MOVEMENT AND THE MECHANICAL PROPERTIES OF THE INTACT HUMAN ELBOW JOINT By Jeremy Malcolm Lanman B.A., Yale University (1972) SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY AT THE MASSACHUSETTS INSTITUTE OF TECHNOLOGY JUNE 1980 ( Massachusetts Institute of Technology, 1980 Signature of Author: Department of Psychology April 11, 1980 Certified by: Emilio Bizzi Thesis Supervisor '1-in Accepted by: ARCHIVES MASSACHUSETTS INSTITUTE OF TECHNOLOGY JUL 8 1980 LIBRARIES 'Chairman, Department Committee on Graduate Students MOVEMENT AND THE MECHANICAL PROPERTIES OF THE INTACT HUMAN ELBOW JOINT' by Jeremy M. Lanman Submitted to the Department of Psychology on April 11, 1980 in partial fulfillment of the requirements for the degree of PhoD. ABSTRACT Recent studies of motor coordination have emphasized the importance of the mechanical properties of muscle in both load compensation-and in the control of movement. Teleologically, different mechanical characteristics may be optimal for different tasks. For example, a skiier may wish to adjust the stiffness of his legs in accordance with the terrain and snow conditions. How, and to what extent can subjects control the mechanical properties of their joints? To help answer this question, we investigated short term changes in muscle properties by measuring the response of the intact human elbow joint to mechanical perturbations. The resistance of the intact joint to such displacements reflects contributions from the muscles and passive tissues spanning the elbow joint. In order to explore the effects of both muscular activation and movement on joint properties we studied three conditions: (1) voluntary isometric contraction, (2) passive movement, and (3) voluntary movement. In the isometric condition, the subject maintained a constant arm position against various loads. In the passive movement condition the subject's arm was moved at a constant velocity. Finally, the voluntary movement condition combined muscular activation with movement. During all three conditions a small amplitude, high frequency (15-30 Hz) sinusoidal perturbation was applied about the elbow joint. Joint impedance was derived from the resistance of the elbow to this superimposed displacement. We obtained continuous measures of joint impedance, joint angle, and the biceps and triceps EMG's. During isometric contraction, joint impedance increased monotonically with increasing muscular activation (estimated by EMG). In contrast, during passive arm movements joint impedance decreased markedly. This was true even for very slow passive movements when no change in muscular activation could be detected. Finally, voluntary movements resulted in changes in joint impedance which were consistent with the combined effects of muscular activation and movement. We attribute these changes in joint impedance to variations in the properties of the muscles acting about the joint. We conclude that length TABLE OF CONTENTS Page ABSTRACT 2 ACKNOWLEDGEMENTS 5 INTRODUCTION 6 Muscle Properties Joint Properties Techniques for Measuring Joint Properties METHODS Error Analysis Advantages of High Frequency Measurement Testing and Calibration Data Acquisition Methods Summary RESULTS Voluntary Muscle Activation Passive Movement Voluntary Movement Impedance Measurements at Different Amplitudes and Frequencies 8 11 11 14 18 19 20 22 23 24 24 25 26 28 DISCUSSION 30 MUSCLE MODEL 35 Bond Number Testing the Muscle Model Summary of Muscle Model Applying the Muscle Model to the Intact Joint The Influence of Passive Tissues Conclusions from the Muscle Model 36 38 39 40 41 42 CONCLUSION 43 REFERENCES 46 APPENDIX I 52 APPENDIX II 61 FIGURE LEGENDS 63 FIGURES 68 TABLES changes (whether active or passive) and neural activation have opposing effects on the mechanical properties of muscle. These results will be discussed in relation to the well-characterized effects of length change and activation on the mechanical properties of isolated muscle. Through an understanding of the factors controlling muscle properties, we can begin to understand how the nervous system might adjust the mechanical properties of a joint. Dr. Emilio Bizzi, Professor of Neurophysiology Lanman, 5 ACKNOWLEDGEMENTS The help and support of many people was required for the completion of this work. In particular I would like to thank my advisor, Dr. Emilio Bizzi for his help and support. I would also like to thank Dr. Parvati Dev for her gentle guidance and maintained interest, Dr. Neville Hogan for his many insightful comments, and Dr. Tom Zeffiro for his continual encouragement and his good sportsmanship in subjecting himself to gooey cornstarch. John Swan and Ed Cruz must be thanked for achieving excellence in constructing the apparatus. Finally, I would like to thank Terry Heyward for her cheerfulness while typing so many revisions of this manuscript. Lanman, 6 INTRODUCTION The translation of patterns of neural activity into movement, or more generally into behavior, is accomplished by the musculo-skeletal system. This translation can be thought of as occurring in two steps: (1) motor- neuronal activity stimulates force generation in muscle and (2) this muscle force acts through a mechanical linkage to generate torque about one or more joints. The second part of this problem can, at least in principle, be modeled by applying the laws of classical mechanics to the anatomical relationships of the muscles and joints. The prior problem of translating neuronal activity into muscle force is more difficult to understand and model, and neurophysiologists have all too frequently glossed over this problem, simply assuming that alpha motorneuronal activity stimulates a more or less equivalent increase in muscle force. The dangers of such an over- simplification can perhaps be best understood by analogy to visual physiology: suppose that investigators were to assume that retinal ganglion cells simply reported absolute incident light intensity of one point on the retina, thus ignoring the vast amount of preprocessing that occurs peripherally, on the retina itself. Such an assumption would clearly interfere with progress in understanding visual physiology. Ongoing research on isolated muscle preparations has begun to reveal some of the principles, but also some of the complexities of muscle action. A particularly striking demonstration of the importance of intrinsic muscle properties has been seen in the flight muscles of certain insects (Pringle, 1967). The wings of such a species may beat 120 times/sec while the motor units fire at only three spikes/sec. This oscillatory behavior has been modeled as a non-neural feedback system between muscle and load, the central Lanman, 7 feature of which is the enhancement of active tension generation by mechanical stretch. Clearly, a neurophysiologic investigation searching for a neuronal oscillator generating the 120 cycle wing beat would be misdirected in such a species; the oscillator is the muscle itself. Although this extreme case of a muscle oscillator is probably restricted to invertebrates, the enhancement of muscle force generation by mechanical stretch has been repeatedly observed in vertebrate preparations (for a recent study see Edman et al., 1978). Could this be a kind of non-neural stretch reflex? The point illustrated by these examples is that muscle force is not simply and directly related to its stimulation rate; the degree and rate of stretch is important as well. This complex interaction of neural and mechanical factors in determining muscle force is important in understanding central neural control of movement. For example, much research (Bizzi et al., 1978; Feldman, 1966a, 1966b; Grillner, 1972; Polit, 1977) has been devoted to elucidating the role of the intrinsic length/tension properties of muscle in maintaining a stable posture. The length/tension characteristics of muscle can be modeled, somewhat metaphorically, as a spring (Houk and Henneman, 1974) with parameters such as stiffness and rest length that can be controlled by innervation. In turn, this spring-like property of muscle provides for a kind of non-neural load compensation: when an external load is applied to a muscle-spring, the muscle is stretched and consequently provides more tension. If a muscle-spring is very stiff, i.e., if tension increases rapidly for a small increase in length, then the intrinsic properties of muscle will be very effective in load compensation. Recent measurements indicate that this sort of intrinsic muscle-spring type of load compensation is more important than any such compensation mediated by reflex pathways (Bizzi et al., 1978; Grillner, 1972; Lanman, 8 Merton, 1953). Thus, the mechanical properties of muscle are important in understanding control of movement. Unfortunately, however, there is a lack of data on muscle and joint properties under natural conditions, The goal of this study is to measure the mechanical properties of the intact human elbow joint under natural conditions of innervation and movement. Since the properties of a joint are in large part determined by the muscles, we will first review the main features of the structure and mechanical properties of muscle. Muscle Properties In order to provide a conceptual framework in which to understand the properties of muscle, it is important to review what is known about the structure and functional properties of muscle. Studies of the structure of muscle have revealed that muscle is made up of groups of muscle fibers which are in turn made up of repeated parallel arrays of interdigitating actin and myosin filaments (Fig. 1). The filaments themselves are quite rigid and inextensible (Huxley and Simmons, 1971), so when muscle is stretched or shortened the filaments must slide past one another, thereby changing their degree of interdigitation or overlap. Tension in muscle is generated by molecular bond bridges between the two types of filaments. Since bonds can only be formed between adjacent overlapping portions of the actin and myosin filaments, tetanic muscle tension varies as a function of overlap, and therefore also as a function of muscle length (Gordon et al., 1966). In this way the molecular structure of muscle can give insight into the static length/ tension properties of muscle discussed in the previous paragraph. Muscle tension depends not only on the degree of overlap of filaments, but also on the proportion of overlapping bonds that