This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING 1 Effects of Muscle Fatigue on the Ground Reaction Force and Soft Tissue Vibrations during Running: A Model Study Ali Asadi Nikooyan and Amir Abbas Zadpoor Abstract—A modeling approach is used in this paper to study the effects of fatigue on the ground reaction force and the vibrations of the lower extremity soft tissues. A recently developed multiple-degrees-of-freedom mass-spring-damper model of the human body during running is used for this purpose. The model is capable of taking the muscle activity into account by using a nonlinear controller that tunes the mechanical properties of the soft-tissue package based on two physiological hypotheses, namely “constant-force” and “constant-vibration”. In this study, muscle fatigue is implemented in the model as the gradual reduction of the ability of the controller to tune the mechanical properties of the lower body soft-tissue package. Simulations are carried out for various types of footwear in both pre- and post- fatigue conditions. The simulation results show that the vibration amplitude of the lower body soft-tissue package may considerably increase (up to 20 %) with muscle fatigue while the effects of fatigue on the ground reaction force are negligible. The results of this modeling study are in line with the experimental studies that found muscle fatigue does not significantly change the GRF peaks but may increase the level of soft tissue vibrations (particularly for hard shoes). A major contribution of the current study is formulation of a hypothesis about how the central nervous system tunes the muscle properties after fatigue. Index Terms—ground reaction force, mass-spring-damper model, muscle fatigue, soft tissue vibrations R I. INTRODUCTION running has become the preferred mode of exercise for millions of people worldwide. One of the consequences of this profound interest in running is a high incidence rate of running injuries. For example, 24-67% of 30 million Americans who run recreationally suffer from some type of injury that prevents them from running for at least one ECREATIONAL Manuscript received August 3, 2011; revised October 26, 2011; accepted November 27, 2011. Asterisk indicates corresponding author. *A. A. Nikooyan is with the Dep. Biomech. Eng., Delft University of Technology, Mekelweg 2, Delft 2628 CD, The Netherlands (e-mail: [email protected]). A. A. Zadpoor is with the Dep. Biomech. Eng., Delft University of Technology, Delft, The Netherlands (e-mail: [email protected]). Both authors have equally contributed to this manuscript and should therefore be considered as joint first authors. Copyright (c) 2011 IEEE. Personal use of this material is permitted. However, permission to use this material for any other purposes must be obtained from the IEEE by sending an email to pubs‐[email protected]. week per year [1, 2]. Many researchers have presumed that running injuries are linked to the transient force that is developed in the human body after its collision with the ground and is often called Ground Reaction Force (GRF), see e.g. [3]. The temporal pattern of the GRF results from a complex interaction between the neural and musculoskeletal systems that follows the collision and aims to attenuate the shock [4, 5]. As a result of the transient impact force, soft tissues may start to vibrate. It has been, however, shown that the vibrations of soft tissues are heavily damped [4-6]. It is believed that not only regulation of the GRF but also damping of soft tissue vibrations are linked to muscle activity (the muscle tuning paradigm) [4]. Given the importance of muscle activity in the attenuation of the collision shock and damping of the resulting vibrations, it is important to understand how the GRF and vibrations of soft tissues change when muscles fatigue. Any change in the shock attenuation capability of the human body due to fatigue is important both from fundamental and injury development viewpoints. The effects of muscle fatigue on the GRF [7-12] and tissue vibrations [13] during running are therefore studied before. As far as the GRF is concerned, there is confusion in the literature as to whether the GRF increases or decreases with muscle fatigue. While some researchers have found that the GRF decreases with fatigue [9, 10, 12], others have not found any substantially change [8], or have even observed increase [7, 11]. Not many researchers have studied the effects of fatigue on soft tissue vibrations. In a recent study, Friesenbichler et al found that the level of soft tissue vibrations increases with fatigue [13]. Beside these experimental researches, the modeling approach has recently received attention. In some recent studies, a mass-spring model was used to predict the changes in the passive stiffness during sprint [14] and self-paced [9] running. The single-degree-of-freedom passive mass-spring model developed by McMahon and Cheng [15] was used in those studies. The simulation results showed that both vertical and leg stiffness significantly decrease with fatigue. No experimental or modeling studies have so far investigated the effects of muscle fatigue on both GRF and vibration