Passive Tissue Research Articles

Enhancing early-stage healing responses through the modified "Poncho" technique in customized titanium mesh-mediated bone regeneration: A soft tissue management approach-case series.

Soft tissue management is critical in bone augmentation surgery to prevent wound dehiscence. Several strategies for passive tissue primary closure have been explored. This article introduces a flap design known as the modified "Poncho" technique (MPT), integrated with customized titanium mesh-mediated bone regeneration, and investigates the healing quality during the initial stages of an incision. The cohort consisted of 5 patients undergoing customized bone regeneration procedures, concerned primarily with the successful integration and healing of the augmented bone site without complications such as wound dehiscence or infection. All patients were diagnosed with insufficient bone volume requiring augmentation to support future dental implants, necessitating the use of customized titanium mesh for guided bone regeneration. The MPT was detailed and applied during the customized bone regeneration procedures. Postoperative evaluations included recording complications and using Landry's healing index at intervals of 3, 7, 14, and 30 days post-surgery to assess the technique's performance in early wound closure. The study found that 95.7% of surgery sites experienced uneventful soft tissue healing within the observation period. Only 1 of 23 sites exhibited partial wound dehiscence at postsurgical days 14 and 30, accompanied by mild inflammation. The Landry's healing index increased from 3 ± 0.47 to a final value of 4.69 ± 1.06, indicating substantial improvement in healing over time. The MPT shows promise as an innovative approach for promoting passive and predictable primary wound closure beneath a digitally customized titanium mesh for bone regeneration, demonstrating a high rate of successful healing and minimal complications during the early postoperative phase.

Sialic acid and PirB are not required for targeting of neural circuits by neurotropic mammalian orthoreovirus.

Serotype 3 (T3) strains of mammalian orthoreovirus (reovirus) spread to the central nervous system to infect the brain and cause lethal encephalitis in newborn mice. Although reovirus targets several regions in the brain, susceptibility to infection is not uniformly distributed. The neuronal subtypes and anatomic sites targeted throughout the brain are not precisely known. Reovirus binds several attachment factors and entry receptors, including sialic acid (SA)-containing glycans and paired immunoglobulin-like receptor B (PirB). While these receptors are not required for infection of some types of neurons, reovirus engagement of these receptors can influence neuronal infection in certain contexts. To identify patterns of T3 neurotropism, we used microbial identification after passive tissue clearance and hybridization chain reaction to stain reovirus-infected cells throughout intact, optically transparent brains of newborn mice. Three-dimensional reconstructions revealed in detail the sites targeted by reovirus throughout the brain volume, including dense infection of the midbrain and hindbrain. Using reovirus mutants incapable of binding SA and mice lacking PirB expression, we found that neither SA nor PirB is required for the infection of various brain regions. However, SA may confer minor differences in infection that vary by region. Collectively, these studies indicate that many regions in the brain of newborn mice are susceptible to reovirus and that patterns of reovirus infection are not dependent on reovirus receptors SA and PirB.IMPORTANCENeurotropic viruses invade the central nervous system (CNS) and target various cell types to cause disease manifestations, such as meningitis, myelitis, or encephalitis. Infections of the CNS are often difficult to treat and can lead to lasting sequelae or death. Mammalian orthoreovirus (reovirus) causes age-dependent lethal encephalitis in many young mammals. Reovirus infects neurons in several different regions of the brain. However, the complete pattern of CNS infection is not understood. We found that reovirus targets almost all regions of the brain and that patterns of tropism are not dependent on receptors sialic acid and paired immunoglobulin-like receptor B. These studies confirm that two known reovirus receptors do not completely explain the cell types infected in brain tissue and establish strategies that can be used to understand complete patterns of viral tropism in an intact brain.

A morpho-viscoelasticity theory for growth in proliferating aggregates.

Despite significant research efforts in the continuum modeling of biological growth, certain aspects have been overlooked. For instance, numerous investigations have examined the influence of morphogenetic cell behaviors, like division and intercalation, on the mechanical response of passive (non-growing) tissues. Yet, their impact on active growth dynamics remains inadequately explored. A key reason for this inadequacy stems from challenges in the continuum treatment of cell-level processes. While some coarse-grained models have been proposed to address these shortcomings, a focus on cell division and cell expansion has been missing, rendering them unusable when it comes to modeling growth. Moreover, existing studies are limited to two-dimensional tissues and are yet to be formally extended to three-dimensional multicellular systems. To address these limitations, we here present a generalized multiscale model for three-dimensional aggregates that accounts for complex morphogenetic movements that include division, expansion, and intercalation. The proposed continuum theory thus allows for a comprehensive exploration into the growth and dissipation mechanics of proliferating aggregates, such as spheroids and organoids.