are actually attached Lanman, 9 and pulling, generating tension. Neural excitation of muscle stimulates increased bond formation, by increasing the availability of Ca++ to the troponintropomyosin system (Murray and Webber, 1974). excitation contraction coupling. This is the basis of When muscle stimulation is stopped, bond formation stops and tension drops as bonds break. Under rigorously isometric conditions the fall in tension can be surprisingly slow (seconds), indicating that spontaneous bond breakage is quite slow (Huxley and Simmons, 1972; Webber and Murray, 1973). When muscle length is allowed to change, however, there is good evidence that bonds are broken much more rapidly. This is reasonable since as muscle length changes, the actin and myosin filaments slide past one another. Since the bond bridges cannot stretch indefinitely, they must eventually break loose. Thus neural stimulation of muscle increases bond formation and therefore produces a rise in muscle tension, while mechanical shortening or lengthening results in bond breakage and a decrease in muscle tension (Joyce et al., 1969). The balance between these two opposing factors, electro-chemical activation and mechanical disruption, may explain the rather complex dependence of muscle force on the velocity of contraction or stretch, i.e., the force/velocity relationship of muscle. This relationship is of direct significance in understanding neural control of movement, as opposed to posture. Having briefly sketched the molecular mechanisms thought to underlie the length/tension and the force/velocity relationships of muscle, it is now important to consider how muscle responds to rapid stretch. Figure 2 from Rack and Westbury (1969) shows the static length/tension characteristics of the cat soleus muscle at different rates of stimulation (dotted lines). Super- imposed on these static characteristics are a series of solid lines showing the Lanman, 10 response of muscle to dynamic (ramp) stretch. Note that the dynamic charac- teristics are much steeper than the isometric length/tension properties. Muscle resists small rapid stretches much more strongly than expected on the basis of static characteristics, and this high resistance is called shortrange stiffness (SRS). Thus the mechanical properties of muscle appear differently, depending on how far and how fast the muscle is stretched. The static length/tension characteristics of muscle appear to fit molecular structural data quite well, and structural analysis of muscle can contribute to our understanding of the SRS phenomenon as well. When muscle is rapidly and incrementally stretched, the actin and myosin filaments are slightly displaced, thus stretching any molecular bridges between the filaments. Since each individual bond bridge resists this stretch, the greater the number of bonds the greater this resistance will be. If bond bridges generate overall muscle tension as well as SRS, then both of these parameters should increase together as "bonds" are formed. This hypothesis has been repeatedly verified not only under steady-state conditions (Ford et al., 1977; Morgan, 1977; Rack and Westbury, 1974), but also during isotonic shortening (Julian and Sollins, 1975), and during changes in stimulation rate (Mason, 1978). In all of these diverse paradigms resistance to incremental stretch, or SRS, was directly proportional to overall muscle tension, indicating that each bond contributes a constant ratio of both tension and stiffness to whole muscle. To summarize, the resistance of muscle to small rapid stretch reflects the stiffness of individual bond bridges, while the changes in muscle tension seen with large slow displacements reflect (among other factors) the changes in overlap between actin and myosin filaments. The mechanical properties of Lanman, 11 muscle applicable during voluntary movement probably reflect elements of both the static length/tension characteristics and the more "dynamic" SRS properties. Joint Properties In the previous section we discussed the structure and mechanical properties of skeletal muscle. Because of the linkage of muscles about the It is joint, these muscle properties contribute to total joint properties. total joint characteristics that determine how our limbs respond to environmental loads. As discussed earlier, muscle properties vary with level of activation and with extent and rate of stretch. Consequently, we expect joint properties to vary with electromyographic (EMG) activity and with joint rotation. The goal of this study is to measure the mechanical properties of the intact human elbow joint with natural innervation. We will look specifically for (1) the effects of EMG activation on joint properties, (2) the effects of passive movement on joint properties and (3) the variations in joint properties during voluntary movements. Previously, intact joint properties have only been investigated under isometric conditions. Before going into the details of this study, we will briefly discuss the history and techniques for measuring joint properties. Techniques for Measuring Joint Properties A wide variety of different types of perturbations have been used to probe the mechanical properties of joint. These include torque steps, gaussian noise and continuous sinusoids (for recent examples see: Bizzi et al., 1978; gaussian noise: uous sinusoids: steps: Agarwal and Gottlieb, 1977b; and contin- Agarwal and Gottlieb, 1977a; Joyce et al., 1974). If muscle Lanman, 12 and joint could be treated as a simple linear system, all these different methods would give the same results; however, in fact the result differ. This is not surprising when you consider the complexity of the system. For example, recall the very different response of muscle seen under static versus dynamic conditions (isometric length/tension characteristics versus short range stiffness). The resistance of the intact joint to rapid small- amplitude perturbation should reflect the SRS of muscle, while the response to maintained displacement should depend primarily on the isometric length/ tension properties. Because of these differences, when reporting the mechanical properties of muscle and/or joint, it is important to specify how these properties are measured, i.e., what waveshape, amplitude and rate of perturbation was used for measurement. In this study, small amplitude, high frequency sinusoidal disturbances were applied to the forearm. The resistance of the joint to these perturbations gives a measure of the mechanical properties of the joint. This approach was chosen for two reasons. First, by using continuous sinusoidal perturbations, impedance can be monitored continuously and any changes in mechanical properties can be detected as they happen. Second, by using high frequency disturbances, joint properties can be monitored during natural voluntary movements. This is done by using filters to separate out the relatively low frequency components of voluntary movement from the higher frequency superimposed perturbations. Thus this method of using continuous sinusoids to measure joint properties is particularly well suited to detecting changes in the mechanical properties of the intact joint during different conditions of posture and movement, Thus far we have discussed joint properties in relation to intrinsic muscle properties, yet measurements on the intact joint may be influenced by Lanman, 13 reflex activity as well. Previous investigators have seen effects of reflex activity on joint mechanical properties (Agarwal and Gottlieb, 1977a; Goodwin et al., 1978; Joyce et al., 1974), but such effects were only seen at measurement frequencies below about 15 Hz. This is because of the low-pass filter characteristics of muscle (Bawa et al., 1976a; Goodwin et al., 1978). Muscle simply cannot contract and relax quickly enough to generate bursts of force as fast as 15 times a second. Most of the measurements reported here are taken at frequencies above 15 Hz and, therefore, reflect intrinsic muscle properties rather than reflex modulation. To summarize, by using small amplitude, high frequency perturbations, it is possible to measure changes in the mechanical properties of a joint, These measurements can be made under different conditions of load and movement, with a minimum of interference with voluntary arm movements. The results of these measurements can be compared to similar measurements made on isolated muscle. Lanman, 14 METHODS The elbow joint was chosen for this study because of its relative anatomical simplicity. A torque motor was used to apply accurately known sinusoidally varying torques to the forearm, and the resulting acceleration was monitored. After allowing for inertial effects, the resistance of the elbow joint to this perturbation can be measured and represented on a phasor diagram as a combination of two components: an in-phase component, or an "equivalent stiffness" (K ), and a quadrature component, or an "equivalent viscosity" (B ). These two components of resistance to imposed movement can be measured continuously both during posture and during movement. This will be done in order to detect changes in the mechanical properties of the elbow joint. In order to perform these measurements, the forearm was attached to the shaft of a powerful torque motor with an individually fitted fiberglass cast (Fig. 3). The torque motor was anchored to a concrete footing and the upper arm was held steady both by a brace and by the large inertia of the upper body. Thus, the only movement was a rotation of the forearm in the horizontal plane, corresponding to flexion or extension of the elbow joint. Sinusoidal torque disturbances (3 to 30 Hz) were applied to the forearm by the torque motor, and this torque was monitored by a strain gauge bridge. The muscles and tissues of the elbow also transmitted some torque to the forearm. the torque on the shaft ( s) and the torque in the elbow joint (j) The sum of caused the forearm to accelerate: (1) 0e=T s + t. . I = moment of inertia of arm/cast .. system e = angular acceleration of arm/cast Ts = measured torque on shaft rj = torque transmitted through elbow joint Lanman, 15 The torque of the elbow joint cannot be directly measured, but it can be computed by rearranging equation (1): (2) . = I - T When the forearm was driven back and forth with a sinusoidal acceleration (O), the joint torque (rj) represents the resistance of the muscles