level. In the current study, a modeling approach is used to understand the effects of muscle fatigue on the GRF and tissue vibration during running. A recently developed Copyright (c) 2011 IEEE. Personal use is permitted. For any other purposes, permission must be obtained from the IEEE by emailing [email protected]. This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING multiple-degrees-of-freedom mass-spring-damper model that is capable of taking the muscle activity into account is used for this purpose. The model is modified to enable it to take account of muscle fatigue. The model is then used to calculate the changes in the GRF and the vibration level of soft tissue package with fatigue. The simulation results are compared with experimental observations. The cost functions that are used with this controller are based on two main physiological hypotheses. The first objective function is designed based on the constant force hypothesis according to which the human body adjusts the mechanical properties of the lower-body soft tissues such that the changes in the GRF are minimal [19-22]. For each set of shoe-hardness parameters (bi, di), the force objective function (Jf) is formulated as follows: II. MATERIALS AND METHODS A. The basic and active models The mass-spring-damper model presented in references [16, 17] is called the basic model which, in fact, is a corrected version of the original model which was previously developed by Liu and Nigg [18]. The basic model has four degrees-offreedom and consists of four masses, five springs, and three dampers. The model parameters are listed in Table 1. Two of these masses represent the upper-body rigid (m3) and wobbling (m4) masses and the other two represent the lowerbody rigid (m1) and wobbling (m2) masses. The springs and dampers represent the stiffness and damping properties of the human body hard and soft tissues. An improved version of the basic model was recently proposed by Zadpoor and Nikooyan [5]. In this new version (active model, Fig. 1), the pre-landing muscle activity is taken into account by considering the lower body wobbling mass (LBWM) as an active element. The governing equations of the motion can be written as [5]: m1x1 = m1g - Fg - k1 ( x1 - x3 ) - k2 c -c1 ( x1 - x3 ) - c2 c ( x1 - x2 ) , where p1 and p2 are the first and second peaks of the GRF as functions of the shoe hardness parameters, and p1,0 (=1436.8 N) and p2,0 (=2026.4 N) are the reference values of the first and second GRF peaks [17] calculated using some default shoe parameters (Table 2). k5 m4 k x m3 c 4 4 4 k x 3 3 2 k 1 1 2 x c k m c 2 2 ground reaction model 1 x (1) 1 Fig. 1. A schematic representation of the active model [5]. m3 x3 = m3 g + k1 ( x1 - x3 ) + k3 ( x2 - x3 ) TABLE I THE DEFAULT VALUES OF THE MASSES, STIFFNESS, AND DAMPING - ( k4 + k5 ) ( x3 - x4 ) + c1 ( x1 - x3 ) - c4 ( x3 - x4 ) , PARAMETERS OF THE MODEL m4 x4 = m4 g + ( k4 + k5 ) ( x3 - x4 ) + c4 ( x3 - x4 ) where χ represents the excitation signal issued by the Central Nervous System (CNS). The LBWM stiffness (k2) and damping (c2) properties are both functions of the excitation signal. The model is connected to the ground via a GRF element. The force acting on this element (Fg) is a function of the displacement (x1) and velocity (v1) of the LBWM [18]: ( x1 > 0 ) ( x1 £ 0 ) b d e ì ï Ac éë ax1 + cx1 v1 ùû ï î0 (3) + p2,i bi ,di - p2,0 b0 ,d0 m +c2 c ( x1 - x2 ) , Fg = í J f = p1,i bi ,di - p1,0 b0 ,d0 ( x1 - x2 ) m2 x2 = m2 g + k2 c ( x1 - x2 ) - k3 ( x2 - x3 ) 2 m1 (kg) m2 (kg) m3 (kg) m4 (kg) 6.15 k1 (kN/m) 6 k5 (kN/m) 18 6 k2 (kN/m) 6 c1 (kg/s) 300 12.58 k3 (kN/m) 10 c2 (kg/s) 650 50.34 k4 (kN/m) 10 c4 (kg/s) 1900 TABLE 2 THE DEFAULT VALUES FOR TOUCHDOWN VELOCITIES AND THE SHOE-GROUND MODEL PARAMETERS (2) where, a, b, c, d, Ac, and e are the parameters of the shoeground model. Parameters a, c, and e are the same for all shoe types. The hardness of the shoe is determined by two parameters b and d. The default values of the shoe-ground model are listed in Table 2. In the active model, a controller adjusts the stiffness and damping properties of the LBWM (k2 and c2). The controller is a nonlinear optimizer that minimizes some cost functions (J). touchdown velocities (m/s) a b 0.6e6 1.38 for m1 and m2 c d 2.0e4 0.75 for m3 and m4 0.96 2.0 e 1.0 The second objective function is based on the vibration hypothesis according which the human body adjusts the mechanical properties of the lower-body soft tissues such that the changes in the level of vibrations are minimal [23-27]. The vibration level is quantified based on the amplitude (Λ) of the displacements of the lower-body soft tissue package. For each set of shoe hardness parameters (bi, di), the vibration amplitude cost function (Jv1) can be calculated as: Copyright (c) 2011 IEEE. Personal use is permitted. For any other purposes, permission must be obtained from the IEEE by emailing [email protected]. This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING J v1 = Li bi ,di - L0 b0 ,d0 (4) where Λ0 (=10.1 cm) is the reference value of the vibration amplitude and is calculated using the default values of b and d (Table 2) [28]. In a more recent study, Nikooyan