Novel model to analyze the effect of a large compressive follower pre-load on range of motions in a lumbar spine

A 3-D finite element model (FEM) of the lumbar spine (L1-S1) was used to determine the effect of a large compressive follower pre-load on range of motions (ROM) in all three planes. The follower load modeled in the FEM produced minimal vertebral rotations in all the three planes. The model was validated by comparing the disc compression at all levels in the lumbar spine with the corresponding results obtained by compressing 10 cadevaric lumbar spines (L1-S1) using the follower load technique described by Patwardhan et al. [1999. A follower load increases the load-carrying capacity of the lumbar spine in compression. Spine 24(10), 1003-1009]. Further validation of the model was performed by comparing the lateral bending and torsion response without pre-load and the flexion-extension response without pre-load and with an 800 N follower pre-load with those obtained using cadaver lumbar spines. Following validation, the FEM was subjected to bending moments in all three planes with and without compressive follower pre-loads of up to 1200 N. Disc compression values and the flexion-extension range of motion under 800 N follower pre-load predicted by the FEM compared well with in vitro results. The current model showed that compressive follower pre-load decreased total as well as segmental ROM in flexion-extension by up to 18%, lateral bending by up to 42%, and torsion by up to 26%.

A generic detailed rigid-body lumbar spine model

The objective of this work is to present a musculo-skeletal model of the lumbar spine, which can be shared and lends itself to investigation in many locations by different researchers. This has the potential for greater reproducibility and subsequent improvement of its quality from the combined effort of different research groups. The model is defined in a text-based, declarative, object-oriented language in the AnyBody Modelling System software. Text-based models will facilitate sharing of the models between different research groups. The necessary data for the model has been taken from the literature. The work resulted in a detailed lumbar spine model with seven rigid segments with 18 degrees-of-freedom and 154 muscles. The model is able to produce a maximum extension moment of 238 Nm around L5/S1. Moreover, a comparison was made with in vivo intradiscal pressure measurements of the L4-5 disc available from the literature. The model is based on inverse dynamics, where the redundancy problem is solved using optimization in order to compute the individual muscle forces and joint reactions. With the presented model it is possible to investigate a range of research questions, because the model is relatively easy to share and modify due to the use of a well-defined and self-contained scripting language. Validation is though still necessary for specific cases.

The influence of strain rate on the compressive stiffness properties of human lumbar intervertebral discs

The purpose of this study was to develop the compressive stiffness properties of individual lumbar intervertebral discs when subjected to various dynamic compressive loading rates. A total of 33 axial compression tests were performed on 11 individual human lumbar functional spinal units dissected from 6 fresh frozen human cadavers, 5 male and 1 female. The proximal and distal vertebral bodies were fixed to load cells with a custom aluminum pot, and subjected to a dynamic compressive loading at three different strain rates; 6.8, 13.5, and 72.7 strain/ sec. The results show that the compressive stiffness of lumbar intervertebral discs is dependent on the loading rate. There was no significant correlation (p > 0.05) between FSU compressive stiffness and vertebral level at any of the three loading rates. Therefore, a linear relationship between loading rate and vertebral disc compressive stiffness was developed by curve fitting the stiffness data from the current study along with the stiffness data reported by previous studies.

Mechanics of bone/PMMA composite structures: An in vitro study of human vertebrae

The goal of this study was to provide material property data for the cement/bone composite resulting from the introduction of PMMA bone cement into human vertebral bodies. A series of quasistatic tensile and compressive mechanical tests were conducted using cement/bone composite structures machined from cement-infiltrated vertebral bodies. Experiments were performed both at room temperature and at body temperature. We found that the modulus of the composite structures was lower than bulk cement (p<0.0001). For compression at 37( composite function)C: composite =2.3+/-0.5GPa, cement =3.1+/-0.2GPa; at 23( composite function)C: composite =3.0+/-0.3GPa, cement =3.4+/-0.2GPa. Specimens tested at room temperature were stiffer than those tested at body temperature (p=0.0004). Yield and ultimate strength factors for the composite were all diminished (55-87%) when compared to cement properties. In general, computational models have assumed that cement/bone composite had the same modulus as cement. The results of this study suggest that computational models of cement infiltrated vertebrae and cemented arthroplasties could be improved by specifying different material properties for cement and cement/bone composite.

