Personalized neuromusculoskeletal modeling to improve treatment of mobility impairments: a perspective from European research sites
Identifieur interne : 002277 ( Main/Merge ); précédent : 002276; suivant : 002278Personalized neuromusculoskeletal modeling to improve treatment of mobility impairments: a perspective from European research sites
Auteurs : Benjamin J. Fregly [États-Unis] ; Michael L. Boninger [États-Unis] ; David J. Reinkensmeyer [États-Unis]Source :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2012.
Abstract
Mobility impairments due to injury or disease have a significant impact on quality of life. Consequently, development of effective treatments to restore or replace lost function is an important societal challenge. In current clinical practice, a treatment plan is often selected from a standard menu of options rather than customized to the unique characteristics of the patient. Furthermore, the treatment selection process is normally based on subjective clinical experience rather than objective prediction of post-treatment function. The net result is treatment methods that are less effective than desired at restoring lost function. This paper discusses the possible use of personalized neuromusculoskeletal computer models to improve customization, objectivity, and ultimately effectiveness of treatments for mobility impairments. The discussion is based on information gathered from academic and industrial research sites throughout Europe, and both clinical and technical aspects of personalized neuromusculoskeletal modeling are explored. On the clinical front, we discuss the purpose and process of personalized neuromusculoskeletal modeling, the application of personalized models to clinical problems, and gaps in clinical application. On the technical front, we discuss current capabilities of personalized neuromusculoskeletal models along with technical gaps that limit future clinical application. We conclude by summarizing recommendations for future research efforts that would allow personalized neuromusculoskeletal models to make the greatest impact possible on treatment design for mobility impairments.
Url:
DOI: 10.1186/1743-0003-9-18
PubMed: 22463378
PubMed Central: 3342221
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Personalized neuromusculoskeletal modeling to improve treatment of mobility impairments: a perspective from European research sites</title><author><name sortKey="Fregly, Benjamin J" sort="Fregly, Benjamin J" uniqKey="Fregly B" first="Benjamin J" last="Fregly">Benjamin J. Fregly</name><affiliation wicri:level="2"><nlm:aff id="I1">Departments of Mechanical & Aerospace Engineering, Biomedical Engineering, and Orthopaedics & Rehabilitation, University of Florida, 231 MAE-A Building, P.O. Box 116250, Gainesville, FL 32611-6250, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Mechanical & Aerospace Engineering, Biomedical Engineering, and Orthopaedics & Rehabilitation, University of Florida, 231 MAE-A Building, P.O. Box 116250, Gainesville, FL 32611-6250</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Boninger, Michael L" sort="Boninger, Michael L" uniqKey="Boninger M" first="Michael L" last="Boninger">Michael L. Boninger</name><affiliation wicri:level="4"><nlm:aff id="I2">Department of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Reinkensmeyer, David J" sort="Reinkensmeyer, David J" uniqKey="Reinkensmeyer D" first="David J" last="Reinkensmeyer">David J. Reinkensmeyer</name><affiliation wicri:level="2"><nlm:aff id="I3">Departments of Mechanical & Aerospace Engineering and Biomedical Engineering, University of California, Irvine, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Mechanical & Aerospace Engineering and Biomedical Engineering, University of California, Irvine, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22463378</idno><idno type="pmc">3342221</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3342221</idno><idno type="RBID">PMC:3342221</idno><idno type="doi">10.1186/1743-0003-9-18</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002774</idno><idno type="wicri:Area/Pmc/Curation">002774</idno><idno type="wicri:Area/Pmc/Checkpoint">001621</idno><idno type="wicri:Area/Ncbi/Merge">001F66</idno><idno type="wicri:Area/Ncbi/Curation">001F66</idno><idno type="wicri:Area/Ncbi/Checkpoint">001F66</idno><idno type="wicri:Area/Main/Merge">002277</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Personalized neuromusculoskeletal modeling to improve treatment of mobility impairments: a perspective from European research sites</title><author><name sortKey="Fregly, Benjamin J" sort="Fregly, Benjamin