and Zadpoor [29] introduced a combined cost function that matches experimental observations better. The improved cost function (Jfv) is the normalized sum of the two previously-proposed (force and vibration amplitude) cost functions: J fv = p1,i bi ,di - p1,0 b0 ,d0 p1,0 b0 ,d0 + p2,i bi ,di - p2,0 b0 ,d0 p2,0 b0 ,d0 + L i bi ,di - L 0 b0 ,d0 L 0 b0 ,d0 (5) The simulation results using this improved cost function showed that the new cost function can predict the GRF and vibrations levels that are in agreement with experimental observations. To make comparison between the present and previous studies [5, 29] easier, the same range of shoe hardness parameters (1 ≤ b ≤ 2 and 0.6 ≤ d ≤ 0.9) and the same optimization technique (i.e. Pattern Search Method for boundconstraint minimization [30]) were used in this study. In the pattern search method, the objective function is optimized while applying some bound constraints. A pattern is a set of vectors defined as the scalar multiplication of the basis and the generating matrices. The number of independent variables determines the size of the generating matrix. For every iteration, the pattern search algorithm uses the pattern to search the points around the computed point in the last iteration. If the new point lowers the value of the objective function, it will be selected for comparison in the next iteration. The process will continue till the final error is less than a very small value (e.g. 0.0001). In our simulations, the independent variables of the objective function are the stiffness and damping coefficients (k2 and c2) of the lower body wobbling mass. B. Implementation of muscle fatigue in the active model It is well known that the pre-landing muscle activity prepares the musculoskeletal system for collision with the ground [31]. In the active model, it is assumed that the prelanding muscle activity results in adjustment of the properties of the LBWM [5]. The interval within which the stiffness and damping properties of the LBWM may change, i.e. the constraints of the controller, were determined [5] based on experimental observations [26, 32]. In this study, it is assumed that: 1. The adjustments in the properties of the LBWM are caused by muscle activity. This assumption is in line with the muscle tuning paradigm [4]. 2. The intervals, within which the properties of the LBWM can change, shrink as muscles fatigue. This assumption is 3 based on the reasoning that larger changes in the properties of the LBWM need higher levels of muscle forces. Based on these two assumptions, muscle fatigue is implemented in the active model as time decay of the ability of the human body to adjust the mechanical properties of the LBWM (i.e. k2 and c2). The bound limits for pattern search optimization were therefore assumed to narrow with time. For the purpose of the current modeling study, the exact shape of the time decay function is not important. That is because we are primarily interested in the pre- and post-fatigue conditions and not as much in the intermediate steps. However, it makes sense to use a relatively generic decay function such as the exponential decay function used by Franken et al [33]. Franken et al [33] observed that exponential functions can be used to represent the changes in the measured values of the quadriceps muscle force with time. A similar exponential function as in [33] was used in the current study to narrow down the bound limits that are used for pattern search optimization: é æ ù tö x (t) = xmax ê(1- xmin ) exp ç - ÷ + xmin ú è tø ë û (6) where t is the time passed after the start of running ξ(t) is a coefficient that determines to what extent the optimization bound limits shrink. ξmax and ξmin are, respectively, the maximum and minimum permissible values of the coefficient ξ. Similar to the previous studies [5, 29], these two parameters were assumed to be respectively 4 and ¼. τ is the time-constant of fatigue. At each time-step t, the upper (UB) and lower (LB) optimization bounds of the stiffness (k2) and damping (c2) parameters were defined as: LBk (t) = k2,0 , LB (t) = c2,0 , c2 x (t) x (t) UBk (t) = k2,0 .x (t), UBc (t) = c2,0 .x (t) 2 2 (7) 2 where k2,0 and c2,0 are the default values of k2 and c2 and are given in Table 1. C. Modeling considerations Modeling the human body with a mass-spring-damper model that can only move in the vertical direction is an approach that has been used by several researchers to study the loading of the body during running and hopping (for a thorough review see reference [34]). The reader is referred to those studies for a detailed discussion of why such simplified models are useful for studying the loading of the body during bouncing gait. The spring and dampers that are used in the construction of the vertical mass-spring-dampers models represent the stiffness and damping properties of the various segments of the body. Certain characteristics of the musculoskeletal system such as the joint angles chosen during running cannot be directly represented in such models. However, the net effect of the variations in the joint angles Copyright (c) 2011 IEEE. Personal use is permitted. For any other purposes, permission