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ARTICLE IN PRESS

Journal of Biomechanics 38 (2005) 973–980


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www.JBiomech

An equation to calculate individual muscle contributions


to joint stability
Jim R. Potvina,, Stephen H.M. Brownb
a
Department of Kinesiology, University of Windsor, 401 Sunset Ave, Windsor, Ont., Canada N9B 3P4
b
Department of Kinesiology, University of Waterloo, Waterloo, Ont., Canada
Accepted 2 June 2004

Abstract

The purpose of the current paper was to use the energy approach to develop a simplified equation for quantifying individual
muscle contributions to mechanical stability about all three axes of a particular joint. Specific examples are provided for muscles
acting about the lumbar spine’s L4/L5 joint. The stability equation requires input of: (1) origin and insertion coordinates, relative to
the joint of interest, (2) muscle force, and (3) muscle stiffness. The muscle force must be derived from a biomechanical analysis that
first results in static equilibrium about all axes being studied. The equation can also accommodate muscles with nodes that change
the line of action, with respect to a particular joint, as it passes from the origin to insertion. The results from this equation were
compared to those from a Moment approach using more than two million simulated muscles with three-dimensional orientations.
The differences between approaches were negligible in all cases. The primary advantage of the current method is that it is very easy
to implement into any 2D or 3D biomechanical model of any joint, or system of joints. Furthermore, this approach will be useful in
dissecting total joint stability into the individual contributions of each muscle for various systems, joints, postures and recruitment
patterns.
r 2004 Elsevier Ltd. All rights reserved.

Keywords: Joint stability; Spine mechanics; Muscle stiffness; Buckling behavior

1. Introduction Bergmark (1989) was the first to fully define and


examine the mechanical stability of a muscular system
Mechanical joint stability has become a popular topic which can be considered to be stable when the potential
in the biomechanics literature. To date, most research- energy ðV Þ of the entire system is at a relative minimum.
ers, including ourselves, have merely assumed stability Thus, a system must always be able to return to its
levels based on a qualitative interpretation of agonist/ original state of equilibrium in response to perturbations
antagonist muscle activation. Spine instability has been around this original state. Mathematically, two condi-
proposed as a risk factor in the development of low- tions must be met in order for stability to exist. First, the
back pain and injury (Panjabi, 1992) and this system has system must be in mechanical equilibrium, meaning that
been the focus of most of the rare attempts to actually the first derivative of V (net moment) must be zero.
quantify muscle contributions to stability. However, due Next, the second derivative of V must be positive
to the complexity of these calculations, few have made definite (greater than zero) indicating that V is at some
them and the role of stability in spine function, and thus minimum.
its direct link to injury, is not yet fully understood. A muscle can contribute to potential energy during a
perturbation, and subsequent length change, by storing
Corresponding author. Tel.: +1-519-253-3000x2461; fax: +1-519- or releasing elastic energy related to its stiffness and by
973-7056. performing positive or negative work related to its pre-
E-mail address: jpotvin@uwindsor.ca (J.R. Potvin). tension. Muscle stiffness plays a very significant role in

0021-9290/$ - see front matter r 2004 Elsevier Ltd. All rights reserved.
doi:10.1016/j.jbiomech.2004.06.004
ARTICLE IN PRESS
974 J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980

