title: Musculoskeletal model of trunk and hips for development of seated-posture-control neuroprosthesis.
abstract: The paralysis resulting from spinal cord injury severely limits voluntary seated-posture control and increases predisposition to a number of health risks. We developed and verified a musculoskeletal model of the hips and lumbar spine using published data. We then used the model to select the optimal muscles for-and evaluate the likely functional recovery benefit of-an 8-channel seated-posture-control neuroprosthesis based on functional electrical stimulation (FES). We found that the model-predicted optimal muscle set included the erector spinae, oblique abdominals, gluteus maximus, and iliopsoas. We mapped muscle excitations to seated trunk posture so that the required excitations at any posture could be approximated using a static map. Using the optimal muscle set, the model predicted a maximum stimulated range of motion of 49 degrees flexion, 9 degrees extension, and 16 degrees lateral bend. In the nominal upright posture, the modeled user could hold almost 15 kg with arms at sides and elbows bent. We discuss in this article the practicality of using FES with the oblique abdominals. A seated-posture-control neuroprosthesis would increase the user's bimanual work space and include several secondary benefits.
authors.affiliation: Motion Study Laboratory, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, USA. joris.lambrecht@case.edu
authors.forename: Joris M
authors.initials: JM
authors.lastname: Lambrecht
authors.forename: Musa L
authors.initials: ML
authors.lastname: Audu
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Triolo
authors.forename: Robert F
authors.initials: RF
authors.lastname: Kirsch
mesh_terms: D005269:Femur; D006615:Hip; D006801:Humans; D008159:Lumbar Vertebrae; D008959:Models, Neurological; D010388:Pelvis; D004856:Postural Balance / Q000502:physiology*; D011187:Posture / Q000502:physiology*; D011474:Prosthesis Design; D012447:Sacrum; D013119:Spinal Cord Injuries / Q000503:physiopathology* / Q000534:rehabilitation*; D013909:Thorax