Exp Brain Res (2003) 152:17–28 DOI 10.1007/s00221-003-1507-4 RESEARCH ARTICLE Florin Popescu · Joseph M. Hidler · W. Zev Rymer Elbow impedance during goal-directed movements Received: 12 November 2001 / Accepted: 14 April 2003 / Published online: 23 July 2003 Springer-Verlag 2003 Abstract The mechanical properties and reflex actions of muscles crossing the elbow joint were examined during a 60-deg voluntary elbow extension movement. Brief unexpected torque pulses of identical magnitude and time-course (20-Nm extension switching to 20-Nm flexion within 30 ms) were introduced at various points of a movement in randomly selected trials. Single pulses were injected in different trials, some before movement onset and some either during early, mid, late or ending stages of the movement. Changes in movement trajectory induced by a torque pulse were determined over the first 50 ms by a nearest-neighbor prediction algorithm, and then a modified K-B-I (stiffness-damping-inertia) model was fit to the responses. The stiffness and damping coefficients estimated during voluntary movements were compared to values recorded during trials in which subjects were instructed to strongly co-contract while maintaining a static posture. This latter protocol was designed to help determine the maximum impedance a subject could generate. We determined that co-contraction increased joint stiffness greatly, well beyond that recorded under control conditions. In contrast, the stiffness magnitudes were quite small during routine voluntary movements, or when the subjects relaxed their limb. Furthermore, the damping coefficients were always significant and increased measurably at the end of movement. Reflex activity, as measured by EMG responses in biceps and triceps brachii, showed highly variable responses at latencies of 160 ms or greater. These reflexes tended to activate both elbow flexors and extensors simultaneously. These findings suggest that very low intrinsic muscle stiffness values recorded during point-to-point motion render an equilibrium point or impedance control approach implausible as a means to regulate movement trajectories. In particular, muscle that is shortening against inertial loads seems to exhibit much smaller stiffness than similarly active isometric muscle, although some degree of damping is always present and does not simply co-vary with stiffness. Although the limb muscles can be co-contracted statically or during movement with an observable increase in stiffness and even task performance, this control strategy is rarely utilized, presumably due to the greater energetic cost. Keywords Elbow · Impedance · Stiffness · Ballistic Part of this work was presented earlier in abstract form (Popescu and Rymer 1999) F. Popescu ()) Laboratorio di Tecnologia Medica, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, 40136 Bologna, Italy e-mail: [email protected] Tel.: +39-051-6366865 Fax: +39-051-6366863 F. Popescu Department of Mechanical Engineering, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA J. M. Hidler · W. Z. Rymer Department of Biomedical Engineering, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA W. Z. Rymer Department of Physical Medicine and Rehabilitation, Northwestern University Medical School, 303 East Chicago Ave., Chicago, IL 60611, USA Introduction The dynamic behavior of the human limb performing a voluntary task is the result of a complex interaction between neuromuscular mechanics, passive joint properties and the mechanical environment. Generally, the mechanical behavior of the limb has been modeled using the most simple and plausible mathematical representations of muscle visco-elasticity, based on the idea of local linearization of the force-length (FL) and force-velocity (FV) curves characteristic of skeletal muscle. This representation is commonly known as K-B-I, indicating stiffness (K), viscous damping (B) and inertia (I), analogous to that of an equivalent second order massspring damper system. While there have been multiple efforts directed towards understanding the role of intrinsic 18 mechanical and reflex muscle properties during reflex muscle activation in upper and lower extremity muscles (Gottlieb and Agarwal 1972; Bennett et al. 1992; Bennett 1993, 1994; Gomi and Kawato 1997), there have been relatively few attempts to estimate K, B and I during voluntary movements that are under the subject’s control. This is primarily because of the technical difficulties associated with imposing controlled force perturbations during unconstrained voluntary motion. While such investigations are inherently difficult, the availability of accurate estimates of muscle mechanical properties during limb motion would be of great value in understanding the strategies available for controlling limb trajectory. For example if mechanical impedance during limb motion remains high, then impedance control could provide a legitimate strategy for trajectory control (Hogan 1985). Conversely, if mechanical impedance is very low, then other control strategies may be more appealing and appropriate. Accordingly, our objective is to estimate the mechanical impedance of muscle during voluntary limb movements to help us assess the potential impact of limb mechanical impedance on neuromuscular control strategies. One approach to investigating how muscle properties (such as stiffness and damping) influence the limbs’ capacity to resist external disturbances has been to study the limb kinematic response to small, random perturbations applied during simple movements (Bennett et al. 1992; Gomi and Kawato 1997; Xu and Hollerbach 1999). For example, Bennett et al. (1992) attempted to characterize limb mechanics by using an air-jet actuator to deliver small random disturbances in force during elbow movements. However, the voluntary limb movements were continuous and cyclical rather than point-to-point, and the imposed air jet perturbations small (2 Nm peakto-peak) and limited in bandwidth. Other estimates recorded limb force responses during sinusoidal positional perturbations, imposed during point-to-point positioncontrolled movements (Bennett 1994). These studies relied on a subject’s capacity to repeat joint motion so that there was a precise match between the intended limb motion and the actual movement imposed by the device. This is clearly a