Impact of cardiac patch alignment on restoring post-infarct ventricular function.

Acute myocardial infarction (MI) leads to a loss of cardiac function which, following adverse ventricular remodeling (AVR), can ultimately result in heart failure. Tissue-engineered contractile patches placed over the infarct offer potential for restoring cardiac function and reducing AVR. In this computational study, we investigate how improvement of pump function depends on the orientation of the cardiac patch and the fibers therein relative to the left ventricle (LV). Additionally, we examine how model outcome depends on the choice of material properties for healthy and infarct tissue. In a finite element model of LV mechanics, an infarction was induced by eliminating active stress generation and increasing passive tissue stiffness in a region comprising 15% of the LV wall volume. The cardiac patch was modeled as a rectangular piece of healthy myocardium with a volume of 25% of the infarcted tissue. The orientation of the patch was varied from 0 to relative to the circumferential plane. The infarct reduced stroke work by 34% compared to the healthy heart. Optimal patch support was achieved when the patch was oriented parallel to the subepicardial fiber direction, restoring 9% of lost functionality. Typically, about one-third of the total recovery was attributed to the patch, while the remainder resulted from restored functionality in native myocardium adjacent to the infarct. The patch contributes to cardiac function through two mechanisms. A contribution of tissue in the patch and an increased contribution of native tissue, due to favorable changes in mechanical boundary conditions.

Cumulative creep response of viscoelastic lumbar tissue as a function of work-rest schedule

We explore the effect of stress-recovery schedule on the cumulative creep response of lumbar tissues. Twelve participants performed a 48-minute protocol that consisted of 12 min of full trunk flexion and 36 min of upright standing. Two stress-recovery (work-rest) schedules were considered: a) three minutes of full trunk flexion followed by twelve minutes of upright standing (3:12), and b) one minute of full trunk flexion followed by four minutes of upright standing (1:4). Lumbar kinematics and EMG activity of erector spinae muscles were collected. Cumulative creep deformation was explored by considering the changes in peak lumbar flexion angles during full flexion and changes in the angles of flexion-relaxation (EMG-off) of the lumbar extensor musculature after the 48-minute protocol. The results of time-dependent lumbar flexion angle during full flexion revealed a noticeable creep response in both work-rest schedules, but the cumulative creep response was significantly greater in the 3:12 schedule (Δ3.5°) than in the 1:4 schedule (Δ1.6°). Similarly, the change in the EMG-off lumbar flexion angle in the 3:12 schedule was significantly greater than in the 1:4 schedule (Δ2.5° vs −Δ0.2°, respectively). These results indicate that the passive lumbar tissues recover their force producing capability more rapidly with shorter cycle times.

Abstract PO3-07-01: Multiscale Computational Analysis of Patient-Matched Multi-Modal Imaging of Breast Tissue Microenvironment