and tissues of the joint. In order to remove non-sinusoidal components, such as contribu- tions from voluntary muscular contractions, both torque and acceleration measurements were narrowband filtered (m)0 at the frequency of torque motor drive The filtered signals are denoted by subscripts (T 'I ).. The output of the filters can be described as sinusoids with slowly varying amplitude t = f and phase: O = A sin (wt) t TjW = T sin (wt + #) + I frequency of torque motor drive e = filtered instantaneous angular W acceleration of forearm W= A = peak amplitude of Oe rJ = filtered instantaneous torque, T , as defined on previous page T = peak amplitude of Tj 4 = phase difference between Tj and O t = time 1 Bandwidth of 10 Hz. Lanman, 16 can be used to compute the equivalent stiff- The resistance of the elbow (.j) ness and equivalent viscosity of the joint. This computation can be best represented on a phasor diagram: velocity axis T quadrature component T sin displacement axis in-phase component = T cos f 2 (3) KW T o Acos # (4) T w sin 4 A BW The equivalent stiffness and viscosity mimic the response of the joint under the conditions of measurement. Since it is anticipated that equivalent stiffness and viscosity will depend on the frequency of measurement, these values are subscripted: K and B . The amplitude of perturbation used were necessarily always small (limited by the power of the torque motor, see Table II). There was no significant difference in measurements made at the different amplitudes tested. To further illustrate the relationship between sinusoidally varying resistance and the mechanical properties of a system, a simple linear system will be given as an example. Example: Let us consider a hypothetical system consisting of ideal inertial, viscous and elastic elements, M, B, and K, respectively. When this system is perturbed by a sinusoidal acceleration (*) it resists with a force (f): Lanman, 17 B M f, x x = X sin wt =X K measured here sin (wt + 900) X sin (wt + 1800) 2 f = Mx + Bx + Kx The instantaneous driving force (f) can be represented as the sum of sinusoidal components, each with a constant amplitude and phase: f = [M] X sin (wt) + inertial component [B] X sin (wt + 900) + viscous component [K] X2- sin (wt + 1800) elastic component The addition of these sinusoidal components can be represented vectorally on a phasor diagram. In such a diagram a sinusoid is represented by a vector; the length of the vector represents the amplitude and the direction of the vector represents the phase angle. (Throughout this study, phase angle is measured with respect to the acceleration.) The velocity ( ) is shifted 900 with respect to acceleration, while the displacement (x) is 1800, i.e., opposite to the acceleration. MX I velocity axis BX/w acceleration axis F I 2 --- displacement axis KX/w f = Mx + Bx + Kx = F sin (Wt + ) This diagram shows graphically the relationship between the applied force (F) and the forces of the mechanical elements, K, B and M. .. K and B can be computed from the applied force, the acceleration (X) and the mass: Lanman, 18 K M 2 - F w Xcos B= f B= sin x 4 The phase angle between the applied force and acceleration ( ) allows the total force to be divided into in-phase and quadrature components which reflect stiffness and viscosity, respectively. Error Analysis The method outlined above is subject to some constant or slowly varying errors, and for this reason only short term changes in joint properties will be reported. Such changes could be readily detected during muscle activation and passive joint rotation. The pattern of changes seen was quite repeatable from day to day and subject to subject (three subjects were used). Thus, changes in joint impedance can be reliably detected even though the absolute values of both K and B are not certain. In order to better understand the nature of these errors, one must consider the computations involved. joint torque (Tj). Joint properties are determined from This quantity can not be directly measured and so must be computed by subtraction (see equation #2). At higher frequencies, this difference is relatively small and so even small measurement errors may be significant. Figure 4 shows how small errors in amplitude or phase measure- ments can effect the computation of equivalent stiffness and viscosity. Errors of the magnitude shown are likely, due to inevitable errors in calibrating the transducers; however, these errors are constant or slowly varying. Furthermore, the inertia of the arm-cast system is constant.2 Therefore, any changes in the torque and acceleration measurements must indicate a change in the mechanical properties of the elbow joint. To show that measurements of changes are independent of any of these Lanman, 19 constant errors, errors were deliberately introduced. weights to the arm/cast system. This was done by adding As expected, such mass loads shifted the position of the in-phase impedance (K ) trace, but had no effect on the pattern of changes seen under different conditions of load and movement. Advantages of High Frequency Measurement The difficulties encountered when using high frequency perturbations to measure joint impedance were pointed out in the section on Error Analysis. In essence, the problem is that at high frequencies the large inertial reaction forces mask the much smaller forces generated by the muscles and passive tissues spanning the elbow joint. All the same, high frequency measurements have compensatory advantages that make it worthwhile to overcome these difficulties, First, during voluntary movements impedance can only be measured at high frequency. The ability to measure impedance during active movements depends on the use of narrowband filters to separate out accelerations due to voluntary muscular activation (relatively low frequency) from accelerations due to the high frequency perturbation of the torque motor: 2To assure that the inertia of the arm/cast system could not change, the forearm was fixed in an individually fitted fiberglass cast and the residual spaces between arm and cast were filled with a viscous solution of cornstarch and water. The system was sealed so the arm could not be pushed into or withdrawn from the cast without creating a bubble. Even if the forearm should move slightly inside the cast, an equivalent volumn (mass) of solution would be displaced, thus conserving the total moment of inertia of the arm/ cast system. Only the appearance of a bubble (larger than 10 ml at the tip of the cast) could alter the moment of inertia enough to significantly influence the computation of K and B . Such bubbles were not observed. Since the inertia of the arm/cast system could not change, any change in measured torque and acceleration must reflect changes in the muscles and passive tissues spanning the joint. Lanman, 20 superimposed oscillation narrowband filter voluntary movement with superimposed sinusoidal perturbation low pass filter voluntary movement (see Fig. 5 for a demonstration of the effectiveness of this separation.) It is not possible to separate a low frequency oscillation from voluntary movement. There is another advantage in using high frequency disturbances to probe joint properties. When the elbow joint is oscillated, even at high frequencies, reflex modulation of EMG activity can be observed (Rack and Ross, 1974). However, because of the low pass properties of muscle, very little high frequency modulation of muscle force is produced. When muscle is stimulated with say 30 Hz bursts of activation, a rather well fused tetanus is observed with only a few percent modulation at the drive frequency et al., 1976a, 1976b; Goodwin et al., 1978). (Bawa Therefore, any 30 Hz modulation measured in joint torque cannot be attributed to reflex modulation. High frequency modulation of torque must reflect the intrinsic mechanical properties of muscle itself. Testing and Calibration Before making any physiologic measurements the system was extensively tested with artificial loads. To do this the arm/cast was filled with water, thus constituting a purely inertial load. This arrangement is intended to be Lanman, 21 equivalent to the system with the arm in the cast except that there can be Any departure of the measured joint torque (Tj) from zero no joint torque. must be a measurement error: = applied torque measured on S- s -est e = error = .. motor shaft e = measured acceleration Iest = estimated moment of inertia By adjusting Iest it was possible to reduce this error to less than 0.1%, but only after eliminating all extraneous movement and vibration. This was done by (1) anchoring the torque motor body to a concrete footing, (2) counterbalancing the one-sided inertia of the cast, and (3) using a very rigid (1" diameter) shaft between the motor and the cast. With these modifications it was possible to achieve small errors at all frequencies and at all shaft angles. Using this same water filled cast arrangement, the transient response of the system was tested. This was done by attaching a small steel weight to the arm/cast with an electromagnet. When the magnet was shut off the weight dropped, thus creating an instantaneous change in load. The in-phase impedance trace (K ) responded to this step change with an exponential (time constant - 100 msec) (see Fig. 6). Along with showing the transient response of the system, this figure shows how the apparatus can be calibrated. If the moment of inertia (mass times radius squared) of the dropped weight is known, then the change in the computed value of K can be calibrated in Nt-m/rad: AK = I w2 This technique of adding known inertial loads was in fact used to calibrate the entire system at the start of each experimental run. Lanman, 22 Data Acquisition The resistance of the elbow joint to sinusoidal acceleration was recorded along with: (1) the surface EMG over the biceps and triceps muscles (2) the angular position and velocity of the elbow joint (3) the magnitude of any steady bias force load on the forearm. These measurements were made using standard techniques and were reccrded in real time on a Honeywell visicorder and on magnetic tape for subsequent computer analysis. Data were collected under three conditions: (1) Voluntary muscle activation: In this condition the subject was instructed to maintain a constant arm position while holding bias loads ranging from 2.5 to 40 ft-lbs. These loads were generated by