difficult task, and one whose performance proved difficult to assess. In spite of these uncertainties, stiffness was reported to drop significantly during movement and limb motion was also underdamped, while the magnitude of the stretch reflex increased at later stages of movement In a more recent study, Gomi and Kawato (1997) attempted to estimate stiffness and damping of the limb by applying unexpected force pulses to the hand at various stages of a planar movement. In these experiments, the stiffness was shown to increase during motion, albeit slightly. Changes in trajectory were fit by K and B matrices for 300 ms post perturbation, so that stretch and potentially even so-called “long-loop” reflexes may have had a major effect on K and B estimates. In fact, none of the existing studies of limb mechanical impedance during limb motion made an attempt to identify the mechanical properties of the plant itself (i.e., the intrinsic visco-elasticity). Rather, they quantified the net visco-elasticity of the limb, which includes both the intrinsic mechanical properties of the limb and the effects of reflex action without separating the relative contributions of each constituent. Furthermore, no rigorous review of the actual applicability of the K-B-I formulation in the face of complex dynamics has yet been performed, although efforts to overcome the difficulties outlined above are underway (Burdet et al. 2000). In the present study, we sought to estimate the mechanical properties of the elbow musculature during voluntary motion and to model these properties mathematically. The model we used was one that relates changes in torque to changes in trajectory. The intent of this work is to use these data to gain insight on the constraints and to characterize the control strategies used for goal-directed voluntary limb movements. Materials and methods Subjects Five subjects (3 male, 2 female) participated in the study. Each participant was instructed on the intent and protocol of the study and gave informed consent. The protocol was approved by Northwestern University’s Institutional Review Board. Instrumentation Torque-controlled pulses were delivered to the subject’s elbow using a DC motor (Cleveland Machine Controls, F563), digitally controlled with a Pentium PC (see Fig. 1). A torque transducer Fig. 1 Apparatus and protocol for elbow perturbation study. The subject is shown from above. Note the fiberglass cast on the forearm attached to an aluminum beam under the arm by means of a light vise pressed on as the cast solidified. The motor is seen as a box under the elbow, and the torque transducer-co-axial with the motor shaft and the elbow-as a circle. The fan-out lines shown correspond to the onsets of the various perturbations given. The trapezoids around the ‘PRE’ and ‘ENDING’ lines indicate the relative widths of the starting and target regions as seen by the subject on the monitor 19 Table 1 Description of different perturbation types. See Fig. 1 for a graphical description Perturbation condition Pulse onset PRE, STIFF EARLY MID LATE ENDING About 100 ms before the green light signal The point at which the cursor crossed –17.5 The point at which the cursor crossed 0 The point at which the cursor crossed 17.5 80 ms after the 17.5 crossing (roughly at the end of motion). (Himmelstein, 2030) mounted between the motor shaft and the subject was used to measure the amount of elbow torque throughout each trial. This torque signal was also used as feedback to the motor controller such that the system operated under closed-loop torque control. This ensured the elbow torque was well controlled, accounting for actuator effects such as friction. A precision potentiometer and a tachometer mounted on the motor shaft were used to measure elbow joint angle and angular velocity, respectively. Surface EMGs were recorded differentially from the triceps and biceps using a DelSys Bagnoli-4 EMG system. All signals were anti-alias filtered at 500 Hz prior to sampling at 1000 Hz using a 16-bit data acquisition board (Keithley Metrabyte, DAS 1802 HRDA). Protocol Each subject was seated in a BIODEX chair, with the torso restrained using a lap belt and shoulder straps. The height of the chair was adjusted such that the right arm was kept in the horizontal plane of the shoulder. The subject’s arm was first cast from the wrist to the elbow using Delta-Lite fiberglass. The cast was wound tightly to reduce wobble in the forearm soft mass, but not so too tight as to induce discomfort or ischemia. After hardening, the arm cast was then attached to a rigid aluminum beam extending from the motor shaft using additional casting material. A shallow vshaped aluminum piece was mounted to the aluminum beam, providing protrusions upon which the humeral condyles made rigid contact. A steel hose clamp was tightened around the wrist area and aluminum beam, further tightening the interface between the subject’s forearm skeletal structure and the motor. The inertia of the subject’s forearm-hand was first estimated using a 20-s transient sinusoidal position input with 4 successive periods of increasing frequency (2-12 Hz) and 0.5-deg amplitude. During these trials, the subject was asked to not intervene but instead relax. The same procedure was performed post-experiment to the cast and aluminum beam only to estimate fixture inertia. The main experimental protocol consisted of 250 repeated extension movements, with a schematic of the protocol shown in Fig. 1. The subject’s position was represented by a 1.51.5 cm box on a computer monitor, and the start and end targets represented by 1-cm-diameter dots, each of which were center aligned on a horizontal axis with a 15-cm distance between start and target dots. The start position was chosen to be about 20 deg from maximal elbow flexion, and the target was placed 60 deg towards extension. The subject was instructed to keep the cursor box over the start dot, wait until it turned green, then move and stop in a single motion such that the target dot would be contained inside the position box within 300 ms. The graphical display was such that the subject had an effective €2.5 mm margin of error on the screen, which corresponded to €1.67% of the movement distance and €1 deg of elbow motion. After completing the movement, the target circles turned white and the subject