Seediscussions,stats,andauthorprofilesforthispublicationat:https://www.researchgate.net/publication/7937624 Anequationtocalculateindividualmuscle contributionstojointstability ArticleinJournalofBiomechanics·June2005 ImpactFactor:2.75·DOI:10.1016/j.jbiomech.2004.06.004·Source:PubMed CITATIONS READS 48 37 2authors: JimRPotvin StephenHMBrown McMasterUniversity UniversityofGuelph 89PUBLICATIONS1,440CITATIONS 62PUBLICATIONS972CITATIONS SEEPROFILE Allin-textreferencesunderlinedinbluearelinkedtopublicationsonResearchGate, lettingyouaccessandreadthemimmediately. SEEPROFILE Availablefrom:JimRPotvin Retrievedon:18May2016 ARTICLE IN PRESS Journal of Biomechanics 38 (2005) 973–980 www.elsevier.com/locate/jbiomech www.JBiomech An equation to calculate individual muscle contributions to joint stability Jim R. Potvina,, Stephen H.M. Brownb a Department of Kinesiology, University of Windsor, 401 Sunset Ave, Windsor, Ont., Canada N9B 3P4 b Department of Kinesiology, University of Waterloo, Waterloo, Ont., Canada Accepted 2 June 2004 Abstract The purpose of the current paper was to use the energy approach to develop a simplified equation for quantifying individual muscle contributions to mechanical stability about all three axes of a particular joint. Specific examples are provided for muscles acting about the lumbar spine’s L4/L5 joint. The stability equation requires input of: (1) origin and insertion coordinates, relative to the joint of interest, (2) muscle force, and (3) muscle stiffness. The muscle force must be derived from a biomechanical analysis that first results in static equilibrium about all axes being studied. The equation can also accommodate muscles with nodes that change the line of action, with respect to a particular joint, as it passes from the origin to insertion. The results from this equation were compared to those from a Moment approach using more than two million simulated muscles with three-dimensional orientations. The differences between approaches were negligible in all cases. The primary advantage of the current method is that it is very easy to implement into any 2D or 3D biomechanical model of any joint, or system of joints. Furthermore, this approach will be useful in dissecting total joint stability into the individual contributions of each muscle for various systems, joints, postures and recruitment patterns. r 2004 Elsevier Ltd. All rights reserved. Keywords: Joint stability; Spine mechanics; Muscle stiffness; Buckling behavior 1. Introduction Mechanical joint stability has become a popular topic in the biomechanics literature. To date, most researchers, including ourselves, have merely assumed stability levels based on a qualitative interpretation of agonist/ antagonist muscle activation. Spine instability has been proposed as a risk factor in the development of lowback pain and injury (Panjabi, 1992) and this system has been the focus of most of the rare attempts to actually quantify muscle contributions to stability. However, due to the complexity of these calculations, few have made them and the role of stability in spine function, and thus its direct link to injury, is not yet fully understood. Corresponding author. Tel.: +1-519-253-3000x2461; fax: +1-519973-7056. E-mail address: [email protected] (J.R. Potvin). 0021-9290/$ - see front matter r 2004 Elsevier Ltd. All rights reserved. doi:10.1016/j.jbiomech.2004.06.004 Bergmark (1989) was the first to fully define and examine the mechanical stability of a muscular system which can be considered to be stable when the potential energy ðV Þ of the entire system is at a relative minimum. Thus, a system must always be able to return to its original state of equilibrium in response to perturbations around this original state. Mathematically, two conditions must be met in order for stability to exist. First, the system must be in mechanical equilibrium, meaning that the first derivative of V (net moment) must be zero. Next, the second derivative of V must be positive definite (greater than zero) indicating that V is at some minimum. A muscle can contribute to potential energy during a perturbation, and subsequent length change, by storing