suspending lead weights, with a lever and pulley linkage, from the motor shaft. (2) Passive movement: By using the torque motor as a position servo, it was possible to rotate the arm passively (i.e., without any voluntary muscular activation or EMG activity). Position ramps corresponding to velocities of .5 to 10 degrees per second were used. (3) Voluntary movement: As discussed earlier, in the high frequency range it is possible to measure variation in joint properties during active voluntary movements. Such movements were studied with and without an additional viscous load. The effect of the viscous load was to oppose movement velocity so that greater muscle force (and greater EMG activity) was required to achieve the same velocity of movement. This viscous load was generated by feeding the output of Lanman, 23 a tachometer (velocity transducer) into the torque motor driver. Methods Summary When the elbow joint is driven with a small amplitude sinusoidal torque it responds with very nearly sinusoidal acceleration. The relationship between this torque and acceleration tells us something about the mechanical properties of the joint. For example: if the muscles about the elbow become stiffer, or more resistant to movement for any reason, then the arm will move less, i.e., accelerate less for a given amplitude of torque drive. relationship is important as well. For example: The phase if the joint should resist movement velocity in a viscous-like fashion, then the resisting force would be in-phase with movement velocity, while an elastic type of resistance to displacement would result in a force in-phase with the joint displacement. The sum of viscous and elastic-like forces gives a net force with a phase angle intermediate between the velocity and displacement, i.e., between 900 and 1800. Thus, to describe and quantify the resistance of the elbow joint to movement the amplitude and phase relationships between torque and acceleration will be measured over a range of amplitudes and frequencies. These measure- ments will be made during posture maintained against various bias loads and also during active and passive movements. An important advantage of this technique of impedance measurement is that the measurement does not interfere with voluntary movement. Because of the small amplitude of the perturbations used, measurements can be made under essentially isometric conditions, or during the trajectory of a voluntary movement. Lanman, 24 RESULTS We measured the resistance presented by the muscles and passive tissues spanning the elbow joint in response to imposed sinusoidal oscillation (3-30 Hz). Measurements were made under three conditions (see Methods): (1) voluntary muscle activation (isometric) (2) passive movement (3) voluntary movement. The resistance of the total elbow joint (joint impedance) increased with muscle activation and decreased during passive movement. The third condition of voluntary movement is a combination of the first two conditions. Impedance changes measured during voluntary movements reflect a combination of effects due to muscle activation and to movement. Voluntary Muscle Activation Isometric muscle activation was achieved by asking the subject to hold a constant arm position while various steady torque loads were applied (2.5 to 40 ft-lbs). EMG measurements showed the increasing muscle activation required to maintain these loads. A sinusoidal perturbation was superimposed on the steady arm position in order to measure the equivalent stiffness and viscosity of the elbow joint. Such measurements showed that joint impedance (both K and B ) increased with increasing bias load (Fig. 7). Furthermore, when the subject co-activated maximally, isometrically activating both flexor and extensor muscles simultaneously,. then impedance increased still further. This increase in equivalent stiffness (K ) could be as large as several hundren N-m/rad, hundreds of times stiffer than passive tissues. muscles can account for such a large increase in joint stiffness. Only the When muscle is activated more cross bridges are formed between the filaments and Lanman, 25 consequently stiffness increases greatly. Theoretically, muscle stiffness should increase linearly with increasing muscle force; however, our measurements of joint stiffness level off at higher torques (Fig. 8). This saturation effect may be due to the compliance of the tendons in series with the muscles (see Discussion). If so, our results imply that the maximum stiffness of the flexor muscle tendons must be about a few hundred Nt-m/rad, The measurements reported above were all made with the elbow joint at about 900, intermediate between flexion and extension. Joint impedance did not change significantly when measured at different joint angles, except in extreme flexion or extension. In these extreme positions impedance rose markedly. Passive Movement Next, impedance measurements were made during passive arm movements. This was done to test if movement, without any change in EMG activity, could influence joint properties. position servo. To do this the torque motor was used as a When the forearm was passively rotated by the servo, joint impedance decreased (Fig. 9). This was true even for very slow movements (> 30 /sec), movements which were much too slow to elicit any stretch reflex. The decrease in joint impedance depends on the velocity of joint rotation as shown in Figure 10. The stiffness decrease was the same for either direction of joint rotation. This effect of movement on joint properties was initially puzzling; however, the molecular structure of muscle appears to give a reasonable explanation. When the forearm moves, the muscles change length and actin and myosin filaments slide past one and another. Any bond bridges between Lanman, 26 the filaments will be pulled off by this movement and, consequently, muscle stiffness will drop. Such a decrease in stiffness as a result of movement has been observed in isolated muscle studies (Julian and Sollins, 1975; Moss et al., 1976), and there is every reason to expect such a stiffness decrease in the intact joint as well. A model of how joint stiffness should vary with movement velocity will be presented in the Discussion. Getting back to the data, there is significant scatter in the results from different subjects. tone. This could be due to differences in resting muscle Subjects with higher muscle tone will have a higher stiffness with the arm stationary and thus stiffness can decrease more when the arm moves. Vol untary Movement We have seen that joint impedance increases with muscle activation but decreases with passive movement. What happens when activation and movement are combined during a voluntary movement? Figure 11 is a comparison of impedance measurements made during three movements with similar trajectories but with different levels of muscle activation: (1) On the left is a passive movement driven by the position servo. There is no detectable EMG activity. Stiffness (K ) decreased during this movement, as with any passive movement. (2) In the center is a similar amplitude voluntary movement. This movement differs from the previous one by a burst of EMG activity. During this voluntary movement stiffness again decreased, but during the period of EMG activity stiffness recovered partially. (3) Finally, on the right is a voluntary movement working against a viscous load. This movement required a large burst of EMG activity to overcome the load. During this burst of EMG activity stiffness Lanman, 27 increased markedly. The repeatability of these measurements is shown in Figure 12. For all these movements, the equivalent viscosity changes were similar to, but much smaller than the changes in equivalent stiffness. For this reason the ensuing discussion will focus on stiffness changes, although the same arguments should hold for the viscosity changes as well. For all three of these movements the pattern of stiffness changes can be understood as a simple combination of a decrease in stiffness due to movement with a superimposed increase related to muscle activation. The larger the burst of EMG activity, the larger the superimposed increase in stiffness (Fig. 13). The results shown in Figure 11 can be compared to results previously found for passive movement and for isometric muscle activation. The left hand figure is simply another passive movement, directly comparable to the passive In the other two records there is some EMG movements previously discussed. activity during the movement. The effect of this muscle activation on stiff- ness measurements during movement can be directly compared to the increase in stiffness seen with isometric muscle activation. For example, during the loaded movement the muscles generated some 5 ft-lbs of torque (see torque trace in Fig. 11C) and joint stiffness increased by as much as 75 Nt-m/rad. Under isometric conditions with the muscles holding a 5 ft-lb load the same increase in stiffness was seen (Fig. 15). Apparently, stiffness increases with torque in much the same way either with the arm stationary or moving. The difference is that when the arm is moving the increase is superimposed on the stiffness decrease due to the movement itself. The total stiffness change is the sum of the increase due to muscle activation and the decrease due to movement. For all three movements stiffness initially decreases. This seems Lanman, 28 counterintuitive, how can stiffness decrease start the arm moving? To under- stand this, let us look closely at the sequence of events in Figure 14. Initially, the arm is held in extension by a low level of EMG activity in the triceps muscle. This EMG activity decreases slightly (just before one second) and shortly thereafter the arm starts moving slowly, at about 2 0 /sec. At this point in time the arm is drifting towards the primary or equilibrium position, with little or no EMG activity (Bizzi and Polit, 1978). During this period of arm drift stiffness decreases, as expected for a passive movement. The next change is the large burst of EMG activity in the agonist (biceps) muscle. During this burst of EMG activity stiffness increases markedly, as expected for a muscle actively generating tension. into two phases: Thus the movement may be divided (1) an initial slow drift initiated by a decrease in antago- nist activity followed by (2) a second fast phase of movement initiated by a large burst of