• Zhaoyajing LUO , Yi WU , Hong CHEN , Jin CHEN , Zuquan HU , Zhu ZENG , Yun WANG
    Journal of Medical Biomechanics. 2025, 40(5): 1272-1280.
    Objective

    To elucidate the regulatory effects of titanium surface modification on the immune function of immature dendritic cells (imDCs), different crystalline nanomorphologies were constructed on titanium surface to investigate the mechanobiological response of imDCs to nanomorphologies with different crystalline phases.

    Methods

    Nanomorphologies with different crystalline phases were constructed on the titanium surface by anodic oxidation and calcination. The changes of the cytoskeleton F-actin, cell adhesion and morphology of imDCs cultured on nanomorphologies with different crystalline phases were observed by fluorescence staining. The relative gene expression of adhesion molecules was detected by quantitative real-time PCR. The migration behaviors of imDCs were observed using real-time live-cell imaging, and the membrane fluidity was detected by fluorescence polarization.

    Results

    Nanomorphologies with different crystalline phases, namely amorphous phase, anatase and rutile, were obtained on the titanium surface by anodic oxidation and calcination. The cytoskeleton of imDCs on nanomorphologies with different crystalline phases was remodeled. The spreading area of cells on anatase crystalline phase was relatively small, which was (353.3±148.5) μm2. The number of adherent cells was the largest, which was 587±132. The expression of adhesion molecules such as CD11a, integrin β2, ICAM1, and VCAM1 were also increased in cells which cultured on anatase crystalline phase. The imDCs cultured on anatase crystalline phase were equipped with strong migration ability. The accumulative migration distance was (383.6±177.7) μm, and the Euclidean migration distance was (51.82±50.13) μm. The membrane fluidity was relatively weak, and the fluorescence polarization was 0.348 5±0.041 8.

    Conclusions

    imDCs can respond to nanomorphologies with different crystalline phases on the titanium surface and exhibit different biomechanical behaviors. The results might provide a theoretical basis for the design of titanium biomaterials with immunomodulatory functions.

  • Huaxin XIANG , Jianbing SANG , Jingyuan Wang , Mengqiang JI , Chen ZHANG
    Journal of Medical Biomechanics. 2025, 40(5): 1222-1229.
    Objective

    To address the limitations of conventional physics-informed neural network (PINN) in handling hemodynamic boundary constraints, an improved hard boundary-constrained PINN (HBC-PINN) framework was proposed to achieve precise prediction of blood flow fields within stenotic arteries.

    Methods

    An idealized stenosed vessel geometry model was established and computational fluid dynamic simulation was performed to obtain a validation dataset. Appropriate boundary dependent trial functions were designed according to the hard constraint method to embed the flow boundary conditions into the network output. Thus, an HBC-PINN model with the hard boundary constraint method was constructed to predict the velocity field and pressure field of stenosed blood flow. Meanwhile, an original PINN model with the soft constraint method was also built for comparison. By evaluating the accuracy of the two models on the validation dataset, the capability of the HBC-PINN model to simulate hemodynamics without using any labeled data for training was verified.

    Results

    The effectiveness of the HBC-PINN method in predicting hemodynamic parameters in stenosed blood flow tasks was validated. The relative L2 errors of the flow velocity and pressure predicted by the HBC-PINN in two different stenosis scenarios were both lower than 0.5%, representing an improvement of over 48.8% in accuracy compared to the original PINN model. Additionally, the prediction accuracy of the transverse velocity also increased by more than 35.4%.

    Conclusions

    Implementing hard constraints on boundary conditions in the PINN modeling process can effectively improve the prediction accuracy of hemodynamic parameters and the efficiency of model solving.

  • Hongshuai LENG , Qinghua MENG , Luxing ZHOU , Nan ZHANG , Yijie DENG
    Journal of Medical Biomechanics. 2025, 40(5): 1200-1206.
    Objective

    To explore the impact of vision impairment (VI) on the gait of hemiplegic patients, assess their walking ability and fall risks, and provide a basis for developing effective rehabilitation strategies.

    Methods

    Thirty hemiplegic patients were enrolled and stratified by the severity of visual acuity impairment into three groups (unimpaired, mildly impaired, and severely impaired). The gait data of patients under uncorrected vision were collected using the Qualisys motion capture system and the Kistler three-dimensional force platform, and the balance ability of patients was assessed simultaneously. Subsequently, the gait and assessment data were statistically analyzed to compare inter-group differences.

