搜索结果：BMC musculoskeletal disorders

Artificial intelligence (AI) has shown promise in detecting and characterizing musculoskeletal diseases from radiographs. However, most existing models remain task-specific, annotation-dependent, and limited in generalizability across diseases and anatomical regions. Although a generalizable foundation model trained on large-scale musculoskeletal radiographs is clinically needed, publicly available datasets remain limited in size and lack sufficient diversity to enable training across a wide range of musculoskeletal conditions and anatomical sites. Here, we present SKELEX, a large-scale foundation model for musculoskeletal radiographs, trained using self-supervised learning on 1.2 million diverse, condition-rich images. The model was evaluated on 12 downstream diagnostic tasks and generally outperformed baselines in fracture detection, osteoarthritis grading, and bone tumor classification. Furthermore, SKELEX demonstrated zero-shot abnormality localization, producing error maps that identified pathologic regions without task-specific training. Building on this capability, we developed an interpretable, region-guided model for predicting bone tumors, which maintained robust performa

The embodied learning of human motor control requires whole-body neuro-actuated musculoskeletal dynamics, while the internal muscle-driven processes underlying movement remain inaccessible to direct measurement. Computational modeling offers an alternative, but inverse dynamics methods struggled to resolve redundant control from observed kinematics in the high-dimensional, over-actuated system. Forward imitation approaches based on deep reinforcement learning exhibited inadequate tracking performance due to the curse of dimensionality in both control and reward design. Here we introduce a large-scale parallel musculoskeletal computation framework for biomechanically grounded whole-body motion reproduction. By integrating large-scale parallel GPU simulation with adversarial reward aggregation and value-guided flow exploration, the MS-Emulator framework overcomes key optimization bottlenecks in high-dimensional reinforcement learning for musculoskeletal control, which accurately reproduces a broad repertoire of motions in a whole-body human musculoskeletal system actuated by approximately 700 muscles. It achieved high joint angle accuracy and body position alignment for highly dynami

Musculoskeletal models are pivotal in the domains of rehabilitation and resistance training to analyze muscle conditions. However, individual variability in musculoskeletal parameters and the immeasurability of some internal biomechanical variables pose significant obstacles to accurate personalized modelling. Furthermore, muscle activation estimation can be challenging due to the inherent redundancy of the musculoskeletal system, where multiple muscles drive a single joint. This study develops a whole-body musculoskeletal model for strength and conditioning training and calibrates relevant muscle parameters with an electromyography-based optimization method. By utilizing the personalized musculoskeletal model, muscle activation can be subsequently estimated to analyze the performance of exercises. Bench press and deadlift are chosen for experimental verification to affirm the efficacy of this approach.

Musculoskeletal disorders represent a significant global health burden and are a leading cause of disability worldwide. While MRI is essential for accurate diagnosis, its interpretation remains exceptionally challenging. Radiologists must identify multiple potential abnormalities within complex anatomical structures across different imaging planes, a process that requires significant expertise and is prone to variability. We developed OrthoDiffusion, a unified diffusion-based foundation model designed for multi-task musculoskeletal MRI interpretation. The framework utilizes three orientation-specific 3D diffusion models, pre-trained in a self-supervised manner on 15,948 unlabeled knee MRI scans, to learn robust anatomical features from sagittal, coronal, and axial views. These view-specific representations are integrated to support diverse clinical tasks, including anatomical segmentation and multi-label diagnosis. Our evaluation demonstrates that OrthoDiffusion achieves excellent performance in the segmentation of 11 knee structures and the detection of 8 knee abnormalities. The model exhibited remarkable robustness across different clinical centers and MRI field strengths, consis

Musculoskeletal robots offer intrinsic compliance and flexibility, providing a promising paradigm for versatile locomotion. However, existing research typically relies on models with fixed muscle physiological parameters. This static physical setting fails to accommodate the diverse dynamic demands of complex tasks, inherently limiting the robot's performance upper bound. In this work, we focus on the morphology and control co-design of musculoskeletal systems. Unlike previous studies that optimize single physiological attributes such as stiffness, we introduce a Complete Musculoskeletal Morphological Evolution Space that simultaneously evolves muscle strength, velocity, and stiffness. To overcome the exponential expansion of the exploration space caused by this comprehensive evolution, we propose Spectral Design Evolution (SDE), a high-efficiency co-optimization framework. By integrating a bilateral symmetry prior with Principal Component Analysis (PCA), SDE projects complex muscle parameters onto a low-dimensional spectral manifold, enabling efficient morphological exploration. Evaluated on the MyoSuite framework across four tasks (Walk, Stair, Hilly, and Rough terrains), our met