returned to the start position to await the onset of the next trial. Movement time was displayed following each trial so that the subject could adjust their speed accordingly in order to complete the movement within the instructed time. The initial 10 trials of the sequence were ’premovement’ bumps, in that the subjects relaxed at the start target, which was followed by a brief, bi-polar and symmetric torque pulse. These torque perturbations consisted of bi-directional pulses, each with a 15-ms width (30 ms total perturbation time) and approximately 20Nm amplitude. The subject was then instructed to move to the target position and hold until instructed to return to the start. The second 10 trials were the same as the first 10, except that the subjects were asked to co-contract to a comfortable max with no visible tremor. This condition was deemed STIFF so that between the relaxed and stiffened paradigms, upper and lower impedance bounds could be estimated. The remaining movements had a 50% chance of having visual position feedback (targets always remained on the screen during each trial), and a 10% chance of occurrence for each type of perturbation (see Fig. 1 and Table 1). The disturbances were randomly and independently selected, with only one perturbation per movement. As such, roughly half of the trials the subject performed did not contain any perturbations. During each trial, the motor ran in closed-loop torque control using the torque signal from the torque cell as feedback. This process eliminated any resistance due to friction in the motor and provided an extremely smooth environment in which the movements were made. Data processing Since the applied perturbations were quite fast, the resulting motions had high frequency content. This effectively led to limb inertia being the dominant part of the response (Rack 1981). Two independent methods were used to estimate inertia: the sinusoidal input frequency response protocol described above, and a regression model based on anthropometric data taken from the subjects (Zatsiorsky and Seluyanov 1985). The former method led to much tighter bounds on the inertia value derived. The other was used to validate this value (see Results). The inertial value used to fit the perturbed trials naturally included that of the fixture coupled to arm. Inertial estimates were derived by first decomposing each constant frequency period into its sinusoidal frequency-amplitude characteristics by a Finite Fourier Transform and extracting the main frequency and amplitude within that period (there were four such periods). For a purely inertial system, the magnitude of torque is equal to the product of the inertia, the magnitude of the position, and the frequency squared. Plotting the ratio of the torque amplitude to the position amplitude versus the frequency squared results in a straight line, with the slope equal to the inertia. The amplitude and frequency range chosen were such that other joint components such as reflexes and visco-elasticity did not have a significant contribution to the dynamic response recorded. This was confirmed by the EMG traces and the local linearity of the inertial plot described above. Traditionally, the dynamics of the joints of the human body in reaction to perturbations have been approximated by a simple visco-elastic model: the K-B-I model (stiffness, damping and inertia in parallel). During preliminary investigations, it became clear that a linear second order K-B-I model did not adequately fit perturbations to the human forearm, despite fitting artificially constructed K-B-I systems using the same apparatus and analysis methods. The problem arose from independent motion of forearm soft tissue within the cast. This soft tissue comprises approximately 80% of the forearm mass (Clarys and Marfell-Jones 1986) and has also been reported earlier as a confounding factor in the determination of the moment of inertia of limb segments (Allum and Young 1976). For our study, we found that as the cast was applied tighter to the arm, particularly around the upper forearm, the limb appeared to become more rigid, although there was a limit to the 20 cast tightness that a subject could tolerate, due to ischemia and discomfort. As such, modifications were made to the model to incorporate these added dynamics, such that the relationship between position and elbow torque was represented by: t ¼ I€ a þ Bq_ þ Kq T a_ þ a ¼ q ð1Þ This second order model relates applied torque (t) to joint angle (q) through the familiar parameters K, B and I. To address the separate motion of limb mass, a time delay (T seconds) was added as well as an angle, a, which references the inertial component, where a represents the angle between the joint axis and the center of mass (as opposed to the location of the wrist). The concept behind this change is that the center of mass generally tends to lag the movement of the bone by a small amount of time, and the simplest dynamic model of such behavior is a first-order filter. The transfer function of the limb impedance in the Laplace domain reveals two poles and one minimum phase zero: q ðsÞ Ts þ 1 ¼ tðsÞ ðI þ BT Þs2 þ ðB þ KT Þs þ K ð2Þ As the time lag, T, approaches zero, the transfer function approaches that of a standard K-B-I system. The time delay, T, was chosen to be 5 ms for all subjects, by considering the initial 15 ms of all responses. The inertial parameter, I, was fixed for each subject using the procedure described above. Stiffness and damping parameters were adjusted to fit the mean position response to the mean torque input for each perturbation condition in the following manner. For a given perturbation condition, we collected torque and position in N trials: ti ðtÞ ¼ recorded torque; i ¼ 1::N bi ðtÞ ¼ recorded position; i ¼ 1::N bi ðtÞ ¼ bA;i ðtÞ bU;i ðtÞ qðti ðtÞÞ ¼ qðK; B; I; T; ti ðtÞÞ 90% and looking to see if data and model curves had similar structure) it is decided that Dmin is acceptable, then the region of best fit in parameter space, given measurement uncertainty, is one for which: DðK; BÞ Dmin þ ð3Þ The third definition in Eq. 3 denotes that a prediction of the underlying trajectory, bU, i (t), is subtracted from the measured position. The last definition simply establishes q(ti (t)) as the model prediction, based on the torque recorded in the i-th