Effect of individual spinal muscle activities on upright posture using a human body finite element model

Abstract The occurrence of diseases characterized by irregular spinal alignment, such as kyphosis, lordosis, scoliosis, and dropped head syndrome (DHS) is increasing, particularly among older adults. DHS is characterized by an excessive forward tilt of the head and neck, causing the head to droop. A...

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Main Authors: Yuko Nakahira, Masami Iwamoto, Tatsuya Igawa, Ken Ishii
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-86788-0
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author Yuko Nakahira
Masami Iwamoto
Tatsuya Igawa
Ken Ishii
author_facet Yuko Nakahira
Masami Iwamoto
Tatsuya Igawa
Ken Ishii
author_sort Yuko Nakahira
collection DOAJ
description Abstract The occurrence of diseases characterized by irregular spinal alignment, such as kyphosis, lordosis, scoliosis, and dropped head syndrome (DHS) is increasing, particularly among older adults. DHS is characterized by an excessive forward tilt of the head and neck, causing the head to droop. Although it is believed that muscle activity plays a role in both the onset and treatment of DHS, the underlying mechanisms remain unclear. To elucidate the mechanism, we used a human body finite element model, which included the erector spinae muscle group, and a muscle controller with fixed legs for spinal posture stabilization. The model replicated muscle activation levels during the maintenance of an upright posture under gravity, similar to those obtained from experimental data. Parametric simulations to investigate the effect of each spinal muscle impairment on upright posture with and without compensatory activities of the other muscles suggest that trunk extensors; the multifidus L1-S and longissimus thoracis muscles, and hip flexors; psoas major and iliacus muscles play an integral role in maintaining an upright posture. These findings support the results of a rehabilitation study that reported that exercises targeting the trunk, psoas muscles, and cervical extensors could improve global spinal alignment and clinical outcomes in DHS.
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spelling doaj-art-787c549bd1094f9aa3b661da89dd19762025-02-02T12:24:00ZengNature PortfolioScientific Reports2045-23222025-01-0115111410.1038/s41598-025-86788-0Effect of individual spinal muscle activities on upright posture using a human body finite element modelYuko Nakahira0Masami Iwamoto1Tatsuya Igawa2Ken Ishii3Toyota Central R&D Labs., Inc., Human Science Research-DomainToyota Central R&D Labs., Inc., Human Science Research-DomainDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and WelfareDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and WelfareAbstract The occurrence of diseases characterized by irregular spinal alignment, such as kyphosis, lordosis, scoliosis, and dropped head syndrome (DHS) is increasing, particularly among older adults. DHS is characterized by an excessive forward tilt of the head and neck, causing the head to droop. Although it is believed that muscle activity plays a role in both the onset and treatment of DHS, the underlying mechanisms remain unclear. To elucidate the mechanism, we used a human body finite element model, which included the erector spinae muscle group, and a muscle controller with fixed legs for spinal posture stabilization. The model replicated muscle activation levels during the maintenance of an upright posture under gravity, similar to those obtained from experimental data. Parametric simulations to investigate the effect of each spinal muscle impairment on upright posture with and without compensatory activities of the other muscles suggest that trunk extensors; the multifidus L1-S and longissimus thoracis muscles, and hip flexors; psoas major and iliacus muscles play an integral role in maintaining an upright posture. These findings support the results of a rehabilitation study that reported that exercises targeting the trunk, psoas muscles, and cervical extensors could improve global spinal alignment and clinical outcomes in DHS.https://doi.org/10.1038/s41598-025-86788-0
spellingShingle Yuko Nakahira
Masami Iwamoto
Tatsuya Igawa
Ken Ishii
Effect of individual spinal muscle activities on upright posture using a human body finite element model
Scientific Reports
title Effect of individual spinal muscle activities on upright posture using a human body finite element model
title_full Effect of individual spinal muscle activities on upright posture using a human body finite element model
title_fullStr Effect of individual spinal muscle activities on upright posture using a human body finite element model
title_full_unstemmed Effect of individual spinal muscle activities on upright posture using a human body finite element model
title_short Effect of individual spinal muscle activities on upright posture using a human body finite element model
title_sort effect of individual spinal muscle activities on upright posture using a human body finite element model
url https://doi.org/10.1038/s41598-025-86788-0
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