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D'Hondt, L.

Publications and source records attributed to D'Hondt, L..

3 recordsLinked to original sources

Stochastic optimal control simulations of walking: potential and perspective

Human walking is intrinsically variable. For example, there is considerable stride to stride variability even when walking speed is constant. This variability is due to uncertainty in the sensorimotor system and the environment, and is shaped by both musculoskeletal dynamics (e.g. joint stiffness and damping originating from muscles) and the control strategy used to mitigate the effects of uncertainty. Yet, insight into how sensorimotor noise shapes walking variability is limited due to a lack of experimental methods to assess sensorimotor noise and control strategies during walking. Simulations that account for uncertainty can elucidate how sensorimotor noise affects movement variability but due to numerical challenges, accounting for sensorimotor noise is not common in simulations of walking. Existing simulations have hugely simplified musculoskeletal dynamics (e.g. no muscles), the control policy (e.g. pre-defined feedback loops), or sensorimotor noise sources (e.g. only motor noise). Here, we performed stochastic optimal control simulations of walking based on a model with 9 degrees of freedom and 18 muscles to study how the level of sensory and motor noise influences walking. We solved for feedforward muscle excitations and full-state time-varying feedback gains that minimised expected effort while generating periodic, and hence stable, gait patterns. To enable these simulations, we approximated the state distribution with a Gaussian and used an unscented transform to propagate the state covariance. Resulting optimisation problems were solved with direct collocation. Sensorimotor noise level had a small effect on the mean kinematics but shaped kinematic and muscle activity variability as well as expected effort. Although simulations underestimated the magnitude of experimental positional variability, they captured its structure. In agreement with experimental results, the control policy prioritised limiting variability of centre of mass kinematics and minimal swing foot clearance over limiting joint angle variability. Hence, our simulations suggest that effort minimisation underlies these observations. Author summaryWhen performing a movement multiple times, each repetition will be slightly different due to random disturbances in the neural signals used to control movement, i.e. sensorimotor noise. Because it is difficult to measure inside the nervous system of a moving person, computer simulations are used to study movement control. They found that both sensorimotor noise and musculoskeletal mechanics determine how people control arm movements and standing. However, there are no simulations of walking that systematically evaluated how sensorimotor noise level influences walking kinematics because they pose computational challenges. Here, we proposed and used an approach for minimal effort simulations of walking in the presence of uncertainty. We imposed forward speed and stability but not kinematics. We found that the level of sensorimotor noise had little effect on the mean movement but a strong effect on the variability and the expected effort. The control strategy prioritised reducing the variability of the centre of mass position and swing foot clearance over reducing the variability of individual joint angles, which is also observed in experiments. Interestingly, strict control of centre of mass position and foot clearance in our simulations emerged from minimising effort.

systems biology↗

Estimating the contribution of musculoskeletal impairments to altered gait kinematics in children with cerebral palsy using predictive simulations

1.BackgroundCerebral palsy (CP) is caused by a brain lesion around birth leading to impaired motor control, bony deformities, muscle contractures, and weakness resulting in altered gait. Since the brain lesion cannot be cured, treatment aims at improving mobility. Multilevel surgery targets muscle and bony impairments but the outcome of multilevel surgery is variable and unpredictable due to our limited insight in the contribution of musculoskeletal impairments to gait alterations. MethodsHere, we used predictive simulations based on personalized musculoskeletal models to identify the contribution of musculoskeletal impairments to altered gait in eight individuals with CP scheduled for multilevel surgery. For each individual, we generated gait patterns based on eight models with different levels of personalization. We modeled muscle weakness, muscle contractures, and/or bony deformities of hip and knee and evaluated the contribution of these impairments to deviations in kinematics by comparing simulated and experimental kinematics. ResultsThe contribution of musculoskeletal impairments varied largely between participants. All modeled musculoskeletal impairments explained little to 39% of the kinematic deficits, in line with the limited and variable effect of multilevel surgery. Muscle contractures had the largest effect on the predicted kinematics. ConclusionOur results suggest an important contribution of motor control and unmodeled musculoskeletal impairments (e.g. shank and foot deformities) to alterations in the gait pattern. Model-based simulations are a promising tool to determine the contribution of musculoskeletal impairments to alterations in gait kinematics in individuals with CP.

bioengineering↗

A dynamic foot model for predictive simulations of gait reveals causal relations between foot structure and whole body mechanics

The unique structure of the human foot is seen as a crucial adaptation for bipedalism. Its arched shape makes it possible to stiffen the foot to withstand high loads when pushing off, without compromising the range of motion. Experimental studies demonstrated that manipulating foot stiffness had considerable effects on gait. In clinical practise, altered foot structure is associated with pathological gait. Yet our understanding of how foot structure influences gait mechanics is still poor. Here we used predictive simulations to explore causal relations between foot properties and whole-body gait. Our dynamic three-segment foot model with longitudinal arch improved gait predictions compared to one- and two-segment foot models and can explain measured ankle-foot kinematics and energetics. We identified three properties of the ankle-foot complex that are crucial for healthy walking: (1) compliant Achilles tendon, (2) stiff heel pad, (3) the ability to stiffen the foot. The latter requires sufficient arch height and contributions of plantar fascia, intrinsic and extrinsic foot muscles. Insufficient foot stiffness results in walking patterns with reduced push-off power. During terminal stance plantar fascia and intrinsic foot muscles transfer energy from the metatarsophalangeal to midtarsal joint, which further increases push-off power.

bioengineering↗