From the UNC/NC State Joint BME News announcements: https://bme.unc.edu/2024/01/dr-jason-franz-receives-two-awards-to-accelerate-wearable-sensing-to-optimize-knee-joint-health/

BME Associate Professor Dr. Jason Franz has established a highly productive and collaborative line of research that integrates wearable sensing and machine learning for precision rehabilitation of individuals with knee osteoarthritis. That research, in close partnership with Dr. Brian Pietrosimone from the UNC Department of Exercise and Sports Science, was recently recognized with two awards to accelerate their path from scientific discovery to commercialization and genuine translational impact.

The first, a 2-year $110k translational research grant from the North Carolina Biotechnology Center, will generate patient data to demonstrate proof-of-concept and feasibility of a novel wearable sensing and machine learning prediction technology for detecting, treating and monitoring aberrant forces during walking relevant to the onset and progression of knee osteoarthritis.

The second, a $50k commercialization grant from UNC Kickstart Venture Services, was awarded to VETTA Solutions – the start-up company inspired by these research discoveries and co-founded by Drs. Franz and Pietrosimone.

Commercialization and entrepreneurship are cornerstones of our mission here in BME, and we want to congratulate Dr. Franz and his entire team for their recent success.”

Exploring the Functional Boundaries and Metabolic Consequences of Triceps Surae Force-Length Relations during Walking (2021 Journal of Biomechanics Award Winner, American Society of Biomechanics)

Abstract. The relationship between individual muscle dynamics and whole-body metabolic cost is not well established. Here we use biofeedback to modulate triceps surae (TS) activity during walking. We hypothesized: (1) increased TS activity would increase metabolic cost via shorter muscle fascicle lengths and thus reduced force capacity and (2) decreased TS activity would decrease metabolic cost via longer muscle fascicle lengths and thus increased force capacity. 23 young adults walked on an instrumented treadmill at 1.25 m/s using electromyographic (EMG) biofeedback to match targets corresponding to ±20 and ±40% TS activity during push-off (late stance). B-mode ultrasound imaged the medial gastrocnemius (MG). Participants increased net metabolic power up to 85% and 21% when targeting increased and decreased TS activity, respectively (p < 0.001). At the instant of peak gastrocnemius force, MG fascicle length was 7% shorter (p < 0.001) and gastrocnemius force was 6% larger (p < 0.001) when targeting +40% TS activity. Fascicle length was 3% shorter (p = 0.004) and force was 7% lower (p = 0.004) when targeting -40% TS activity. Participants were unable to achieve decreased activation targets. MG fascicle length and activity mediated 11.7% (p = 0.036) and 57.2% (p = 0.006) of the changes in net metabolic power, respectively. MG force did not mediate changes in net metabolic power (p = 0.948). These findings suggest that changes in the functional operating length of muscle, induced by volitional changes in TS activity, mediate the metabolic cost of walking, relatively independently of force. Thus, shifts to shorter fascicle lengths may mediate activity-induced increases in metabolic cost.

Congratulations to all our lab members that attended and presented at the 2023 Annual Meeting of the American Society of Biomechanics!

Emily Eichenlaub, a third-year BME Ph.D. student, has received a National Research Service Award (NIH F31) from the National Institute of Aging. The award will fund her project titled “The Proactive and Reactive Neuromechanics of Instability in Aging and Dementia with Lewy Bodies.” The research will establish the effects of age and dementia on proactive and reactive neuromechanics underlying vulnerability to balance challenges. Emily will be sponsored by Dr. Jason Franz, Associate Professor in BME, and a mentoring committee that spans Engineering, Physical Therapy, Neurology and Biostatistics. Her research in the BME Applied Biomechanics Lab will pave the way for clinical translation in prescription of personalized interventions, wearable sensor monitoring to mitigate falls, and development of assistive devices with onboard monitoring of muscle neuromechanics to deliver assistance in the face of a balance challenge. Congratulations, Emily!!

The Metabolic Cost of Walking Balance Control and Adaptation in Young Adults.

Shawn Ahuja and Jason R. Franz

Background: Our aim was to quantify the role of metabolic energy cost in governing neuromuscular adaptation to prolonged exposure to optical flow walking balance perturbations in young adults. Research Question: We hypothesized that metabolic cost would increase at the onset of balance perturbations in a manner consistent with wider and shorter steps and increased step-to-step variability. We also hypothesized that metabolic cost would decrease with prolonged exposure in a manner consistent with a return of step width and step length to values seen during normal, unperturbed walking. Methods: Healthy young adults (n=18) walked on a treadmill while viewing a virtual hallway. Optical flow balance perturbations were introduced over a 10-minute interval during a 20-minute walking bout while measuring step kinematics and metabolic energy cost. For all outcome measures, we computed average values during the following four time periods of interest: Pre (minutes 3-5), Early Perturbation (minutes 5-7), Late Perturbation (minutes 13-15), and Post (minutes 18-20). A repeated-measures ANOVA tested for main effects of time, following by post-hoc pairwise comparisons. Results: With the onset of perturbations, participants walked with 3% shorter, 17% wider, and 53-73% more variable steps. These changes were accompanied by a significant 12% increase in net metabolic power compared to walking normally. With prolonged exposure to perturbations, step width and step length tended toward values seen during normal, unperturbed walking – changes accompanied by a 5% reduction in metabolic power (p-values≤0.05). Significance: Our study reveals that the adoption of generalized anticipatory control at the onset of optical flow balance perturbations and the subsequent shift to task-specific reactive control following prolonged exposure have meaningful metabolic consequences. Moreover, our findings suggest that metabolic energy cost may shape the strategies we use to adapt walking balance in response to perturbations.