Biomechanics of the rabbit knee and ankle: Muscle, ligament, and joint contact force predictions

Mathematical models of small animals that predict in vivo forces acting on the lower extremities are critical for studies of musculoskeletal biomechanics and diseases. Rabbits are advantageous in this regard because they remodel their cortical bone similar to humans. Here, we enhance a recent mathematical model of the rabbit knee joint to include the loading behavior of individual muscles, ligaments, and joint contact at the knee and ankle during the stance phase of hopping. Geometric data from the hindlimbs of three adult New Zealand white rabbits, combined with previously reported intersegmental forces and moments, were used as inputs to the model. Muscle, ligament, and joint contact forces were computed using optimization techniques assuming that muscle endurance is maximized and ligament strain energy resists tibial shear force along an inclined plateau. Peak forces developed by the quadriceps and gastrocnemius muscle groups and by compressive knee contact were within the range of theoretical and in vivo predictions. Although a minimal force was carried by the anterior cruciate and medial collateral ligaments, force patterns in the posterior cruciate ligament were consistent with in vivo tibial displacement patterns during hopping in rabbits. Overall, our predictions compare favorably with theoretical estimates and in vivo measurements in rabbits, and enhance previous models by providing individual muscle, ligament, and joint contact information to predict in vivo forces acting on the lower extremities in rabbits.

Biomechanical and radiographic analysis of a novel, minimally invasive, extension-limiting device for the lumbar spine

Object

Biomechanical testing and fluoroscopic imaging were used to study an extension-limiting device that has been developed to support and cushion the facet complex. It is a titanium screw–based system with a polycarbonate-urethane bumper that lies against the inferior articular process and is anchored into the pedicle by the screw for posterior dynamic stabilization (PDS).

Methods

Six human cadaveric spines were dissected from L-2 to L-5, leaving all ligamentous structures intact. The intact spines were first tested in flexion and extension, lateral bending, and axial rotation at ±7.5 Nm. The PDS devices were inserted at L3–4 and testing was repeated. Fluoroscopic analysis of posterior disc height and foraminal area of the intact and instrumented spines while loaded was performed. All test data were compared using a one-way analysis of variance (statistical significance was set at p < 0.05).

Instrumented spines had 62% less motion during flexion and 49% less motion during extension compared with the intact spines. Neuroimaging analysis showed 84% less compression of the posterior disc of the instrumented spines during extension, and no difference during flexion compared with intact spines. After instrumentation was affixed, the foraminal area was 36% larger than in intact spines during extension and 9% larger during flexion. During axial loading, compression of the posterior disc was decreased by 70%, and analysis showed 10% decompression prior to loading just from implanting the devices.

Conclusions

The PDS system has the benefit of being a completely percutaneous one, which can be used at all levels of the lumbar spine, including S-1. The PDS system limits spinal motion, enlarges the foramina, and achieves discal decompression.