Abstract Introduction: Mammographic breast density is a strong quantitative cancer risk factor, but its link to underlying tissue and cellular level changes are weakly understood. Understanding the complex restructuring changes in the breast tumor microenvironment and its impact on breast density is integral to improving risk assessment and treatment strategies. A novel approach was developed to stratify mammographic dense breast tissue into areas of active dense tissue and passive dense tissue. Active dense tissue is structurally reorganizing and links to cancer dynamics, whereas passive dense mammographic tissue remains organized.1,2 A complementary wavelet-based analysis technique to measure the multiscale anisotropy of collagen fibers from Second-Harmonic Generation (SHG) imaging demonstrated clinical cancer diagnostic potential in mouse carcinoma and human pancreatic cancer.3,4 This tool is now leveraged for a multi-modal study in which patient-matched H&E tissue biopsies are imaged using both bright-field microscopy and SHG imaging to compare with the patient’s corresponding mammograms. Stratifying the mammographic density into active and passive dense areas, a correlation between biopsy tissue anisotropy and mammographic density subtypes can be calculated to help understand how tumor microenvironment changes affect a patient’s mammographic breast tissue composition. Methods: SHG and brightfield-imaged biopsy slides from 10 patients (five malignant, five benign) collected from Maine Medical Center (Maine, US) were analyzed using the 2D Wavelet Transform Modulus Maxima (WTMM) Anisotropy Method generating a large-scale and a small-scale anisotropy factor as well as a scale-combined anisotropy calculated from their large- and small-scale anisotropy separation. A multi-modal anisotropy score was calculated by adding the imaged area’s H&E combined anisotropy score with its respective SHG combined anisotropy score. This analysis was done on eight randomly selected ductal areas for each imaging modality on a slide and correlated with the measured areas of density subtypes from the whole mammographic view. Linear regression was used for determining correlation between H&E and SHG anisotropy factors as well as with active and passive mammographic density subtype measurements. Results: The malignant patients’ small-scale H&E anisotropy factor positively correlated with their small scale SHG anisotropy factor (R2=0.571). No correlation was found for the benign patients (R2=0.011). The strongest correlations were found between benign patients’ mammographic passive (positive correlation) and active (negative correlation) dense tissues vs the H&E anisotropy scale-combined factor (R2=0.858 and R2=0.961, respectively). The largest malignant patient correlation was a negative relationship between SHG anisotropy scale-combined factor and overall mammographic density (inclusive of both active and passive dense tissue) (R2=0.891). The multi-modal anisotropy score correlated with overall mammographic density for both benign (positive correlation, R2=0.698) and malignant patients (negative correlation, R2=0.773). Combining the multi-modal anisotropy factor from SHG and H&E with the active dense tissue measurement using K-Means clustering, 5/5 malignant and 4/5 benign patients were correctly classified. Conclusion: Density in mammograms correlates with underlying quantitative changes in a patient’s tissue and collagen anisotropy. Combining both H&E and SHG analysis on tissue biopsy with active and passive density metrics from computational mammography leads to the best predictive potential than any one method on their own.

The interaction of in vivo muscle operating lengths and passive stiffness in rat hindlimbs.

The operating length of a muscle is a key determinant of its ability to produce force in vivo. Muscles that operate near the peak of their force-length relationship will generate higher forces whereas muscle operating at relatively short length may be safe from sudden lengthening perturbations and subsequent damage. At longer lengths, passive mechanical properties have the potential to contribute to force or constrain operating length with stiffer muscle-tendon units theoretically being restricted to shorter lengths. Connective tissues typically increase in density during aging, thus increasing passive muscle stiffness and potentially limiting the operating lengths of muscle during locomotion. Here, we compare in vivo and in situ muscle strain from the medial gastrocnemius in young (7 months old) and aged (30-32 months old) rats presumed to have varying passive tissue stiffness to test the hypothesis that stiffer muscles operate at shorter lengths relative to their force-length relationship. We measured in vivo muscle operating length during voluntary locomotion on inclines and flat trackways and characterized the muscle force-length relationship of the medial gastrocnemius using fluoromicrometry. Although no age-related results were evident, rats of both age groups demonstrated a clear relationship between passive stiffness and in vivo operating length, such that shorter operating lengths were significantly correlated with greater passive stiffness. Our results suggest that increased passive stiffness may restrict muscles to operating lengths shorter than optimal lengths, potentially limiting force capacity during locomotion.

Association between fat and fat-free body mass indices on shock attenuation during running

High amplitudes of shock during running have been thought to be associated with an increased injury risk. This study aimed to quantify the association between dual-energy X-ray absorptiometry (DEXA) quantified body composition, and shock attenuation across the time and frequency domains. Twenty-four active adults participated. A DEXA scan was performed to quantify the fat and fat-free mass of the whole-body, trunk, dominant leg, and viscera. Linear accelerations at the tibia, pelvis, and head were collected whilst participants ran on a treadmill at a fixed dimensionless speed 1.00 Fr. Shock attenuation indices in the time- and frequency-domain (lower frequencies: 3–8 Hz; higher frequencies: 9–20 Hz) were calculated. Pearson correlation analysis was performed for all combinations of DEXA and attenuation indices. Regularised regression was performed to predict shock attenuation indices using DEXA variables. A greater power attenuation between the head and pelvis within the higher frequency range was associated with a greater trunk fat-free mass (r = 0.411, p = 0.046), leg fat-free mass (r = 0.524, p = 0.009), and whole-body fat-free mass (r = 0.480, p = 0.018). For power attenuation of the high-frequency component between the pelvis and head, the strongest predictor was visceral fat mass (β = 48.79). Passive and active tissues could represent important anatomical factors aiding in shock attenuation during running. Depending on the type and location of these masses, an increase in mass may benefit injury risk reduction. Also, our findings could implicate the injury risk potential during weight loss programs.