stabilizing a joint and/or system of joints. A muscle with (B2X, B2Y, B2Z)
a higher stiffness stores more energy in relation to the
distance it is stretched during a perturbation, thus (BX, BY, BZ)
creating a higher level of stability in the system.
Bergmark (1989) and subsequent researchers (Crisco
and Panjabi, 1991; Cholewicki and McGill, 1996;
Gardner-Morse et al., 1995; Gardner-Morse and Stokes,
1998; Granata and Wilson, 2001) have investigated
stability of the lumbar spine by developing a stiffness
l2 θz
and load matrix incorporating V , with respect to each
l
generalized coordinate, and examining the eigenvalues
for each joint degree of freedom. For the system to be
stable each eigenvalue, and the global matrix determi-
nant, must be positive definite. The smallest eigenvalue
is considered to be the critical stiffness. Loads that
Joint at (0,0,0)
compromise this critical stiffness would cause the system
to become unstable such that it would buckle. Recently,
Howarth et al. (2004) have shown that the global
determinant and smallest eigenvalue (weakest link)
(AX, AY, AZ)
provide similar trends for interpreting system stability.
While it is important to quantify spine stability, the Fig. 1. Initial ðBX ; BY ; BZ Þ and final ðB2X ; B2Y ; B2Z Þ coordinates of
complexity in applying the required mathematical the node, or insertion point where no node exists, for a small rotation
analyses can be quite significant and limiting to many about the joint. The ðAx ; Ay ; Az Þ coordinates refer to the muscle origin.
All coordinates are relative to the joint at (0,0,0). For illustration
researchers. To this end, recent researchers (Cholewicki purposes, the rotation angle ðyÞ is exaggerated beyond the small angles
et al., 1999; Granata and Orishimo, 2001) have been generally used for stability analyses. The ‘ and ‘2 indicate the initial
able to demonstrate a relationship between muscle and final distance from the origin to the insertion/node. In this
moment arm, length and stiffness that allows for a example, the XY plane is represented and stability will be calculated
relatively simple, yet accurate, assessment of stability for about the z-axis.
the purposes of their studies. However, their models,
and thus their equations, were proposed to be limited to muscles are modeled to pass through nodes between the
one upright single-equivalent flexor and one upright origin and insertion. These nodes serve to change the
single-equivalent extensor muscle. Such a simplification line of action of the muscle. In such cases, (Bx , By , Bz )
was not suggested to apply to the complex musculature will represent the node, and not the final insertion point
of human joints for the sake of a full-scale analysis of (Fig. 1). All calculations here assume rotation about one
stability. axis of one joint, with muscles that have a maximum of
The purpose of the current paper was to use the one node. However, these equations can be used for
energy approach to develop a simplified equation for rotations about multiple joints, axes and nodes if the
quantifying individual muscle contributions to stability total 3D length of the muscle is calculated.
about the three axes of a particular joint. Subsequently, For a given rotation about the z-axis:
a method will be proposed for estimating total stability 2 3 2 32 3
B2X BX cos yZ  sin yZ 0
in a multi-muscle system. Specific examples will be 6 7 6 76 7
provided of muscles acting about the lumbar spine’s L4/ 4 B2Y 5 ¼ 4 BY 54 sin yZ cos yZ 0 5; ð1Þ
L5 joint. B2Z BZ 0 0 1

B2X ¼ BX cos yZ  BY sin yZ ; ð2Þ


2. Methods
B2Y ¼ BX sin yZ þ BY cos yZ ; ð3Þ
The following equations will outline the development
of a simple equation for the calculation of individual B2Z ¼ BZ ; ð4Þ
muscle contributions to joint stability. Calculations will
be made for stability about the z-axis, but similar where AX ; AY ; AZ are the origin coordinates with
equations can be used for stability about the x- and y- respect to the joint of interest at (0,0,0) m, BX ; BY ; BZ
axes. the initial node or insertion (without nodes) coordinates
A muscle can be observed before and after rotation with respect to joint and B2X ; B2Y ; B2Z the rotated node
about the z-axis of a particular joint, assumed to be at or insertion (without nodes) coordinates with respect to
(0,0,0) m (Fig. 1). In the biomechanical literature, many joint.
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J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980 975

Given these coordinates, a muscle’s initial length, steps can be found in the appendix:
rotated length and change in length can be calculated as
d2 UðmÞ
follows: SðmÞZ ¼
qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi dy2Z

‘ ¼ ðBX  AX Þ2 þ ðBY  AY Þ2 þ ðBZ  AZ Þ2 ; ð5Þ AX BX þ AY BY ðAX BY  AY BX Þ2


¼F 
‘ ‘3
qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi

‘2 ¼ ðB2X  AX Þ2 þ ðB2Y  AY Þ2 þ ðB2Z  AZ Þ2 ðAX BY  AY BX Þ2


þk : (11)
‘2
ð6Þ

substituting (2)–(4) into (6) yields: In addition, the functional moment arms of the muscle

qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
‘2 ¼ ðBX cos yZ  BY sin yZ  AX Þ2 þ ðBX sin yZ  BY cos yZ  AY Þ2 þ ðBZ  AZ Þ2 : ð7Þ