Volume effects on fatigue life of equine cortical bone

Materials, including bone, often fail due to loading in the presence of critical flaws. The relative amount, location, and interaction of these flaws within a stressed volume of material play a role in determining the failure properties of the structure. As materials are generally imperfect, larger volumes of material have higher probabilities of containing a flaw of critical size than do smaller volumes. Thus, larger volumes tend to fail at fewer cycles compared with smaller volumes when fatigue loaded to similar stress levels. A material is said to exhibit a volume effect if its failure properties are dependent on the specimen volume. Volume effects are well documented in brittle ceramics and composites and have been proposed for bone. We hypothesized that (1) smaller volumes of cortical bone have longer fatigue lives than similarly loaded larger volumes and (2) that compared with microstructural features, specimen volume was able to explain comparable amounts of variability in fatigue life. In this investigation, waisted rectangular specimens (n=18) with nominal cross-sections of 3x4 mm and gage lengths of 10.5, 21, or 42 mm, were isolated from the mid-diaphysis of the dorsal region of equine third metacarpal bones. These specimens were subjected to uniaxial load controlled fatigue tests, with an initial strain range of 4000 microstrain. The group having the smallest volume exhibited a trend of greater log fatigue life than the larger volume groups. Each volume group exhibited a significant positive correlation between the logarithm of fatigue life and the cumulative failure probability, indicating that the data follow the two-parameter Weibull distribution. Additionally, log fatigue life was negatively correlated with log volume, supporting the hypothesis that smaller stressed volumes of cortical bone possess longer fatigue lives than similarly tested larger stressed volumes.

Trunk biomechanical models based on equilibrium at a single-level violate equilibrium at other levels

Accurate estimation of muscle forces in various occupational tasks is critical for a reliable evaluation of spinal loads and subsequent assessment of risk of injury and management of back disorders. The majority of biomechanical models of multi-segmental spine estimate muscle forces and spinal loads based on the balance of net moments at a single level with no consideration for the equilibrium at remaining levels. This work aimed to quantify the extent of equilibrium violation and alterations in estimations when such models are performed at different levels. Results are compared with those of kinematics-driven model that satisfies equilibrium at all levels and EMG data. Regardless of the method used (optimization or EMG-assisted), single-level free body diagram models yielded estimations that substantially altered depending on the level considered (i.e., level dependency). Equilibrium of net moment was also grossly violated at remaining levels with the error increasing in more demanding tasks. These models may, however, be used to estimate spinal compression forces.

Compressive properties of mouse articular cartilage determined in a novel micro-indentation test method and biphasic finite element model

The mechanical properties of articular cartilage serve as important measures of tissue function or degeneration, and are known to change significantly with osteoarthritis. Interest in small animal and mouse models of osteoarthritis has increased as studies reveal the importance of genetic background in determining predisposition to osteoarthritis. While indentation testing provides a method of determining cartilage mechanical properties in situ, it has been of limited value in studying mouse joints due to the relatively small size of the joint and thickness of the cartilage layer. In this study, we developed a micro-indentation testing system to determine the compressive and biphasic mechanical properties of cartilage in the small joints of the mouse. A nonlinear optimization program employing a genetic algorithm for parameter estimation, combined with a biphasic finite element model of the micro-indentation test, was developed to obtain the biphasic, compressive material properties of articular cartilage. The creep response and material properties of lateral tibial plateau cartilage were obtained for wild-type mouse knee joints, by the micro-indentation testing and optimization algorithm. The newly developed genetic algorithm was found to be efficient and accurate when used with the finite element simulations for nonlinear optimization to the experimental creep data. The biphasic mechanical properties of mouse cartilage in compression (average values: Young's modulus, 2.0 MPa; Poisson's ratio, 0.20; and hydraulic permeability, 1.1 x 10(-16) m4/N-s) were found to be of similar orders of magnitude as previous findings for other animal cartilages, including human, bovine, rat, and rabbit and demonstrate the utility of the new test methods. This study provides the first available data for biphasic compressive properties in mouse cartilage and suggests a promising method for detecting altered cartilage mechanics in small animal models of osteoarthritis.

A bilinear stress-strain relationship for arteries

A comprehensive understanding of the mechanical properties of blood vessels is essential for vascular physiology, pathophysiology and tissue engineering. A well-known approach to study the elasticity of blood vessels is to postulate a strain energy function such as the exponential or polynomial forms. It is typically difficult to fit experimental data to derive material parameters for blood vessels, however, due to the highly nonlinear nature of the stress-strain relation. In this work, we generalize the strain definition to absorb the elastic nonlinearity and then propose a two-dimensional bilinear stress-strain relation between second Piola-Kirchhoff stress and the new strain measure. The model is found to represent the Fung's exponential model very well. The novel linearized constitutive relation simplifies the determination of material constants by reducing the nonlinearity and provides a clearer physical interpretation of the model parameters. The limitations of the constitutive model and its implications for vascular mechanics are discussed.