trial using what we will call the K-B-I-T model (so as to distinguish it from K-B-I). Stiffness, K, and damping, B, were adjusted such that for 50 ms following the perturbation onset, the mean discrepancy between the simulated and recorded position traces was minimized: Dmin ¼ min ð4Þ E qðtÞ b K;B Fig. 2 Trajectory matching. Shown are two trajectories, which match well up to the 0-deg crossing point where the MID perturbation condition occurs (here t0=121), and their subsequent growing deviation, indicating an underlying limit to the predictability of ballistic motion for fixed-task parameters t¼0::50 The Euler method of differential equation simulation with time steps of 1 ms proved to be numerically stable for the values of K and B tested. Although we fit the average position trace to the average torque trace, we took into account that the uncertainty in these averages was related to their standard error: qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi Vari ðqðti ðtÞÞÞ qSE ðtÞ ¼ N1 rffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi Vari ðbi ðtÞÞ bSE ðtÞ ¼ ð5Þ N1 Traditional statistics of model fit such as chi-square probability or Bayesian likelihood are based on the concept that deviations from model predictions to data are random and due primarily to measurement errors. As there are very few statistical methods available to deal with the case when the errors in a model fit are much greater than attributable to measurement error (Sakamoto et al. 1989), we consider K-B values equivalent if the variability of the predictions of different K-B values is less than the inter-trial variability. Thus, if a model is only capable of fitting some physiological process to within Dmin, and by a general measure such as VAF or the ’eye’ test (we used both, checking for VAF’s above E jqSE j þ t¼0::50 E jbSE j t¼0::50 ð6Þ Prediction of arm trajectory Whenever experiments were performed that altered voluntary motion, the expected trajectory of the limb at the time of the perturbation must be predicted. The effect of a perturbation is dependent on what the movement would have been if the perturbation was absent. A nearest neighbor approach to extrapolation was used, for which a large database of unperturbed trajectories was collected. The database could be used to train or construct a predictor function (Burdet et al. 2000) that is small and efficient. Since this function is not used in real-time to control the motor coupled to the arm, computational efficiency is not needed, but merely accuracy. For this purpose we can simply construct a metric (norm) which measures the similarity between 2 trajectories up to, or from, a particular point in time with a forgetting factor, w. This metric can be used to pick the most similar trajectory history from the database, and its form is: Z t0 d ðy1 ; y2 ; t0 ; wÞ ¼ ðexp t=wÞ ðy1 ðtÞ y2 ðt þ DtÞ DyÞ2 dt ð7Þ 1 Note that we introduce two parameters, Dt and Dy, which can be adjusted to minimize this norm. The same norm can be used to compare trajectory values in the future by the coordinate transformation t’=t. The value for w chosen was 100 ms, such that it would match twice the approximate bandwidth of human voluntary movement. An example of a trajectory match for to consistent with a MID perturbation is shown in Fig. 2. It follows that one can collect all predictions of unperturbed trajectories for each choice of to corresponding to the EARLY, MID and LATE perturbation types, and construct respective functions of time called “unpredictability functions” which represent the growing uncertainty in prediction versus time. This function is zero for the PRE and POST conditions since they are quasi-static. 21 The variability in perturbed trajectories, perturbed minus predicted, will be expected to be greater than the unpredictability functions. The remaining variability can be attributed to trial-to-trial changes in the mechanical properties of the lower arm and the small changes in the perturbing torques applied. EMG analysis Surface EMG data was pre-filtered, rectified and integrated over successive 40-ms time windows, which began at the onset of the perturbation (with the exception of EMG profiles of the entire movement, where the windows began at the onset of trial recording). EMG activity was scaled to the EMG activity collected during the time period when subjects voluntarily co-contracted (the STIFF condition); in this way, biceps activity could be compared to triceps activity, as agonist and antagonist forces are equal during co-contraction. Results Moment of inertia Accurate identification of inertia is essential, because the inertia dominates the response to fast perturbations and it potentially affects the values of K and B we obtain. That is, small errors in inertial estimates may propagate erroneous estimates of K and B. Table 2 shows the inertial estimates for each subject, along with the estimates derived using the Zatsiorsky regression model. Although there is a general agreement between the two estimates of inertia, and therefore validation of the frequency response estimation technique, it is clear from the size of error bars that the frequency response method provides the far more accurate measurements, with about 3% accuracy. Fig. 3 Torque perturbations (bottom) and resulting position traces (top). The thick dotted trace is a sample reaction for the STIFF condition; the rest are all the reactions of a subject to the PRE condition (both are isometric). The gray region (<50 ms) indicates the portion of the response used for the K-B-I-T The first aim of this study was to characterize the mechanical state of the limb during voluntary movement by applying brief perturbations to the subject’s arm. An example perturbation for the relaxed, PRE motion condition as well as for the contracted, STIFF condition is shown in Fig. 3. The resulting torque profiles of the perturbations and the resulting position traces are also plotted in the figure, where it can be seen that the torque perturbation changed little from condition to condition. The position responses indicate the normal trial-to-trial variability because of both subtle changes in the torque input as well as changes in the mechanical state of the limb. Note that for the PRE case shown, there is no variability associated with predicting the intended