or releasing elastic energy related to its stiffness and by performing positive or negative work related to its pretension. Muscle stiffness plays a very significant role in ARTICLE IN PRESS 974 J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980 stabilizing a joint and/or system of joints. A muscle with a higher stiffness stores more energy in relation to the distance it is stretched during a perturbation, thus creating a higher level of stability in the system. Bergmark (1989) and subsequent researchers (Crisco and Panjabi, 1991; Cholewicki and McGill, 1996; Gardner-Morse et al., 1995; Gardner-Morse and Stokes, 1998; Granata and Wilson, 2001) have investigated stability of the lumbar spine by developing a stiffness and load matrix incorporating V , with respect to each generalized coordinate, and examining the eigenvalues for each joint degree of freedom. For the system to be stable each eigenvalue, and the global matrix determinant, must be positive definite. The smallest eigenvalue is considered to be the critical stiffness. Loads that compromise this critical stiffness would cause the system to become unstable such that it would buckle. Recently, Howarth et al. (2004) have shown that the global determinant and smallest eigenvalue (weakest link) provide similar trends for interpreting system stability. While it is important to quantify spine stability, the complexity in applying the required mathematical analyses can be quite significant and limiting to many researchers. To this end, recent researchers (Cholewicki et al., 1999; Granata and Orishimo, 2001) have been able to demonstrate a relationship between muscle moment arm, length and stiffness that allows for a relatively simple, yet accurate, assessment of stability for the purposes of their studies. However, their models, and thus their equations, were proposed to be limited to one upright single-equivalent flexor and one upright single-equivalent extensor muscle. Such a simplification was not suggested to apply to the complex musculature of human joints for the sake of a full-scale analysis of stability. The purpose of the current paper was to use the energy approach to develop a simplified equation for quantifying individual muscle contributions to stability about the three axes of a particular joint. Subsequently, a method will be proposed for estimating total stability in a multi-muscle system. Specific examples will be provided of muscles acting about the lumbar spine’s L4/ L5 joint. (B2X, B2Y, B2Z) (BX, BY, BZ) l2 θz l Joint at (0,0,0) (AX, AY, AZ) Fig. 1. Initial ðBX ; BY ; BZ Þ and final ðB2X ; B2Y ; B2Z Þ coordinates of the node, or insertion point where no node exists, for a small rotation about the joint. The ðAx ; Ay ; Az Þ coordinates refer to the muscle origin. All coordinates are relative to the joint at (0,0,0). For illustration purposes, the rotation angle ðyÞ is exaggerated beyond the small angles generally used for stability analyses. The ‘ and ‘2 indicate the initial and final distance from the origin to the insertion/node. In this example, the XY plane is represented and stability will be calculated about the z-axis. muscles are modeled to pass through nodes between the origin and insertion. These nodes serve to change the line of action of the muscle. In such cases, (Bx , By , Bz ) will represent the node, and not the final insertion point (Fig. 1). All calculations here assume rotation about one axis of one joint, with muscles that have a maximum of one node. However, these equations can be used for rotations about multiple joints, axes and nodes if the total 3D length of the muscle is calculated. For a given rotation about the z-axis: 2 3 2 32 3 B2X BX cos yZ sin yZ 0 6 7 6 76 7 cos yZ 0 5; ð1Þ 4 B2Y 5 ¼ 4 BY 54 sin yZ 0 0 1 B2Z BZ B2X ¼ BX cos yZ BY sin yZ ; ð2Þ B2Y ¼ BX sin yZ þ BY cos yZ ; ð3Þ B2Z ¼ BZ ; ð4Þ 2. Methods The following equations will outline the development of a simple equation for the calculation of individual muscle contributions to joint stability. Calculations will be made for stability about the z-axis, but similar equations can be used for stability about the x- and yaxes. A muscle can be observed