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  • DISCUSSION FORUM ON CONTEMPORARY ISSUES IN BIOMECHANICS

    Dear Colleagues,

    Recently, Dr. Viceconti called for the submission of topics that might
    be regarded controversial issues in musculoskeletal biomechanics. I did
    respond to his request with some suggestions, and hope that others will
    do so as well.

    Quite independent from his move, I initiated discussions on UNSOLVED
    FUNDAMENTAL PROBLEMS IN BIOMECHANICS already this spring and summer in
    numerous seminars, lectures, and conference presentations at Stanford
    University, the University of Texas at Austin, in San Francisco,
    Cologne, etc. These discussions turned out to be exceptionally inspiring
    and involved many internationally renowned colleagues, peers, and
    graduate students. My impression was that these talks elicited a
    positive echo and great interest in all those who participated.

    I initiated these discussion sessions because I feel the time is ripe
    for the development of new and innovative approaches to solve intricate
    biomechanical problems within a framework that I would call "SECOND
    GENERATION BIOMECHANICS". In principle, the current situation shows some
    similarity to that prevailing in the late 1950s and during the 1960s. At
    that time, researchers gathered tremendous volumes of data because the
    technology was available. However, seldom were these experimental data
    related to model predictions because there existed practically no
    sufficiently complex biomechanical models, especially not of the human
    neuromusculoskeletal system. This situation changed when in the period
    after 1969 a few colleagues and I began to introduce computational
    biomechanics, notably large-scale biomechanical model building and the
    development of methods for the determination of subject-specific
    biomechanical parameter values. I am grateful for having had the
    opportunity and for having received continuous encouragement to do this
    pioneering work, which was not always easy.

    Today, senseless collection of data is, of course, no longer an issue
    and modeling of biomechanical systems has become a popular exercise. The
    implementation of such models and their simulation on the computer is as
    easy as it never was before, thanks to tremendously increased (and
    continuously increasing) computing power and the general availability of
    computing facilities. However, I often get the impression that the
    number of biomechanical models created (and published) is inversely
    related to their quality and to the biomechanico-philosophical content
    behind the model building efforts. By this I mean that often quantity is
    traded for quality and fundamental issues are largely ignored,
    frequently under the pressure of project funding and having to produce
    results quickly.

    It would therefore seem appropriate to discuss these issues on a
    world-wide scale. BIOMCH-L is certainly the most appropriate forum for
    this. As a basis for such discussions, I would like to introduce a
    selection of problems which, in my opinion, are some of the most
    pressing ones, calling for novel approaches and concerted research
    efforts to be solved.

    1. THE FUNDAMENTAL PROBLEM OF MYOSKELETAL INVERSE DYNAMICS

    The problem arises from the discrepancy between the responses of
    inadequate and frequently oversimplified models of the human
    musculoskeletal system combined with inaccurate collection and
    processing of kinematic input data, and fairly accurately measurable
    dynamic observables of the real biosystem, such as ground reaction
    forces. The problem and its negative implications are described in
    detail in a forthcoming publication (January-2002-issue of the Journal
    of Biomechanics Nr. 35/1, pp. 109-115).

    Closely related to this problem is that of computing first and second
    time derivatives from noise-contaminated data sequences which problem,
    by definition, belongs to the class of incorrectly posed (or ill-posed)
    problems.

    A solution of the myoskeletal inverse dynamics problem with all its
    facets would be of great practical value for all forms of motion
    analysis in orthopaedics, ergonomics, sports, etc.

    2. THE MYOSKELETAL INDETERMINACY PROBLEM

    There are, in general, more muscles generating torques across joints
    than would be necessary to uniquely define all torque components
    corresponding to the angular degrees of freedom of a joint. Because the
    existence of redundant muscles is highly unlikely from teleological
    considerations one has to conclude that some task-dependent optimality
    principles are operative in selecting the moment sharing distribution of
    a specific muscle group. Current approaches to this problem are
    generally inadequate. However, a solution would be most desirable
    because it is closely linked to the myoskeletal inverse dynamics problem
    as applied in clinical practice.

    3. IDENTIFICATION OF NEUROMYOSKELETAL PERFORMANCE CRITERIA

    In order to solve problem 2 discussed above, a clear understanding of
    the task-relevant performance criterion (also called performance index,
    objective function, cost function, etc.) that determines the neural
    control inputs to the muscles must exist. Research in this important
    area is still in its infancy despite its emminent practical importance.

    4. DEVELOPMENT OF ADEQUATE SKELETAL MUSCLE ANALOGS

    Latest experimental results obtained in biochemistry and muscle
    physiology indicate that our current models of skeletal muscle must
    undergo thourough revision with respect to both the properties of
    contractile elements and those of the passive elements. A strict
    distinction between these components does no longer seem appropriate. It
    may be necessary to develop new concepts such as three-dimensional force
    fields to account for the phenomena of intra-, inter-, and extramuscular
    lateral force transmission via cytoarchitectural and myofascial
    structures. In addition, the complete motor unit substructure as well as
    the peculiarities of the stochastic control behavior of skeletal muscle
    will have to be incorporated, if muscle models are to mimic biological
    reality. The practical importance of adequate muscle models for clinical
    applications is obvious.

    5. DEVELOPMENT OF RIGIDO-ELASTIC HYBRID ANALOGS OF THE HUMAN LIMB SYSTEM

    Currently used segmented human body models almost exclusively use rigid
    body segments. This does not conform to reality and is probably a source
    of large errors in inverse dynamical investigations, at least in motions
    containing acceleration transients such as impacts. The practical value
    of appropriate body models containing elastic structures modeled as
    continua and not as wobbling mass-spring-
    damper combinations is obvious.

    6. MICROSTRUCTURAL REPRESENTATION OF TERMINAL SEGMENTS

    Terminal segments of the human body such as hands and feet exhibit a
    predominantly bony structure of extreme complexity. This complexity is
    also present as far as the representation of ligamentous, tendinous,
    myodynamic, and soft-tissue structures is concerned. Because the
    terminal segments are of cardinal importance as manipulators, the
    detailed modeling of their microstructure should be considered a task of
    high priority. (To my knowledge, no really satisfactory FE-model exists
    of terminal segments that really incorporates ALL functional facets of
    these intricate structures).

    7. DEVELOPMENT OF NEW AND INNOVATIVE METHODS FOR SUBJECT-SPECIFIC
    PARAMETER IDENTIFICATION

    For any model of the segmental, muscular, articular, or neural subsystem
    to be implemented in practice, the values of the respective
    subject-specific parameter sets must be available. Comparatively little
    effort has been devoted to this extremly important field of
    biomechanical research despite its obvious practical relevance.


    I hope to have provided some impetus for fruitful discussions of, in my
    opinion, some of the most pressing issues of biomechanical research.
    Other colleagues may have different views. Their comments would be most
    welcome in this forum and also with respect to the upcoming European
    BIONET EVENT. This would help all of us to identify on a global scale
    those problems of biomechanical basic research which should be tackled
    in the near future with high priority, in a decade of research on the
    human neuromusculoskeletal system.

    I would like to thank all of you who invested time and effort by
    entering this discussion forum and would also like to take this
    opportunity to wish you a happy Christmas and prosperous Year 2002.


    Herbert Hatze






    ************************************************** ******
    Prof. Dr. Herbert Hatze
    Head, Department and Laboratory of Biomechanics, ISW,
    University of Vienna

    Auf der Schmelz 6 Tel: + 43 1 4277 48880
    A-1150 WIEN Fax: + 43 1 4277 48889
    AUSTRIA e-mail: herbert.hatze@univie.ac.at
    ************************************************** ******

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