movement trajectory since the subject is attempting to keep the limb stationary. Note also the effect a large degree of cocontraction has on position. The difference seen in Fig. 3 between the co-contracted and relaxed conditions is about as large as we can expect since strong co-contraction induces near maximal stiffness. The dynamic response to perturbations at the various positions during a subject’s movement is shown in Fig. 4. There is clearly an increase in variability of the response in the moving perturbation conditions (EARLY, MID, LATE and ENDING) when compared with the PRE perturbation condition. Even with an accurate prediction method such as nearest neighbor with a large training set (see Materials and methods), trajectories can only be predicted with up to 0.5-deg accuracy for 50 ms into the future. Torques are also different between actual and Table 2 Inertial estimates for each subject. The 95% confidence interval of frequency response estimate is from the linear regression fit between squared frequency and amplitude. To the linear regression predictors of forearm/hand inertia (Zatsiorsky and Seluyanov 1985) from limb geometry data, we added to the sinusoid estimates of fixture inertia, confidence interval being derived from the published r-values of the prediction and do not include measurement errors Effects of perturbations on joint position I, frequency response (kg m2/rad) 95% confidence interval (kg m2/rad) I, Zatsiorsky+cast (kg m2/rad) 95% confidence interval (kg m2/rad) I. fixture (kg m2/rad) 104.5 95.3 110.9 48.4 48.8 5.4 6.7 6.7 2.6 2.6 130.3 91.1 110.2 57.9 64.9 43.0 25.2 34.7 16.3 19.1 25.2 25.2 26.7 16.8 20.2 22 Fig. 4 Actual trajectories minus unperturbed trajectories. Shown are position traces (black) and torque profiles (light gray, scaled, shown in 10-Nm units) for each perturbation type. The inertial response derived from the average torque profile and the inertial estimate (if K and B were zero) is also shown (dotted) predicted values, but they are much less variable because torque is the controlled variable by the motor. All traces of the same condition were aligned in time to provide the best match among torque profiles. For modeling purposes, we used the averaged response for each condition in order to reduce the effect of prediction uncertainty. This is because the prediction error associated with the intended trajectory is not due to random noise but is a slowly growing function. Fitting each trial independently would therefore result in distorted values of K and B values. To assess the robustness of limb trajectory to perturbations, we calculated the ratio of the maximum deflection of the limb to the maximum deflection attributable solely to the inertia, over the interval ending 50 ms after the perturbation onset. We used this measure to gain insight into the mechanical state of the limb (i.e., the intrinsic stiffness) without immediately confronting the mathematical difficulties and statistical uncertainty in fitting K-B-I to the responses. This ratio has limited meaning outside the paradigm shown, and there is no linear relationship between it and stiffness. The results are shown in Fig. 5, where it is illustrated that the only noticeable increases in effective stiffness within the time period for which reflexes are not yet active occurs during voluntary cocontraction. Modeling of forearm impedance The second aim of this study was to establish the usefulness of the K-B-I model. Although it proved necessary to modify the structure of the model in order to account for the movement of soft mass on the upper forearm, the K-B-I-T model is similar enough so that the term may be used interchangeably with K-B-I (see Materials and methods for formulation and optimization procedures). The fundamental results of this paper are shown in Fig. 6. Fig. 5 Limb robustness to perturbations. Ratios (M) of the maximum deflection of the arm within 50 ms to similar torque perturbations to the deflections we would expect for a purely inertial system, by perturbation condition. Five bars in each grouping represent 5 subjects. Subject #4 shows a substantial deviation from this trend, as it was observed from the noisy EMG traces that she did not substantially co-contract despite the instruction The regions of possible K and B values (see Materials and methods) which achieve fits within the standard error bounds are shown in the lower trace of Fig. 6. The shape of these regions indicates the relative sensitivity of the fit to B and K, respectively. By varying the inertial parameter within €3% of our inertial estimate, we found that these shapes were minimally affected. The extrema of the regions can be used as lower and upper bounds on our B and K estimates for each condition, summarized in Figs. 7 and 8, respectively. For the perturbation condition during motion (EARLY, MID, LATE and ENDING), the uncertainty region is determined by our prediction algorithm (see Materials and methods) and the variability 23 Fig. 6 Best fits and parameter uncertainty. Top: Average changes in position bounded by standard error curve (light gray), mean best model fit bounded by standard error (dark gray), position change attributable to inertia (top trace-dotted) and mean torque profile in 10-Nm units (gray saw-tooth trace). Bottom: Regions of K-B space which are within standard error bounds of the best fit value (see text). Arcs delineate line of critical damping. Only 1 subject is shown in this figure Fig. 8 K values obtained for the best fit for the K-B-I-T model, with lower and upper bounds and mean of best fit across subjects (horizontal line). Note that bounds are not independent of other parameters, notably B co-contraction, the region of uncertainty produced by our analysis allows an increase in B during co-contraction; however, the only noticeable increase observed is in K, which increases by more than an order of magnitude. While the uncertainty in our measurement does not establish the modulation of intrinsic K with precision, there is no observable change in our upper bound for K during movement, and the value allowed by the best estimate during relaxed or movement conditions is very slight compared to K during co-contraction. EMG response to perturbations Fig. 7 B values obtained for the best fit for the K-B-I-T model, with lower and upper