before and after rotation about the z-axis of a particular joint, assumed to be at (0,0,0) m (Fig. 1). In the biomechanical literature, many where AX ; AY ; AZ are the origin coordinates with respect to the joint of interest at (0,0,0) m, BX ; BY ; BZ the initial node or insertion (without nodes) coordinates with respect to joint and B2X ; B2Y ; B2Z the rotated node or insertion (without nodes) coordinates with respect to joint. ARTICLE IN PRESS J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980 Given these coordinates, a muscle’s initial length, rotated length and change in length can be calculated as follows: qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi ‘ ¼ ðBX AX Þ2 þ ðBY AY Þ2 þ ðBZ AZ Þ2 ; ð5Þ ‘2 ¼ steps can be found in the appendix: d2 UðmÞ dy2Z AX BX þ AY BY ðAX BY AY BX Þ2 ¼F ‘ ‘3 ðAX BY AY BX Þ2 þk : ‘2 SðmÞZ ¼ qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi ðB2X AX Þ2 þ ðB2Y AY Þ2 þ ðB2Z AZ Þ2 ð6Þ substituting (2)–(4) into (6) yields: ‘2 ¼ By substituting (5) and (7) into (8), the change in muscle length for a small rotation about the z-axis is calculated as where ‘ is the initial distance from ðAX ; AY ; AZ Þ to ðBX ; BY ; BZ Þ, ‘2 the distance from ðAX ; AY ; AZ Þ to ðB2X ; B2Y ; B2Z Þ, after a small rotation ðyZ Þ and D‘ the change in muscle length, from the origin to the insertion/ node, for a small rotation ðyZ Þ. The elastic potential energy stored in a given muscle is calculated by ð9Þ where UðmÞ is the sum of the energy stored and work done by, or on, the muscle, F the muscle force (N), and k the muscle stiffness (N/m). The stability contribution of a muscle, about the z-axis, is calculated as the second derivative of stored potential energy, with respect to a small rotation about z: d2 UðmÞ ; dy2Z ð10Þ where SðmÞZ is the stability contribution of a muscle about the z-axis of a joint. The following steps were then performed to yield Eq. (11): (a) substituting (8) into (9), (b) applying a Taylor Series expansion (third-order approximation), (c) differentiating twice with respect to y, (d) substituting (5) and simplifying. A more detailed representation of these ð7Þ are determined from the cross products of the radius ðBX ; BY ; BZ Þ and the muscle force unit vector, from ðBX ; BY ; BZ Þ to ðAX ; AY ; AZ Þ. This value represents the D‘ ¼ ‘2 ‘ qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi ¼ ðBX cos yZ BY sin yZ AX Þ2 þ ðBX sin yZ BY cos yZ AY Þ2 þ ðBZ AZ Þ2 qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi ðBX AX Þ2 þ ðBY AY Þ2 þ ðBZ AZ Þ2 ; SðmÞZ ¼ (11) In addition, the functional moment arms of the muscle qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi ðBX cos yZ BY sin yZ AX Þ2 þ ðBX sin yZ BY cos yZ AY Þ2 þ ðBZ AZ Þ2 : UðmÞ ¼ F D‘ þ 12 k D‘2 ; 975 (8) moment about z, created by a resultant muscle force of 1 N. For rotations about the z-axis, this simplifies to rZ ¼ BX AY AX BY ; ‘ ð12Þ where rZ is the functional moment arm of the muscle about the z-axis (m). Substituting (12) into (11) yields AX BX þ AY BY r2Z SðmÞZ ¼ F ð13Þ þ kr2Z : ‘ Bergmark (1989) calculated muscle stiffness as k¼ qF ; L ð14Þ where L is the total muscle length from origin to insertion, q the proportionality constant relating muscle force and length to stiffness. Substituting (14) into (13) and simplifying yields AX BX þ AY BY r2Z qr2Z SðmÞZ ¼ F þ : ð15Þ ‘ L Nodes serve as pulleys to change the line of action of the muscle (Fig. 2). The total stability of the system requires the examination of all sources of potential energy, including the work done by external loads acting on the body ARTICLE IN PRESS J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980 976 where W is the work done during the rotation (J), P is the external load (kg), and h is the initial height of the load (m). Applying a Taylor Series expansion, and calculating the second derivative with respect to yZ , produces: (CX, CY, CZ) (BX, BY, BZ) lBC rBC 2 l (BX, BY, BZ) lAB (0,0,0) L = lAB + lBC r rAB V¼ (AX, AY, AZ) (AX, AY, AZ) N X Um W; where V is the potential energy of the entire system and m is a particular muscle. The second derivative of V represents the total stability S Z about the z-axis, and