agonist activity. The movement is initiated by a decrease in antagonist EMG, and this accounts for the initial decrease in joint stiffness. Impedance Measurements at Different Amplitudes and Frequencies The amplitude and frequency of perturbation used to measure joint impedance was systematically varied. Extensive measurements were made at frequencies of 15, 20, 25 and 30 Hz. The amplitude of the perturbation was always less than one degree. (The actual amplitude range used at each frequency is shown in Table I. The maximum amplitude is limited by the power of the torque motor and the minimum is limited by noise.) Within these limits there was no consistent dependence of impedance on amplitude of perturbation. Even the largest amplitude perturbations were not sufficient to cause muscle stiffness to yield. Measurements made at different frequencies were also quite similar. The Lanman, 29 patterns of impedance changes reported in previous paragraphs were seen at all frequencies and amplitudes studied; however, there were some quantitative differences. At higher frequencies equivalent stiffness (K ) changed more and viscosity (B ) changed less than equivalent measurements made at lower frequencies (Fig. 15A, B). The quantitative differences in impedance measurements made at different frequencies is consistent with the idea that joint impedance reflects the short range stiffness of muscle, In fact, measurements on isolated muscle show that muscle impedance varies with measurement frequency in the same However, the intact general way as seen in the intact joint (Kawai, 1978). human elbow joint is a rather awkward system to study these effects and probably not too much should be made of the small differences in impedance seen at frequencies between 15 and 30 Hz. Finally, a few measurements were made in the low frequency range (3-12 Hz). Such measurements are difficult to interpret because of possible reflex effects. All the same, these lower frequency measurements did show the major effects reported for high frequency measurements. Even with 3 Hz perturbations, equivalent stiffness and viscosity decreased during passive movement and increased with isometric muscle activation. Lanman, 30 DISCUSSION Measurements of joint impedance (resistance to sinusoidal stretch) show an increase during voluntary muscle activation and a decrease during passive movement. A third condition of voluntary movement combines muscle activation with movement. During voluntary movements impedance measurements reflect the combined effects of an increase due to muscle activation and a decrease due to movement, These measurements of total joint impedance must reflect, at least in part, the properties of the muscles acting about the elbow joint. In this section we will discuss the relationship between the properties of muscle and the intact elbow joint neural activation stimulation r = moment arm length = X joint angle r '- = e force = F external torque =T (1) AX = r sin Ae (2) T =rF In order to compare joint properties to muscle properties, several mechanical relationships must be derived. The bones of the forearm act as a lever so that when the arm flexes through some angle, the flexor muscles shorten and the extensors lengthen. The quantitative relationship Lanman, 31 between change in angle (AO) and change in muscle length (AX) is given in equation #1. For simplicity, this equation is an approximation. For large angles (extreme flexion or extension), a more complex relation would be A further consequence of the lever necessary (Lestienne and Pertuzon, 1973). like arrangement of the joint is that the force in a muscle, say the biceps, contributes to the total joint torque in proportion to its moment arm (the moment arm is essentially determined by the radius of insertion of the muscle (see equation #2)). The total muscular torque about the joint is the sum of the contributions from each muscle: T = E ri fi. Using these relationships, it is possible to convert from muscle length and force to joint angle and torque, i.e., from a linear to an angular coordinate system. Given these mechanical relationships between muscle and joint, what comparisons can be made between measurements on muscle and joint? As a basis for comparison, a quantitative relationship has been found between muscle SRS (short range stiffness) and steady muscle force (Schoneberg et al., 1974): (3) SRS = F1 L E SRS = stiffness F = steady muscle force L = muscle rest length e = empirical constant Theoretically, this relationship should hold even for human muscle, and the value of the constant of proportionality (E) computed from this study can be compared to values of e measured in isolated muscle. To understand why the value of e should be similar for all vertebrates, consider the structural basis of the stiffness/force relationship, i.e., the bond bridge. The more bonds that are formed (per half sarcomere) the greater the net muscle force. In addition, each bond bridge is stiff, like a small spring, and therefore resists displacement. The greater the number of bond Lanman, 32 bridges the greater the net stiffness of the muscle. Thus, one expects muscle force and muscle stiffness to vary together, each depending on the number of bond bridges. This relationship is for short range stiffness measurements because any larger changes in length (greater than about 100A per 1/2 sarcomere) would severely disrupt the bond bridges. The constant of proportionality (e) reflects the ratio of force to stiffness contributed by a single bond bridge between the actin and myosin filaments. Since the structures of actin and myosin are very similar across vertebrates (Lazarides and Rivel, 1979; Walker and Schrodt, 1974) one would expect e to be very nearly constant between species. Table II is a comparison of measurements of E made in widely different preparations. The principle source of variability in these values appears to be the speed (interval or frequency) of measurement. is stretched, the stiffer it appears. The faster the muscle Once an allowance is made for speed of measurement, the different studies give remarkably consistent estimates of e. For comparison to the intact human arm, Rack and Westbury's (1974) data is useful because it was collected from intact mammalian muscle, under relatively natural conditions of stimulation, at body temperature. Their measurements of the ratio of stiffness to force (pp. 340) give: 1 = SRS L F = (.6 to 1) Nt/mm 30 mm Nt = 3% to 5% Unfortunately, this data was collected using ramp stretch of muscle, while the data on the human elbow is for sinusoidal stretch. It is not clear which single frequency of sinusoid corresponds best to ramp stretch. All the same, this is probably the best isolated muscle data to use for comparison to Lanman, 33 intact joint. Can this quantitative relationship between muscle stiffness and force account for measurements on the intact joint? To make this comparison, it is first necessary to convert to angular coordinates: SRS =1 Le Kangular = F rL Tm (muscle coordinates) (joint coordinates) Substituting into this equation Rack and Westbury's (1974) value for e, the rest length (L)and moment arm (r)of the biceps muscle (Lestienne and Pertuzon, 1973) gives a prediction for how fast joint stiffness should increase with increasing bias load: (4) Kangular 4 cm (0.05 to .03) 12 cm = (6.6 to 1.1) T T = Nt-m angular Nt-m rad The angular stiffness of the elbow joint, measured at 15 Hz, does in fact increase by about 10 Nt-m/rad for each Nt-m increase in bias load. Figure 8 shows the stiffness/torque relationship as measured (@15 Hz) and as predicted (equation #4). Sources of error in this comparison include: (1)extrapolat- ing from Rack and Westbury's (1974) ramp stretch to sinusoidal stretch, (2)considering only the biceps muscle when there are actually three major flexors each with slightly different lengths and insertions and (3)the values of (L) and (r)can only be roughtly estimated in the intact preparation. Because of these approximations only a rough comparison can be made between isolated muscle and intact joint measurements. All the same, it is hard to imagine any non-muscle tissue being stiff enough to account for these Lanman, 34 measurements. (Hayes and Haytze (1977) estimated passive tissue stiffness to be only 1 to 2 Nt-m/rado) This stiffness/torque relationship can also be used to evaluate the stiffness decrease seen during passive movement (Fig. 10). If we attribute this stiffness decrease to the yielding of the elbow muscles, then it follows that at rest these muscles must have a total stiffness of at least 50 Nt-m/rad. According to the stiffness/torque relationship (equation #4), this muscle stiffness corresponds to a resting muscle tone of some 5 to 7 ft-lbs or about 3 ft-lbs in the flexors and 3 ft-lbs in the extensors. few percent of the maximum torque of the elbow joint. This is only a In other words, we hypothesize that the stiffness decrease seen during passive movement is due to disruption of bond bridges. This hypothesis leads to an estimate of resting muscle tone which, although very approximate, is of the correct magnitude (Moss et al., 1976). In conclusion, the resistance of the intact human elbow to small amplitude high frequency perturbations appears to reflect the SRS of muscle rather than the resistance of passive tissues. Next, a model will be developed to extend this comparison of muscle and joint properties. Lanman, 35 MUSCLE MODEL Huxley (1957) introduced the crossbridge model of muscle in order to explain the mechanism of force generation. Crossbridge models have sub- sequently been developed to a high level of refinement (and complexity); however, for the purpose of this study a simpler and more empirical model seems appropriate. The model presented here makes no attempt to explain the mechanism of force generation, but instead is based on the emphirical relationship between muscle force and resistance to rapid small amplitude displacement (SRS) (see Introduction). The concept of actin-myosin bond bridges is used since it accounts for this relationship so neatly. A bond not only contributes one unit to overall muscle force, but also contributes a unit of mechanical resistance to displacement. The model resulting from these assumptions is as follows: Muscle Model B K AW (1) F (2) B mo (3) KmMW ,, fb n b = bn b n F = steady muscle force Fb = average force of a single bond