An assessment of the mechanical properties of trabecular bone is important in determining the fracture risk of human bones. Many uncertainty factors contribute to the dispersion of the estimated mechanical properties of trabecular bone. This study was undertaken in order to propose a computational scheme that will be able to predict the effective apparent elastic moduli of trabecular bone considering the uncertainties that are primarily caused by image-based modelling and trabecular stiffness orientation. The effect of image-based modelling which focused on the connectivity was also investigated. A stochastic multi-scale method using a first-order perturbation-based and asymptotic homogenisation theory was applied to formulate the stochastically apparent elastic properties of trabecular bone. The effective apparent elastic modulus was predicted with the introduction of a coefficient factor to represent the variation of bone characteristics due to inter-individual differences. The mean value of the predicted effective apparent Young's modulus in principal axis was found at approximately 460 MPa for respective 15.24% of bone volume fraction, and this is in good agreement with other experimental results. The proposed method may provide a reference for the reliable evaluation of the prediction of the apparent elastic properties of trabecular bone.
A systematic modeling of uncertainty due to image processing, material characteristics and experimental works was developed in order to propose a novel stochastic image-based multi-scale method for heterogeneous media. The effective mechanical properties with application to three porous trabecular bone models were predicted by introducing the correction factor (¢) to represent the miscellaneous errors or unknown factors. Finally, the probability density was obtained for the effective mechanical properties, which could evaluate the reliability of scattered experimental results. It has been concluded that variation in effective properties of heterogeneous media can be predicted even when only limited measured values are available by using the present extrapolation technique based on verified simulation results.
Balance in the human body's movement is generally associated with different synergistic pathologies. The trunk is supported by one's leg most of the time when walking. A person with poor balance may face limitation when performing their physical activities on a daily basis, and they may be more prone to having risk of fall. The ground reaction forces (GRFs), centre of pressure (COP), and centre of mass (COM) in quite standing posture were often measured for the evaluation of balance. Currently, there is still no experimental evidence or study on leg length discrepancy (LLD) during walking. Analysis of the stability parameters is more representative of the functional activity undergone by the person who has a LLD. Therefore, this study hopes to shed new light on the effects of LLD on the dynamic stability associated with VGRF, COP, and COM during walking. Eighteen healthy subjects were selected among the university population with normal BMIs. Each subject was asked to walk with 1.0 to 2.0 ms−1 of walking speed for three to five trials each. Insoles of 0.5 cm thickness were added, and the thickness of the insoles was subsequently raised until 4 cm and placed under the right foot as we simulated LLD. The captured data obtained from a force plate and motion analysis present Peak VGRF (single-leg stance) and WD (double-leg stance) that showed more forces exerted on the short leg rather than long leg. Obviously, changes occurred on the displacement of COM trajectories in the ML and vertical directions as LLD increased at the whole gait cycle. Displacement of COP trajectories demonstrated that more distribution was on the short leg rather than on the long leg. The root mean square (RMS) of COP-COM distance showed, obviously, changes only in ML direction with the value at 3 cm and 3.5 cm. The cutoff value via receiver operating characteristic (ROC) indicates the significant differences starting at the level 2.5 cm up to 4 cm in long and short legs for both AP and ML directions. The present study performed included all the proposed parameters on the effect of dynamic stability on LLD during walking and thus helps to determine and evaluate the balance pattern.
This study presents a numerical methodology to clarify the morphology of complex trabecular network architecture in human lumbar vertebra by means of the new post-processing technique for calculated microscopic stress by the homogenization method. Micro-CT image-based modeling technique is used and careful but intuitive and easy-to-use method for microstructure model, in other words region of interest (ROI), is also presented. The macroscopic homogenized properties that include not only the Young's moduli but also shear moduli could explain the difference of morphology between healthy and osteoporotic bones. This paper focuses on the change of degree of anisotropy. Then, the microscopic stress under three basis load cases was analyzed. In this analysis, the homogenization method has a merit in the computational cost. The trabeculae are classified into eight groups from the viewpoint of load bearing function against three loading conditions in the proposed post-processing of numerical results. It contributes to the understanding of the mechanical role of trabecular bone in vertebra. The primary trabecular bone that has been supposed to support the self-weight and secondary bone that connects the primary bone are successfully visualized. The discussion on the mechanical role of plate-like trabecular bone in the load path network system is also highlighted.
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