By substituting (5) and (7) into (8), the change in are determined from the cross products of the radius
muscle length for a small rotation about the z-axis is ðBX ; BY ; BZ Þ and the muscle force unit vector, from
calculated as ðBX ; BY ; BZ Þ to ðAX ; AY ; AZ Þ. This value represents the

D‘ ¼ ‘2  ‘
qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
¼ ðBX cos yZ  BY sin yZ  AX Þ2 þ ðBX sin yZ  BY cos yZ  AY Þ2 þ ðBZ  AZ Þ2
qffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
 ðBX  AX Þ2 þ ðBY  AY Þ2 þ ðBZ  AZ Þ2 ; (8)

where ‘ is the initial distance from ðAX ; AY ; AZ Þ to moment about z, created by a resultant muscle force of
ðBX ; BY ; BZ Þ, ‘2 the distance from ðAX ; AY ; AZ Þ to 1 N. For rotations about the z-axis, this simplifies to
ðB2X ; B2Y ; B2Z Þ, after a small rotation ðyZ Þ and D‘ the BX AY  AX BY
change in muscle length, from the origin to the insertion/ rZ ¼ ; ð12Þ

node, for a small rotation ðyZ Þ.
The elastic potential energy stored in a given muscle is where rZ is the functional moment arm of the muscle
calculated by about the z-axis (m).
Substituting (12) into (11) yields
UðmÞ ¼ F D‘ þ 12 k D‘2 ; ð9Þ

AX BX þ AY BY  r2Z
SðmÞZ ¼ F þ kr2Z : ð13Þ
where UðmÞ is the sum of the energy stored and work ‘
done by, or on, the muscle, F the muscle force (N), and
k the muscle stiffness (N/m). Bergmark (1989) calculated muscle stiffness as
The stability contribution of a muscle, about the qF
k¼ ; ð14Þ
z-axis, is calculated as the second derivative of stored L
potential energy, with respect to a small rotation
where L is the total muscle length from origin to
about z:
insertion, q the proportionality constant relating muscle
d2 UðmÞ force and length to stiffness.
SðmÞZ ¼ ; ð10Þ Substituting (14) into (13) and simplifying yields
dy2Z

AX BX þ AY BY  r2Z qr2Z
where SðmÞZ is the stability contribution of a muscle SðmÞZ ¼ F þ : ð15Þ
‘ L
about the z-axis of a joint.
The following steps were then performed to yield Eq. Nodes serve as pulleys to change the line of action of the
(11): (a) substituting (8) into (9), (b) applying a Taylor muscle (Fig. 2).
Series expansion (third-order approximation), (c) differ- The total stability of the system requires the
entiating twice with respect to y, (d) substituting (5) and examination of all sources of potential energy, including
simplifying. A more detailed representation of these the work done by external loads acting on the body
ARTICLE IN PRESS
976 J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980

(BX, BY, BZ) (CX, CY, CZ) where W is the work done during the rotation (J), P is
the external load (kg), and h is the initial height of the
lBC load (m).
rBC
Applying a Taylor Series expansion, and calculating
the second derivative with respect to yZ , produces:
2
(0,0,0)
l (BX, BY, BZ) d2 W
¼ Ph: ð17Þ
dy2Z
lAB L = lAB + lBC
r Therefore, for a system with multiple muscles, the
rAB potential energy of the entire system can be calculated as
1
(0,0,0) (0,0,0) X
N
V¼ Um  W; ð18Þ
(AX, AY, AZ) (AX, AY, AZ) m¼1