can be approximated with " # N d2 V X d2 U d2 W SZ ¼ 2 ¼ : ð19Þ dyZ m¼1 dy2Z m dy2Z Substituting (15) and (17) into (19) yields SZ ¼ P ¼ d2 V dy2Z N X m¼1 h Y r3 r1 r4 Joint X m2 m3 m1 Sz = Z m4 d2 V dθ z 2 N =Σ m=1 [ 2 F (AX BX + AY BY – rz ) l + qFrz L 2 ] – Ph m Fig. 3. Example of four muscles and a load ðPÞ and the calculation of stability about the z-axis. The q is set as a constant. The stability contributions of each muscle are summated and counteract the destabilizing potential energy of the load ðPhÞ. For each muscle, the stabilizing potential is a function of the origin, insertion and nodal coordinates, length, moment arm and force. (Fig. 3). For the sake of simplicity, the contributions of passive structures will be ignored, although they will contribute to energy storage. During a small rotation, the work done by the external load at a given height is W ¼ Phð1 cos yÞ; ð18Þ m¼1 Fig. 2. Illustration of the parameters used for the calculation of the stability contribution of a muscle about one axis, in cases where there is no node (left), and where there is a node associated with the joint (right). With a node, the ‘ and L will differ, such that the final stability equation cannot be further simplified. Note the larger moment arm when the node is present. The insertion (left) and node (right) have coordinates ðBX ; BY ; BZ Þ that will move with rotations about the lower joint (0,0,0). The moment arms ðrÞ are for illustration purposes only and are not exactly the functional moment arms derived from a 3D analysis. Moment arms rAB and rBC reflect moment potential about the z axis, relative to joints 1 and 2 respectively. r2 ð17Þ Therefore, for a system with multiple muscles, the potential energy of the entire system can be calculated as 1 (0,0,0) (0,0,0) d2 W ¼ Ph: dy2Z ð16Þ Fm AX BX þ AY BY r2Z qr2Z þ ‘ L Ph: (20) m It is important to note here that stability cannot be calculated until there is static equilibrium. Thus, the individual muscle forces must first be determined such that the net moment about each axis is zero. Once this first step has been achieved, the net mechanical stability about the z-axis can be calculated with Eq. (20). To provide examples, the stability contributions of two trunk muscles were evaluated in the upright posture about the flexion/extension, lateral bend and axial twist axes. The origin, insertion and nodal coordinates for these muscles were taken from Cholewicki and McGill (1996) and are provided in Table 1. The above equations can also be converted for use with the lateral bend ðxÞ and axial twist ðyÞ axes. For calculations about the lateral bend axis, substitute x for z, y for x and z for y. For the axial twist axis, substitute y for z, z for x and x for y. The proposed equations can be used for each lumbar joint as long as the A and B coordinates are calculated with respect to the joint of interest. The right rectus abdominis provided an example of a muscle with no node, while the right L1 pars lumborum was modeled to have one node at the L4 level. The q value was assumed to be 10 and forces were set to 1 N. The ‘‘Geometric Stability’’ was calculated to be the muscle’s stability related solely to its orientation. This value could then be multiplied by any muscle force to obtain the actual stability contribution of the muscle. ARTICLE IN PRESS J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980 977 Table 1 The coordinates used for the rectus abdominis and L1 pars lumborum as examples for the calculation of stability Global Coordinates L4/L5 Rectus Abdominis L1 Pars Lumborum Coordinates wrt L4/L5 X Y Z X Y Z Origin Insertion Pelvis Rib 0.106 0.184 0.190 0.211 0.050 0.350 0.000 0.030 0.070 0.000 0.078 0.084 0.000 0.161 0.139 0.000 0.030 0.070 Origin Node Insertion Pelvis L4 L1 0.024 0.025 0.044 0.178 0.223 0.328 0.060 0.050 0.026 0.082 0.081 0.062 0.033 0.012 0.117 0.060 0.050 0.026 These coordinates were taken from Cholewicki and McGill (1996) and all units are in meters. For Eq. (15), all coordinates must be taken with respect to the joint (L4/L5) and those values are presented on the right. Table 2 Muscle parameters used to calculate Geometric Stability