must be obtained from the IEEE by emailing [email protected]. This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING during running, i.e. changes in the stiffness of the body, can be captured. The stiffness and damping properties that are used in the model should therefore be considered as equivalent springs and dampers that also represent the changes in the stiffness caused by variations in the joint angles and other similar mechanisms. It should be noted that the way the muscle fatigue is modeled in the current study is mostly based on biomechanical reasoning and is therefore somewhat arbitrary. That is because there is no consensus in the literature about the definition of fatigue, the consequences of muscle fatigue for running [35], and the protocols for inducing fatigue [36]. One of the benefits of such a modeling study is that we can formulate certain hypotheses and test them with the model to determine whether or not the hypotheses result in meaningful and relevant simulation results. In this study, we have proposed a simple model and have used it to test a certain hypothesis. The way in which muscle fatigue is implemented in the model is actually a representation of the tested hypothesis. We postulate that muscle fatigue occurs in the certain way implemented in the model and run the simulations. We then try to understand and validate the simulation results. In this way, the relationship between the assumed fatigue mechanism and previous experimental observations becomes clearer. This may ultimately result in a better understanding of how lowerextremity muscle fatigue affects the performance of the human body during running. A major contribution of this study using such a simple model is proposing a certain hypothesis about how the CNS tunes muscle properties after fatigue. D. Simulations Simulations were carried out for four different conditions: 1. the pre-fatigue condition: t/τ = 0, 2, 3. the intermediate conditions: t/τ = 1, and t/τ = 2, 4. the post-fatigue condition: t/τ = 3 For each condition and every set of shoe hardness parameters b and d (varying in the ranges of 1 ≤ b ≤ 2 and 0.6 ≤ d ≤ 0.9), the k2 and c2 values that minimized the objective function (i.e. Equation (5)) were calculated by using the pattern search algorithm. As stiffness may be related to activation, it could be argued that the interval (within which the stiffness and damping properties of the lower-body soft tissue package change) shrinks mainly with regard to the upper bound, and not that much for the lower bound. To investigate the possible effects of this assumption, the stiffness variation mechanism described by Equation (7) was updated such that only the upper-bound (UB) changed with muscle fatigue. The simulations were repeated for this updated stiffness variation mechanism. III. RESULTS Similar to the results of our previous studies [5, 29], there is a particular area of the b-d plane (Fig. 2, the safe region) within which the normalized error is very close to zero. The safe region was defined in the same way as it was defined in reference [29]: a part of the b-d plane (Fig. 2) within which the 4 normalized error is less than 0.05. The safe region can be identified as the region that lies in between two dashed lines in each subfigure of Fig. 2. One can see (Fig. 2) that the size of the safe region does not considerably change as a result of muscle fatigue. The updated assumption about stiffness variation mechanism does not significantly change the simulation results (Fig. 3). Another important observation is that, inside the safe region, the magnitude of the GRF as well as the vibration amplitude is not much different between the pre-fatigue and post-fatigue conditions (compare subfigures 2a and 2d, see subfigures 4a and 4b). It can therefore be said that for a certain range of shoe hardness parameters neither GRF nor vibration amplitude change with fatigue. Outside the safe region, the controller is not capable of bringing the objective function close to zero. Therefore, the magnitude of the GRF and the vibration amplitude that are calculated for very soft or very hard shoes are far from their reference values (subfigures 4a and 4b). Comparing pre- and post-fatigue conditions (subfigures 2a-d), one can see that the GRF and vibration amplitude exhibit different behaviors as the level of muscle fatigue increases. While the GRF values do not change with muscle fatigue even outside the safe region (compare subfigures 3e-h), the vibration amplitudes deviate from their pre-fatigue values as muscles fatigue (compare subfigures 2i-l). The deviations from the pre-fatigue values are larger for larger values of the shoe hardness parameter b. It can therefore be concluded that the vibration amplitude increases with fatigue for a certain range of shoe hardness parameters (Fig. 4b, hard shoe). For b > 1.6, the vibration amplitude increases by up to 20% (Fig. 2l and 2p) after longterm (t/τ = 3) running. For soft shoes, the vibration amplitude does not change with fatigue, even though the peak displacement occurs in different times before and after muscle fatigue (Fig. 4b, soft shoe). IV. DISCUSSION The simulation results obtained