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Musculoskeletal models are indispensable tools in biomechanics, offering insights into muscle dynamics and joint mechanics. However, the parameters of a personalized musculoskeletal model are nonidentifiable when multiple parameters compensate for each other to produce similar force outputs, posing challenges to model accuracy and reliability. This study introduces a multitrajectory optimization framework integrated with subject-specific modeling to address this issue. By incorporating diverse movement tasks within a simple biceps curl context, the proposed approach narrows the parameter space, introducing constraints that can enhance model identifiability and robustness under specific conditions. Unlike traditional single-task optimization, this framework employs a dual-stage process: a global search using particle swarm optimization (PSO) to explore the solution space, followed by local refinement via Pattern Search to achieve precise parameter estimates. Applied to biceps curl tasks, this method reduced optimization convergence error by 97.9% and validation error by 99.2% on an unseen movement task compared to single-task optimization. These results highlight the framework's effectiveness in improving parameter estimation accuracy and suggest generalizability across the tested movement conditions. The integration of optimization techniques provides a promising approach for addressing challenges in musculoskeletal modeling. By improving model reliability and precision under simplified conditions, this work offers preliminary insights for potential applications in clinical rehabilitation, sports science, and ergonomic design. Future efforts will refine neuromuscular control representations and integrate dynamic subject-specific data to extend this framework's applicability beyond joint angle estimation to more complex movements and musculoskeletal outputs.
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http://dx.doi.org/10.1115/1.4068524 | DOI Listing |
Clin Orthop Relat Res
August 2025
Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY, USA.
Background: Choosing the appropriate implants for reconstruction in revision TKA is essential for long-term fixation. While cones and augments are routinely utilized to address tibial defects, the effect of augment location and size on the biomechanical stability of revision TKA constructs and the indications for the use of metaphyseal cones are not known.
Questions/purposes: Is the risk of cement-implant debonding of revision TKA constructs impacted by the thickness and location (medial versus bicompartmental) of tibial augments and the presence of metaphyseal cones during (1) a demanding daily activity like stair ascent and (2) torsional loads?
Methods: Under institutional review board approval, we developed patient-specific finite-element models of revision TKA from four patients (three males and one female, ages 50 to 80 years, BMI 27 to 37 kg/m2) who underwent two-stage revision and had a CT scan with no metal artifact after first-stage implant removal.
IEEE Trans Neural Syst Rehabil Eng
September 2025
Dynamic optimization is a versatile control tool to determine optimal control inputs in a redundantly actuated wearable robot. However, dynamic optimization requires high computational resources for real-time implementation. In this paper, we present a bio-inspired control approach, based on the principle of muscle synergies, to reduce the computational cost of optimization.
View Article and Find Full Text PDFPhys Ther
September 2025
Dirección de Nutrición, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Importance: To this author's knowledge, this is the first study to examine the burden of rehabilitation-relevant conditions in Mexico, providing valuable evidence to inform public policy and enhance the delivery of rehabilitation services.
Objective: This study presents a national-level analysis estimating the number of people in Mexico who required rehabilitation at least once during the course of an illness or injury that caused a disability, based on data from the 2021 Global Burden of Disease Study.
Design: This was a cross-sectional analysis.
JB JS Open Access
September 2025
Department of Orthopaedic Surgery, Mass General Brigham, Harvard Medical School, Boston, Massachusetts.
Background: It is unclear whether the current North Atlantic Treaty Organization (NATO) trauma system will be effective in the setting of Large-Scale Combat Operations (LSCO). We sought to model the efficacy of the NATO trauma system in the setting of LSCO. We also intended to model novel scenarios that could better adapt the current system to LSCO.
View Article and Find Full Text PDFFront Vet Sci
August 2025
Department of Musculoskeletal Biology and Ageing Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom.
Body composition metrics such as bodyweight, body condition score (BCS) and muscle condition score (MCS) can be readily recorded as part of veterinary examinations in ageing cats. However, the description of how these parameters change with age, whilst accounting for sex and age-related morbidity, is limited. The aim of this prospective cohort study was to evaluate age, sex and health-related changes in bodyweight, BCS and MCS in client-owned pet cats.
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