Fig. 2. Illustration of the parameters used for the calculation of the where V is the potential energy of the entire system and
stability contribution of a muscle about one axis, in cases where there m is a particular muscle.
is no node (left), and where there is a node associated with the joint The second derivative of V represents the total
(right). With a node, the ‘ and L will differ, such that the final stability
stability S Z about the z-axis, and can be approximated
equation cannot be further simplified. Note the larger moment arm
when the node is present. The insertion (left) and node (right) have with
coordinates ðBX ; BY ; BZ Þ that will move with rotations about the lower
" #
joint (0,0,0). The moment arms ðrÞ are for illustration purposes only
d2 V X N
d2 U d2 W
SZ ¼ 2 ¼  : ð19Þ
and are not exactly the functional moment arms derived from a 3D dyZ m¼1 dy2Z m dy2Z
analysis. Moment arms rAB and rBC reflect moment potential about the
z axis, relative to joints 1 and 2 respectively. Substituting (15) and (17) into (19) yields
d2 V
SZ ¼
P dy2Z
XN

AX BX þ AY BY  r2Z qr2Z
¼ Fm þ  Ph: (20)
m¼1
‘ L m

It is important to note here that stability cannot be


h calculated until there is static equilibrium. Thus, the
individual muscle forces must first be determined such
that the net moment about each axis is zero. Once this
r2 r3 Y first step has been achieved, the net mechanical stability
r1 r4
about the z-axis can be calculated with Eq. (20).
Joint
To provide examples, the stability contributions of
X
two trunk muscles were evaluated in the upright posture
m2 m3 about the flexion/extension, lateral bend and axial twist
Z
m1 m4 axes. The origin, insertion and nodal coordinates for
these muscles were taken from Cholewicki and McGill
2 2
F (AX BX + AY BY – rz )
Sz =
d2 V
dθ z
2

m=1
N
[ l
+
qFrz
L ] m
– Ph
(1996) and are provided in Table 1. The above equations
can also be converted for use with the lateral bend ðxÞ
and axial twist ðyÞ axes. For calculations about the
Fig. 3. Example of four muscles and a load ðPÞ and the calculation of lateral bend axis, substitute x for z, y for x and z for y.
stability about the z-axis. The q is set as a constant. The stability For the axial twist axis, substitute y for z, z for x and x
contributions of each muscle are summated and counteract the
destabilizing potential energy of the load ðPhÞ. For each muscle, the
for y. The proposed equations can be used for each
stabilizing potential is a function of the origin, insertion and nodal lumbar joint as long as the A and B coordinates are
coordinates, length, moment arm and force. calculated with respect to the joint of interest.
The right rectus abdominis provided an example of a
muscle with no node, while the right L1 pars lumborum
(Fig. 3). For the sake of simplicity, the contributions of was modeled to have one node at the L4 level. The q
passive structures will be ignored, although they will value was assumed to be 10 and forces were set to 1 N.
contribute to energy storage. During a small rotation, The ‘‘Geometric Stability’’ was calculated to be the
the work done by the external load at a given height is muscle’s stability related solely to its orientation. This
value could then be multiplied by any muscle force to
W ¼ Phð1  cos yÞ; ð16Þ obtain the actual stability contribution of the muscle.
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Table 1
The coordinates used for the rectus abdominis and L1 pars lumborum as examples for the calculation of stability

Global Coordinates Coordinates wrt L4/L5

X Y Z X Y Z

L4/L5 0.106 0.211 0.000 0.000 0.000 0.000


Rectus Abdominis Origin Pelvis 0.184 0.050 0.030 0.078 0.161 0.030
Insertion Rib 0.190 0.350 0.070 0.084 0.139 0.070

L1 Pars Lumborum Origin Pelvis 0.024 0.178 0.060 0.082 0.033 0.060
Node L4 0.025 0.223 0.050 0.081 0.012 0.050
Insertion L1 0.044 0.328 0.026 0.062 0.117 0.026

These coordinates were taken from Cholewicki and McGill (1996) and all units are in meters. For Eq. (15), all coordinates must be taken with respect
to the joint (L4/L5) and those values are presented on the right.

