"Influence of lower-limb joint models on subject-specific musculoskeletal model predictions during gait" ( "modelli muscoloscheletrici personalizzati dell'arto inferiore: Analisi dell'effetto della modellazione dei giunti sulla predizione dei carichi agenti sul sistema scheletrico durante il cammino").

The aim of the present thesis was to investigate the influence of lower-limb joint models on musculoskeletal model predictions during gait. We started our analysis by using a baseline model, i.e., the state-of-the-art lower-limb model (spherical joint at the hip and hinge joints at the knee and ankle) created from MRI of a healthy subject in the Medical Technology Laboratory of the Rizzoli Orthopaedic Institute. We varied the models of knee and ankle joints, including: knee- and ankle joints with mean instantaneous axis of rotation, universal joint at the ankle, scaled-generic-derived planar knee, subject-specific planar knee model, subject-specific planar ankle model, spherical knee, spherical ankle. The joint model combinations corresponding to 10 musculoskeletal models were implemented into a typical inverse dynamics problem, including inverse kinematics, inverse dynamics, static optimization and joint reaction analysis algorithms solved using the OpenSim software to calculate joint angles, joint moments, muscle forces and activations, joint reaction forces during 5 walking trials. The predicted muscle activations were qualitatively compared to experimental EMG, to evaluate the accuracy of model predictions. Planar joint at the knee, universal joint at the ankle and spherical joints at the knee and at the ankle produced appreciable variations in model predictions during gait trials. The planar knee joint model reduced the discrepancy between the predicted activation of the Rectus Femoris and the EMG (with respect to the baseline model), and the reduced peak knee reaction force was considered more accurate. The use of the universal joint, with the introduction of the subtalar joint, worsened the muscle activation agreement with the EMG, and increased ankle and knee reaction forces were predicted. The spherical joints, in particular at the knee, worsened the muscle activation agreement with the EMG. A substantial increase of joint reaction forces at all joints was predicted despite of the good agreement in joint kinematics with those of the baseline model. The introduction of the universal joint had a negative effect on the model predictions. The cause of this discrepancy is likely to be found in the definition of the subtalar joint and thus, in the particular subject’s anthropometry, used to create the model and define the joint pose. We concluded that the implementation of complex joint models do not have marked effects on the joint reaction forces during gait. Computed results were similar in magnitude and in pattern to those reported in literature. Nonetheless, the introduction of planar joint model at the knee had positive effect upon the predictions, while the use of spherical joint at the knee and/or at the ankle is absolutely unadvisable, because it predicted unrealistic joint reaction forces.

Ruolo della gorgonia Paramuricea clavata (Risso 1826) nei popolamenti epibentonici coralligeni dell'Isola d'Elba

The red gorgonian Paramuricea clavata is considered a key species in Mediterranean coralligenous habitats and, when present at high density, its colonies may develop “gorgonian forests”, which are three-dimensional structures that increase habitat complexity. Mediterranean coralligenous habitats support high biodiversity but the structure and heterogeneity of communities can be strongly modified by several kinds of human-derived impacts. The global environmental change and human activity could threaten the coralligenous habitats and during the last few decades, Mediterranean suspension feeders have been involved in mass mortality events, in which P. clavata was one of the most affected. Without the complex three-dimensional structures formed by P. clavata, many benthic species may have not adequate sheltering and feeding opportunities. The aim of the present study was to investigate the ecological role of Paramuricea clavata in coralligenous habitats by comparing epibenthic assemblages established inside and outside gorgonian forests. This study was carried out in four sites randomly chosen, along the south-east coast of Elba island (north-western Mediterranean). The structure of the epibenthic assemblages were significantly different between area with and without gorgonians. Main differences concern very important taxa in the coralligenous bioconstruction processes like the encrusting red algae, Peyssonnelia spp. and Halimeda tuna, which were more abundant in presence of gorgonians. On the contrary, algal turf, mucilaginous algae and the invasive seaweed Caulerpa cylindracea were more abundant in areas without P. clavata. The presence of gorgonians may have a positive effect also on species diversity. The results of this study highlight the ecological role of P. clavata in the coralligenous habitats.