bounds and mean of best fit across subjects (horizontal line). Note that bounds are not independent of other parameters, notably K in the mechanical properties. For the isometric trials (STIFF and PRE) the uncertainty regions are determined by the variability in mechanical properties only, hence the more precise knowledge of K and B. Figures 7 and 8 show that the model fits are much more sensitive to B than to K because the bounds, relative to the mean, are tighter. There is a slight increase in B at the ENDING phase of movement when compared to the relaxed state, and a slight drop during movement. During Our observations indicate that the moving arm displays very low K values when evaluated over the first 50 ms following a brief perturbation. But when the response is assessed over longer time periods, as in Fig. 3 (on the order of 200 ms), we observed that the trajectories began to return towards the intended trajectories, as in the fully relaxed limb, but only after some significant changes in EMG activity were seen, suggesting the presence of reflexes and other neurally mediated reactions to the perturbation. The typical EMG profiles, along with typical movements in 3 subjects, are shown in Fig. 9. The EMG profiles are typically tri-phasic, with an agonist burst, an antagonist burst, and finally mild co-activation. The figure shows that EMG changes from subject to subject and scales with the level of muscle activity. Figure 9 shows that outside of the PRE condition, all other perturbations occur during periods of distinct muscle activity rather than coasting periods of low muscle activity during a ballistic motion. This indicates that the lack of stiffness increase is not due to perturbations being applied during periods of muscle inactivity. 24 Discussion The finding of low values of intrinsic limb stiffness during movement is surprising in that we had expected stiffness to increase significantly above that present under passive conditions. We discuss the potential impact of uncertainties in measurement, the relation of the reported estimates of K and B to known muscle physiology, alternative explanations for the kinematic behavior of the perturbed limb, and the impact of changes in mechanical properties on movement generation. Mechanical states of the limb during movement as measured by K and B Fig. 9 EMG profiles for 3 subjects and typical trajectories. The main agonist (triceps) and the antagonist (biceps) integrated rectified EMG profiles are shown as percentages of EMG activity during forceful voluntary co-contraction (collected during the STIFF protocol condition). Also shown are typical (most predictable) trajectories in position for each subject, along with a pictorial representation of perturbation onsets for each protocol condition Fig. 10 Illustration of the significance of B. Top: Sample velocity profile (smooth curve) and necessary torque (leading trace) for an IB system with parameters derived for one subject with a relaxed limb (PRE). Also shown is the velocity profile resulting from a torque profile like the one shown but with the negative (braking) portion removed. Bottom: Same information as Top but with only an inertial system assumed. Notice in the absence of a braking pulse the limb reaches a high steady state velocity and would eventually ram into the elbow joint lock It is usually believed that mechanical properties of the passive forearm are mainly inertial. Using sinusoidal position perturbations of varying frequency and with moderate levels of preload, Rack (1981) characterized both physiological properties of muscle as well as dynamic behavior of the elbow joint. The numerical results, along with those of other studies, are given in Table 3. The first values in Table 3 are derived from Nyquist plots in the Rack studies, and do not necessarily emulate a linear second order K-B-I linear model because of delayed reflex contributions. Interestingly, K values in Rack are lower than those obtained by Cannon and Zahalak (1982), presumably because of the low level of pre-load. The damping values recorded in our current study lie within the range found for isometric muscle contraction reported in the earlier study (Cannon and Zahalak 1982). If we assume that the torques needed to generate motion are primarily determined by limb inertia, we can estimate these values readily, as shown in the upper trace of Fig. 10. The Cannon and Zahalak study suggests that for an extensor moment of about 8 Nm, the stiffness is around 60 Nm/rad. This estimate is a much higher value than the best fit values in the present study (where the extensor driving torque is about 8 Nm around the time of the EARLY perturbation) and is higher than the upper bound obtained for K during movement (Fig. 8). This discrepancy suggests that stiffness during movement is lower than what we might expect from predictions using the quasi-static slope of the Force-Length relationship in muscle, presumably measured by Cannon and Zahalak. Table 3 Numerical values of stiffness (K), damping (B) and inertia (I) obtained at the elbow joint in different studies K Nm/rad B Nm/rad/s I kg m2/rad Condition Study 3–5 30 (before) 20 (during) 10 5–15, higher while moving 5€2 + x 240, 0<x<1 .2 1 to 2 – – 0.4 to 1 – .1 – – .08 to 1.2 Isometric, 0.75 Nm preload Cyclical 0.6 rad, 1 s, voluntary motion Slow (1 mvmt/sec) 2d ballistic, voluntary motion Isometric, Relaxed, x level of Preload (Rack 1981) (Xu 1999) (Bennett 1993) (Gomi 1996) (Cannon 1982) 25 This difference can be attributed to a variety of physiological mechanisms, but static force-length slopes are nevertheless used in many simplified muscle models. Implications of low stiffness during movement In contrast to Bennett et al. (1992) who used an air-jet to study limb mechanics, the results from our present study suggest that stiffness does not really drop measurably during movement, but is essentially negligible before and throughout the movement. The modest decrease in stiffness seen by Bennett may have been an artifact resulting from the use of large sinusoid-like movements of the elbow in which there was essentially continuous muscle activity. In the present study, a ‘rest’ meant a period of muscle relaxation prior to the subject’s instruction to move. Furthermore, the results of our study also do not support the assertion