A Conceptual Blueprint for Making Neuromusculoskeletal Models Clinically Useful
The ultimate goal of most neuromusculoskeletal modeling research is to improve the treatment of movement impairments. However, even though neuromusculoskeletal models have become more realistic anatomically, physiologically, and neurologically over the past 25 years, they have yet to make a positive...
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MDPI AG
2021-02-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/11/5/2037 |
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doaj-4ecf77ea5bb347bb9fb4bea41daf81f62021-02-26T00:03:39ZengMDPI AGApplied Sciences2076-34172021-02-01112037203710.3390/app11052037A Conceptual Blueprint for Making Neuromusculoskeletal Models Clinically UsefulBenjamin J. Fregly0Department of Mechanical Engineering, Rice University, Houston, TX 77005, USAThe ultimate goal of most neuromusculoskeletal modeling research is to improve the treatment of movement impairments. However, even though neuromusculoskeletal models have become more realistic anatomically, physiologically, and neurologically over the past 25 years, they have yet to make a positive impact on the design of clinical treatments for movement impairments. Such impairments are caused by common conditions such as stroke, osteoarthritis, Parkinson’s disease, spinal cord injury, cerebral palsy, limb amputation, and even cancer. The lack of clinical impact is somewhat surprising given that comparable computational technology has transformed the design of airplanes, automobiles, and other commercial products over the same time period. This paper provides the author’s personal perspective for how neuromusculoskeletal models can become clinically useful. First, the paper motivates the potential value of neuromusculoskeletal models for clinical treatment design. Next, it highlights five challenges to achieving clinical utility and provides suggestions for how to overcome them. After that, it describes clinical, technical, collaboration, and practical needs that must be addressed for neuromusculoskeletal models to fulfill their clinical potential, along with recommendations for meeting them. Finally, it discusses how more complex modeling and experimental methods could enhance neuromusculoskeletal model fidelity, personalization, and utilization. The author hopes that these ideas will provide a conceptual blueprint that will help the neuromusculoskeletal modeling research community work toward clinical utility.https://www.mdpi.com/2076-3417/11/5/2037neuromusculoskeletal modelmusculoskeletal modelcomputational modelmodel personalizationtreatment optimizationtreatment design |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Benjamin J. Fregly |
| spellingShingle |
Benjamin J. Fregly A Conceptual Blueprint for Making Neuromusculoskeletal Models Clinically Useful Applied Sciences neuromusculoskeletal model musculoskeletal model computational model model personalization treatment optimization treatment design |
| author_facet |
Benjamin J. Fregly |
| author_sort |
Benjamin J. Fregly |
| title |
A Conceptual Blueprint for Making Neuromusculoskeletal Models Clinically Useful |
| title_short |
A Conceptual Blueprint for Making Neuromusculoskeletal Models Clinically Useful |
| title_full |
A Conceptual Blueprint for Making Neuromusculoskeletal Models Clinically Useful |
| title_fullStr |
A Conceptual Blueprint for Making Neuromusculoskeletal Models Clinically Useful |
| title_full_unstemmed |
A Conceptual Blueprint for Making Neuromusculoskeletal Models Clinically Useful |
| title_sort |
conceptual blueprint for making neuromusculoskeletal models clinically useful |
| publisher |
MDPI AG |
| series |
Applied Sciences |
| issn |
2076-3417 |
| publishDate |
2021-02-01 |
| description |
The ultimate goal of most neuromusculoskeletal modeling research is to improve the treatment of movement impairments. However, even though neuromusculoskeletal models have become more realistic anatomically, physiologically, and neurologically over the past 25 years, they have yet to make a positive impact on the design of clinical treatments for movement impairments. Such impairments are caused by common conditions such as stroke, osteoarthritis, Parkinson’s disease, spinal cord injury, cerebral palsy, limb amputation, and even cancer. The lack of clinical impact is somewhat surprising given that comparable computational technology has transformed the design of airplanes, automobiles, and other commercial products over the same time period. This paper provides the author’s personal perspective for how neuromusculoskeletal models can become clinically useful. First, the paper motivates the potential value of neuromusculoskeletal models for clinical treatment design. Next, it highlights five challenges to achieving clinical utility and provides suggestions for how to overcome them. After that, it describes clinical, technical, collaboration, and practical needs that must be addressed for neuromusculoskeletal models to fulfill their clinical potential, along with recommendations for meeting them. Finally, it discusses how more complex modeling and experimental methods could enhance neuromusculoskeletal model fidelity, personalization, and utilization. The author hopes that these ideas will provide a conceptual blueprint that will help the neuromusculoskeletal modeling research community work toward clinical utility. |
| topic |
neuromusculoskeletal model musculoskeletal model computational model model personalization treatment optimization treatment design |
| url |
https://www.mdpi.com/2076-3417/11/5/2037 |
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