Comparative structural neck responses of the THOR-NT, Hybrid III, and human in combined tension-bending and pure bending

This study evaluated the biofidelity of both the Hybrid III and the THOR-NT anthropomorphic test device (ATD) necks in quasistatic tension-bending and pure-bending by comparing the responses of both the ATDs with results from validated computational models of the living human neck. This model was developed using post-mortem human surrogate (PMHS) osteoligamentous response corridors with effective musculature added (Chancey, 2005). Each ATD was tested using a variety of end-conditions to create the tension-bending loads. The results were compared using absolute difference, RMS difference, and normalized difference metrics. The THOR-NT was tested both with and without muscle cables. The THOR-NT was also tested with and without the central safety cable to test the effect of the cable on the behavior of the ATD. The Hybrid III was stiffer than the model for all tension-bending end conditions. Quantitative measurement of the differences in response showed more close agreement between the THOR-NT and the model than the Hybrid III and the model. By contrast, no systematic differences were observed in the head kinematics. The muscle cables significantly stiffened the THOR-NT by effectively reducing the laxity from the occipital condyle (OC) joint. The cables also shielded the OC upper neck load cell from a significant portion of the applied loads. The center safety significantly stiffened the response and decreased the fidelity, particularly in modes of loading in which tensile forces were large and bending moments small. This study compares ATD responses to computational models in which the models include PMHS response corridors while correcting for problems associated with cadaveric muscle. While controversial and requiring considerable diligence, these kinds of approaches show promise in assessing ATD biofidelity.

Femoroplasty--augmentation of the proximal femur with a composite bone cement--feasibility, biomechanical properties and osteosynthesis potential

BACKGROUND

Analogous to vertebroplasty, cement-augmentation of the proximal femur ("femoroplasty") could reinforce osteoporotic bones. This study was to evaluate (i) the feasibility of femoroplasty with a composite cement (Cortoss), (ii) its influence on femoral strength by mechanical testing and (iii) the feasibility of stable osteosynthesis of the augmented fractured bones.

METHODS

Nine human cadaveric femora were augmented with a composite bone cement, the surface heat generation monitored, and then tested biomechanically against their native contralateral control to determine fracture strength. Subsequently, thirteen reinforced and fractured femora were osteosynthetized by different implants and tested against their osteosynthetisized, non-augmented contralateral control.

FINDINGS

Cement could be injected easily, with a moderate temperature rise. A positive correlation between BMD and fracture load and a significant increase in fracture load (+43%) of the augmented femora compared to their native controls (6324 N and 4430 N, respectively) as well as a significant increase in energy-to-failure (+187%, 86 N m and 30 N m, respectively) was found. Osteosynthesis was possible in cement-augmented femora. Osteosynthetisized femora showed equivalent strength to the intact controls.

INTERPRETATION

Augmentation of the proximal femur with composite bone cement could be of use in prophylaxis of fractures in osteoporotic femurs. Osteosynthesis of the fractured augmented bones is a challenging procedure but has a good chance to restore strength.

Interleukin-1β Increases Elasticity of Human Bioartificial Tendons

Stiffness is an important mechanical property of connective tissues, especially for tissues subjected to cyclic strain in vivo, such as tendons. Therefore, modulation of material properties of native or engineered tissues is an important consideration for tissue repair. Interleukin 1-beta (IL-1beta) is a cytokine most often associated in connective tissues with induction of matrix metalloproteinases and matrix destruction. However, IL-1beta may also be involved in constructive remodeling and confer a cell survival value to tenocytes. In this study, we investigated the effects of IL-1beta on the properties of human tenocyte-populated bioartificial tendons (BATs) fabricated in a novel three-dimensional (3D) culture system. IL-1beta treatment reduced the ultimate tensile strength and elastic modulus of BATs and increased the maximum strain. IL-1beta at low doses (1, 10 pM) upregulated elastin expression and at a high dose (100 pM) downregulated type I collagen expression. Matrix metalloproteinases, which are involved in matrix remodeling, were also upregulated by IL-1beta. The increased elasticity prevented BATs from rupture caused by applied strain. The results in this study suggest that IL-1beta may act as a defense/survival factor in response to applied mechanical loading. The balance between cell intrinsic strain and external matrix strain is important for maintaining the integrity of tendons.