J" uniqKey="Fregly B" first="Benjamin J" last="Fregly">Benjamin J. Fregly</name><affiliation wicri:level="2"><nlm:aff id="I1">Departments of Mechanical & Aerospace Engineering, Biomedical Engineering, and Orthopaedics & Rehabilitation, University of Florida, 231 MAE-A Building, P.O. Box 116250, Gainesville, FL 32611-6250, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Mechanical & Aerospace Engineering, Biomedical Engineering, and Orthopaedics & Rehabilitation, University of Florida, 231 MAE-A Building, P.O. Box 116250, Gainesville, FL 32611-6250</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Boninger, Michael L" sort="Boninger, Michael L" uniqKey="Boninger M" first="Michael L" last="Boninger">Michael L. Boninger</name><affiliation wicri:level="4"><nlm:aff id="I2">Department of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Medicine & Rehabilitation, University of Pittsburgh, Pittsburgh, PA</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Reinkensmeyer, David J" sort="Reinkensmeyer, David J" uniqKey="Reinkensmeyer D" first="David J" last="Reinkensmeyer">David J. Reinkensmeyer</name><affiliation wicri:level="2"><nlm:aff id="I3">Departments of Mechanical & Aerospace Engineering and Biomedical Engineering, University of California, Irvine, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Departments of Mechanical & Aerospace Engineering and Biomedical Engineering, University of California, Irvine, CA</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">Journal of NeuroEngineering and Rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Mobility impairments due to injury or disease have a significant impact on quality of life. Consequently, development of effective treatments to restore or replace lost function is an important societal challenge. In current clinical practice, a treatment plan is often selected from a standard menu of options rather than customized to the unique characteristics of the patient. Furthermore, the treatment selection process is normally based on subjective clinical experience rather than objective prediction of post-treatment function. The net result is treatment methods that are less effective than desired at restoring lost function. This paper discusses the possible use of personalized neuromusculoskeletal computer models to improve customization, objectivity, and ultimately effectiveness of treatments for mobility impairments. The discussion is based on information gathered from academic and industrial research sites throughout Europe, and both clinical and technical aspects of personalized neuromusculoskeletal modeling are explored. On the clinical front, we discuss the purpose and process of personalized neuromusculoskeletal modeling, the application of personalized models to clinical problems, and gaps in clinical application. On the technical front, we discuss current capabilities of personalized neuromusculoskeletal models along with technical gaps that limit future clinical application. We conclude by summarizing recommendations for future research efforts that would allow personalized neuromusculoskeletal models to make the greatest impact possible on treatment design for mobility impairments.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Andersen, Ms" uniqKey="Andersen M">MS Andersen</name></author><author><name sortKey="Damsgaard, M" uniqKey="Damsgaard M">M Damsgaard</name></author><author><name sortKey="Macwilliams, B" uniqKey="Macwilliams B">B MacWilliams</name></author><author><name sortKey="Rasmussen, J" uniqKey="Rasmussen J">J Rasmussen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Viceconti, M" uniqKey="Viceconti M">M Viceconti</name></author><author><name sortKey="Kohl, P" uniqKey="Kohl P">P Kohl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Viceconti, M" uniqKey="Viceconti M">M 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Helm</name></author><author><name sortKey="Veeger, He" uniqKey="Veeger H">HE Veeger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fregly, Bj" uniqKey="Fregly B">BJ Fregly</name></author><author><name sortKey="Besier, Tf" uniqKey="Besier T">TF Besier</name></author><author><name sortKey="Lloyd, Dg" uniqKey="Lloyd D">DG Lloyd</name></author><author><name sortKey="Delp, Sl" uniqKey="Delp S">SL Delp</name></author><author><name sortKey="Banks, Sa" uniqKey="Banks S">SA Banks</name></author><author><name sortKey="Pandy, Mg" uniqKey="Pandy M">MG Pandy</name></author><author><name sortKey="D Lima, Dd" uniqKey="D Lima D">DD D'Lima</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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