Musculoskeletal robots provide superior advantages in flexibility and dexterity, positioning them as a promising frontier towards embodied intelligence. However, current research is largely confined to relative simple tasks, restricting the exploration of their full potential in multi-segment coordination. Furthermore, efficient learning remains a challenge, primarily due to the high-dimensional action space and inherent overactuated structures. To address these challenges, we propose Diff-Muscle, a musculoskeletal robot control algorithm that leverages differential flatness to reformulate policy learning from the redundant muscle-activation space into a significantly lower-dimensional joint space. Furthermore, we utilize the highly dynamic robotic table tennis task to evaluate our algorithm. Specifically, we propose a hierarchical reinforcement learning framework that integrates a Kinematics-based Muscle Actuation Controller (K-MAC) with high-level trajectory planning, enabling a musculoskeletal robot to perform dexterous and precise rallies. Experimental results demonstrate that Diff-Muscle significantly outperforms state-of-the-art baselines in success rates while maintaining mi

Musculoskeletal disorders (MSDs) are a leading cause of disability worldwide, requiring advanced diagnostic and therapeutic tools for personalised assessment and treatment. Effective management of MSDs involves the interaction of heterogeneous data sources, making the Digital Twin (DT) paradigm a valuable option. This paper introduces the Musculoskeletal Digital Twin (MS-DT), a novel framework that integrates multiscale biomechanical data with computational modelling to create a detailed, patient-specific representation of the musculoskeletal system. By combining motion capture, ultrasound imaging, electromyography, and medical imaging, the MS-DT enables the analysis of spinal kinematics, posture, and muscle function. An interactive visualisation platform provides clinicians and researchers with an intuitive interface for exploring biomechanical parameters and tracking patient-specific changes. Results demonstrate the effectiveness of MS-DT in extracting precise kinematic and dynamic tissue features, offering a comprehensive tool for monitoring spine biomechanics and rehabilitation. This framework provides high-fidelity modelling and real-time visualization to improve patient-speci

Coordinated human movement depends on the integration of multisensory inputs, sensorimotor transformation, and motor execution, as well as sensory feedback resulting from body-environment interaction. Building dynamic models of the sensory-musculoskeletal system is essential for understanding movement control and investigating human behaviours. Here, we report a human sensory-musculoskeletal model, termed SMS-Human, that integrates precise anatomical representations of bones, joints, and muscle-tendon units with multimodal sensory inputs involving visual, vestibular, proprioceptive, and tactile components. A stage-wise hierarchical deep reinforcement learning framework was developed to address the inherent challenges of high-dimensional control in musculoskeletal systems with integrated multisensory information. Using this framework, we demonstrated the simulation of three representative movement tasks, including bipedal locomotion, vision-guided object manipulation, and human-machine interaction during bicycling. Our results showed a close resemblance between natural and simulated human motor behaviours. The simulation also revealed musculoskeletal dynamics that could not be direc

The musculoskeletal humanoid can move well under environmental contact thanks to its body softness. However, there are few studies that actively make use of the environment to rest its flexible musculoskeletal body. Also, its complex musculoskeletal structure is difficult to modelize and high internal muscle tension sometimes occurs. To solve these problems, we develop a muscle relaxation control which can minimize the muscle tension by actively using the environment and inhibit useless internal muscle tension. We apply this control to some basic movements, the motion of resting the arms on the desk, and handle operation, and verify its effectiveness.