Dynamic response of immature bovine articular cartilage in tension and compression, and nonlinear viscoelastic modeling of the tensile response

Very limited information is currently available on the constitutive modeling of the tensile response of articular cartilage and its dynamic modulus at various loading frequencies. The objectives of this study were to (1) formulate and experimentally validate a constitutive model for the intrinsic viscoelasticity of cartilage in tension, (2) confirm the hypothesis that energy dissipation in tension is less than in compression at various loading frequencies, and (3) test the hypothesis that the dynamic modulus of cartilage in unconfined compression is dependent upon the dynamic tensile modulus. Experiment 1: Immature bovine articular cartilage samples were tested in tensile stress relaxation and cyclical loading. A proposed reduced relaxation function was fitted to the stress-relaxation response and the resulting material coefficients were used to predict the response to cyclical loading. Adjoining tissue samples were tested in unconfined compression stress relaxation and cyclical loading. Experiment 2: Tensile stress relaxation experiments were performed at varying strains to explore the strain-dependence of the viscoelastic response. The proposed relaxation function successfully fit the experimental tensile stress-relaxation response, with R2 = 0.970+/-0.019 at 1% strain and R2 = 0.992+/-0.007 at 2% strain. The predicted cyclical response agreed well with experimental measurements, particularly for the dynamic modulus at various frequencies. The relaxation function, measured from 2% to 10% strain, was found to be strain dependent, indicating that cartilage is nonlinearly viscoelastic in tension. Under dynamic loading, the tensile modulus at 10 Hz was approximately 2.3 times the value of the equilibrium modulus. In contrast, the dynamic stiffening ratio in unconfined compression was approximately 24. The energy dissipation in tension was found to be significantly smaller than in compression (dynamic phase angle of 16.7+/-7.4 deg versus 53.5+/-12.8 deg at 10(-3) Hz). A very strong linear correlation was observed between the dynamic tensile and dynamic compressive moduli at various frequencies (R2 = 0.908+/-0.100). The tensile response of cartilage is nonlinearly viscoelastic, with the relaxation response varying with strain. A proposed constitutive relation for the tensile response was successfully validated. The frequency response of the tensile modulus of cartilage was reported for the first time. Results emphasize that fluid-flow dependent viscoelasticity dominates the compressive response of cartilage, whereas intrinsic solid matrix viscoelasticity dominates the tensile response. Yet the dynamic compressive modulus of cartilage is critically dependent upon elevated values of the dynamic tensile modulus.

In vivo BMP-7 (OP-1) enhancement of osteoporotic vertebral bodies in an ovine model

BACKGROUND CONTEXT

Prevention of osteoporotic vertebral fractures could help at-risk individuals avoid the pain and morbidity associated with these fractures. Currently, patients with osteoporosis are treated with systemic medications to reduce fracture risk. Although effective, these therapies do not eliminate fractures and also tend to have a gradual time-dependent effect on fracture risk. The mechanism of action of the bone morphogenetic protein (BMP) family theoretically makes these molecules candidates for rapidly enhancing local bone structure.

STUDY DESIGN

An in vivo study analyzing the effects of BMP-7 (osteogenic protein 1 [OP-1]) treatment on osteopenic ovine vertebral architecture and biomechanics.

