title: Inferring Muscle-Tendon Unit Power from Ankle Joint Power during the Push-Off Phase of Human Walking: Insights from a Multiarticular EMG-Driven Model.
abstract: BACKGROUND
  Inverse dynamics joint kinetics are often used to infer contributions from underlying groups of muscle-tendon units (MTUs). However, such interpretations are confounded by multiarticular (multi-joint) musculature, which can cause inverse dynamics to over- or under-estimate net MTU power. Misestimation of MTU power could lead to incorrect scientific conclusions, or to empirical estimates that misguide musculoskeletal simulations, assistive device designs, or clinical interventions. The objective of this study was to investigate the degree to which ankle joint power overestimates net plantarflexor MTU power during the Push-off phase of walking, due to the behavior of the flexor digitorum and hallucis longus (FDHL)-multiarticular MTUs crossing the ankle and metatarsophalangeal (toe) joints.
  
  
  METHODS
  We performed a gait analysis study on six healthy participants, recording ground reaction forces, kinematics, and electromyography (EMG). Empirical data were input into an EMG-driven musculoskeletal model to estimate ankle power. This model enabled us to parse contributions from mono- and multi-articular MTUs, and required only one scaling and one time delay factor for each subject and speed, which were solved for based on empirical data. Net plantarflexing MTU power was computed by the model and quantitatively compared to inverse dynamics ankle power.
  
  
  RESULTS
  The EMG-driven model was able to reproduce inverse dynamics ankle power across a range of gait speeds (R2 ≥ 0.97), while also providing MTU-specific power estimates. We found that FDHL dynamics caused ankle power to slightly overestimate net plantarflexor MTU power, but only by ~2-7%.
  
  
  CONCLUSIONS
  During Push-off, FDHL MTU dynamics do not substantially confound the inference of net plantarflexor MTU power from inverse dynamics ankle power. However, other methodological limitations may cause inverse dynamics to overestimate net MTU power; for instance, due to rigid-body foot assumptions. Moving forward, the EMG-driven modeling approach presented could be applied to understand other tasks or larger multiarticular MTUs.
authors.affiliation: Department of Mechanical Engineering, Vanderbilt University, Nashville, Tennessee, United States of America.
authors.forename: Eric C
authors.identifier: http://orcid.org/0000-0002-3865-5104
authors.initials: EC
authors.lastname: Honert
authors.affiliation: Department of Mechanical Engineering, Vanderbilt University, Nashville, Tennessee, United States of America.|Department of Biomedical Engineering, Vanderbilt University, Nashville, Tennessee, United States of America.|Department of Physical Medicine and Rehabilitation, Vanderbilt University, Nashville, Tennessee, United States of America.
authors.forename: Karl E
authors.initials: KE
authors.lastname: Zelik
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000502:physiology*; D001696:Biomechanical Phenomena; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008962:Models, Theoretical; D018482:Muscle, Skeletal / Q000000981:diagnostic imaging / Q000502:physiology*; D013710:Tendons / Q000000981:diagnostic imaging / Q000502:physiology*; D016138:Walking; D000072797:Walking Speed; D055815:Young Adult