论文标题

ACL伤害风险因素评估的单腿降落场景的预测模拟

Predictive simulation of single-leg landing scenarios for ACL injury risk factors evaluation

论文作者

Moustridi, Evgenia

论文摘要

在运动活动期间,前交叉韧带破裂是非常常见的膝盖受伤。跳跃后降落是可能导致这种伤害的最杰出的人体运动场景之一。降落 - 相关前交叉韧带(ACL)损伤危险因素一直是研究兴趣的焦点。计算建模和模拟允许研究肌肉骨骼系统。具体而言,预测性仿真方法为研究人员提供了预测和研究新的生物运动的机会,而无需获取实验数据。在本文中,我们提出了一条管道,旨在预测和确定与单腿降落期间ACL损伤有关的关键参数。我们检查了以下单腿着陆的条件:a)初始着陆高度,b)髋关节内部和外旋,c)腰部向前 - 向后倾斜,d)腰部内侧 - 侧向弯曲,e)腰部内部旋转,f)肌肉力量和g)努力目标重量。在相关研究中鉴定出来,我们评估了以下风险因素:垂直地面反应力,膝关节前部力,膝关节外展矩和股四头肌 / ham绳肌比。我们的研究清楚地表明,ACL损伤是一种相当复杂的机制,具有许多相关的风险因素,显然是相关的。然而,我们的结果主要与其他有关ACL风险因素的研究一致。尽管对所采用的建模假设有局限性,但我们的管道清楚地展示了预测模拟的有希望的潜力,以评估复杂现象的不同方面,例如ACL损伤。

The Anterior Cruciate Ligament rupture is a very common knee injury during sport activities. Landing after a jump is one of the most prominent human body movement scenarios that can lead to such an injury. The landing - related Anterior Cruciate Ligament (ACL) injury risk factors have been in the spotlight of research interest. Computational modeling and simulation allows for studying musculoskeletal systems. Specifically, predictive simulation approaches offer researchers the opportunity to predict and study new biological motions without the demands of acquiring experimental data. In this thesis, we present a pipeline that aims to predict and identify key parameters of interest that are related to ACL injury during single - leg landings. We examined the following conditions of single - leg landing: a) initial landing height, b) hip internal and external rotation, c) lumbar forward - backward leaning, d) lumbar medial - lateral bending, e) lumbar internal - external rotation, f) muscle forces permutations and g) effort goal weight. Identified on related research studies, we evaluated the following risk factors: vertical Ground Reaction Force, knee joint Anterior force, knee joint Abduction moment, and Quadricep / Hamstring force ratio. Our study clearly demonstrated that ACL injury is a rather complicated mechanism with many associated risk factors which are evidently correlated. Nevertheless, our results were mostly in agreement with other research studies regarding the ACL risk factors. Despite the limitations regarding the adopted modeling assumptions, our pipeline clearly showcased promising potential of predictive simulations to evaluate different aspects of complicated phenomena, such as the ACL injury.

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