of the rectus abdominis and L1 pars lumborum about the three anatomical axes of the L4/ L5 joint Length from origin to node/insertion (m) Total length (m) X -axis (lateral) Moment Arm (m) AY BY ðm2 Þ AZ BZ ðm2 Þ Geometric stability (N m) ‘ L r Y -axis (axial) Moment Arm (m) AZ BZ ðm2 Þ AX BX ðm2 Þ Geometric stability (N m) r Moment Arm (m) AX BX ðm2 Þ AY BY ðm2 Þ Geometric stability (N m) r Z-axis (flex/ext) S S S Rectus Abdominis L1 Pars Lumborum 0.3030 0.3030 0.0510 0.0224 0.0021 0.010 0.0461 0.1555 0.0514 0.0004 0.0030 0.169 0.0097 0.0021 0.0066 0.031 0.0165 0.0030 0.0066 0.221 0.0805 0.0066 0.0224 0.140 0.0793 0.0066 0.0004 0.403 The q value was set at 10 for all calculations. For the sake of simplicity in these examples, it was assumed that rotations only occurred at L4/L5. To test the validity of the muscle stability equation (15), a large number of muscles were simulated and rotated by a very small angle. Insertions were simulated with all combinations of x (lateral axis), y (vertical) and z (flex/ext) coordinates ranging from 0 to 10, in increments of 1 ðn ¼ 1331Þ. Origins were simulated with all combinations of x and z coordinates from 0 to 10 and y coordinates from 10 to 10 ðn ¼ 2541Þ for a total of 3,382,071 origin/insertion combinations (i.e. muscles). From this, simulated muscles were removed if they either created a negative moment and/or had an origin that was superior to the insertion, leaving a total of 2,189,253 muscles (65% of the total). Each muscle was given a q value of 10, a force of 100 N and the insertion was rotated 1 108 radians. Eqs. (7) and (12) were used to calculate the length ðlÞ and moment arm ðrÞ, respectively. Eq. (15) was then used to estimate the stability contribution of each muscle about the z-axis. Stokes and Gardner-Morse (2003) noted that stability can also be calculated as the change in moment divided by the change in angle, during a very small rotational perturbation. For each simulated muscle, the stability was also calculated using this Moment method. The change in moment, resulting from a 1 108 radian rotation, was calculated using the product of the original force and moment arm and subtracting it from the product of the new force (new length times stiffness) and new moment arm after rotation. A difference value (error) was calculated for each muscle, by subtracting the stabilities calculated with the energy method from those obtained with the moment method. 3. Results The stability values for the rectus abdominis and L1 pars lumborum were calculated for each axis (Table 2). The calculation of the mechanical stability contribution ARTICLE IN PRESS 978 J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980 of the L1 pars lumborum about the z-axis (flexion/ extension) will be presented here. Using a q value of 10, force of 1.0 N and the xy coordinates, the values from Table 2 were input into Eq. (15) to obtain ð0:0066Þ þ ð0:0004Þ ð0:0793Þ2 SðL1ÞZ ¼ F 0:0461 2 ð10Þð0:0793Þ þ ¼ 0:403F : (21) 0:1555 With a geometric stability of 0.403 m, the stability for a muscle force of, for example, 500 N would be 201.5 N m. Without the node, the L1 pars lumborum flexor moment arm decreases 5% from 0.0793 to 0.0750 m, but this results in a 17% decrease in geometric stability to 0.335 m. Of the 2,189,253 muscles simulated, the average stability value was calculated to be 25.1 N m. Amongst all these comparisons between the energy and moment methods, the largest error was only 0.00013 N m and this was only 0.0003% of the mean stability. 4. Discussion This paper presents a simple equation that calculates the magnitude of individual muscle contributions to mechanical stability about any axis of a particular joint. The stability equation requires the input of: (1) origin and insertion coordinates, relative to the joint of interest, (2) muscle force and, (3) muscle stiffness. The muscle force must be derived from a biomechanical analysis that first results in static equilibrium about all three axes. The equation can also accommodate muscles with nodes that change the muscle’s line of action, with respect to a particular joint, as it passes from the origin to insertion. The primary