Our lab had a wonderful time attending our regional ASB meeting here at UNC Chapel Hill. Really inclusive meeting with especially great opportunities for undergraduate biomechanists. Our triangle-area ASB student chapter was well represented as well! Congratulations to Ricky Pimentel, Andy Shelton, Mandy Munsch, Jordan Feldman, and Ellie McTaggart for their terrific presentations.

Our laboratory was recently awarded two pilot grants from the UNC Thurston Arthritis Research Center (TARC). The awards will accelerate new interdisciplinary lines of research into: (i) the association between muscle action, inflammatory biomarkers, and cartilage loading during walking in people with osteoarthritis, and (ii) precision medicine approaches for individualized gait retraining to mitigate osteoarthritis. Our team science approach formally integrates biomedical engineering, exercise and sport science, orthopaedics, and rheumatology, allergy and immunology. Thanks for the support!

Our Applied Biomechanics Laboratory was notified this summer that two laboratory members were selected as the two finalists for the 2021 Journal of Biomechanics Award at this year’s American Society of Biomechanics (ASB) meeting. Both finalists, BME Senior Callum J. Funk (Exploring the functional boundaries and metabolism of triceps surae force-length relations during walking) and UNC Medical Student Shawn Ahuja (The metabolic cost of walking balance control and adaptation in young adults) were invited to deliver a podium presentation at the annual virtual meeting in August. In the conference’s closing ceremony, it was announced that Funk had won the prestigious Award.

The Journal of Biomechanics Award recognizes substantive and conceptually novel mechanics approaches explaining how biological systems function. It is one of the highest honors at the ASB conference. Many Congratulations to Funk and his coauthors (BME post-doc Rebecca Krupenevich, Georgia Tech faculty Gregory Sawicki, and senior author Jason Franz), as well as to finalist Shawn Ahuja for delivering exceptional presentations!

Age-related differences in calf muscle recruitment strategies in the time-frequency domain during walking as a function of task demand

Hoon Kim and Jason R. Franz

ABSTRACT

Activation of the plantar flexors is critical in governing ankle push-off power during walking, which decreases due to age. However, electromyographic (EMG) signal amplitude alone are unable to fully characterize motor unit recruitment during functional activity.  Although not yet studied in walking, EMG frequency content may also vary due to age-related differences in muscle morphology and neural signaling. Our purpose was to quantify plantar flexor activation differences in the time-frequency domain between young and older adults during walking across a range of speeds and with and without horizontal aiding and impeding forces. Ten healthy young (24.0±3.4 years) and older adults (73.7±3.9 years) walked at three speeds and walked with horizontal aiding and impeding force while muscle activations of soleus (SOL) and gastrocnemius (GAS) were recorded. The EMG signals were decomposed in the time-frequency domain with wavelet transformation. Principal component analyses extracted principal components (PC) and PC scores. Compared to young adults, we observed that GAS activation in older adults: 1) was lower across all frequency ranges during midstance and in slow to middle frequency ranges during push-off, independent of walking speed, and 2) shifted to slower frequencies with earlier timing as walking speed increased. Our results implicate GAS time-frequency content, and its morphological and neural origins, as a potential determinant of hallmark ankle push-off deficits due to aging, particularly at faster walking speeds. Rehabilitation specialists may attempt to restore GAS intensity across all frequency ranges during mid to late stance while avoiding disproportionate increases in slower frequencies during early stance.

The Effects of Triceps Surae Muscle Stimulation on Localized Achilles Subtendon Tissue Displacements

Nathan L. Lehr, William H. Clark, Michael D. Lewek, Jason R. Franz

Abstract. The triceps surae muscle tendon unit is comprised of the lateral and medial gastrocnemius (MG) and soleus (SOL) muscles and three in series elastic “subtendons” that form the Achilles tendon. Comparative literature and our own in vivo evidence suggests that sliding between adjacent subtendons may facilitate independent muscle actuation. We aim to more clearly define the relation between individual muscle activation and subtendon tissue displacements. Here, during fixed-end contractions, electrical muscle stimulation controlled the magnitude of force transmitted via individual triceps surae muscles while ultrasound imaging recorded resultant subtendon tissue displacements. We hypothesized that MG and SOL stimulation would elicit larger displacements in their associated subtendon. 10 young adults completed 4 experimental activations at 3 ankle angles (-20°, 0°, 20°) with knee flexed to approximately 20°: MG stimulation (STIM_MG), SOL stimulation (STIM_SOL), combined stimulation, and volitional contraction. At 20° plantarflexion, STIM_SOL elicited 49% larger tendon non-uniformity (SOL – MG subtendon tissue displacement) than that of STIM_MG (p=0.004). For STIM_SOL, a one-way post-hoc ANOVA revealed a significant main effect of ankle angle (p=0.009) on Achilles tendon non-uniformity. However, peak tendon non-uniformity decreased by an average of 61% from plantarflexion to dorsiflexion, likely due to an increase in passive tension. Our results suggest that localized tissue displacements within the Achilles tendon respond in anatomically consistent ways to differential patterns of triceps surae muscle activation, but these relations are highly susceptible to ankle angle. This in vivo evidence points to at least some mechanical independence in actuation between the human triceps surae muscle-subtendon units.