PURPOSE

We tested the hypothesis that local injection of OP-1 into osteopenic ovine vertebrae will improve bone mass and trabecular distribution, thereby reducing bone fragility and fracture risk. We specifically evaluated compressive biomechanics and morphology of osteopenic ovine vertebral bodies 6 months after local OP-1 treatment.

STUDY DESIGN

In vivo animal study.

METHODS

Skeletally mature sheep (n=24) underwent ovariectomy and were placed on low cation relative to anion diet. These interventions reduce bone density and induce skeletal fragility. After 6 months, sheep were randomly assigned to six treatment groups based on OP-1 dose (370 mg or 0 mg) and carrier with 4 animals/treatment group. Carriers A and B were poly-L-glycolic acid (PLGA) biospheres with different release kinetics (B allowing sustained BMP release); Carrier C was carboxymethylcellulose. After creating an 8-mm-diameter defect in the midvertebral body, sheep underwent intravertebral body implantation at two nonadjacent levels. Animals were euthanized 6 months after implantation and bone mineral density (BMD), biomechanics, and histomorphometry were assessed. Two-way analysis of variance was used to determine effects of OP-1 (alpha=0.05).

RESULTS

An 81.9%, 333.2%, and 39.9% increase in stiffness was seen for OP-1 treated vertebra with Carriers A, B, and C respectively. Although these effects did not reach statistical significance, trends toward improvement were evident. Histology showed varied degrees of bony healing in the injection sites. Histomorphometrically, OP-1 treated vertebrae showed improvements in percent bone of up to 38% and star volume of up to 55% (with Carrier B). Improvements in whole vertebral body BMD were not detected for any treatment.

CONCLUSION

In this study, local OP-1 treatment showed a positive trend in improving mechanical strength and histomorphometric parameters of osteopenic vertebra, despite the absence of consistent change in BMD. Controlled slow release of OP-1 using PLGA microspheres appeared to be the most effective method of protein delivery. In conclusion, we feel that the pilot data suggest that the use of OP-1 in the treatment of vertebral osteoporosis in an attempt to enhance bone strength merits further study.

Glycation increases human annulus fibrosus stiffness in both experimental measurements and theoretical predictions

One of the primary age-related changes to collagenous tissues is the increased concentration of advanced glycation endproducts (AGEs). Although AGEs have been shown to increase the mechanical stiffness of many tissues, their influence on the mechanical properties of the annulus fibrosus has not been measured experimentally. In previous theoretical work, we hypothesized that the mechanical influence of AGEs on the annulus could be represented in an additive strain energy function with a separate crosslinking term, but the material coefficients associated with this term were not correlated with AGE concentration. In the current study, we measured the tensile stress-strain response of the human annulus in the axial direction both before and after glycation with methylglyoxal. Using nonlinear regression, the strain energy function was simultaneously applied to these new data and to data from a wide range of experimental protocols reported in the literature to determine values for the material coefficients appearing in the constitutive equation. Nonenzymatic collagen crosslinking induced a statistically significant change in annular material properties. Furthermore, the concentration of AGEs correlated positively with the material coefficients found in the terms of the strain energy function that we associate with collagen crosslinking. These data suggest that AGEs contribute to age-related disc stiffening as well as validate the hypothesis that biochemical constituents can be related mathematically to tissue behavior. In the future, this structurally guided constitutive relationship may provide further insight into the structure-function relationships of the annulus fibrosus.

Human patellar tendon moment arm length: measurement considerations and clinical implications for joint loading assessment

Detailed understanding of the knee joint loading requires the calculation of muscle and joint forces in different conditions. In these applications the patellar tendon moment arm length is essential for the accurate estimation of the tibiofemoral joint loading. In this article, different methods that have been used to determine the patellar tendon moment arm length under in vivo and in vitro conditions are reviewed. The limitations and advantages associated with each of the methods are evaluated together with their applications in the different loading conditions that the musculoskeletal system is subjected to. The three main measurement methods that this review considers are the geometric method, the tendon excursion method and the direct load method. A comparison of relevant quantitative results is presented to asses the impact of the errors of each method on the quantification of the patellar tendon moment arm and the implications for joint loading assessment in clinical applications.

