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Objective: Musculoskeletal simulation can be used to estimate muscle forces in clinical movement studies. However, such simulations typically only target movement measurements and are not applicable to force exertion tasks which are commonly used in rehabilitation therapy. Simulations can also produce nonphysiological joint forces or be too slow for real-time clinical applications, such as rehabilitation with real-time feedback. The objective of this study is to propose and evaluate a new formulation of forward-dynamics assisted tracking simulation that incorporates measured reaction forces as targets or constraints without any additional computational cost., Methods: We illustrate our method with idealized proof-of-concept models and evaluate it with two upper limb cases: Tracking of hand reaction forces during an isometric force-generation task and constraining glenohumeral joint reaction forces for stability during arm elevation., Results: We show that the addition of reaction force optimization terms within our simulations generates plausible muscle force predictions for these tasks, which are strongly related to reaction forces in addition to movement. Execution times for all models tested were not different when run with or without the reaction force optimization term, ensuring that the simulations are fast enough for real-time clinical applications., Conclusion: Our novel reaction force optimization term leads to more realistic shoulder reaction forces, without any additional computational costs., Significance: Our formulation is not only valuable for shoulder simulations, but could be used in various clinical situations (e.g., for different joints and rehabilitation therapy tasks) where the direction and/or magnitude of reaction forces are of interest.

Computer models of the human face have the potential to be used as powerful tools in surgery simulation and animation development applications. While existing models accurately represent various anatomical features of the face, the representation of the skin and soft tissues is very simplified. A computer model of the face is proposed in which the skin is represented by an orthotropic hyperelastic constitutive model. The in vivo tension inherent in skin is also represented in the model. The model was tested by simulating several facial expressions by activating appropriate orofacial and jaw muscles. Previous experiments calculated the change in orientation of the long axis of elliptical wounds on patients' faces for wide opening of the mouth and an open-mouth smile (both 30(o)). These results were compared with the average change of maximum principal stress direction in the skin calculated in the face model for wide opening of the mouth (18(o)) and an open-mouth smile (25(o)). The displacements of landmarks on the face for four facial expressions were compared with experimental measurements in the literature. The corner of the mouth in the model experienced the largest displacement for each facial expression (∼11-14 mm). The simulated landmark displacements were within a standard deviation of the measured displacements. Increasing the skin stiffness and skin tension generally resulted in a reduction in landmark displacements upon facial expression.

Purpose: The authors' general aim is to use biomechanical models of speech articulators to explore how possible variations in anatomical structure contribute to differences in articulatory strategies and phone systems across human populations. Specifically, they investigated 2 issues: (a) the link between lip muscle anatomy and variability in lip gestures and (b) the constraints of coupled lip/jaw biomechanics on jaw posture in labial sounds., Method: The authors used a model coupling the jaw, tongue, and face. First, the influence of the orbicularis oris (OO) anatomical implementation was analyzed by assessing how changes in depth (from epidermis to the skull) and peripheralness (proximity to the lip horn center) affected lip shaping. Second, the capability of the lip/jaw system to generate protrusion and rounding, or labial closure, was evaluated for different jaw heights., Results: Results showed that a peripheral and moderately deep OO implementation is most appropriate for protrusion and rounding; a superficial implementation facilitates closure; protrusion and rounding require a high jaw position; and closure is achievable for various jaw heights., Conclusions: Models provide objective information regarding possible links between anatomical and speech production variability across humans. Comparisons with experimental data will illustrate how motor control and cultural factors cope with these constraints.

Statement of Problem: Composite mandibular resection resulting in mandibular discontinuity can alter jaw motion, occlusal forces, and mastication, whether or not the jaw is reconstructed. The biomechanical events associated with these changes are difficult to assess clinically and, therefore, are not well documented or researched., Purpose: The purpose of this study was to model movements of a mandible with a discontinuity defect, and to compare them to movements of a mandible with its continuity restored by alloplastic reconstruction., Material and Methods: Computational models were created with a novel simulation platform. The variables designed into the models included gravity, external forces, and jaw muscle activity. Each jaw was observed at rest, when opened by external force or by muscle drive, and during the generation of unilateral occlusal force on the nonoperated side. Scarring was simulated with springlike forces. Outputs included individual muscle forces and torques, as well as mandibular incisor and condylar motions., Results: Both models displayed plausible resting postures, and jaw opening with deviation toward the defect side when scarring was simulated. Opening caused by downward force on the incisors differed from that due to muscle activation. Jaw rotations during unilateral molar contact on the unaffected side were muscle specific and influenced by mandibular discontinuity., Conclusions: Plausible jaw movements after hemimandibulectomy and/or alloplastic reconstruction could be predicted by dynamic modeling. The effect of soft tissue forces on jaw posture and movements varied with the condylar support available. In both models, different opening trajectories were produced by external force on the jaw and by jaw muscle activation. Mandibular rotation during unilateral molar contact depended on which muscles were activated, and the availability of bilateral condylar support., (Copyright © 2010 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.)

