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Principal Aim To assess the strength changes, and associated change in fracture risk, due to structural alterations in the proximal femora of astronauts experiencing long- term weightlessness. • 3-D FEA has not yet applied to bone loss in astronauts – Greatly increased risk of fracture upon return to Earth and possibly even under strenuous loading in space or on the moon or Mars. Calculate change in factor of risk (Φ) Φ = actual load / predicted failure load – hypothesis: Φ pre < Φ post relationship between Φ and duration of weightlessness

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Page 1: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Principal Aim

To assess the strength changes, and associated

change in fracture risk, due to structural alterations in

the proximal femora of astronauts experiencing long-

term weightlessness.

• 3-D FEA has not yet applied to bone loss in astronauts – Greatly increased risk of fracture upon return to Earth and possibly

even under strenuous loading in space or on the moon or Mars.

• Calculate change in factor of risk (Φ)– Φ = actual load / predicted failure load

– hypothesis: Φpre < Φpost

– relationship between Φ and duration of weightlessness

Page 2: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Research Plan

Adjustable

Finite

Element

Model

3-segment models:

• locomotion (3 dof)

• fall impact (5 dof)

Gender

36 y.o.

Male

• CT

• DXA

Space Flight ∆:

Incr. endost. diam.

Red. trabec. mass

Red. musc. strength

Gravity Level Earth (g), Mars (3/8g)

Equations of Motion:

• Lagrangian

• Kane’s method

Applied LoadFailure LoadFracture Risk

Φ =Fapplied

Ffail

Page 3: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Aim 1:

3-segment model for locomotion

• Lagrangian formulation

p1, τ1

p2, τ2

p3,

τ3

m1,

I1

m2, I2

m3, I3

vc3

g

y

x

Hip Loading During Locomotion

Page 4: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Solution of Equations for Locomotion

Initial joint velocity from

hip/seg. 3

Calc. joint acceleration at

each time step

Integrate to get velocity

and position values

Hip force from c.m.

acceleration via Jacobian

Page 5: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Control Scheme (locomotion)

Hip torque:

PPD control

Ankle & knee torque:

Impedance control

γ

F

Fx

Fy

Y

X

Page 6: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Variation of Parameters (Locomotion)

• Body Mass Properties (m, I) and Anthropometrics:

Male and female, 5%, 50%, 95%

Values derived using GEBOD

• Horizontal velocity:

uEarth = 2 - 6 m/s (He et al., 1991)

uMars = 2 - 4 m/s (Newman et al., 1994; Wickman & Luna, 1996)

• Leg stiffness:

Kleg = 9 - 15 kN/m (He et al., 1991; Farley & Gonzalez, 1996; Viale et al., 1998)

• Gravity:

Earth G = g, Mars G = 3/8 g (g = 9.807 m/s2)

• Initial ankle angle: iteration until lowest point of hip

trajectory occurs at x=0 (initial knee angle set to 5 deg)

Page 7: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

0

0.2

0.4

0.6

0.8

1

1.2

1.4

1.6

-1 -0.8 -0.6 -0.4 -0.2 0 0.2 0.4 0.6 0.8 1

Position (m)

dt

Positio

n (

m)

Page 8: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Joint Position (50% Male)

0

20

40

60

80

100

120

140

0.00 0.02 0.04 0.06 0.08 0.10 0.12 0.14

Time (s)

Jo

int

An

gle

(de

g)

ankle (Mars)

ankle (Earth)

knee (Earth)

knee (Mars)

hip (Earth)

hip (Mars)

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Joint Torque (50% Male)

-500

-400

-300

-200

-100

0

100

200

300

400

0.00 0.02 0.04 0.06 0.08 0.10 0.12 0.14

Time (s)

To

rqu

e (

N-m

)

ankle (Mars)

ankle (Earth)

knee (Earth)

knee (Mars)

hip (Earth)

hip (Mars)

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Hip Force (50% Male)

-2500

-2000

-1500

-1000

-500

0

500

1000

1500

2000

2500

0.00 0.02 0.04 0.06 0.08 0.10 0.12 0.14

Time (s)

Jo

int

Co

nta

ct

Fo

rce

(N

)

Total (Mars)

Total (Earth)

X (Earth)

X (Mars)

Y (Earth)

Y (Mars)

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Hip Locus (50% Male)

0.0

0.2

0.4

0.6

0.8

1.0

-0.6 -0.4 -0.2 0.0 0.2 0.4 0.6

X-location (m)

Y-l

ocati

on

(m

)Earth

Mars

Page 12: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

50th Percentile Male (Earth)

0

500

1,000

1,500

2,000

2,500

3,000

7 9 11 13 15 17

Kleg (kN/m)

Pe

ak

Fo

rce

(N

)