n = number of bonds per 1/2 sarcomere BmW = equivalent viscosity of muscle at frequency w bbw = viscosity of a single bond bridge at w z = length of muscle in 1/2 sarcomeres K = equivalent stiffness of muscle at frequency w k = stiffness of a single bond bridge at w Lanman, 36 Muscle force, stiffness and viscosity are all proportional to the number of bonds. Also, since the resistance of muscle to stretch depends on the frequency of stretch, the stiffness and viscosity parameters are subscripted with frequency (i.e., Bm, bb, Km kbw). The variation of these parameters with frequency was measured in isolated muscle (Kawai, 1978) and represented on a Nyquist plot: 60 quadrature 30 component (B) 100 Hz 1 Hz %, - A A 0 -20 30 60 90 in-phase component (K ) 30 60 90 120 in-phase component (K ) The data points correspond to measurements made at 0.25, 0.5, 1, 2, 3.13, 5, 7, 10, 16.7, 25, 33, 50, 80, 100, 133, 167 Hz. The quadrature component of resistance is plotted vertically and the in-phase component horizontally. The scale is in units of 1/e. Stretch at any frequency encounters resistance with both an in-phase component (K ) and a quadrature component (B ). Both of these components of impedance vary directly with the number of bonds. Bond Number Muscle force, stiffness and viscosity all depend on bond number (n). The number of bonds depends on their rate of formation (Rf) and their rate of breakage (Rb) (just as world population depends on birth rate and death rate). Lanman, 37 The rate of bond formation depends on the level of muscle activation (represented rather abstractly as c), and on the degree of overlap (N) of actin and myosin filaments: Rf = rate of bond formation R = c (N-n) a = activation N = number of potential bond sites (determined by overlap) n = number of active bond bridges The rate of bond breakage depends critically on the velocity of movement of actin and myosin. This is reasonable since as movement proceeds the bond bridges, which are only some 100 A long, are stretched and eventually must break loose. The faster the filaments slide past one another the faster bond bridges will be stretched and broken. In addition to bonds broken by mechanical disruption, some bonds may break by spontaneous dissociation. Thus, the total rate of bond breakage (Rb) is: R = b v T n + Sn v = steady rate of displacement = maximum bond stretch, or threshold for bond breakage S = reaction rate for spontaneous dissociation Note that reciprocal stretch and release of muscle, such as occurs during high frequency sinusoidal stretch, will not necessarily dirsupt bond bridges, so long as the peak to peak amplitude of stretch is small compared to the threshold (T). The rate v indicates only the maintained velocity of movement, movement that is sustained long enough to break bonds. The rate of bond formation and of bond breakage together determine the number of bond bridges. The relationship is particularly simple in the steady Lanman, 38 state where the rate of formation exactly balances the rate of breakage (zero population growth means the birth rate equals death rate): Rf = Rb a (N-n) = v n (4) n + S n TT/T + a + Ss This equation relates the number of bonds (n) to the level of activation (a) and the rate of movement (v). When activation is high (a >> v/T + S) all overlapping bonds are formed (n = N). When activation is low and velocity high (a << v/T + S) then bond number approaches zero (n = 0). Testing the Muscle Model Now that we have an expression for bond number, it is a simple matter to compute muscle force, stiffness and viscosity from equations #1, #2 and #3. For example, the expression for muscle force is: F =f F nfb=ffb IvI/T Na +a + S Force Force = high Fma max a= low a 1/2 (5) Fmax = fb N v1/2 activation (6) v1/ 2 velocity = (a + S) T The force/activation and force/velocity relationships implicit in this expression are plotted above, and are in good agreement with physiological Lanman, 39 data (Joyce et al., 1969). Note that the force/velocity curve has a different shape at different levels of x. This same dependence is seen in Rack and Westbury's (1974) data (pp. 467). To fit physiologic data quantitatively, the choice of parameter values must be constrained by equations #5 and #6. The dependence of the overlap parameter (N) on muscle length can be established from the length/tension characteristic of muscle, although, for the purposes of this study N can be treated as constant. The model not only fits the force/velocity and force/activation properties of real muscle, but also accounts for the proportionality between muscle force and SRS. This can be seen by combining equation #1 for muscle force and equation #3 for muscle stiffness giving: k kb k kbw F Sfb This relationship compares well with Schoneberg's emphirical relationship (Schoneberg et al., 1974) (pp. 23). The constant 1/e corresponds to kbw/fb' the ratio of bond tension to bond stiffness (stiffness measured at frequency W). Summary of Muscle Model The model described above is based on the assumption that the actin-myosin bond bridge is the basic unit generating both overall muscle force and also resistance to stretch. Whenever the number of bonds changes, both muscle force and muscle stiffness change together. Bond number, in turn, depends on the level of muscle activation and on velocity of movement. kenetic model is used to describe this dependence. A simplified chemical The muscle model derived from these assumptions can correctly account for the force/activation and force/velocity characteristics of real muscle. This model will now be used Lanman, 40 to predict how muscle, and consequently joint properties should vary with activation and movement. Applying the Muscle Model to the Intact Joint Both muscles and passive tissues contribute to the mechanical properties of the intact joint; however, because passive tissue stiffness is small (a few Nt-m/rad, Hayes and Haytze, 1977) compared to the effects measured in this study, we will at first consider only the contributions of the muscles. Thus, the predictions of the muscle model will be directly compared to measurements on the total joint. This will be done for conditions of (1) isometric activation and (2) passive movement. The condition of isometric activation has, in fact, already been covered earlier in the Discussion. By setting the model parameters fb/kb = E, the predictions of the model (see equation #7) are exactly as shown in Figure 8. What is important is that this same model can now be used to predict stiffness changes during passive movement. When muscle length changes bonds are disrupted and stiffness decreases. The relationship between muscle stiffness and velocity can be derived by combining equations #3 and #4: K m - kbo bw a Na Na Ivl/T + a + S Converting to angular coordinates and summing all agonist and antagonist muscles gives total joint stiffness: k bw r 2 N K) iii Similarly, for joint viscosity: a. ri/ + a + S i Lanman, bbw r B B i6i 2 N 1 These equations are plotted in Figure 15. 41 . 1T + .+ S Two curves are shown, for slightly different levels of resting muscle activity (a). Possibly the slightly different results seen on different days can be accounted for by such uncontrolled changes in resting muscle force. The approximate fit of the model to the data is perhaps not too surprising since there are many parameters which may be adjusted. What the model does show is that a relatively simple model of muscle which correctly accounts for the force/activation and force/velocity characteristics of muscle can also account for the changes in joint properties measured in this study. The Influence of Passive Tissues So far we have compared measurements of the mechanical properties of the intact joint to the predictions of a mathematical model. effects were ignored. Passive tissue The model is in good agreement with the data except under conditions of isometric muscle activation. There the model predicts that muscle stiffness should increase linearly with increasing bias loads, while measurements on the joint show stiffness saturating at higher torque levels (Fig. 8). A possible explanation for this saturation is the com- pliance of tendon and/or any possible compliance in the coupling between the torque motor and the bones of the forearm. The mechanical properties of tendon and coupling may be quite complex, however, for simplicity these properties are lumped together in a single visco-elastic element. Such a simplified model is adequate to show that a series coupling element can account for the saturation seen in the stiffness/torque plot. Lanman, 42 B Kc visco-elastic coupling B m K m active muscle The stiffness and viscosity of the coupling element (Kc and Bc) are treated as constant, while muscle properties (Km and Bm ) vary according to the muscle model. All flexor muscles are lumped together and treated as a single equivalent flexor muscle, and similarly for the three heads of the triceps. The mathematical details of the model are covered in Appendix II. The fit of the model to the data is shown in Figure 16. Most of the saturation seen at high torque levels can be accounted for by including the visco-elastic coupling element. Conclusions from the Muscle Model No amount of modeling can ever conclusively prove that the joint properties measured in this study are indeed a reflection of the short range stiffness of muscle; however, this seems a good working hypothesis in view of the success of this relatively simple model of muscle. Ultimately it may be possible to explain and predict all the mechanical properties of the intact joint from the results of isolated muscle studies. To rationalize joint properties in this way would contribute greatly to our growing understanding of neural control of movement. this goal. The present study is only a first step towards Lanman, 43 CONCLUSION The mechanical properties of the intact human elbow joint were measured using small amplitude high frequency sinusoidal perturbations. The resistance of the elbow to such perturbation changed systematically as a function of both the level of muscle activation and velocity of movement. These are the first reported measurements of how joint properties change during movement. These measurements on joint are compared to predictions based on a mathematical model of muscle. Joint properties appear to reflect the short range stiffness of muscle. The significance of short range