Population structure (also called genetic structure and population stratification) is the presence of a systematic difference in allele frequencies between subpopulations in a population as a result of nonrandom mating between individuals. It can be informative of genetic ancestry, and in the context of medical genetics, it is an important confounding variable in genome-wide association studies. Recently, many nonlinear dimensionality reduction techniques have been proposed for the population structure visualization task. However, an objective comparison of these techniques has so far been missing from the literature. In this article, we discuss the previously proposed nonlinear techniques and some of their potential weaknesses. We then propose a novel quantitative evaluation methodology for comparing these nonlinear techniques, based on populations for which pedigree is known a priori either through artificial selection or simulation. Based on this evaluation metric, we find graph-based algorithms such as t-SNE and UMAP to be superior to principal component analysis, while neural network-based methods fall behind.

The unique biomechanical and functional constraints on human speech make it a promising area for research investigating modular control of movement. The present article illustrates how a modular control approach to speech can provide insights relevant to understanding both motor control and observed variation across languages. We specifically explore the robust typological finding that languages produce different degrees of labial constriction using distinct muscle groupings and concomitantly distinct lip postures. Research has suggested that these lip postures exploit biomechanical regions of nonlinearity between neural activation and movement, also known as quantal regions, to allow movement goals to be realized despite variable activation signals. We present two sets of computer simulations showing that these labial postures can be generated under the assumption of modular control and that the corresponding modules are biomechanically robust: first to variation in the activation levels of participating muscles, and second to interference from surrounding muscles. These results provide support for the hypothesis that biomechanical robustness is an important factor in selecting the muscle groupings used for speech movements and provide insight into the neurological control of speech movements and how biomechanical and functional constraints govern the emergence of speech motor modules. We anticipate that future experimental work guided by biomechanical simulation results will provide new insights into the neural organization of speech movements.NEW & NOTEWORTHY This article provides additional evidence that speech motor control is organized in a modular fashion and that biomechanics constrain the kinds of motor modules that may emerge. It also suggests that speech can be a fruitful domain for the study of modularity and that a better understanding of speech motor modules will be useful for speech research. Finally, it suggests that biomechanical modeling can serve as a useful complement to experimental work when studying modularity.

[Display omitted] • Sheds new light on the important potential connection between tooth grinding and temporomandibular joint loading • Demonstrates a larger effect of grinding inclination than grinding position on TMJ loading • Creates a novel computer simulation of TMJ disc stress during dynamic tooth grinding tasks • Uses state-of-the-art in silico methods for a highly multidisciplinary investigation, which is not feasible in vivo • Presents a tracking simulation approach to work around the highly complicated recording of masticatory muscle EMG acquisition Functional impairment of the masticatory region can have significant consequences that range from a loss of quality of life to severe health issues. Increased temporomandibular joint loading is often connected with temporomandibular disorders, but the effect of morphological factors on joint loading is a heavily discussed topic. Due to the small size and complex structure of the masticatory region in vivo investigations of these connections are difficult to perform. We propose a novel in silico approach for the investigation of the effect of wear facet inclination and position on TMJ stress. We use a forward-dynamics tracking approach to simulate lateral bruxing on the canine and first molar using 6 different inclinations, resulting in a total of 12 simulated cases. By using a computational model, we control a single variable without interfering with the system. Muscle activation pattern, maximum bruxing force as well as TMJ disc stress are reported for all simulations. Muscle activation patterns and bruxing forces agree well with previously reported EMG findings and in vivo force measurements. The simulation results show that an increase in inclination leads to a decrease in TMJ loading. Wear facet position seems to play a smaller role with regard to bruxing force but might be more relevant for TMJ loading. Together these results suggest a possible effect of tooth morphology on TMJ loading during bruxism. [ABSTRACT FROM AUTHOR]

Mastication is a vital human function and uses an intricate coordination of muscle activation to break down food. Collection of detailed muscle activation patterns is complex and commonly only masseter and anterior temporalis muscle activation are recorded. Chewing is the orofacial task with the highest muscle forces, potentially leading to high temporomandibular joint (TMJ) loading. Increased TMJ loading is often associated with the onset and progression of temporomandibular disorders (TMD). Hence, studying TMJ mechanical stress during mastication is a central task. Current TMD self-management guidelines suggest eating small and soft pieces of food, but patient safety concerns inhibit in vivo investigations of TMJ biomechanics and currently no in silico model of muscle recruitment and TMJ biomechanics during chewing exists. For this purpose, we have developed a state-of-the-art in silico model, combining rigid body bones, finite element TMJ discs and line actuator muscles. To solve the problems regarding muscle activation measurement, we used a forward dynamics tracking approach, optimizing muscle activations driven by mandibular motion. We include a total of 256 different combinations of food bolus size, stiffness and position in our study and report kinematics, muscle activation patterns and TMJ disc von Mises stress. Computed mandibular kinematics agree well with previous measurements. The computed muscle activation pattern stayed stable over all simulations, with changes to the magnitude relative to stiffness and size of the bolus. Our biomedical simulation results agree with the clinical guidelines regarding bolus modifications as smaller and softer food boluses lead to less TMJ loading. The computed mechanical stress results help to strengthen the confidence in TMD self-management recommendations of eating soft and small pieces of food to reduce TMJ pain. [Display omitted] [ABSTRACT FROM AUTHOR]