for both stiffness variations mechanisms are almost the same (compare Fig. 2 and 3). This is an important point because it shows that the main results of the study are not dependent on the mechanism through which the stiffness and damping properties of the model change. There is a major difference between the effects of muscle fatigue on the vertical GRF and on the level of soft tissue vibrations. While the so-called safe region remains more or less the same regardless of how much the muscles are fatigued, the level of soft tissue vibrations may increase as muscles fatigue. As for the GRF, the minimization error does not significantly change with fatigue neither inside nor outside the safe region (compare Fig. 2e-h). These results have important implications for understanding the effects of muscle fatigue on the GRF and vibration level. When muscles are significantly fatigued (t/τ > 3), the intervals within which the damping and stiffness properties of the human body may be adjusted are very narrow. Nevertheless, the controller is capable of adjusting the stiffness and damping properties of the human body such that the GRF values remain Copyright (c) 2011 IEEE. Personal use is permitted. For any other purposes, permission must be obtained from the IEEE by emailing [email protected]. This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING 5 constant. As Orishimo and Kremenic describe [37], insignificant changes in the GRF with fatigue illustrate the Winter’s assertion [38] that the human body adjusts the motor patterns to produce a consistent GRF when landing. Moreover, only minimal changes in the properties of the LBWM are required for producing a consistent GRF before and after fatigue. However, these minimal changes may not be sufficient for producing a consistent level of vibrations and that is why the vibration amplitude increases with fatigue for hard shoes. consistent levels of the GRF and vibration amplitude are produced at contact with the ground. Both above-mentioned lines of reasoning suggest that muscle fatigue ultimately results in change in the stiffness and/or elastic storage capability of the human body. Even though the proposed model cannot capture such detailed mechanisms as change in flexion angle, it can capture the net effect of those mechanisms, i.e. the change in the stiffness of the human body. That explains the agreement between the predictions of the proposed model and experimental observations. Comparison with experimental observations It is important to compare the results of this modeling study with experimental observations. As for the GRF, there is yet no consensus in the literature on how the magnitude of the vertical GRF changes with fatigue. Some researchers have found that the vertical GRF decreases [9, 10, 12] with muscle fatigue during running. However, some other researchers have found no notable change [8], or have even observed increase [7, 11]. The results of a recent meta-analysis study by the current authors [35] showed that as far as running is concerned, neither first nor the second GRF peak significantly changes with fatigue. The results of the current modeling study are in agreement with that conclusion. We are only aware of one study that has investigated the effects of muscle fatigue on soft tissue vibrations. The results of that study [13] showed that the vibration amplitude of the soft-tissue compartments (triceps-surae muscle) increase with fatigue. The results of the current study coincide with the findings of that study. Limitations of the current study The mass-spring-damper model that is proposed in this study inherits all the limitations of mass-spring-damper models. For example, it only works with vertical GRF and cannot say anything about the horizontal GRF. Moreover, it cannot distinguish between different muscles, as they are all lumped into one single element with one single set of stiffness and damping properties. Kellis et al [39] studied agonist vs. antagonist muscle fatigue effects on the GRF during drop landing. They found that these two different types of fatigues might have different effects on the GRF. It is, however, not clear to what extent their conclusions are generalizable to running. In order to be able to study the fatigue effects of individual muscles, more complex models such as large-scale musculoskeletal models [44-46] are needed. However, study of muscle fatigue and vibrations using musculoskeletal models is not straightforward and involves modification of a large number of modeling assumptions and parameters. The other limitation of the model proposed here is that it does not take the effects of upper-body vibrations into account. The trunk-stabilizing (lower-back) musculature may also play an important role during the shock absorption phase, to minimize impact on the upper body and/or head. Such effects are not included in the current study. Why vibration/GRF changes/does not change with fatigue? Researchers have tried to explain the effects of muscle fatigue on the GRF and/or vibration using two major lines of biomechanical reasoning: The first line of reasoning speculates that the human body possesses a protective mechanism