Imperial College London
Alternate

Anthony M J Bull FREng

Faculty of Engineering, Department of Bioengineering

Professor of Musculoskeletal Mechanics
 
 
 
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Contact

 

+44 (0)20 7594 5186a.bull Website

 
 
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Location

 

Uren 514aSir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Smith:2021:10.1016/j.clinbiomech.2021.105292,
author = {Smith, SHL and Coppack, RJ and van, den Bogert AJ and Bennett, AN and Bull, AMJ},
doi = {10.1016/j.clinbiomech.2021.105292},
journal = {Clinical Biomechanics},
pages = {1--9},
title = {Review of musculoskeletal modelling in a clinical setting: Current use in rehabilitation design, surgical decision making and healthcare interventions},
url = {http://dx.doi.org/10.1016/j.clinbiomech.2021.105292},
volume = {83},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundMusculoskeletal modelling is a common means by which to non-invasively analyse movement. Such models have largely been used to observe function in both healthy and patient populations. However, utility in a clinical environment is largely unknown. The aim of this review was to explore existing uses of musculoskeletal models as a clinical intervention, or decision-making, tool.MethodsA literature search was performed using PubMed and Scopus to find articles published since 2010 and relating to musculoskeletal modelling and joint and muscle forces.Findings4662 abstracts were found, of which 39 relevant articles were reviewed. Journal articles were categorised into 5 distinct groups: non-surgical treatment, orthoses assessment, surgical decision making, surgical intervention assessment and rehabilitation regime assessment. All reviewed articles were authored by collaborations between clinicians and engineers/modellers. Current uses included insight into the development of osteoarthritis, identifying candidates for hamstring lengthening surgery, and the assessment of exercise programmes to reduce joint damage.InterpretationThere is little evidence showing the use of musculoskeletal modelling as a tool for patient care, despite the ability to assess long-term joint loading and muscle overuse during functional activities, as well as clinical decision making to avoid unfavourable treatment outcomes. Continued collaboration between model developers should aim to create clinically-friendly models which can be used with minimal input and experience by healthcare professionals to determine surgical necessity and suitability for rehabilitation regimes, and in the assessment of orthotic devices.
AU  - Smith,SHL
AU  - Coppack,RJ
AU  - van,den Bogert AJ
AU  - Bennett,AN
AU  - Bull,AMJ
DO  - 10.1016/j.clinbiomech.2021.105292
EP  - 9
PY  - 2021///
SN  - 0268-0033
SP  - 1
TI  - Review of musculoskeletal modelling in a clinical setting: Current use in rehabilitation design, surgical decision making and healthcare interventions
T2  - Clinical Biomechanics
UR  - http://dx.doi.org/10.1016/j.clinbiomech.2021.105292
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000635629600001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://www.sciencedirect.com/science/article/pii/S026800332100022X?via%3Dihub
UR  - http://hdl.handle.net/10044/1/91542
VL  - 83
ER  -
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