varying the stiffness of spinal fusion devices on the adjacent vertebral levels. Disc forces, moments and facet joint forces were analyzed. METHODS The AnyBody Modeling System was used to compute the in-vivo muscle and joint reaction forces of a musculoskeletal model. The full body model used in this study consists of 188 muscle fascicles in the lumbar spine and more than 1000 individual muscle branches in total. The model has been proposed by de Zee et al.[3], validated by Rasmussen et al.[4] and by Galibarov et al.[5]. The new model[5] determines the individual motions between vertebrae based on the equilibrium between forces acting on the vertebrae from muscles and joints and the passive stiffness in disks and ligaments, figure 1a. An adult of 1.75 m and 75 kg with a spinal implant in L4L5 was modeled. This model was subjected to a flexion-extension motion using different elastic moduli to analyze and compare to a non-implanted scenario. The analyzed variables were vertebral motion, the disc reaction forces and moments, as well as facet joint forces in the treated and the adjacent levels: L2L3, L3L4, L4L5 and L5-Sacrum. RESULTS When introducing a spinal fusion device in the L4L5 joint the reaction forces and moments decreased in this joint with stiffer devices leading to lower joint loads. However, in the adjacent joints, L3L4 and L5Sacrum, an increase was observed when implanting stiffer devices. Similar trends could be found for the L2L3 joint. The loads in the facet joints showed the same trends. While introducing a spinal fusion device reduced the facet joint forces in the treated joint, the loads in the adjacent facet joints were increased according to the stiffness of the implanted device, figure 1b. DISCUSSION While the treated disc joint showed reduced motion and loads, the adjacent levels demonstrated a significant increase. In particular, the increased facet joint forces in the adjacent levels can lead to adjacent level facet pain or accelerated facet joint degeneration. Introducing a device resulted in preventing facet contact and therefore facet joint loads, even using the device with the lowest stiffness. CONCLUSION The presented model shows that clinical complications such as facet joint degeneration in adjacent levels after implantation of spinal fusion device are consistent with the change in the mechanical-stimulus distribution in the system. Y1 - 2011 VL - 94-B IS - SUPP_XL01 Sep 2012 SP - 2 ER - TY - CHAP A1 - Galibarov, Pavel E. A1 - Dendorfer, Sebastian A1 - Christensen, Soeren Toerholm T1 - On modelling spine curvature dependent on muscular and external forces in multibody dynamics system T2 - International Society of Biomechanics (ISB), 13th congress, 2011, Brussels, Belgium N2 - This paper presents a computational approach for investigating effect of muscular and external forces on curvature of the lumbar spine. Multibody dynamics system is used to compute the lumbar spine curvature using a force-dependent kinematics facility, e.g. this method allows releasing some degrees of freedom in order to be computed based on the current load configuration. Y1 - 2011 UR - https://paperpile.com/shared/63VCBY/download/2608c6d1-adef-0330-86f8-7996e623c627 SP - 2 ER - TY - CHAP A1 - Rasmussen, John A1 - Bichler, R. A1 - Christensen, Soeren Toerholm A1 - Wirix-Speetjens, Roel A1 - Dendorfer, Sebastian A1 - Renkawitz, Tobias T1 - Subject-specific Musculoskeletal Simulation of Hip Dislocation Risk in Activities of Daily Living T2 - Proceedings of the 2011 ORS Annual Meeting, Long Beach, CA. Y1 - 2011 UR - http://www.ors.org/Transactions/57/0306.pdf IS - Paper No. 306 ER - TY - CHAP A1 - Robie, Bruce A1 - Dendorfer, Sebastian A1 - Rasmussen, John A1 - Christensen, Soeren Toerholm T1 - Axial Rotation Requires Greatest Load in Multifidus Muscle – Potential Association with Low Back Pain? T2 - Annual Meeting of the AANS/CNS Section on Disorders of the Spine and Peripheral Nerves, 2011, Phoenix, Arizona Y1 - 2011 UR - https://paperpile.com/shared/o0LQEG ER - TY - CHAP A1 - Dendorfer, Sebastian A1 - Rasmussen, John A1 - Christensen, Soeren Toerholm A1 - Robie, Bruce T1 - The Effect of Spinal Disc Herniation on Multifidus Muscles T2 - 56th Orthopaedic Research Society Meeting, New Orleans, USA, 2010 Y1 - 2010 UR - https://www.ors.org/Transactions/56/1487.pdf ER - TY - CHAP A1 - Galibarov, Pavel E. A1 - Dendorfer, Sebastian A1 - Rasmussen, John T1 - Two Computational Models of the Lumbar Spine: BT - Comparison and Validation T2 - Proceedings of the 2011 ORS Annual Meeting, Long Beach, CA, vol. Marie Curie Initial Training Network "SpineFX" Y1 - 2011 UR - http://www.ors.org/Transactions/57/0786.pdf ER - TY - CHAP A1 - Horner, Marc A1 - Dendorfer, Sebastian A1 - Kiis, Arne A1 - Lawrenchuk, Mike A1 - Verma, Gunjan T1 - A Patient based simulation workflow for orthopedic device design and analysis T2 - SBC Ortho Workshop, June 2011 Y1 - 2011 ER - TY - CHAP A1 - Andersen, Michael Skipper A1 - de Zee, Mark A1 - Dendorfer, Sebastian A1 - MacWilliams, Bruce A1 - Rasmussen, John T1 - Validation of a detailed lower extremity model based on the Klein Horsman data set T2 - Proceedings of the 12th International Symposium on Computer Simulation in Biomechanics (ISB 2009), July 2nd - 4th 2009, Cape Town, South Africa Y1 - 2009 SP - 27 EP - 28 ER - TY - CHAP A1 - Robie, Bruce A1 - Rasmussen, John A1 - Christensen, Soeren Toerholm A1 - Dendorfer, Sebastian T1 - Herniation Induces 55% Increase in Load of Key Stabilizing Muscle – Impact on Herniation Treatment Devices? T2 - Spine Arthoplasty Society Meeting, New Orleans, 2010 Y1 - 2010 ER - TY - CHAP A1 - Dendorfer, Sebastian A1 - Carbes, S. A1 - Rasmussen, John T1 - The influence of muscle forces on biomechanical fracture fixation simulations – from in-vivo forces to tissue strains T2 - World Congress on Medical Physics and Biomedical Engineering, 7 - 12, 2009, Munich Y1 - 2009 ER - TY - CHAP A1 - Dendorfer, Sebastian A1 - Rasmussen, John T1 - The influence of in-vivo muscle forces on the stress distribution in a vertebral body during activities of daily living T2 - Eurospine Warsaw, Poland 2009 Y1 - 2009 ER - TY - CHAP A1 - Dendorfer, Sebastian T1 - How much iron to pump? The determination of muscle forces for activities of daily living T2 - DGU, Berlin, 2008 Y1 - 2008 ER - TY - GEN A1 - Gschoßmann, Lukas A1 - Dendorfer, Sebastian T1 - Personalized Rehabilitation after Total Knee Arthroplasty T2 - 32nd Annual Meeting of the European Orthopaedic Research Society (EORS 2024), 18 - 20 September 2024, Aalborg Y1 - 2024 ER -