that lowers the GRF and/or vibration level when muscles fatigue in order to protect the body from injuries. Decrease of the peak GRF values has been explained based on such detailed mechanisms as change in joint kinematics such as greater flexion angles at impact during landing [8, 11, 39] or changes in the regulation of muscle stiffness and reduced storage of elastic energy [10, 40]. According to the second line of reasoning, the capacity of the human body’s protective mechanism decreases with muscle fatigue. Based on this reasoning, one would expect that the GRF and/or the vibration level should increase with muscle fatigue. As James et al note [41], the increase of the GRF has been explained by increased pre-activation of the stabilizing musculature [42] that may result in increased joint or system stiffness [40, 41, 43]. James et al [18] observed that muscle activation increases with fatigue in the vastus medialis and gastrocnemius, further supporting the explanation based on increased stiffness. Friesenbichler et al [13] argue that the vibration amplitude increases due to the weakening of the protective mechanism with fatigue. In the model proposed here, the controller tries to adjust the stiffness and damping properties of the body such that Implications of the simulation results The major question we are asking in this paper is that ‘how do the GRF and/or vibrations change due to the changes in the stiffness of the lower body caused by muscle fatigue?’ The simple model presented in this study provides an unexpected answer to this question: the changes in the stiffness of the lower body soft tissue package do not necessarily result in significant changes in the GRF. The model shows that even for such a simple model, there are certain ways for minimal adjustment of the stiffness and damping properties of the lower body tissue package such that the GRF remains almost unchanged for a wide range of shoe hardness parameters. If such a simple model could exhibit this feature, it may well be the case that the more complex musculoskeletal system is also capable of maintaining the same level of impact forces despite muscle fatigue. A modeling study using dynamical rigid body models is needed to clarify whether or not that actually is the case. Comparing the pre- and post-fatigue simulation results, one can see that the controller converges to different values of the stiffness and damping properties before and after fatigue. However, for a wide range of shoe hardness parameters, these Copyright (c) 2011 IEEE. Personal use is permitted. For any other purposes, permission must be obtained from the IEEE by emailing [email protected]. This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING very different values of stiffness and damping properties result t/τ = 0 (b) (e) (f) (i) t/τ = 2 t/τ = 3 (c) (d) (g) (j) (m) in very similar values of the GRF. t/τ = 1 (a) (k) (n) 6 (h) (l) (o) (p) (q) (r) (s) (t) (u) (v) (w) (x) (y) (z) (aa) (bb) (cc) (dd) (ee) (ff) Fig. 2. Simulation results at four different time-ratios (larger versions of the sub-figures of this figure are presented in the electronic supplement of the paper); (a to d) the normalized error, (e to h) the absolute error of the force part, (i to l) the absolute error of the amplitude part, and (m to p) the vibration amplitude, (q to t) the stiffness coefficients, (u to x) the damping coefficients, (y to bb) the first GRF peak, and (cc to ff) the second GRF peak. The shoe hardness changes from “the softest” at the left top to “the hardest” at the right down. t/τ = 0 : pre-fatigue condition; t/τ = 3 : post-fatigue condition; Copyright (c) 2011 IEEE. Personal use is permitted. For any other purposes, permission must be obtained from the IEEE by emailing [email protected]. This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING t/τ = 3 Fig. 3. Simulation results for the post-fatigued condition (t/τ = 3) while only the upper bound (UB) changes with time. For description of the labels see the caption of Fig. 2. 3 (a) 2.5 VGRF (BW) 2 default model, pre-fatigue default model, post-fatigue safe region, pre-fatigue safe region, post-fatigue soft shoe, pre-fatigue soft shoe, post-fatigue hard shoe, pre-fatigue hard shoe, post-fatigue 1.5 1 0.5 0 0 0.05 0.1 0.15 Stance Time (s) 0.2 0.25 (b) 0.1 X2 (m) 0.08 default model, pre-fatigue default model, post-fatigue safe region, pre-fatigue safe region, post-fatigue soft shoe, pre-fatigue soft shoe, post-fatigue hard shoe, pre-fatigue hard shoe, post-fatigue 0.04 0.02 0 0 0.05 0.1 0.15 Stance Time (s) 0.2 The existence of several solutions for the same control problem suggests the following hypothesis: the CNS is aware of the existence of several solutions for the problem of maintaining the level of the GRF and uses these various nonunique solutions to maintain similar levels of the GRF before and after muscle fatigue. This is an important hypothesis that needs to be experimentally examined. The way of implementing fatigue in the proposed model is a relatively practical way that is based only on biomechanical reasoning and not detailed physiological observations. There are two reasons for that. First, mass-spring-damper models