In vivo cyclic axial compression affects bone healing in the mouse tibia

Abundant evidence exists that fracture healing can be influenced by mechanical loading. However, the specific loading parameters that are osteogenic remain unknown. We hypothesized that the bone healing response in mouse tibial osteotomies would be different with a short delay before loading compared to immediate load application, as well as with higher and lower load magnitudes applied. Eighty 12-week-old mice underwent osteotomy of the left tibia followed by intramedullary nailing. Mice were divided into six groups based on days delayed until application of load (0 days or 4 days) and amplitude of cyclic load (0.5N, 1N, or 2N). Loading regimens were applied at 1 Hz for 100 cycles per day, 5 days per week for 2 weeks, using an external device that applied axial compression to the tibia. Bone healing was assessed by both microcomputed tomography (CT) and four-point bend testing. A short delay followed by cyclic application of a relatively low load led to improved fracture healing, as determined by increased callus strength, but this enhancement disappeared as load amplitudes increased. Load initiation immediately following fracture inhibited healing, regardless of the magnitude of load applied. MicroCT measurements of calluses in the early healing stage did not predict the mechanical strength of the fractures. These findings confirm that controlled, noninvasive cyclic loading can improve the strength of healing callus. However, application of load immediately after fracture appears to be detrimental to healing. Load magnitude also plays a critical role, and must be taken into account in future studies and clinical applications. As the loading parameters necessary to enhance fracture healing become refined, external compression may be used as a potent stimulus for treating fractures with decreased biological capacity.

Wrapping of trunk thoracic extensor muscles influences muscle forces and spinal loads in lifting tasks

BACKGROUND

An improved assessment of risk of spinal injury during lifting activities depends on an accurate estimation of trunk muscle forces, spinal loads and stability margin which in turn requires, amongst others, an accurate description of trunk muscle geometries. The lines of action of erector spinae muscles are often assumed to be linear despite the curved paths of these muscles in forward flexion postures.

METHODS

A novel approach was introduced that allowed for the proper simulation of curved paths for global extensor muscles in our Kinematics-driven finite element model. The lever arms of global muscles at different levels were restrained either to remain the same or decrease only by 10% relative to their respective values in upright posture. Based on our earlier measurements, static lifting tasks at two trunk flexions (40 degrees and 65 degrees ) and three lumbar postures (free style, lordotic and kyphotic) with 180 N in hands were analyzed.

FINDINGS

Muscle forces and spinal compression at all levels substantially decreased as the global extensor muscles took curved paths. In contrast, the shear force at lower levels increased. Allowing for a 10% reduction in these lever arms during flexion increased muscle forces and compression forces at all levels. Despite smaller muscle forces, wrapping of global muscles slightly improved the spinal stability.

INTERPRETATION

Consideration of global extensor muscles with curved paths and realistic lever arms is important in biomechanical analysis of lifting tasks. Reduction in the erector spinae lever arms during flexion tasks could vary depending on the lumbar posture. Results advocate small flattening of the lumbar curvature in isometric lifts yielding smaller compression and shear forces at the critical L5-S1 level.

Bone Strength: The Whole Is Greater Than the Sum of Its Parts

OBJECTIVE

To summarize the current knowledge regarding the various determinants of bone strength.

METHODS

Relevant English-language articles acquired from Medline from 1966 up to January 2005 were reviewed. Searches included the keywords bone AND 1 of the following: strength, remodeling, microcrack, structur*, mineralization, collagen, organic, crystallinity, osteocyte, porosity, diameter, anisotropy, stress risers, or connectivity. Abstracts from applicable conference proceedings were also reviewed for pertinent information.

RESULTS

Bone strength is determined from both its material and its structural properties. Material properties such as its degree of mineralization, crystallinity, collagen characteristics, and osteocyte viability have substantial impacts on bone strength. Structural properties such as the diameter and thickness of the cortices, the porosity of the cortical shell, the connectivity and anisotropy of the trabecular network, the thickness of trabeculae, and the presence of trabecular stress risers and microcracks impact bone strength in diverse manners. Remodeling activity either directly or indirectly impacts all of these processes.