advantage of the current method is that it is very easy to implement into any 2D or 3D biomechanical model of any joint, or system of joints. This paper uses trunk muscles for illustrating the equation’s utility. To date, almost all attempts to directly quantify muscle contributions to joint rotational stability, have done so with applications to the spine. The author’s are aware of no such calculations with other joints. However, it is proposed that this method can be used for any joint where the location of the axis of rotation as well as muscle origin, insertion and nodal coordinates are available. Eq. (15) is sensitive to a number of factors that affect muscle contributions to stability. Muscle force generated prior to the perturbation (pre-tension) will directly affect the work done by the muscle during a small rotational perturbation (first half of Eq. (15)). This pretension will also determine muscle stiffness (k ¼ qF =L in Bergmark, 1989), and affect the stability contributions of strain energy stored in the muscle during the perturbation. In addition, the origin and insertion coordinates will determine the muscle length (Eq. (5)) and moment arm of the muscle acting about the axis of interest (Eq. (12)). When the muscle passes through a node that deviates the line of action from that of the line joining the origin and insertion, this is accounted for by replacing the insertion coordinates with that of the node so that the origin–node length ð‘Þ and origin–insertion length passing through all nodes ðLÞ can be calculated separately. In fact, Eq. (15) could be re-written into a much longer equation, using only muscle force, Bergmark’s q and the coordinates for the origin and insertion (and node, where applicable). Cholewicki et al. (1999) and Granata and Orishimo (2001) have presented simplified models of muscle contributions to stability, using only stiffness and moment arm ðS ¼ kr2 Þ. However, Eq. (13) indicates that stability is more complex than this, as it is also dependent on the origin and insertion locations. For a linear spring, stiffness and pre-tension are independent. While the stiffness always makes a positive contribution to stability, pre-tension can either increase or decrease stability, depending on the origin and insertion/node locations (i.e. AX BX and AY BY polarities). Unlike linear springs, however, muscle stiffness is dependent on muscle force/activation so that it is not as easy to differentiate the relative contributions of muscle stiffness and pre-tension to joint stability. For most muscles, increasing force has a larger effect on increasing the stiffness contribution to stability than any potential destabilizing work done by the initial force. In fact, of the 2,189,253 muscles simulated, 93.5% had positive geometric stabilities such that relatively few muscles had orientations that made the joint less stable as their pretension was increased. With the proposed equation, the relative contribution of muscle stiffness depends on the selection of a q value. Large q values will increase the magnitude of the kr2 component of Eq. (13), and diminish the relative effect of the AX BX þ AY BY r2 component. Estimates of q in the literature have been in the large range from approximately 0.5–50, with a mean of approximately 10 (Crisco and Panjabi, 1991; Cholewicki and McGill, 1995). Recent work has estimated the critical q (the minimum q at which the spine is stable) to be in the range of approximately 0.3–7.3 (Gardner-Morse et al., 1995; Gardner-Morse and Stokes, 1998; Stokes and Gardner-Morse, 2003). It appears that future work is needed to determine the most appropriate q for biomechanical analyses. Cholewicki and McGill (1995) describe a method for estimating muscle stiffness without the need to estimate q. They modified the crossbridge bond distribution moment (DM) model of Ma and Zahalak (1991) which was based on the sliding filament theory of Huxley (1957). Eq. (13) allows for the use of either method to estimate muscle stiffness. ARTICLE IN PRESS J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980 One benefit of the proposed equation, is that it allows for a muscle’s