are not capable of implementing detailed physiological observations. Second, there is no consensus in the literature as to how exactly the running performance changes with muscle fatigue [35, 36]. In particular, there are many different fatigue protocols [36] each of which may affect the running performance differently. This limitation is not only applicable to this modeling study. Experimental studies of fatigue have similar limitations, because they use very different fatigue protocols [36] that may not be consistent and may affect the running performance differently. We therefore need a quantitative and universally accepted definition of fatigue upon which a consistent fatigue protocol can be built. That protocol may then be used for more consistent experimental and modeling studies of how fatigue affects running. This modeling study may contribute towards a better definition of the fatigue protocol. The hypothesis of the current modeling study is the way of implementing muscle fatigue in the model. The fact that the simulation results are in agreement with experimental observations may (at least partially and subject to certain conditions) confirm the tested hypothesis. This information may be useful for defining better fatigue protocols in human running experiments. V. CONCLUSIONS 0.12 0.06 7 0.25 Fig. 4. (a) Vertical GRF (VGRF) in terms of Body Weight (BW) and (b) displacement of the LBWM vs. stance time for pre- and post-fatigue conditions using selected pairs of (b, d) parameters; default values b=1.38, d=0.75, inside the safe region: b=1.33, d=0.69, relatively soft shoe: b=1.24, d=0.81, relatively hard shoe: b=1.96, d=0.85. A mass-spring-damper model of fatigued running was proposed in this study. In agreement with experimental observations, the proposed model predicts that the vertical GRF does not significantly change with fatigue. The level of soft tissue vibrations may, however, increase. The results of the current study may be ultimately useful for defining better and more consistent fatigue protocols in human running experiments. Moreover, a certain hypothesis is proposed based on the obtained simulation results: ‘multiple solutions exist for the problem of maintaining the same level of the GRF before and after muscle fatigue. The CNS is aware of these solutions.’ REFERENCES [1] [2] [3] K. R. Kaufman, et al., "The effect of foot structure and range of motion on musculoskeletal overuse injuries," Am. J. Sport Med., vol. 27, pp. 585-593, 1999. J. E. Taunton, et al., "A retrospective case-control analysis of 2002 running injuries," Brit. J. Sport Med., vol. 36, pp. 95-101, 2002. A. A. Zadpoor and A. A. Nikooyan, "The relationship between lower-extremity stress fractures and the ground reaction force: A systematic review," Clin. Biomech., vol. 26, pp. 23-28, 2010. Copyright (c) 2011 IEEE. Personal use is permitted. For any other purposes, permission must be obtained from the IEEE by emailing [email protected]. This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] [15] [16] [17] [18] [19] [20] [21] [22] [23] [24] [25] [26] [27] B. M. Nigg and J. M. Wakeling, "Impact forces and muscle tuning: a new paradigm," Exerc. Sport. Sci. Rev., vol. 29, pp. 37-41, 2001. A. A. Zadpoor and A. A. Nikooyan, "Modeling muscle activity to study the effects of footwear on the impact forces and vibrations of the human body during running," J. Biomech., vol. 43, pp. 186193, 2010. K. A. Boyer and B. M. Nigg, "Soft tissue vibrations and muscle tuning-quantification methods," J. Biomech., vol. 39, pp. S195, 2006. K. Christina, et al., "Effect of localized muscle fatigue on vertical ground reaction forces and ankle joint motion during running," Hum. Movement Sci., vol. 20, pp. 257-276, 2001. K. E. Gerlach, et al., "Kinetic changes with fatigue and relationship to injury in female runners," Med. Sci. Sport. Exer., vol. 37, pp. 657-663, 2005. O. Girard, et al., "Changes in leg-spring behavior during a 5000 m self-paced run in differently trained athletes," Sci. Sport., vol. 25, pp. 99-102, 2010. A. Nummela, et al., "EMG activities and ground reaction forces during fatigued and nonfatigued sprinting," Med. Sci. Sport. Exer., vol. 26, pp. 605-609, 1994. J. A. Nyland, et al., "Relationship of fatigued run and rapid stop to ground reaction forces, lower-extremity kinematics, and muscle activation," J. Orthop. Sport. Phys., vol. 20, pp. 132-137, 1994. G. Rabita, et al., "Spring-mass behavior during exhaustive run at constant velocity in elite triathletes," Med. Sci. Sport. Exer., vol. 43, pp. 685-692, 2011. B. Friesenbichler, et al., "Tissue vibration in prolonged running," J. Biomech., vol. 44, pp. 116-120, 2010. O. Girard, et al., "Changes in spring-mass model characteristics during repeated running sprints," Eur. J. Appl. Physiol., vol. 111, pp. 125-134, 2011. T. A. McMahon and G. C. Cheng, "The mechanics of running: How does stiffness couple with speed?," J. Biomech., vol. 23, pp. 65-78, 1990. A. A. Zadpoor and A. A. Nikooyan, "A mechanical model to determine the influence of masses and mass distribution on the impact force during running- A discussion," J. Biomech., vol. 39, pp. 388-390, 2006. A. A. Zadpoor, et al., "A model-based