stiffness in the control of movement is only beginning to be studied, and any discussion is necessarily somewhat speculative. Still, the marked transitions seen in muscle properties are likely to be important in neural control of movement. Furthermore, there is indirect evidence that the central nervous system receives afferent information about very small amplitude disturbances. This evidence comes from recent studies of the non-linear properties of the muscle spindle (Goodwin et al., 1975; Hasan and Houk, 1975a, 1975b; Hulliger et al., 1977a, 1977b). The spindle receptor is extremely sensitive to small amplitude stretch, and much less sensitive to larger amplitudes. Hulliger et al. (1977a, 1977b) suggest that this transition in sensitivity may be related to the disruption of bond bridges in the intrafusal muscle fibers. In any case, the stretch receptor responds optimally to just those disturbances which stretch and threaten to break actin-myosin bond bridges. This tuning of the stretch receptor suggests that its role may be to report the degree of distortion of muscle bond bridges. Nichols and Houk (1976) have proposed an interesting hypothesis relating Lanman, 44 the non-linear properties of muscle and stretch receptor. These investigators compared the response of deafferented muscle to the response of muscle with the stretch reflex operating. They found that when deafferented muscle is stretched it responds with a brief increase in tension and then yields to a lower tension. On the other hand, in a preparation in which the reflex is operating, muscle tension continues to increase with increasing stretch. In other words, with reflex pathways intact, muscle appears far more linear in its response to stretch. Apparently, the non-linear properties of muscle and the stretch reflex interact in such a manner that the total system appears relatively linear. The function of the stretch reflex may be this lineariza- tion of muscle properties. Goodwin et al (1978) propose yet another function for the stretch reflex. These investigators found that muscle tremor increases after deafferentation. They suggest that one role of the stretch reflex may be this reduction of muscle tremor. The amplitude of physiologic tremor is comparable to the range of muscle short range stiffness and.also comparable to the high sensitivity range of the stretch receptor. The measurements reported in this study show that joint stiffness decreases markedly during passive movement. This is indirect evidence for yielding of muscle, and this effect is seen even for very low velocities of movement. So low, in fact, that even the movements of tremor, or internal fasciculations of muscle could cause yielding. Yielding of muscle implies a destruction of its ability to generate tension and also a waste of metabolic energy. Thus, it would be advantageous for the nervous system to stabilize muscle against tremor and internal movements. The stretch receptor, as discussed earlier, is sensitive to just those amplitudes of stretch which Lanman, 45 distort and threaten to break bond bridges. Thus, stretch receptor activity could be used to reflexively stabilize bond bridges. For example, if a fascicle of muscle is stretched to the point that bonds are distorted near to breaking, then adjacent stretch receptors will be strongly activated. The myotatic stretch reflex will cause activation of the stretch muscle fascicle and thus help stabilize the population of bonds. In this way the stretch reflex may help to assure a uniform graded contraction of muscle with a minimum of fasciculation and tremor. This would help muscle generate tension smoothly and efficiently. Whatever the role of the stretch reflex, it is likely that the reflex is intimately related to the short range stiffness properties of muscle. This is because both the stretch receptor and muscle itself show marked transitions in their properties whenever the small amplitude range of the SRS is exceeded. The role of the stretch reflex will be revealed when we understand how reflex action interacts with and complements the intrinsic properties of muscle. 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(1974) Electromyography of human biceps during imposed sinusoidal movement of the elbow joint. J. Physiol., 244: 44-45P. Rack, P.MoH. and Westbury, D.R. (1969) The effects of length and stimulus rate on tension in isometric cat soleus muscle. 443-460. J. Physiol., 204: Lanman, 51 Rack, P.MoH. and Westbury, D.R. (1974) The short range stiffness of active mammalian muscle and its effect on mechanical properties, J. Physiol. 240: 331-350. Robinson, D.A. (1975) Tectal oculomotor connections in sensorimotor function of the midbrain tectum. Neurosci. Res. Prog. Bull., 13: 238-244. Schoenberg, M., Wells, J.B. and Podolsky, R.J. (1974) Muscle compliance and longitudinal transmission of mechanical impulses. J. Gen, Physiol., 64: 623-642o Walker, S.M. and Schrodt, G.R. (1974) I segment lengths and thin filament periods skeletal muscle fibers of the rhesus monkey and the human. Anat. Rec., 178: 63-82. Lanman, 52 APPENDIX I Figure Al -- Block Diagram of Apparatus The torque motor (1) is driven by a sinusoidal current. The resulting torque (t ) and acceleration (e)are monitored by transducers (2) and amplified (3). Ts (4). The joint torque (tj) is computed by subtracting Ie from The acceleration and joint torque signals are then filtered at the frequency of torque motor drive (5). The amplitude (6) and phase relation- ship (7) of these filtered signals are determined and recorded for subsequent computer analysis. Figure A2, a, b -- Schematic Diagram of Electronics Figure A3 -- Narrowband Filter Characteristics Figure A3, a -- Gain/Frequency Plot with a Center Frequency of 30 Hz Figure A3, b -- Phase/Frequency Plot Although the filter has considerable phase shift, this does not interfere with phase measurement since both the torque (r.) and acceleration (e)signals are filtered and thus phase shifted by the same amount. The small difference in phase shift between the two filters is plotted on the bottom of the figure. Figure A4 -- Equivalent Circuit for Strain Gauge Preamplifier The preamplifier circuit used with the strain gauge is slightly unusual in that the intrinsic resistance of the gauge is an integral part of the circuit. This configuration gives good low noise performance with a minimum of components. Figure A5 -- Equivalent Circuit for Accelerometer Preamplifier The preamplifier used with the accelerometer is a charge amplifier. To clarify its operation, the accelerometer is redrawn in the equivalent Lanman, 53 circuit as a signal source (es ) in series with a capacitor, Ce . If Cfb = Ce , then the voltage gain of the circuit is -1. The resistor network provides bias current without significantly degrading the low frequency performance of the circuit. Fig. Al ARM VIBRATION preamplifiers Lanman, 54 APFARATUS - ELECTRONICS subtractor narrowband filters rectifier & lo pass 2T Tj I strain guage ! to phase I I c I Inertim adetector detector trim I I 9 I I iT 5 6 II DETECT OR PHASE 7 no lo pass filter 0 Sphase "I I I i- 1 I I torque motor power amplifier . ~~AP 2-2. 1K -r 1 "T t 2 "W" 10-- ZE &O 390k 30P~ - LP4 KJ j LocAkL ViS-kv% Sk-500k 5 Oi 50k zH 06 a q9 IIIII~IUU 017E Ol t+i~~-i+~tttt+ttt~~+tttt+ttt+~tr-- 11 -41 L11414 -1 f 41 Nil - W44 I- 4 " 1 1 4i4- i ii4 4 - I,,z 141 41 1-1 1 1I 1 SL I --- rr. -I - -+ -1 -- - Hiiii-f + I t 1 1 11 +-t-H-I-t-H--iH 1 1 1 1 1 1 1 1 1 1 i-ff-t' " 1 1 1 1 - 1 "- F 1 1 1 --I- ! 1-4-+ i i 1 1 t I I I I I -HH-i I I I I -t-!hf-th I I I I i I a: -tH i tH i± ±± ttl±If i- f±H-1i t-t±1±t h! ± i I t LE N1, D + 1 -- t -1 Ll -flT oo -45 4tt -F _F T-1IT it - T 0- _UAA. 50 t Iti-I 11 M Hz -e __-15 20- tfflt .25 9 .30 31 40-- 1 ____.60 ------- DIFFERENTIAL PHASE S FIT ____.. 1-fl- ec -4Q 1IL I I I II I IIt II Fig. A4 STRAIN GUAGE PREAMPLIFIER +5V strain guage bridge EQUIVALENT CIRCUIT Lanman, 59 Fig. A5 Lanman, 60 ACCELEROMETER PREAMPLIFIER .01 mfd polycarbonate piezoelectric 220K accel erometer 2.2K EQUIVALENT CIRCUIT Cfb Lanman, 61 APPENDIX II The muscle model, including a viscoelastic coupling element is as follows: f x Kt Bt Km Km B Bm coupling element x muscle The basic equations describing this system are: (1) f = Kt(x-x ) + Bt(x-x') (2) f = Kmx' + Bmx' Rewriting these equations using the Laplace variable gives: (3) f = Kt( x- x') + Bt(x-x')s (4) f = K x' + B x's m m Solving these equations for the real and imaginary (quadrature) components of resistance to sinusoidal displacement (x) gives: equivalent stiffness = freal x 2 2 Kt Km + Km Kt + K B 22 + KtB 22 (Kt+Km)2 + (Btw+BW) equivalent viscosity = f. imaginary 2 = x 2 2 (Kt B + K Bt) 2 2 + (Bm Bt +B (Kt+Km) 2 + (BtW+Bm )2 ) 2 Lanman, 62 These equations were evaluated using the following parameter values: (1) For flexor loads: Kt = 240 Nt-m/rad Bt = 1.6 Nt-m-sec/rad K =kT m w B =bT m T = bias load w k and b are functions of frequency: w (Hz) k (sec) b 15 14 .15 20 20 .128 25 25 .064 30 30 .032 (2) For extensor loads all parameter values were multiplied by the constant .66. This constant may reflect the ratio of the moment arms of the flexor to the extensor muscles. Lanman, 63 FIGURE LEGENDS Fig. 1 (A) This figure shows the arrangement of actin and myosin filaments in skeletal muscle (from Grey's Anatomy, 3 5th British Edition, p. 481; 1973). (B) This figure shows how the structure of muscle determines the isometric tetanic length/tension characteristic. It is likely that the physiologic range of muscle lengths corresponds to the rising portion of this length/tension curve (from Gordon et al., 1966). Fig. 2 This figure, from Rack and Westbury (1969), is a comparison of the length/tension properties of muscle as measured under static and dynamic conditions. The dashed lines show static length/tension characteristics measured at different rates of muscle stimulation. is the static stiffness of muscle. The slope of these curves Superimposed on these static characteris- tics is a series of solid lines representing the response of muscle to dynamic (ramp) stretch. In each case muscle tension increases rapidly for the first millimeter or so of stretch but then yields. The initial slope of these dynamic characteristics is a measure of the short range stiffness of muscle. This slope, or SRS, becomes greater with increasing muscle tension. Fig. 3 Schematic diagram of apparatus. Fig. 4 This figure shows the