Musculoskeletal disorders pose significant risks to athletes, and assessing risk early is important for prevention. However, most existing methods are designed for controlled settings and fail to reliably assess risk in complex environments due to their reliance on a single type of data. This research introduces ViSK-GAT (Visual-Skeletal Geometric Attention Transformer), a novel multimodal deep learning framework that classifies musculoskeletal risk using both visual and skeletal coordinate-based features. A custom multimodal dataset (MusDis-Sports) was created by combining images and skeletal coordinates, with each sample labeled into eight risk categories based on the Rapid Entire Body Assessment (REBA) system. ViSK-GAT integrates two innovative modules: the Fine-Grained Attention Module (FGAM), which refines inter-modal features via cross-attention between visual and skeletal inputs, and the Multimodal Geometric Correspondence Module (MGCM), which enhances cross-modal alignment between image features and coordinates. The model achieved robust performance, with all key metrics exceeding 93%. Regression results also indicated a low RMSE of 0.1205 and MAE of 0.0156. ViSK-GAT consis

Accurate measures of musculoskeletal forces are critical for clinicians, biomechanists, and engineers, yet direct measurement is highly invasive and current estimation methods remain limited in accuracy. Here, we demonstrate the application of ultra-wideband radar to non-invasively estimate musculoskeletal forces by measuring changes in the electromagnetic properties of contracting muscles, in muscles with different structural properties, during various static and dynamic conditions, and in the presence of fatigue. First, we show that ultra-wideband radar scans of muscle can reliably track isometric force in a unipennate knee extensor (vastus lateralis) and a bipennate ankle dorsiflexor (tibialis anterior). Next, we integrate radar signals within machine-learning and linear models to estimate musculoskeletal forces during fatiguing isometric, and dynamic knee extension contractions, with exceptional accuracy (test R2>0.984; errors<3.3%). Finally, we identify frequency-dependent effects of musculoskeletal forces on ultra-wideband radar signals, that are independent of physiological and structural features known to influence muscle force. Together, these findings establish ultr

The brain has evolved to effectively control the body, and in order to understand the relationship we need to model the sensorimotor transformations underlying embodied control. As part of a coordinated effort, we are developing a general-purpose platform for behavior-driven simulation modeling high fidelity behavioral dynamics, biomechanics, and neural circuit architectures underlying embodied control. We present a pipeline for taking kinematics data from the neuroscience lab and creating a pipeline for recapitulating those natural movements in a biomechanical model. We implement a imitation learning framework to perform a dexterous forelimb reaching task with a musculoskeletal model in a simulated physics environment. The mouse arm model is currently training at faster than 1 million training steps per second due to GPU acceleration with JAX and Mujoco-MJX. We present results that indicate that adding naturalistic constraints on energy and velocity lead to simulated musculoskeletal activity that better predict real EMG signals. This work provides evidence to suggest that energy and control constraints are critical to modeling musculoskeletal motor control.

High-fidelity personalized human musculoskeletal models are crucial for simulating realistic behavior of physically coupled human-robot interactive systems and verifying their safety-critical applications in simulations before actual deployment, such as human-robot co-transportation and rehabilitation through robotic exoskeletons. Identifying subject-specific Hill-type muscle model parameters and bone dynamic parameters is essential for a personalized musculoskeletal model, but very challenging due to the difficulty of measuring the internal biomechanical variables in vivo directly, especially the joint torques. In this paper, we propose using Differentiable MusculoSkeletal Model (Diff-MSM) to simultaneously identify its muscle and bone parameters with an end-to-end automatic differentiation technique differentiating from the measurable muscle activation, through the joint torque, to the resulting observable motion without the need to measure the internal joint torques. Through extensive comparative simulations, the results manifested that our proposed method significantly outperformed the state-of-the-art baseline methods, especially in terms of accurate estimation of the muscle p

While the musculoskeletal humanoid has various biomimetic benefits, the modeling of its complex structure is difficult, and many learning-based systems have been developed so far. There are various methods, such as control methods using acquired relationships between joints and muscles represented by a data table or neural network, and state estimation methods using Extended Kalman Filter or table search. In this study, we construct a Musculoskeletal AutoEncoder representing the relationship among joint angles, muscle tensions, and muscle lengths, and propose a unified method of state estimation, control, and simulation of musculoskeletal humanoids using it. By updating the Musculoskeletal AutoEncoder online using the actual robot sensor information, we can continuously conduct more accurate state estimation, control, and simulation than before the online learning. We conducted several experiments using the musculoskeletal humanoid Musashi, and verified the effectiveness of this study.