It's more than the amount that counts: implications of collagen organization on passive muscle tissue properties revealed with micromechanical models and experiments.

Collagen accumulation is often used to characterize skeletal muscle fibrosis, but the role of collagen in passive muscle mechanics remains debated. Here we combined finite-element models and experiments to examine how collagen organization contributes to macroscopic muscle tissue properties. Tissue microstructure and mechanical properties were measured from in vitro biaxial experiments and imaging in dystrophin knockout (mdx) and wild-type (WT) diaphragm muscle. Micromechanical models of intramuscular and epimuscular extracellular matrix (ECM) regions were developed to account for complex microstructure and predict bulk properties, and directly calibrated and validated with the experiments. The models predicted that intramuscular collagen fibres align primarily in the cross-muscle fibre direction, with greater cross-muscle fibre alignment in mdx models compared with WT. Higher cross-muscle fibre stiffness was predicted in mdx models compared with WT models and differences between ECM and muscle properties were seen during cross-muscle fibre loading. Analysis of the models revealed that variation in collagen fibre distribution had a much more substantial impact on tissue stiffness than ECM area fraction. Taken together, we conclude that collagen organization explains anisotropic tissue properties observed in the diaphragm muscle and provides an explanation for the lack of correlation between collagen amount and tissue stiffness across experimental studies.

The Relationship Between Various Jump Tests and Baseball Pitching Performance: A Brief Review

ABSTRACT Multidirectional ground reaction forces (GRFs) and jump tests within baseball pitchers provide insight into athletic ability and coordination to produce lower-body force and power. Lower-body power is a biomechanical feature that denotes physiological capacity through dynamic and passive tissue stretch-shortening in transferring energy from the ground through the kinetic chain. Optimized lower-body power may lessen the magnitude of forces on the upper extremity. Insufficient lower-body power may create a greater risk of upper-body injury. Lower-body power and its relationship to ball velocity have been minimally investigated, yet some research points to a correlation between jumping ability and fastball velocity. Because pitching is unilateral, practitioners should consider unilateral jumps to determine the extent of bilateral asymmetry or stride to drive leg differences that can guide training to remediate deficiencies. The purposes of this brief review are to (a) examine factors that influence vertical jump performance among baseball players, (b) examine research on pitching multidirectional GRFs, and (c) examine literature concerning jump performances to baseball pitching performance. Collectively, this review can assist coaches and practitioners in lower-body power testing and training for baseball pitchers.

The acute effects of running on pelvic floor morphology and function in runners with and without running-induced stress urinary incontinence

Introduction and hypothesisThe aim of this study was to examine the impact of a single running session on pelvic floor morphology and function in female runners, and to compare those with and without running-induced stress urinary incontinence (RI-SUI).MethodsThis cross-sectional, observational study involved two groups: female runners who regularly experienced RI-SUI (n = 19) and runners who did not (n = 20). Pelvic floor muscle (PFM) properties were assessed using intravaginal dynamometry during maximal voluntary contractions (MVC) and during passive tissue elongation. The morphology of the pelvic floor was assessed at rest, during MVC and during maximal Valsalva maneuver (MVM) using 2D and 3D transperineal ultrasound imaging before and after a running protocol. Mixed-effects ANOVA models were used to compare all outcomes between groups and within-groups, including the interaction between group and time. Effect sizes were calculated.ResultsNo changes in PFM function assessed using intravaginal dynamometry were observed in either group after the run. Significant and large within-group differences were observed on ultrasound imaging. Specifically, the area and antero-posterior diameter of the levator hiatus were larger after the run, the bladder neck height was lower after the run, and the levator plate length was longer after the run (p ≤ 0.05). At the peak MVM and MVC, the bladder neck height was lower after the run than before the run (p ≤ 0.05). No between-group differences were observed for any outcomes.ConclusionsRunning appears to cause transient strain of the passive tissues of the female pelvic floor in runners both with and without RI-SUI, whereas no concurrent changes are observed in PFM contractile function.

Quantifying the microstructural and biomechanical changes in the porcine ventricles during growth and remodelling.