effect of small errors on the computed values of equivalent stiffness and viscosity. An error in amplitude measurement, or in estimating the inertia of the arm cast, effects computation of stiffness. The effect of a 1% error is plotted in the top graph. An error in phase Lanman, 64 measurement principally effects computation of viscosity, and the effect of a 0.5 degree error is plotted in the bottom graph. Errors of the magnitude shown are likely, however, such constant errors would not interfere with measurements of changes in equivalent stiffness or viscosity. Fig. 5 This figure shows that the computation of K and B is uninfluenced by non-oscillatory movements of the arm/cast. This control data was recorded by filling the arm/cast with water, vibrating the system at 15 Hz and computing K and B . Since the arm/cast had no viscous or elastic connections, the true value of both K and B is zero. The computed value of K and B stay near zero despite the imposed movements of the arm/cast. Fig. 6 This figure shows the transient response of the system. Again, the arm/ cast is filled with water, so the true values of K and B are zero. A small inertial load (0.0018 kg m2 or 1% of the total inertia of the arm/cast) is held to the cast by an electro-magnet. off, allowing the inertial load to drop. time constant of about 100 msec. transient. At arrow #1 the magnet is switched K responds exponentially with a B shows a small increase during this Since no viscous load was present at this time, this increase is probably an artifact; however, it is too small to be significant. arrows #2 and #3 the load was reattached to the magnet by hand. Between Contact of the hand with the cast produces a large apparent viscous load during this interval. After arrow #3, both traces return to their initial values. Fig. 7 This figure was recorded by asking the subject to generate increasing torque with his forearm. The arm is held approximately isometric by a nylon Lanman, 65 cord attached to the counterweight. The resistance of the forearm joint to a superimposed 25 Hz perturbation is continuously plotted. Both equivalent stiffness (K ) and equivalent viscosity (B ) increase as the steady arm torque increases. Fig. 8 This plot shows the increase in equivalent stiffness (AK ) as a function of increasing bias load. The data was recorded by asking the subject to hold a constant arm position while various weights were suspended from the arm. Stiffness was computed from the resistance of the forearm to a superimposed 15 Hz oscillation. The solid lines show the stiffness/torque relationship predicted from isolated muscle studies (see text). Fig. 9 This figure shows the effect of passive arm movement on K and B . The servo was switched on for about one second causing the arm to move at about 50/sec. There is no change in EMG activity during this movement. decreases dramatically during movement, and then recovers. K B also shows a moderate change. Fig. 10 This plot shows the decrease in equivalent stiffness (AK ) as a function of velocity of arm movement. Fig. 11 This figure is a comparison of arm movements made with different levels of voluntary muscular activation. Condition (A) shows a passive arm movement, i.eo, a servo driven movement unaccompanied by any change in EMG activity, (B) shows a voluntary arm movement, a movement generated by a voluntary burst of muscle activity and (C) shows a voluntary movement against a viscous load. Lanman, 66 Note the increased EMG activity required to overcome the load. stiffness and viscosity were measured at 25 Hz. Equivalent In the passive movement case, K decreased, much as in Fig. 9. During voluntary movement, K drops again, but not so far as during passive movement. During the loaded movement K initially drops but then recovers during the period that the muscles are actively generating force to overcome the viscous loado Fig. 12 This figure shows the repeatability of measurements of joint properties during movement. Figures A, B and C show passive, active and loaded movements, respectively. In each case four individual records are superimposed. Fig. 13 This schematic figure shows how the pattern of stiffness changes seen during a viscous loaded movement (C) can be explained as the sum of the stiffness changes associated with (A) isometric muscle activation and (B) with passive movement. See text for further explanation. Fig. 14 This figure shows the relative timing of a viscous loaded movement. sequence of events is: (1) just before one second the triceps EMG decreases slightly (2) just after one second stiffness begins to decrease and the arm starts moving at about 2 degrees/second (3) at about 1.4 seconds the biceps muscle is strongly activated, stiffness increases markedly and the arm starts moving rapidly. The Lanman, 67 Fig. 15 This figure shows the decrease in joint stiffness with increasing joint velocity. Data points are plotted together with predictions of the model (continuous curves). shown. Data for measurement frequencies of 15 to 30 Hz are For the model, all flexor and extensor muscles are lumped together (ri = r, i = z and a. = a) and the parameters are adjusted to satisfy two equations. (AK) w max = 61/2 = Kb r 2 (a + s) Na r/r For most plots, two curves are shown for slightly different levels of resting muscle tone (a). These two curves are fit to the highest and lowest values of AK wmax max" Fig. 16 This figure shows the increase in equivalent stiffness (AK ) and equivalent viscosity (AB ) as a function of bias load. shown as negative.) Data points are plotted together with predictions of the model (continuous curve). are shown. (Triceps loads are Data for measurement frequencies of 15 to 30 Hz Note that the inclusion of a visco-elastic coupling element can account for the leveling off of these curves at higher torque levels. Appendix II for the parameter values used. See Lanman, 68 Fig. 1 SONE SARCOMERE I 8S-1 90), b-c I ..------- II4.65 2S(20 I - 105 1. 40 10 Acem LENGTH 1-$ 2 LENGTH 1. 20 5 30 .1s 4 25 30 3- 40 -- Fig Lanman, 69 2 35 impulses/sec 10 impulsessec 2 5 impulsesisec C 0 ,,7 -" /-. ,_ C 4, ,/ d .,,:r.- , Passive "- Muscle length (cm) 1 1500 1 1200 I 900 Angle of ankle I 1 600 300 Fig. 3. Tei'iisii (ldring e'Xtelis(iiI thr ligh differenIt 1ariisf t he lhllngt h rniii'e. frion a liumber (of (differelit exteilsionis simlihlr to) titse I'tetisi)l re e(iri to show ho1( the teltSili shown in Fig. 2 have beenl traced (conitnulOs lille) varios pai'ts of the ditring lengthening differs froin the isometri tentision ini leitgth lirange. Positioins, of the ankle ji int are sho'wn1 Ielo\\ c irirsl igli pairts of the abseissa. In nell case theo muscle was lengthetned tllroulgh 6 ilmm at 7-2 The intterrupted lioies are isonmetric length-tension plots. tnul/sec. ACCE LE ROME TER COUNT ERWE IGHT CRETE BI AS LOAD OT i NBG SINE ORiVE Lanman, 71 Fig. ERROR K Nt-m rad 30 Hz 15 +1% amplitude error a v, I sS . I I I a I I quadrature component in-pha se error ERROR 0.6 4 B Nt-m-sec rad 0.3 I I r . -1 J quadrature error error f .. .. .50 -- ' | in-phase component Fig. 2.5 t ----r~t~ _sccSrc~t~LI~-~ B - ru I f I0025 Lanman, 72 5 Nt-m-sec rad POSITION 1 SECOND ~i~ t I I I 10 Nt-m rad I I K I J-n B(I- O.05 Nt-m-sec rad 500 msec I I 2 I 3I I Fig. N-m 100rad rad N-m-s r.6 rad 18 ftlb Lanman, 74 STIPPFFNESS VISCOSITY TORQUE ,, biceps I , , ii, , i t riceps 1 SECi llIII 1 Iil i i i li;,iuli l~i titi i~i il i ilil iiiiiiI :II iiSEC1. I I ! lllliIl llil itlll" ""' "" """ll 111iilllll nllIldIIIHlil Lanman, Fig. 8 75 EQUIVALENT STIFFNESS AKw -r ( w= 15 Hz) I prediction from isolated muscle I Nt-m 150 rad e 100 o 50 20 10 20 ft-lb 30 nt-m BIAS LOAD 0 - JL 10/23/79 E - JL 10/7/79 o - TZ 11/14/79 O- NH 10/8/79 30 40 Fig. 9 Lanman, 76 N-m STI FFPN ESS so rad I 1 I\ I\ II 1 I I I I I I \ \ \ \ Z -- 1 II I I I I I I I II , I I I I I I I I I I I t I I I I I I I I I ( III 1 ! N~m~ I I V1SOSIi .3i 1 1 I I t ~I i I -- ( ARM 10 ~I i ,z POSITION EMG biceps illlll1llllllll llll l llllllllilll1 111111111 1l1111IIIIIIIIIIIIII1111 llll lnlllll I111111111lll triceps 1 SEC lll tii I lllllllllllllllllllll11l llllllll ll lllllll Illilllllllllllllllllllllllllllllll llll ull Fig, 10 Lanman, 77 AK 0 CHANGE IN EQUIVALENT STIFFNESS10 (w = 15 Hz) 20 30 40 50 1.5 0 3 6 ARM VELOCITY TZ 11/14/79 1 - JL 10/23/79 O - NH 10/8/79 0 - JL 9/17/79 S- DEGREES/SEC 10 1 1 Nm 50 rad I STIFFNESS I 1 I I SN-ms i VISCOSITY rad -- A I I I 1I I II( II / -rl - - -------------- 20 POSITION ft-lb EMG ILI biceps ,. .a ,,.11.,,,.1(1,.1) t l ll'tlllt ll ,tl, l ilil illlli"ltl III l llll lllt l l il tillttlli illillll li l l tlillIllut l lilll llllltlllllll liii Fil i iil'jijgii iiiiiiiii bilillil piei lilll triceps 1 SEC A PASSIVE MOVEMENT B ACTIVE MOVEMENT Cf LOADED MOVEMENT 0 --- -- r-o \ -1. PASSIVE MOVEMENT (A) VOLUNTARY MOVEMENT (B) LOADED MOVEMENT (C) ISOMETRIC CONTRACTION A (1) STIFFNESS C ACTIVE MOVEMENT LOAD TORQUE STIFFNESS ARM POSITION (2) ----- (1) -.- I-.. LOAD TORQUE B PASSIVE MOVEMENT I (2) STIFFNESS I LOAD TORQUE ARM POSITION I zz ARM POSITION I ..- , 1I Fig. II 1 I 50 Nm rad STIFFNESS II I I It I t I II I I I I I II 3 Nms rad I I I I I r I I VISCOSITY I 0! s ±sec POSITION VELOCITY EMG I IllIIOCT II triceps , I II ,I I I I I I I I I I , I I I 1 I I I I I I ~~-------i , II 20o 1I II I I I I I I I r I I I I 1 I I Lanman, 14 II I lilil Sbiceps II 1 SEC 81 ~I_ _ ___ Nt-m rad 0 i Nt-m rad = 30 Hz JL 10/23/79 AS= 20 Hz e- JL AK 9/17/79 O- NH 10/ 8/79 50 o- TZ 11/14/79 100 3 6 d/ 6 deg/sec >10 deg/sec >10 S= 25 Hz 0 AK S= 15 Hz 40 80 3 6 >10 deg/sec 0 3 6 >10 deg/sec Fig. 16 Lanman, 83 Nt-m rad 400 Nt-m -sec rad + e w-30 -20 0 -20 30 0 30 2 400 AK 0 0 AB 00 200 0 ea 1 0o 0 ee, w-25 I 0 I• J, I ', I -20 I , 20 - I I I 0 30 0 30 2 AB w=20 -20 0 30 - 20 2 AB W-15 i -20 30 0 BIAS LOAD ()- JL E- JL (ft-lb) | , i1 -20 BIAS LOAD (ft-lb) 10/23/79 O- NH 10/ 8/79 9/17/79 O - TZ 11/14/79 , 9 Lanman, 84 TABLE I FREQUENCY (Hz) AMPLITUDE (degrees p-p) 0.1 - 0.025 0.14 - 0.035 0.2 - 0.05 0.3 - 0.075 Lanman, 85 TABLE II MEASUREMENT REFERENCE Schoneberg et al. (1974) INTERVAL FREQUENCY 0.1 msec (10 kc) 0.3-1% 0.1 msec (10 kc) 0,5% (2 msec) 500 Hz 0.5% (3 msec) 300 Hz (10 msec) 100 Hz (1 sec) 1 Hz Table I Ford et al. (1977) Fig. 26 Julian & Sollins (1975) Fig. Mason (1978) pp. 20 Kawai (1978) see Nyquist plot Rack & Westbury (1974) pp. 347 This study 10 mm/sec or about: (0.1 sec) (10 Hz) (30 msec) 30 Hz (60 msec) 15 Hz 1.5% 3-5% 1 5%