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

Pe

ak

Fo

rce

(EB

W)

u=2

u=3

u=4

u=5

u=6

Page 13: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Male (Earth)

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

0 2 4 5 6 7

Horizontal Velocity (m/s)

Pe

ak

Fo

rce

(N

)

(5%)

(50%)

(95%)

McMahon (1987)

McMahon & Cheng (1990)

Bergmann (1993)

Bassey (1997)

van den Bogert (1999)

1 3

Page 14: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Male (Mars)

0

500

1,000

1,500

2,000

2,500

3,000

0 .5 .5 .5 .5 .5 5

Horizontal Velocity (m/s)

Pe

ak

Fo

rce

(N

)

EVA (5%)

EVA (50%)

EVA (95%)

IVA (5%)IVA (50%)

IVA (95%)

0 11 22 33 44

Page 15: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Aim 1:

• 3-segment model based on

that derived by van den

Kroonenberg (1995)

• 5 degrees-of-freedom g

Z

X

Z

Y

q1

left side rear

q2

q3

q5q4

Hip Loading During Falls

Page 16: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Control Scheme

• Ankle and knee: Impedance Control

– Adjust (Kp)x and (Kd)x so that hip stays close to Y-Z plane

– Adjust (Kp)z and (Kd)z so that body configuration at impact is close

to that reported by van den Kroonenberg from kinematic studies

• Hip joints: PPD

– Adjust control parameters to obtain appropriate trunk orientation at

impact

Page 17: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Variation of Parameters (Fall)

• Body Mass Properties (m, I) and Anthropometry:

– Male and female, 5%, 50%, 95%

– Values derived using GEBOD

• Gravity: Earth G = g, Mars G = 3/8 g (g = 9.807 m/s2)

• Initial joint position and velocity values set to correspond

with van den Kroonenberg (interpolated to get 50% values)

• Impact model

– Stiffness: KEarth = 71 kN/m (Robinovitch, et al., 1991)

KMars = 57 kN/m (20% less for space suit padding)

– Damping: B = 923 N/m-s (damping ratio = 0.2, Robinovitch, et al., 1991)

Page 18: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Joint Angle (50% Male — Earth)

-80

-60

-40

-20

0

20

40

60

80

100

120

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7

Time (s)

Jo

int A

ng

le(d

eg

)

ankle X

knee Y

hip X

hip Y

ankle Y

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Joint Torque (50% Male — Earth)

-300

-200

-100

0

100

200

300

400

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7

Time (s)

To

rqu

e (

N-m

)

ankle Xknee Y

hip X

hip Y

ankle Y

Page 20: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Hip Force (50% Male — Earth)

-2000

-1000

0

1000

2000

3000

4000

5000

6000

7000

8000

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7

Time (s)

Imp

ac

t F

orc

e (

N)

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00

9.00

10.00

Imp

ac

t F

orc

e(B

W)

Ftotal

Fz

Fy

Fx

Page 21: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Peak Impact Force vs Kgnd (Mars EVA)

0

1000

2000

3000

4000

5000

6000

0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 100.0

Ground Impact Stiffness (kN/m)

Pe

ak

Fo

rce

(N

)

Male (50%)

Female (50%)

Page 22: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Hip Force during Impact (Male)

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

0 10 20 0 0 0 60 0 80 90 100

Percentile

Peak

Fo

rce

(N

)

Earth

Mars EVA

Mars IVA

Parkkari (1995)

Robinovitch(1995)

3 4 5 7

Page 23: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Hip Force during Impact (Female)

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

0 10 20 0 0 50 60 70 0 0 100

Percentile

Pe

ak F

orc

e (

N)

Earth

Mars EVA)

Mars IVA

van den Kroonenberg - dynam (1995)

van den Kroonenberg - exper (1996)

3 4 8 9

Page 24: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

* Fall impact forces reduced by 15% to account for soft tissue attenuation (Robinovitch et al., 1997)

Applied Force Summary ( Male & Female 50%)

0

1000

2000

3000

4000

5000

6000

7000

Male Run Female Run Male Fall* Female Fall*

Ap

pli

ed

Fo

rce (

N)

Earth

Mars IVA

Mars EVA

Page 25: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Finite Element Analysis

QCT scans and

NIH Image Extract

contours

Stack

contours

to define

geometry

3-D Finite

Element

Model

Define element

material properties

Extract density

distribution

(trabecular area)

Page 26: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Methods: NIH Image

Resliced Sections Outlines

Femur Model

Page 27: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Results: Failure Analysis Validation