Cardiac tissue growth and remodelling (G & R) occur in response to the changing physiological demands of the heart after birth. The early shift to pulmonary circulation produces an immediate increase in ventricular workload, causing microstructural and biomechanical changes that serve to maintain overall physiological homoeostasis. Such cardiac G & R continues throughout life. Quantifying the tissue's mechanical and microstructural changes because of G & R is of increasing interest, dovetailing with the emerging fields of personalised and precision solutions. This study aimed to determine equibiaxial, and non-equibiaxial extension, stress-relaxation, and the underlying microstructure of the passive porcine ventricles tissue at four time points spanning from neonatal to adulthood. The three-dimensional microstructure was investigated via two-photon excited fluorescence and second-harmonic generation microscopy on optically cleared tissues, describing the 3D orientation, rotation and dispersion of the cardiomyocytes and collagen fibrils. The results revealed that during biomechanical testing, myocardial ventricular tissue possessed non-linear, anisotropic, and viscoelastic behaviour. An increase in stiffness and viscoelasticity was noted for the left and right ventricular free walls from neonatal to adulthood. Microstructural analyses revealed concomitant increases in cardiomyocyte rotation and dispersion. This study provides baseline data, describing the biomechanical and microstructural changes in the left and right ventricular myocardial tissue during G & R, which should prove valuable to researchers in developing age-specific, constitutive models for more accurate computational simulations. STATEMENT OF SIGNIFICANCE: There is a dearth of experimental data describing the growth and remodelling of left and right ventricular tissue. The published literature is fragmented, with data reported via different experimental techniques using tissues harvested from a variety of animals, with different gender and ages. This prevents developing a continuum of data spanning birth to death, so limiting the potential that can be leveraged to aid computational modelling and simulations. In this study, equibiaxial, non-equibiaxial, and stress-relaxation data are presented, describing directional-dependent material responses. The biomechanical data is consolidated with equivalent microstructural data, an important element for the development of future material models. Combined, these data describe microstructural and biomechanical changes in the ventricles, spanning G &R from neonatal to adulthood.

Optimization of the optical transparency of bones by PACT-based passive tissue clearing.

Recent developments in tissue clearing methods such as the passive clearing technique (PACT) have allowed three-dimensional analysis of biological structures in whole, intact tissues, thereby providing a greater understanding of spatial relationships and biological circuits. Nonetheless, the issues that remain in maintaining structural integrity and preventing tissue expansion/shrinkage with rapid clearing still inhibit the wide application of these techniques in hard bone tissues, such as femurs and tibias. Here, we present an optimized PACT-based bone-clearing method, Bone-mPACT+, that protects biological structures. Bone-mPACT+ and four different decalcifying procedures were tested for their ability to improve bone tissue clearing efficiency without sacrificing optical transparency; they rendered nearly all types of bone tissues transparent. Both mouse and rat bones were nearly transparent after the clearing process. We also present a further modification, the Bone-mPACT+ Advance protocol, which is specifically optimized for processing the largest and hardest rat bones for easy clearing and imaging using established tissue clearing methods.

Piezoelectric-based bioactive zinc oxide-cellulose acetate electrospun mats for efficient wound healing: an in vitro insight.

Being a complex physiological process involving the removal of damaged tissue debris and creating a new microenvironment for host tissue regeneration, wound healing is still a major challenge for healthcare professionals. Disruption of this process can lead to tissue inflammation, pathogenic infections, and scar formation. Current wound healing treatments primarily focus on passive tissue healing, lacking active engagement in the healing process. In recent years, a new class of functional biomaterials based on piezoelectric properties has emerged, which can actively participate in the wound healing process by harnessing mechanical forces generated from body movement. Herein, we have fabricated a bioactive Cellulose Acetate (CA) electrospun nanofibrous mat incorporating zinc oxide (ZnO) and investigated its efficiency for accelerated wound healing. We have characterized the physicochemical properties of the fabricated nanofibrous mats using various assays, including SEM, FTIR, TGA, mechanical testing, degradation analysis, porosity measurement, hemolysis assay, and piezoelectric d33 coefficient measurement. Through our investigation, we discovered the tunned piezoelectric coefficient of fabricated specimens due to incorporating ZnO into the CA fibers. In vitro studies also confirmed enhanced cell adhesion, proliferation, and migration, indicating faster wound healing potential. Overall, our findings support the efficacy of piezoelectric-based ZnO-incorporated bioactive CA nanofibrous mats for efficient wound healing.