Table 2
Muscle parameters used to calculate Geometric Stability of the rectus abdominis and L1 pars lumborum about the three anatomical axes of the L4/
L5 joint

Rectus Abdominis L1 Pars Lumborum

Length from origin to node/insertion (m) ‘ 0.3030 0.0461


Total length (m) L 0.3030 0.1555
X -axis (lateral) Moment Arm (m) r 0.0510 0.0514
AY BY ðm2 Þ 0.0224 0.0004
AZ BZ ðm2 Þ 0.0021 0.0030
Geometric stability (N m) S 0.010 0.169

Y -axis (axial) Moment Arm (m) r 0.0097 0.0165


AZ BZ ðm2 Þ 0.0021 0.0030
AX BX ðm2 Þ 0.0066 0.0066
Geometric stability (N m) S 0.031 0.221

Z-axis (flex/ext) Moment Arm (m) r 0.0805 0.0793


AX BX ðm2 Þ 0.0066 0.0066
AY BY ðm2 Þ 0.0224 0.0004
Geometric stability (N m) S 0.140 0.403

The q value was set at 10 for all calculations.

For the sake of simplicity in these examples, it was Stokes and Gardner-Morse (2003) noted that stability
assumed that rotations only occurred at L4/L5. can also be calculated as the change in moment divided
To test the validity of the muscle stability equation by the change in angle, during a very small rotational
(15), a large number of muscles were simulated and perturbation. For each simulated muscle, the stability
rotated by a very small angle. Insertions were simulated was also calculated using this Moment method. The
with all combinations of x (lateral axis), y (vertical) and change in moment, resulting from a 1  108 radian
z (flex/ext) coordinates ranging from 0 to 10, in rotation, was calculated using the product of the
increments of 1 ðn ¼ 1331Þ. Origins were simulated with original force and moment arm and subtracting it from
all combinations of x and z coordinates from 0 to 10 and the product of the new force (new length times stiffness)
y coordinates from 10 to 10 ðn ¼ 2541Þ for a total of and new moment arm after rotation. A difference value
3,382,071 origin/insertion combinations (i.e. muscles). (error) was calculated for each muscle, by subtracting
From this, simulated muscles were removed if they the stabilities calculated with the energy method from
either created a negative moment and/or had an origin those obtained with the moment method.
that was superior to the insertion, leaving a total of
2,189,253 muscles (65% of the total). Each muscle was
given a q value of 10, a force of 100 N and the insertion 3. Results
was rotated 1  108 radians. Eqs. (7) and (12) were
used to calculate the length ðlÞ and moment arm ðrÞ, The stability values for the rectus abdominis and L1
respectively. Eq. (15) was then used to estimate the pars lumborum were calculated for each axis (Table 2).
stability contribution of each muscle about the z-axis. The calculation of the mechanical stability contribution
ARTICLE IN PRESS
978 J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980

of the L1 pars lumborum about the z-axis (flexion/ perturbation. In addition, the origin and insertion
extension) will be presented here. Using a q value of 10, coordinates will determine the muscle length (Eq. (5))
force of 1.0 N and the xy coordinates, the values from and moment arm of the muscle acting about the axis of
Table 2 were input into Eq. (15) to obtain interest (Eq. (12)). When the muscle passes through a
node that deviates the line of action from that of the line
ð0:0066Þ þ ð0:0004Þ  ð0:0793Þ2
SðL1ÞZ ¼ F joining the origin and insertion, this is accounted for by
0:0461 replacing the insertion coordinates with that of the node
2