Trabecular bone

specimens in

torsion

Similar results,

r2=0.86 in

bending

y = 0.98x + 0.03

r 2 = 0.89

0

0.4

0.8

1.2

1.6

2.0

2.4

0 0.4 0.8 1.2 1.6 2.0 2.4

FEA Ultimate Torque, Nm

Exp

. U

ltim

ate

To

rqu

e, N

m

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Page 29: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Y rotation

= +21 deg

Page 30: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Z rotation = +15 deg

Y rotation = +10 deg

Page 31: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Element Material Properties

Cancellous elements [Ashman et al., 1989]:

E = (2.84 x 103)ρ1.07

Cortical elements [Snyder and Schneider, 1991]:

E = 21,910ρ - 23,500

Poisson’s ratio: ν = 0.3 for all elements

Page 32: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Method of Increasing Endosteal Diameter

For each curve defining

endosteal boundary:

• Determine centroid

• Calculate average radius

• Calculate magnitude of point

displacement (JHU results)

• Direction of displacement

found by bisecting angle

defined by adjacent points

Page 33: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Muscle Strength Loss in Spaceflight

• Start with Earth-normal muscle magnitudes and directions:

for mid-stance [Cheal et al.,1992] :Mag (BW) X (med-lat) Y (post-ant) Z (dist-prox)

Gluteus medius 0.80 -0.67 0.18 0.72

Gluteus minimus 0.30 -0.78 0.21 0.59

Iliopsoas 1.30 -0.10 0.73 0.68

• Reduce muscle strength with duration of weightlessness:

– 40% lower at 6 months, 60% lower at 12 months, based on lit.

• 21% lower peak activated force 17 day flight [Widrick et al., 1999]

• 120 days of HDT bed rest [Koryak, 1999] :

– 44% / 33% (M/F) decline in isometric max. voluntary contraction (MVC)

– 36% / 11% (M/F) decline in isometric twitch contraction (Pt)

– 34% / 24% (M/F) decline in tetanic contraction force (Po)

• Maximal explosive power (MEP) reduced to 67% after 31 days, and to

45% after 180 days of space flight [Antonutto et al., 1999]

Page 34: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Failure Analysis Algorithm

No Yes

ABAQUS User Subroutine

Update ε, σ

FE Model

Increment

Displacement

Calculate Strains

and Reaction

Forces

Calculate

εmax(prin), εmin(prin)

Reduce Modulus

End

Node

Failure?

Model

Failure?

Yes

No

Node Failure:

Maximum Principle Strain

> 0.8% (tension)

Minimum Principle Strain

< -1.1% (compression)

Model Failure:

Reaction Force undergoes

two successive decrements

with increasing displacement

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Page 36: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Mid-s tance Lo ading (Pre- and Po s t-Flig ht)

0

1000

2000

3000

4000

5000

6000

7000

0 0.5 1 1.5 2 2.5 3

Z Dis plac e me nt (mm)

Re

ac

tio

n F

orc

e (

N)

0 months (mus cle s )

0 months (no mus cle s )

12 months

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Page 40: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Fall Configuration Loading (Pre- and Po s t-flight)

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

0.00 0.20 0.40 0.60 0.80 1.00 1.20 1.40 1.60

X Dis plac e me nt (mm)

Re

ac

tio

n F

orc

e (

N)

0 months

12 months

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0

1000

2000

3000

4000

5000

6000

7000

8000

-2 0 2 8 10 12 14

Duration of Weightlessness (months)

Fa

ilu

re L

oa

d (

N)

Male Run

Female Run

Male Fall

Female Fall

Courtney - Fall (1994, 1995)

Bouxsein - Fall (1994)

Beck - Stance (1990)

Run

Fall

64

Page 44: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

Run

(Earth,0)

Run

(Earth, 12)

Run (Mars

IVA, 12)

Run (Mars

EVA, 12)

Fall

(Earth, 0)

Fall

(Earth, 12)

Fall (Mars

IVA, 12)

Fall (Mars

EVA, 12)

Facto

r o

f R

isk f

or

Fra

ctu

reMale 50%

Female 50%

Page 45: Principal Aim - DSpace@MIT: Homedspace.mit.edu/bitstream/handle/1721.1/39645/16... · Principal Aim To assess the strength changes, and associated change in fracture risk, due to

Conclusions

• Fall impact carries higher risk of fracture under all

circumstances.

• Risk of fracture during locomotion is significantly greater

for Mars EVA compared to Earth-normal and Earth-return.

Reducing space suit mass is important.

• Muscles contribution during mid-stance is critical.

• Contrary to popular belief, risk of fracture during a fall on

Mars (both IVA and EVA) is decreased compared to Earth-

normal (lower gravity, spacesuit padding for EVA). FOR

values are still close to 1.0, though, especially for males.

• Greatest risk to astronauts is from a fall occurring right

after return from a long-duration mission. Use hip pads

temporarily?