Neck extensor fatigue: Comparing the effect of 45 degrees of neck flexion to the effect of 45 degrees of trunk flexion

The neck muscle fatigue and subjective discomfort due to neck postural exposure was evaluated. Ten male participants were asked to hold one of the two static neck postural exposures for 30 minutes (one condition per day): 1) Neck flexion (N-45) where head and neck were flexed 45º relative to trunk while the participant was standing upright, and 2) Trunk flexion (T-45) where head and neck were not flexed relative to trunk, but trunk was flexed 45º. Surface electromyography was used to collect muscle activity of neck extensors. T-45 caused higher fatigue in neck extensor muscles (p=0.0229) and higher neck subjective discomfort (p=0.0088) compared to N-45, but the long-term effects of these two conditions are not clear because of the difference in the role of passive tissues. We recommend that work assessment tools consider both measures of neck postural exposure (neck flexion and trunk flexion) in their assessment tools.

MUSCLE ENERGY TECHNIQUE VERSUS PASSIVE MANUAL SOFT TISSUE THERAPIES ON PLANTER FASCIITIS: A SYSTEMIC REVIEW

Aims of Study: Planter fasciitis (PF) is a common cause of heel pain. Muscle energy technique (METs) and passive soft tissue therapies are widely used for its management. The objective of this review was to evaluate the comparative effectiveness of METs and passive soft tissue therapies on PF. Methodology: An extensive electronic literature search was made using different databases and search engines. Studies regarding METs and soft tissues therapies were investigated according to the eligibility criteria, using extracted data form and assessed for risk of bias. Outcome measures were pain and functional status. Quality assessment was done with Downs and Black, Cochrane risk of bias tool, PEDro scale and Critical Appraisal Skill Program (CASP) tool. Results: Five articles met the selection criteria, were systematically reviewed for quantitative synthesis on comparative effects of METs and passive soft tissue therapies on PF. The quality of studies was moderate to high. Limitations and Future Implications: Less evidence on desired interventions and outcome measures was the limitation. Relative efficacy helps in clinical decision making and improves patient’s related outcomes. Originality: This review is the independent creation of authors. Conclusion: Manual soft tissue techniques are more effective than METs on improving pain and function in planter fasciitis.

The Effects of 5 km Interval Running on the Anterior Cruciate Ligament Strain and Biomechanical Characteristic of the Knee Joint: Simulation and Principal Component Analysis

Interval running methodologies simulate competition and training conditions, with the aim of enhancing an athletes’ ability to cope with constant deceleration, acceleration, and sudden changes in direction, as associated athletic and performance challenges. Fifteen male athletes were recruited in this study, in which the anterior cruciate ligament was modeled as a nonlinear elastic passive soft tissue in OpenSim 4.2. Participants completed 5 km interval running training on a treadmill. Before and after the interval running, kinematics, kinetics, and electromyography activity of the lower leg during the cutting maneuvers were collected simultaneously. After running training, the anterior cruciate ligament strain demonstrated a decreasing trend when performing unexpected cutting maneuvers. Principal component analysis showed significant differences in knee moments during abduction-adduction; knee angles in flexion-extension, external-internal rotation, and abduction-adduction, as well as knee contact forces in the sagittal and coronal planes. The findings of the study highlight that athletes generate greater adduction moment at the onset of the cut, followed by greater abduction moment towards the end of the cut, which may have a substantial impact on the anterior cruciate ligament loading. Furthermore, athletes need to be mindful of changes in coronal plane contact forces.

Creep deformation of viscoelastic lumbar tissue during sustained submaximal trunk flexion postures