ð10Þð0:0793Þ so that the origin–node length ð‘Þ and origin–insertion


þ ¼ 0:403F : (21)
0:1555 length passing through all nodes ðLÞ can be calculated
separately. In fact, Eq. (15) could be re-written into a
With a geometric stability of 0.403 m, the stability for a much longer equation, using only muscle force, Berg-
muscle force of, for example, 500 N would be 201.5 N m. mark’s q and the coordinates for the origin and insertion
Without the node, the L1 pars lumborum flexor moment (and node, where applicable).
arm decreases 5% from 0.0793 to 0.0750 m, but this Cholewicki et al. (1999) and Granata and Orishimo
results in a 17% decrease in geometric stability to (2001) have presented simplified models of muscle
0.335 m. contributions to stability, using only stiffness and
Of the 2,189,253 muscles simulated, the average moment arm ðS ¼ kr2 Þ. However, Eq. (13) indicates
stability value was calculated to be 25.1 N m. Amongst that stability is more complex than this, as it is also
all these comparisons between the energy and moment dependent on the origin and insertion locations. For a
methods, the largest error was only 0.00013 N m and this linear spring, stiffness and pre-tension are independent.
was only 0.0003% of the mean stability. While the stiffness always makes a positive contribution
to stability, pre-tension can either increase or decrease
stability, depending on the origin and insertion/node
4. Discussion locations (i.e. AX BX and AY BY polarities). Unlike linear
springs, however, muscle stiffness is dependent on
This paper presents a simple equation that calculates muscle force/activation so that it is not as easy to
the magnitude of individual muscle contributions to differentiate the relative contributions of muscle stiff-
mechanical stability about any axis of a particular joint. ness and pre-tension to joint stability. For most muscles,
The stability equation requires the input of: (1) origin increasing force has a larger effect on increasing the
and insertion coordinates, relative to the joint of stiffness contribution to stability than any potential
interest, (2) muscle force and, (3) muscle stiffness. The destabilizing work done by the initial force. In fact, of
muscle force must be derived from a biomechanical the 2,189,253 muscles simulated, 93.5% had positive
analysis that first results in static equilibrium about all geometric stabilities such that relatively few muscles had
three axes. The equation can also accommodate muscles orientations that made the joint less stable as their pre-
with nodes that change the muscle’s line of action, with tension was increased.
respect to a particular joint, as it passes from the origin With the proposed equation, the relative contribution
to insertion. The primary advantage of the current of muscle stiffness depends on the selection of a q value.
method is that it is very easy to implement into any 2D Large q values will increase the magnitude of the kr2
or 3D biomechanical model of any joint, or system of component of Eq. (13), and diminish the relative effect
joints. This paper uses trunk muscles for illustrating the of the AX BX þ AY BY  r2 component. Estimates of q in
equation’s utility. To date, almost all attempts to the literature have been in the large range from
directly quantify muscle contributions to joint rotational approximately 0.5–50, with a mean of approximately
stability, have done so with applications to the spine. 10 (Crisco and Panjabi, 1991; Cholewicki and McGill,
The author’s are aware of no such calculations with 1995). Recent work has estimated the critical q (the
other joints. However, it is proposed that this method minimum q at which the spine is stable) to be in the
can be used for any joint where the location of the axis range of approximately 0.3–7.3 (Gardner-Morse et al.,
of rotation as well as muscle origin, insertion and nodal 1995; Gardner-Morse and Stokes, 1998; Stokes and
coordinates are available. Gardner-Morse, 2003). It appears that future work is
Eq. (15) is sensitive to a number of factors that affect needed to determine the most appropriate q for
muscle contributions to stability. Muscle force gener- biomechanical analyses. Cholewicki and McGill (1995)
ated prior to the perturbation (pre-tension) will directly describe a method for estimating muscle stiffness with-
affect the work done by the muscle during a small out the need to estimate q. They modified the cross-
rotational perturbation (first half of Eq. (15)). This pre- bridge bond distribution moment (DM) model of Ma
tension will also determine muscle stiffness (k ¼ qF =L in and Zahalak (1991) which was based on the sliding
Bergmark, 1989), and affect the stability contributions filament theory of Huxley (1957). Eq. (13) allows for the
of strain energy stored in the muscle during the use of either method to estimate muscle stiffness.
ARTICLE IN PRESS
J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980 979

One benefit of the proposed equation, is that it allows total joint stability into the individual contributions of
for a muscle’s contribution to stability to be broken into each muscle for various systems, joints, postures and
two components: (1) the capacity to generate force recruitment patterns.
(generally related to muscle cross sectional area, length
and velocity) and, (2) the orientation of the muscle
(referred to here as geometric stability). This orientation
can be defined completely by the coordinates of the Appendix A
origin, insertion and, where applicable, a node. For the
two trunk muscle examples presented in Tables 1 and 2, Eq. (8) was substituted into (9) and a Taylor Series
it is apparent that geometric stability is sensitive to both expansion (third-order approximation) was applied to
the length and moment arm of the muscle. For example, yield:
the rectus abdominis and L1 pars lumborum have