Musculoskeletal humanoids are robots that closely mimic the human musculoskeletal system, offering various advantages such as variable stiffness control, redundancy, and flexibility. However, their body structure is complex, and muscle paths often significantly deviate from geometric models. To address this, numerous studies have been conducted to learn body schema, particularly the relationships among joint angles, muscle tension, and muscle length. These studies typically rely solely on data collected from the actual robot, but this data collection process is labor-intensive, and learning becomes difficult when the amount of data is limited. Therefore, in this study, we propose a method that applies the concept of Physics-Informed Neural Networks (PINNs) to the learning of body schema in musculoskeletal humanoids, enabling high-accuracy learning even with a small amount of data. By utilizing not only data obtained from the actual robot but also the physical laws governing the relationship between torque and muscle tension under the assumption of correct joint structure, more efficient learning becomes possible. We apply the proposed method to both simulation and an actual musculo

Euler angle representation in biomechanical analysis allows straightforward description of joints rotations. However, application of Euler angles could be limited due to singularity called gimbal lock. Quaternions offer an alternative way to describe rotations but they have been mostly avoided in biomechanics as they are complex and not inherently intuitive, specifically in dynamic models actuated by muscles. This study introduces a mathematical framework for describing muscle actions in dynamic quaternion-based musculoskeletal simulations. The proposed method estimates muscle torques in quaternion-based musculoskeletal model. Its application is shown on three-dimensional double-pendulum system actuated by muscle elements. Furthermore, transformation of muscle moment arms obtained from muscle paths based on Euler angles into quaternions description is presented. The proposed method is advantageous for dynamic modeling of musculoskeletal models with complex kinematics and large range of motion like the shoulder joint.

The human foot serves as the critical interface between the body and environment during locomotion. Existing musculoskeletal models typically oversimplify foot-ground contact mechanics, limiting their ability to accurately simulate human gait dynamics. We developed a novel contact-rich and deformable model of the human foot integrated within a complete musculoskeletal system that captures the complex biomechanical interactions during walking. To overcome the control challenges inherent in modeling multi-point contacts and deformable material, we developed a two-stage policy training strategy to learn natural walking patterns for this interface-enhanced model. Comparative analysis between our approach and conventional rigid musculoskeletal models demonstrated improvements in kinematic, kinetic, and gait stability metrics. Validation against human subject data confirmed that our simulation closely reproduced real-world biomechanical measurements. This work advances contact-rich interface modeling for human musculoskeletal systems and establishes a robust framework that can be extended to humanoid robotics applications requiring precise foot-ground interaction control.

Musculoskeletal and neurological disorders are the most common causes of walking problems among older people, and they often lead to diminished quality of life. Analyzing walking motion data manually requires trained professionals and the evaluations may not always be objective. To facilitate early diagnosis, recent deep learning-based methods have shown promising results for automated analysis, which can discover patterns that have not been found in traditional machine learning methods. We observe that existing work mostly applies deep learning on individual joint features such as the time series of joint positions. Due to the challenge of discovering inter-joint features such as the distance between feet (i.e. the stride width) from generally smaller-scale medical datasets, these methods usually perform sub-optimally. As a result, we propose a solution that explicitly takes both individual joint features and inter-joint features as input, relieving the system from the need of discovering more complicated features from small data. Due to the distinctive nature of the two types of features, we introduce a two-stream framework, with one stream learning from the time series of joint

Various musculoskeletal humanoids have been developed so far. While these humanoids have the advantage of their flexible and redundant bodies that mimic the human body, they are still far from being applied to real-world tasks. One of the reasons for this is the difficulty of bipedal walking in a flexible body. Thus, we developed a musculoskeletal wheeled robot, Musashi-W, by combining a wheeled base and musculoskeletal upper limbs for real-world applications. Also, we constructed its software system by combining static and dynamic body schema learning, reflex control, and visual recognition. We show that the hardware and software of Musashi-W can make the most of the advantages of the musculoskeletal upper limbs, through several tasks of cleaning by human teaching, carrying a heavy object considering muscle addition, and setting a table through dynamic cloth manipulation with variable stiffness.