Most in-vivo human experiments exploring creep deformation of viscoelastic lumbar tissue have used a maximum trunk flexion posture to engage the lumbar passive tissues. Recent evidence suggests that static trunk flexion tasks requiring submaximal trunk flexion can lead to gradual changes in the lumbar lordosis and this leads to our hypothesis that maintaining submaximal trunk flexion postures may lead to significant creep deformation of the viscoelastic lumbar tissues. Sixteen participants maintained a trunk flexion posture that was ten degrees less than the trunk flexion posture eliciting flexion-relaxation phenomenon for 12 min with breaks for a maximal trunk flexion protocol every three minutes. Trunk kinematic and extensor EMG measures were captured during the static, submaximal trunk flexion protocol as well as during the maximal trunk flexion protocol to provide evidence of creep development in the lumbar passive tissues. Results revealed that 12-minutes of submaximal trunk flexion led to significant increases in peak lumbar flexion angle (1.3°) and EMG-off lumbar flexion angle for L3/L4 paraspinals (2.9°). During the submaximal trunk flexion protocol, the changes in the lumbar flexion angle at 3–6 min and 6–9 min (average Δ5.4°) were significantly greater than at 0–3 min (Δ2.0°). The contribution of this study is the demonstration that sustained submaximal trunk flexion posture (i.e., constant global system) can lead to creep deformation of the viscoelastic lumbar tissue due to the increased lumbar flexion (i.e., altered local system) and may be attributed to a reduction in lumbar lordosis as the extensor muscles fatigue.

Abstract 359: Multiscale Model Reveals Importance Of Cumulative Vascular Smooth Muscle Cell Responses In Aortic Hypercontractility

Diabetes more than doubles the risk of cardiovascular disease (CVD), and the chronic hyperglycemia leads to vascular maladaptations prior to the diagnostic threshold. While endothelium-independent vascular smooth muscle cell (VSMC) hypercontractility is well-established at the tissue-scale, the mechanical phenotype is inconsistently observed at the cell-scale. Our strategy consisted of experimental characterization at the tissue-scale via an isometric ring contraction assay of WT and OGT KO aortas, the latter an established chronic hyperglycemia model, from male mice and at the cell-scale via published cellular microbiaxial stretching data, coupled with the construction of a multiscale computational model. We hypothesize that the biochemical signaling changes due to increased blood glucose are sufficient to predict VSMC hypercontractility. The multiscale model operates off a biochemical signaling network that determines the activation and contraction of actin stress fibers. The stress fibers are connected in either 2D (cell-scale) or 3D (tissue-scale) cytoskeletal networks where for the tissue-scale, the cytoskeletal mechanics are fit to a macroscale constrained mixture model. The multiscale model correctly predicts the cell-scale euglycemic contractility, however the hyperglycemic condition is too subtle to be resolved at this scale. At the tissue-scale, the model correctly predicts both euglycemic and hyperglycemic active force generation. The model does not currently consider ECM alterations, so the changes in passive tissue mechanics cannot be predicted. The model predictions suggest that while the impetus of hyperglycemia-driven hypercontractility occurs at the cell-scale, these small-scale changes must be amplified across length scales to be experimentally-observable. These results demonstrate the power of the multiscale model to connect cell- and tissue-scale vascular mechanical phenotypes due to chronic hyperglycemia.

Trunk stability in fatiguing frequency-dependent lifting activities

BackgroundWork-related low-back disorders (WLBDs) are one of the most frequent and costly musculoskeletal conditions. It has been showed that WLBDs may occur when intervertebral or torso equilibrium is altered by a biomechanical perturbations or neuromuscular control error. The capacity to react to such disturbances is heavily determined by the spinal stability, provided by active and passive tissues and controlled by the central nervous system. Research questionThis study aims to investigate trunk stability through the Lyapunov’s maximum exponent during repetitive liftings in relation to risk level, as well as to evaluate its ability to discriminate these risk levels. MethodsFifteen healthy volunteers performed fatiguing lifting tasks at three different frequencies corresponding to low, medium, and high risk levels according to the National Institute for Occupational Safety and Health (NIOSH) equation. We investigated changes in spinal stability during fatiguing lifting tasks at different risk levels using the maximum Lyapunov's index (λMax) computed from trunk accelerations recorded by placing three IMUs at pelvis, lower and upper spine levels. A two-way repeated-measures ANOVA was performed to determine if there was any significant effect on λMax among the three risk levels and the time (start, mid, and end of the task). Additionally, we examined the Pearson’s correlation of λMax with the trunk muscle co-activation, computed from trunk sEMG. ResultsOur findings show an increase in trunk stability with increasing risk level and as the lifting task progressed over time. A negative correlation between λMax and trunk co-activation was observed which illustrates that the increase in spinal stability could be partially attributed to increased trunk muscle co-activation. SignificanceThis study highlights the possibility of generating stability measures from kinematic data as risk assessment features in fatiguing tasks which may prove useful to detect the risk of developing work-related low back pain disorders and allow the implementation of early ergonomic interventions.