Abstract

The presence of muscle redundancy and co-activation of agonist–antagonist pairs in vivo makes the optimization of the load distribution between muscles in physiologic joint simulators vital. This optimization is usually achieved by employing different control strategies based on position and/or force feedback. A muscle activated physiologic wrist simulator was developed to test and iteratively refine such control strategies on a functional replica of a human arm. Motions of the wrist were recreated by applying tensile loads using electromechanical actuators. Load cells were used to monitor the force applied by each muscle and an optical motion capture system was used to track joint angles of the wrist in real-time. Four control strategies were evaluated based on their kinematic error, repeatability and ability to vary co-contraction. With kinematic errors of less than 1.5°, the ability to vary co-contraction, and without the need for predefined antagonistic forces or muscle force ratios, novel control strategies – hybrid control and cascade control – were preferred over standard control strategies – position control and force control. Muscle forces obtained from hybrid and cascade control corresponded well with in vivo EMG data and muscle force data from other wrist simulators in the literature. The decoupling of the wrist axes combined with the robustness of the control strategies resulted in complex motions, like dart thrower׳s motion and circumduction, being accurate and repeatable. Thus, two novel strategies with repeatable kinematics and physiologically relevant muscle forces are introduced for the control of joint simulators.

Highlights

  • Muscle activated physiologic simulators recreate the kinematic and kinetic conditions of a natural joint in cadaveric specimens by applying loads to the tendons

  • Using force control, in the vertically downward position, mean errors of 7.1° and 5.8° resulted in the plane of motion during FE of amplitude 30° (FE-30) and radioulnar deviation (RUD)-10 respectively, whereas in the vertically upward position, motions could not be completed (Fig. 3)

  • A simulator was developed to replicate physiologic motions of the human wrist on a phantom limb. This phantom was designed to facilitate only two degrees of freedom – FE and RUD – a small amount of pronation-supination is known to be present in the carpals (Foumani et al, 2009; Kobayashi et al, 1997)

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Summary

Introduction

Muscle activated physiologic simulators recreate the kinematic and kinetic conditions of a natural joint in cadaveric specimens by applying loads to the tendons. A common strategy for recreating joint motion has been to control one muscle, the ‘prime mover’, using prescribed excursion, while other muscles, classified as either synergists or antagonists, are simulated using prescribed forces. These forces are calculated as a proportion of the prime mover force, using some combination of physiological cross-sectional area (PCSA), lever arms, electromyographic (EMG) signals, and clinical knowledge of the muscles. N Correspondence to: Department of Bioengineering, Imperial College London, South Kensington Campus, London SW7 2AZ, United Kingdom This strategy has been used in shoulder (Kedgley et al, 2007), elbow (Johnson et al, 2000), forearm (Nishiwaki et al, 2014) and ankle (Sharkey and Hamel, 1998) simulators

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