that intrinsic muscle stiffness increases significantly during movement, as suggested by Gomi and Kawato (1997). The discrepancy in this case may be attributed to reflex contributions on the effective stiffness they measured. The addition of reflex action over a latency on the order of hundreds of milliseconds (Gomi and Kawato 1997), which is significant and potentially includes components other than the stretch reflex, could lead to a significant increase in estimated stiffness. We found that stiffness modulation is low for the relaxed limb and remains low throughout the movement, despite significant activation of muscle. Unlike other studies of stiffness, the present study calibrated estimates against those induced by co-contraction, which was found to be two orders of magnitude larger than those recorded during relaxation or during movement. Implications for equilibrium point (EP) control We believe that our findings do not support the role of equilibrium point approaches towards the control of voluntary motion. To illustrate, we will begin by assuming, as in Fig. 10, that there is an inertial driving torque of 8 Nm at the EARLY stage of movement and an intrinsic mechanical stiffness of about 5 Nm/rad (from Figs. 6 and 8). With the driving torque being the product of stiffness and the difference between virtual and actual trajectories, as claimed by the EPH hypothesis (Astrayan and Feldman 1965; Bizzi et al. 1978), this error signal would have to be approximately 1.6 radians (90 deg), an error of impractical size for realistic control. In the event that reflexes play an integral role in the forward dynamics of the limb as an autonomous motor servo functioning at the spinal level, we may expect the reflex to enhance effective impedance magnitude. Such reflex actions develop force only after some delay and are not a component of stiffness, as estimated here. Reflex actions would have an effect on impedance magnitude if we assume that impedance is a linear transfer function. In the quasi-static case, Rack (1981) has shown that the increase in impedance magnitude due to reflexes at the elbow is quite limited by stability considerations (to about twice that of intrinsic stiffness, transiently), similar to reports of ankle impedance (Kearney et al. 1997). In another quasi-static study (Bennett 1993) the contribution of the stretch reflex to disturbance rejection itself was shown to be very small, which we also noted in our EMG data. Hence, we believe that the reflex could not increase effective stiffness in the forward dynamics enough to allow it to be part of a simplified control calculation, as discussed above, even if it was part of an automatic positioning servo. Even if the stretch reflex could result in quadrupled effective stiffness relative to intrinsic, a value exceeding that supported by previous studies (Bennett et al. 1992), we would still need about 23 deg of difference between virtual and actual trajectory. At about 160 deg of elbow extension, or shortly after velocity peak in our study, the ’equilibrium point’ would have to be outside the joint range of motion. Because of the small stiffness values, our findings argue against the ability of spring-like intrinsic properties of muscle to generate movement, a key postulate of one variant EP Hypothesis (Bizzi et al. 1978). They also raise doubts about the ability of the stretch reflex to sufficiently increase stiffness via a servo-loop like mechanism, as implied by another EP Hypothesis variant (Astrayan and Feldman 1965). Had the elbow muscles been more strongly co-contracted during movement, sufficient force generation from joint elasticity might have been possible. Mechanisms of joint stiffness The main factor determining intrinsic muscle stiffness and damping are the dynamics of actin and myosin crossbridges within the muscle fiber (Huxley and Simmons 1972). Tonic increases in activation increase the number of active cross-bridges. Stiffness of muscle rises proportionately to that number (Huxley and Simmons 1972), whereas damping is proportional to the number of crossbridges in transition to and from non-force generating states. This mechanism predicts a coupling between K and B under constant activation without any history dependence. Moving muscle exhibits lower stiffness than isometric muscle because a lower number of crossbridges are attached while movement occurs (Zahalak 1986). Controlled experiments with single rat and frog muscle fibers reveal that static stiffness behaves differently and is higher than dynamic stiffness (Cecchi et al. 1986; Ettema and Huijing 1994; Bagni et al. 1998) and that damping is always present, increasing with activation. Also possibly responsible for the surprising lack of stiffness observed is that common muscle models were derived for and assume tonic activation conditions (Hill 1922; Zahalak 1981, 1990). However, phasic changes in activation as well as activation history (Sandercock and Heckman 1997) have 26 been observed to alter the development of stiffness and damping. Reflex contributions to disturbance rejection during movement The behavior of isolated muscle preparations reveals different mechanical properties for reflexive vs. areflexive muscle. Reflexively active muscle is stiffer and is more linear during stretch, while exhibiting less yield (Nichols and Houk 1976; Houk et al. 1981). Concurrently, areflexive (yet active) muscle shows more effective damping in isolated muscle as well as in humans (Rothwell et al. 1982b; Lin and Rymer 1993, 1998; Milner 1993, 1998). This could explain many of the discrepancies between this study (which reports low intrinsic K and B) and its predecessors (which measured effective K and B, including reflex contributions). One interesting question remaining is, given low intrinsic stiffness and also servo stiffness at the spinal cord level, how do fast movements remain robust in the face of external perturbations? Our previous results showed this robustness to be limited without visual correction (Popescu and Rymer 2000), that the stretch reflex appears in the muscle being stretched while the subsequent reactions result in the transient but significant co-contraction of agonist and antagonist muscles, and that the integrated EMG response profiles were not strongly correlated across latency (Popescu and Rymer 