similar moment arms about the x-axis (about 0.051 m) ðBY  AY ÞBX  ðBX  AX ÞBY
UðmÞ ¼F y
but given that the L1 muscle has a node and shorter ½ðBX  AX Þ2 þ ðBY  AY Þ2 þ ðBZ  AZ Þ2  1=2

muscle length, its geometric stability of 0.169 is much F ðBX  AX ÞBX þ B2Y  ðBY  AY ÞBY þ B2X 2
þ y
larger than the 0.010 of the rectus abdominis. Based on 2 ½ðBX  AX Þ2 þ ðBY  AY Þ2 þ ðBZ  AZ Þ2 1=2
Eq. (15), it appears that the ideal stabilizer would have a

F ½ðBY  AY ÞBX  ðBX  AX ÞBY 2


short length and a long moment arm, with moment arm  y2
2 ½ðBX  AX Þ2 þ ðBY  AY Þ2 þ ðBZ  AZ Þ2 3=2
being the more important of the two.

Cholewicki and McGill (1996) have presented the k ½ðBY  AY ÞBX  ðBX  AX ÞBY 2
þ y2
most complete, multi-joint method to examine multiple 2 ðBX  AX Þ2 þ ðBY  AY Þ2 þ ðBZ  AZ Þ2
muscle contributions to spine stability. Specifically, þ 0ðy3 Þ; (A.1)
matrices of the stiffness contributions of the different
system components have been examined, with respect to substituting (5) into (A.1) and simplifying yields
the V of each generalized coordinate, to obtain the

eigenvalues and the overall stability determinant of the AX BY  AY BX


UðmÞ ¼ F y
system. However, the complexity of their method has ‘

presented other researchers with a substantial obstacle F AX BX þ AY BY ðAX BY  AY BX Þ2 2


to quantifying joint stability, so that many provide only þ  y
2 ‘ ‘3
qualitative interpretations based on muscle activation

patterns. While less complex, the present method does k ðAX BY  AY BX Þ2 2


þ y : (A.2)
allow for an accurate quantitative assessment of the 2 ‘2
joint stability contributions of multiple muscle systems.
It must be stressed that the stability equations presented The first derivative of UðmÞ, with respect to a small
here are limited to a single joint and a single degree of rotation about the z-axis, is also the moment equili-
freedom. However, the equation could be used for all brium equation. This must add to zero (static equili-
joints and axes in a complex system like the spine, by brium) in a stability analysis of all muscles in a system:

sequentially calculating the origin, insertion and node dUðmÞ AX BY  AY BX


coordinates relative to the joint of interest. It should be ¼F
dyZ ‘
noted that it is the muscles acting in opposition to the

perturbation that affect stability, however muscle forces AX BX  AY BY ðAX BY  AY BX Þ2


þF  y
will often be required on both sides of the joint to ‘ ‘3

achieve static equilibrium. In addition, any complete ðAX BY  AY BX Þ2


analysis of joint stability must include the contributions þk y: (A.3)
‘2
of passive tissue stiffness. The proposed equations
provide only for each muscle’s direct effect on stability. Stability is calculated as the second derivative of UðmÞ,
Recent work by Stokes and Gardner-Morse (2003) with respect to a small rotation about the z-axis. This is
would indicate that muscle force will also indirectly also the first derivative of moment with respect to
contribute to joint stiffness by increasing axial compres- rotation angle:
sion force. Any use of the proposed equations would
have to account for this factor, relative to the

characteristics of the specific joint being studied. d2 UðmÞ AX BX þ AY BY ðAX BY  AY BX Þ2


The primary advantage of this method is that it ¼ F 
dy2Z ‘ ‘3
provides a simple formula to quantify muscle contribu-

tions to joint stability under various static conditions. ðAX BY  AY BX Þ2


þk : (A.4)
Furthermore, this approach will be useful in dissecting ‘2
ARTICLE IN PRESS
980 J.R. Potvin, S.H.M. Brown / Journal of Biomechanics 38 (2005) 973–980

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