parametric study of impact force during running," J. Biomech., vol. 40, pp. 2012-2021, 2007. W. Liu and B. M. Nigg, "A mechanical model to determine the influence of masses and mass distribution on the impact force during running," J. Biomech., vol. 33, pp. 219-224, 2000. T. E. Clarke, et al., "The effects of shoe cushioning upon ground reaction forces in running," Int. J. Sports Med., vol. 4, pp. 247-251, 1983. B. M. Nigg, et al., "The influence of running velocity and midsole hardness on external impact forces in heel-toe running," J. Biomech., vol. 20, pp. 951-959, 1987. B. M. Nigg, et al., "Methodological aspects of sport shoe and sport surface analysis," in Biomechanics VIII-B, H. Matsui and K. Kobayashi, Eds., ed Champaign, IL: Human Kinetics Publishers, 1983, pp. 1041-1052. J. G. Snel, et al., "Shock-absorbing characteristics of running shoes during actual running," D.A.Winter, et al., Eds., ed. Champaign, IL: Human Kinetics Publishers, 1985, pp. 133-138. K. A. Boyer and B. M. Nigg, "Muscle tuning during running: implications of an un-tuned landing," J. Biomech. Eng.-T. ASME, vol. 128, pp. 815-822, 2006. K. A. Boyer and B. M. Nigg, "Changes in muscle activity in response to different Impact forces affect soft tissue compartment mechanical properties," J. Biomech. Eng.-T. ASME, vol. 129, pp. 594-602, 2007. J. M. Wakeling, et al., "Muscle activity reduces soft-tissue resonance at heel-strike during walking," J. Biomech., vol. 36, pp. 1761-1769, 2003. J. M. Wakeling and B. M. Nigg, "Modification of soft tissue vibrations in the leg by muscular activity," J. Appl. Physiol., vol. 90, pp. 412-420, 2001. J. M. Wakeling, et al., "Muscle activity in the lower extremity damps the soft-tissue vibrations which occur in response to pulsed and continuous vibrations," J. Appl. Physiol., vol. 93, pp. 10931103, 2002. [28] [29] [30] [31] [32] [33] [34] [35] [36] [37] [38] [39] [40] [41] [42] [43] [44] [45] [46] 8 A. A. Nikooyan and A. A. Zadpoor, "A model-based parametric study of soft tissue vibrations during running," in IEEE-EMBS Benelux Symposium, Heeze, the Netherlands, 2007, pp. 49-52. A. A. Nikooyan and A. A. Zadpoor, "An improved cost function for modeling of muscle activity during running," J. Biomech., vol. 44, pp. 984-987, 2011. R. Lewis and V. Torczon, "Pattern search algorithms for bound constrained minimization," SIAM J. Optimiz., vol. 9, pp. 10821099, 1999. M. Santello, "Review of motor control mechanisms underlying impact absorption from falls," Gait & Posture, vol. 21, pp. 85-94, 2005. D. P. Ferris and C. T. Farley, "Interaction of leg stiffness and surface stiffness during human hopping," J. Appl. Physiol., vol. 82, pp. 15-22, 1997. H. M. Franken, et al., "Fatigue of intermittently stimulated paralyzed human quadriceps during imposed cyclical lower leg movements," J. Electromyogr. Kines., vol. 3, pp. 3-12, 1993. A. A. Nikooyan and A. A. Zadpoor, "Mass-spring-damper modelling of the human body to study running and hopping - an overview," P. I. Mech. Eng. H, vol. 225, pp. 1121-1135, 2011. A. A. Zadpoor and A. A. Nikooyan, "The effects of lowerextremity muscle fatigue on the ground reaction force: a systematic review and meta-analysis," submitted. L. J. Santamaria and K. E. Webster, "The effect of fatigue on lower-limb biomechanics during single-limb landings: a systematic review," J. Orthop. Sport. Phys., vol. 40, pp. 464-73, 2010. K. F. Orishimo and I. J. Kremenic, "Effect of fatigue on single-leg hop landing biomechanics," J. Appl. Biomech., vol. 22, pp. 245254, 2006. D. A. Winter, "Kinematic and kinetic patterns in human gait: variability and compensating effects," Hum. Movement Sci., vol. 3, pp. 51-76, 1984. E. Kellis and V. Kouvelioti, "Agonist versus antagonist muscle fatigue effects on thigh muscle activity and vertical ground reaction during drop landing," J. Electromyogr. Kines., vol. 19, pp. 55-64, 2009. C. R. James, et al., "Effects of stretch shortening cycle exercise fatigue on stress fracture injury risk during landing," Res. Q. Exercise Sport, vol. 77, pp. 1-13, 2006. C. R. James, et al., "Effects of two neuromuscular fatigue protocols on landing performance," J. Electromyogr. Kines., vol. 20, pp. 667-675, 2010. C. Nicol, et al., "Fatigue effects of marathon running on neuromuscular performance," Scand. J. Med. Sci. Spor., vol. 1, pp. 10-17, 1991. J. Denoth, "Load on the locomotor system and modeling," in Biomechanics of Running Shoes, B. M. Nigg, Ed., ed Champaign: Human Kinetics Publishers, 1986, pp. 63-116. A. A. Nikooyan, et al., "Development of a comprehensive musculoskeletal model of the shoulder and elbow," Med. Biol. Eng. Comput., vol. 49, pp. 1425-1435, 2011. A. A. Nikooyan, et al., "An EMG-driven musculoskeletal model of the shoulder," Hum. Movement Sci., In press. M. G. Hoy, et al., "A musculoskeletal model of the human lower extremity: The effect of muscle, tendon, and moment arm on the moment-angle relationship of musculotendon actuators at the hip, knee, and ankle," J. Biomech., vol. 23, pp. 157-169, 1990. Copyright (c) 2011 IEEE. Personal use is permitted. For any other purposes, permission must be obtained from the IEEE by emailing [email protected].
© Copyright 2026 Paperzz