1999) and are hence likely to imply functionally independendent control loops. Earlier studies (Desmedt and Godaux 1978) also pointed to long-loop reactions as essential to disturbance rejection during movement. If the longer latency co-contraction reactions observed have the same effect as observed in the trials where cocontraction was asked of the subjects before movement, the plant would become stiffer and also increase in damping factor. This would aid in bringing the suddenly perturbed motion to a halt close to the intended endpoint. In preliminary work, we have observed a diminished long latency response to a second perturbation within a movement with respect to the initial one (Popescu and Rymer 2000). The non-automatic nature of longer loop responses, as well as their likely changes to plant properties via co-contraction, allows high effective gain without compromising stability, unlike increasing the gain of the stretch reflex. This type of strategy is consistent with the idea that longer-loop reactions compensate for inadequacies in stretch reflex action (Cooke 1980; Bennett 1993) and that disturbance rejection in the limb is much more complex than would be expected of a position servo (Button et al. 2000). To sum up our observations, the low stiffness of the joint during movement makes it unlikely that the difference between actual and desired (or ’virtual’) limb trajectory is used as an error signal to generate movement, and the primarily inertial nature of limb mechanics do not pose a control problem, either in complexity or stability (see below for a discussion on movement termination). Low joint stiffness may compromise robustness to external perturbations; however, a limited stretch reflex combined with more powerful longer latency reactions are available to maintain the limb on track. Although increasing stiffness is a strategy which is sometimes used during movement, via co-contraction, increasing both robustness and movement accuracy (Kawato 2000), the CNS seems to prefer maintaining the limb at a very low stiffness level, a strategy which is potentially energy efficient and relies on multiple reflex pathways and visual correction for stability in the face of perturbations. Significance of damping The final aim of this study (see Introduction) was to determine the role of observed viscosity in ending movement. At first glance, it may seem that the amount of damping observed was small throughout the movement, and did not increase significantly. To show that the level of damping was indeed significant, some simple simulations were run to see if the value of B found by identification of K-B-I-T is functionally significant. In Fig. 10, we see the torque profile required for the values of I and B identified for the first subject in order to produce a sample unperturbed movement. These values were obtained by using the simple equation F = I a + B v, where a (acceleration) and v (velocity, shown in red) are measured. The torque profile shows a large agonist ‘pulse’ and a small antagonist braking pulse. Let us posit, initially, what would happen to the movement trajectory if the CNS omitted the braking force entirely. As seen in the upper trace of Fig. 10, the effect is hardly noticeable. The damping enables motion to be halted. But if there was no damping in the system (Fig. 10 lower trace) the results are striking-the limb coasts into a joint-locked position. In fact, in the horizontal plane, where gravity does not have an effect, any failure to properly balance the accelerating and braking mechanical energy will fail to bring the limb to rest. Adding stiffness to a system which is very lightly damped will merely result in large oscillations whenever we do not accurately balance the agonist and antagonist pulses. This arrangement would require substantial feedback corrective activity to bring the limb to rest, not to mention to achieve endpoint accuracy. The results of this study showed that stretch reflex activity appeared at the end of movement. Since stretch reflex activity is thought to decrease effective damping (Lin and Rymer 1993, 1998; Milner and Cloutier 1998), it may seem that intrinsic damping may not aid in stopping movement, as shown in Fig. 10. However, as was repeatedly pointed out in this discussion, voluntary control of movement against known loads is likely determined by intrinsic rather than reflexive limb mechanics. The values of K and B measured in this study suggest that intrinsic muscle properties are more advan- 27 tageous to control of point-to-point movement than reflexive properties. Impedance modeling The values of K and B estimated in this study are comparable to parameters derived in other studies, but only in a general sense. Each study is different in the details of the functional form of the impedance model and in subtraction of the underlying trajectory, details which can affect the values of parameters obtained greatly. In fact, stiffness and damping are not directly measurable properties of muscle, like length or duration. These attributes apply to a particular mathematical form of an impedance model (in our case K-B-I-T) and to a specific situation (the posture, movement amplitude and speed of the protocol). In the case of unknown loads, removing afferent input severely impairs the ability of the human to counteract these loads (Rothwell et al. 1982a). Our results support the idea that this behavior requires special reflexes and reactions, which are not automatic in the manner of spinal reflexes (Dufresne et al. 1978), are of higher latency and magnitude, and therefore are likely mediated by supraspinal pathways. In the case of known loads, the intrinsic elasticity of the moving non-cocontracted limb is so low, and the stretch reflex may be so limited in its ability to increase limb impedance magnitude, both due to loop delay related stability margins and phasic depression of servo loop gain (Gottlieb and Agarwal 1972), that the brain must plan movements considering limb properties which are essentially of negligible elasticity and mild damping in comparison with inertial forces. Under this scenario, computational simplicity, endpoint accuracy and robustness of control are likely traded off for gains in metabolic efficiency, agility and dexterity. 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