contribution to stability to be broken into two components: (1) the capacity to generate force (generally related to muscle cross sectional area, length and velocity) and, (2) the orientation of the muscle (referred to here as geometric stability). This orientation can be defined completely by the coordinates of the origin, insertion and, where applicable, a node. For the two trunk muscle examples presented in Tables 1 and 2, it is apparent that geometric stability is sensitive to both the length and moment arm of the muscle. For example, the rectus abdominis and L1 pars lumborum have similar moment arms about the x-axis (about 0.051 m) but given that the L1 muscle has a node and shorter muscle length, its geometric stability of 0.169 is much larger than the 0.010 of the rectus abdominis. Based on Eq. (15), it appears that the ideal stabilizer would have a short length and a long moment arm, with moment arm being the more important of the two. Cholewicki and McGill (1996) have presented the most complete, multi-joint method to examine multiple muscle contributions to spine stability. Specifically, matrices of the stiffness contributions of the different system components have been examined, with respect to the V of each generalized coordinate, to obtain the eigenvalues and the overall stability determinant of the system. However, the complexity of their method has presented other researchers with a substantial obstacle to quantifying joint stability, so that many provide only qualitative interpretations based on muscle activation patterns. While less complex, the present method does allow for an accurate quantitative assessment of the joint stability contributions of multiple muscle systems. It must be stressed that the stability equations presented here are limited to a single joint and a single degree of freedom. However, the equation could be used for all joints and axes in a complex system like the spine, by sequentially calculating the origin, insertion and node coordinates relative to the joint of interest. It should be noted that it is the muscles acting in opposition to the perturbation that affect stability, however muscle forces will often be required on both sides of the joint to achieve static equilibrium. In addition, any complete analysis of joint stability must include the contributions of passive tissue stiffness. The proposed equations provide only for each muscle’s direct effect on stability. Recent work by Stokes and Gardner-Morse (2003) would indicate that muscle force will also indirectly contribute to joint stiffness by increasing axial compression force. Any use of the proposed equations would have to account for this factor, relative to the characteristics of the specific joint being studied. The primary advantage of this method is that it provides a simple formula to quantify muscle contributions to joint stability under various static conditions. Furthermore, this approach will be useful in dissecting 979 total joint stability into the individual contributions of each muscle for various systems, joints, postures and recruitment patterns. Appendix A Eq. (8) was substituted into (9) and a Taylor Series expansion (third-order approximation) was applied to yield: ðBY AY ÞBX ðBX AX ÞBY UðmÞ ¼F y 1=2 ½ðBX AX Þ2 þ ðBY AY Þ2 þ ðBZ AZ Þ2 F ðBX AX ÞBX þ B2Y ðBY AY ÞBY þ B2X 2 y þ 2 ½ðBX AX Þ2 þ ðBY AY Þ2 þ ðBZ AZ Þ2 1=2 F ½ðBY AY ÞBX ðBX AX ÞBY 2 y2 2 ½ðBX AX Þ2 þ ðBY AY Þ2 þ ðBZ AZ Þ2 3=2 þ k ½ðBY AY ÞBX ðBX AX ÞBY 2 y2 2 ðBX AX Þ2 þ ðBY AY Þ2 þ ðBZ AZ Þ2 þ 0ðy3 Þ; (A.1) substituting (5) into (A.1) and simplifying yields AX BY AY BX UðmÞ ¼ F y ‘ F AX BX þ AY BY ðAX BY AY BX Þ2 2 y þ 2 ‘ ‘3 k ðAX BY AY BX Þ2 2 þ (A.2) y : 2 ‘2 The first derivative of UðmÞ, with respect to a small rotation about the z-axis, is also the moment equilibrium equation. This must add to zero (static equilibrium) in a stability analysis of all muscles in a system: dUðmÞ AX BY AY BX ¼F dyZ ‘ AX BX AY BY ðAX BY AY BX Þ2 y þF ‘ ‘3 ðAX BY AY BX Þ2 þk y: (A.3) ‘2 Stability is calculated as the second derivative of UðmÞ, with respect to a small rotation about the z-axis. 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