CONCLUSIONS

Bone strength is dependent on numerous, interrelated factors. Remodeling activity has a direct impact on almost all of the components of bone strength and requires further investigation as to its impact on these factors in isolation and in unison.

Shear and Compression Differentially Regulate Clusters of Functionally Related Temporal Transcription Patterns in Cartilage Tissue

Chondrocytes are subjected to a variety of biophysical forces and flows during physiological joint loading, including mechanical deformation, fluid flow, hydrostatic pressure, and streaming potentials; however, the role of these physical stimuli in regulating chondrocyte behavior is still being elucidated. To isolate the effects of these forces, we subjected intact cartilage explants to 1-24 h of continuous dynamic compression or dynamic shear loading at 0.1 Hz. We then measured the transcription levels of 25 genes known to be involved in cartilage homeostasis using real-time PCR and compared the gene expression profiles obtained from dynamic compression, dynamic shear, and our recent results on static compression amplitude and duration. Using clustering analysis, we determined that transcripts for proteins with similar function had correlated responses to loading. However, the temporal expression patterns were strongly dependent on the type of loading applied. Most matrix proteins were up-regulated by 24 h of dynamic compression or dynamic shear, but down-regulated by 24 h of 50% static compression, suggesting that cyclic matrix deformation is a key stimulator of matrix protein expression. Most matrix proteases were up-regulated by 24 h under all loading types. Transcription factors c-Fos and c-Jun maximally responded within 1 h to all loading types. Pre-incubating cartilage explants with either a chelator of intracellular calcium or an inhibitor of the cyclic AMP pathway demonstrated the involvement of both pathways in transcription induced by dynamic loading.

The biomechanical response of spinal cord tissue to uniaxial loading

The spinal cord is an integral component of the spinal column and is prone to physical injury during trauma or more long-term pathological insults. The development of computational models to simulate the cord-column interaction during trauma is important in developing a proper understanding of the injury mechanism. Such models would be invaluable in seeking both preventive strategies that reduce the propensity for injury and identifying specific treatment regimes. However, these developments are hampered by the limited information available on the structural and mechanical properties of this soft tissue owing to the difficulty in handling this material in a cadaveric situation. The purpose of the present paper is to report the rapid deterioration in the quality of the tissues once excised, which provides a further challenge to the successful elucidation of the structural properties of the tissue. In particular, the tangent modulus of the tissue is seen to increase sharply over a period of 72 h.

Oscillatory shear loading of bovine periodontal ligament--a methodological study

This study examined the stress response of bovine periodontal ligament (PDL) under sinusoidal straining. The principle of the test consisted in subjecting transverse tooth, PDL and bone sections of known geometries to controlled oscillatory force application. The samples were secured to the actuator by support plates fabricated using a laser sintering technique to fit their contours to the tooth and the alveolar bone. The actuator was attached to the root slices located in the specimen's center. Hence the machine was able to push or pull the root relative to its surrounding alveolar bone. After determining an optimal distraction amplitude, the samples were cyclically loaded first in ramps and then in sinusoidal oscillations at frequencies ranging from 0.2 to 5 Hz. In the present study the following observations were made: (1) Imaging and the laser sintering technique can be used successfully to fabricate custom-made support plates for cross-sectional root-PDL-bone sections using a laser sintering technique, (2) the load-response curves were symmetric in the apical and the coronal directions, (3) both the stress response versus phase angle and the stress response versus. strain curves tended to "straighten" with increasing frequency, and (4) the phase lag between applied strain and resulting stress was small and did not differ in the intrusive and the extrusive directions. As no mechanical or time-dependent anisotropy was demonstrable in the intrusive and extrusive directions, such results may considerably simplify the development of constitutive laws for the PDL.