Fish Tank Virtual Reality (FTVR) displays create a compelling 3D spatial effect by rendering to the perspective of the viewer with head-tracking. Combining FTVR with a spherical display enhances the 3D experience with unique properties of the spherical screen such as the enclosing shape, consistent curved surface, and borderless views from all angles around the display. The ability to generate a strong 3D effect on a spherical display with head-tracked rendering is promising for increasing user's performance in 3D tasks. An unanswered question is whether these natural affordances of spherical FTVR displays can improve spatial perception in comparison to traditional flat FTVR displays. To investigate this question, we conducted an experiment to see whether users can perceive the depth and size of virtual objects better on a spherical FTVR display compared to a flat FTVR display on two tasks. Using the spherical display, we found significantly that users had 1cm depth accuracy compared to 6.5cm accuracy using the flat display on a depth-ranking task. Likewise, their performance on a size-matching task was also significantly better with the size error of 2.3mm on the spherical display compared to 3.1mm on the flat display. Furthermore, the perception of size-constancy is stronger on the spherical display than the flat display. This study indicates that the natural affordances provided by the spherical form factor improve depth and size perception in 3D compared to a flat display. We believe that spherical FTVR displays have potential as a 3D virtual environment to provide better task performance for various 3D applications such as 3D designs, scientific visualizations, and virtual surgery. [ABSTRACT FROM AUTHOR]

We present an open-source physical simulation system suitable for efficient modeling of anatomical structures composed of both hard and soft tissue components, interconnected by point-wise attachments, contact, and other constraints. Specific attention is paid to the computational formulation needed for the coupled simulation of rigid and deformable structures, and a constraint-based mechanism is described for attaching these together. As an application of this system, we then present a novel 3D dynamic model of the jaw-tongue-hyoid complex, consisting of an FEM model of the tongue, rigid jaw, and hyoid structures, point-to-point muscle actuators, and constraints for bite contact and the temporomandibular joints. Several simulations are presented showing combined jaw-tongue actions and demonstrating the effects of coupled jaw-tongue-hyoid dynamics. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Mastication is the motor task with the highest muscle activations of the jaw region, potentially leading to high temporomandibular joint (TMJ) loading. Since increased loading of the TMJ is associated with temporomandibular disorders (TMD), TMJ mechanics during chewing has potential clinical relevance in TMD treatment. TMD self-management guidelines suggest eating soft and small pieces of food to reduce TMJ pain. Since TMJ loading cannot be measured in vivo , due to patient safety restrictions, computer modeling is an important tool for investigations of the potential connection between TMJ loading and TMD. The objective of this study is to investigate the effect of food bolus variables on mechanical TMJ loading to help inform better self-management guidelines for TMD. A combined rigid-body-finite-element model of the jaw region was used to investigate the effect of bolus size, stiffness, and position. Mandibular motion and TMJ disc von Mises stress were reported. Computed mandibular motion generally agrees well with previous literature. Disc stress was higher during the closing phase of the chewing cycle and for the non-working side disc. Smaller and softer food boluses overall lead to less TMJ loading. The results reinforce current guidelines regarding bolus modifications and provide new potential guidelines for bolus positioning that could be verified through a future clinical trial. The paper presents a first in silico investigation of dynamic chewing with detailed TMJ stress for different bolus properties. The results help to strengthen the confidence in TMD self-management recommendations, potentially reducing pain levels of patients. [ABSTRACT FROM AUTHOR]

Some of the jaw tracking methods may be limited in terms of their accuracy or clinical applicability. This article introduces the sphere-based registration method to minimize the fiducial (reference landmark) localization error (FLE) in tracking and coregistration of physical and virtual dental models, to enable an effective clinical analysis of the patient’s masticatory functions. In this method, spheres (registration fiducials) are placed on the corresponding polygonal concavities of the physical and virtual dental models based on the geometrical principle that establishes a unique spatial position for a sphere inside an infinite trihedron. The experiments in this study were implemented using an optical system which tracked active tracking markers connected to the upper and lower dental casts. The accuracy of the tracking workflow was confirmed in vitro, based on comparing virtually calculated interocclusal regions of close proximity against the physical interocclusal impressions. The target registration error of the tracking was estimated based on the leave-one-sphere-out method to be the sum of the error of the sensors, i.e., the FLE was negligible. Moreover, based on a user study, the FLE of the proposed method was confirmed to be 5 and 10 times smaller than the FLE of conventional fiducial selections on the physical and virtual models, respectively. The proposed tracking method is non-invasive and appears to be sufficiently accurate. To conclude, the proposed registration and tracking principles can be extended to track any biomedical and non-biomedical geometries that contain polygonal concavities. [ABSTRACT FROM AUTHOR]