    Results

    Compared with the visually unimpaired group, significant differences in step length, symmetry, and walking speed were observed in hemiplegic patients of the mild visual impairment group and severe visual impairment group. As VI increased, gait abnormalities became more pronounced, with a longer double-limb support phase, a longer swing phase of the affected limb, and a shorter single-limb support phase of the affected limb in the gait cycle. Compared with the visually unimpaired group, significant differences in center of pressure (COP) and COP symmetry were found between the mild visual impairment group and severe visual impairment group, with gait abnormalities intensifying. The Berg balance scale (BBS) scores showed that there was a significant difference between the visually unimpaired group and severe visual impairment group, indicating that the group with visual impairment had poorer balance ability.

    Conclusions

    VI has a significant negative impact on the gait and walking ability of hemiplegic patients. This study emphasizes the importance of focusing on the impact of VI in the rehabilitation of hemiplegic patients, with regular vision assessments and personalized interventions being conducted, which are of great significance in enhancing patients' walking quality.

  • Leqi LI , Haoran XU , Ruiqin WANG , Jinfeng CAO , Linlin ZHANG , Jia HAN , Jie LÜ
    Journal of Medical Biomechanics. 2025, 40(5): 1207-1213.
    Objective

    To investigate the dynamic balance ability of healthy young adults under different obstacle-crossing strategies, thereby providing a theoretical basis for fall prevention training and public facility design.

    Methods

    Twenty healthy young adults participated in the experiment using F-scan plantar pressure analysis insoles. The subjects were required to cross three obstacles with different combinations of height and width. With their dominant foot serving as the leading foot and the non-dominant foot as the trailing foot, the subjects performed both lateral and forward crossing maneuvers, and their plantar pressure data were collected.

    Results

    Different crossing strategies significantly affected the adjustment speed of the leading foot's center of pressure in the medial-lateral direction (COP_ML), the area of the 95% confidence circle, ML amplitude, and anterior-posterior (AP) amplitude (P<0.05). These strategies also significantly impacted the trailing foot's COP_ML adjustment speed, the area of the 95% confidence circle, and the range between the maximum and minimum swings (P<0.05). For the leading foot, during lateral and forward crossing, the balance parameter values under different heights and widths were statistically significant (P<0.05), increasing as the height and width increased. For the trailing foot, during forward crossing, the balance parameter values under different heights were statistically significant (P<0.05), increasing with height, while during lateral crossing, the differences in balance parameter values were not statistically significant (P>0.05).

    Conclusions

    Healthy young adults demonstrate better balance ability with the leading foot during forward obstacle crossing, which aligns with the movement habits of the dominant foot and daily activity patterns. The trailing foot exhibits a more stable plantar pressure distribution during lateral obstacle crossing, likely due to a larger contact area and more even center of gravity distribution.

  • Jinhui MA , Jingjing FENG , Xiaoyan JIANG , Xiaoting DONG , Xiaoxi SUN , Jiangguo LIN , Ying FANG , Jianhua WU
    Journal of Medical Biomechanics. 2025, 40(5): 1303-1308.
    Objective

    To study how lipid bilayer fluidity modulates the interaction between β1 integrin and CD40L, as well as the formation of CD40L-mediated tumor cell contact interfaces.

    Methods

    Supported lipid bilayers (SLB) with different fluidities were prepared through adjusting the 1, 2-dioleoyl-sn-glycero-3-[N-(5-amino-1-carboxypentyl) iminodiacetic acid] succinyl nickel salt (DGS-NTA) content. The functionalization of lipid bilayers was achieved by anchoring fluorescently labeled CD40L molecules onto the membrane surface. The contact interface formation of PC9 cells on the functionalized lipid bilayers was observed through confocal fluorescence imaging and fluorescence recovery after photobleaching (FRAP) experiments, and data of two dimensional (2D) reaction kinetics of β1 integrin and CD40L were extracted from Zhu-Golan plots.

    Results

    The diffusion coefficient of molecules in lipid bilayer was negatively correlated with DGS-NTA content. High fluidity of lipid bilayer promoted CD40L accumulation at cell contact interface and expanded the cell contact area. The 2D dissociation constants (2D Kd) of β1 integrin-CD40L complexes were approximately 13, 31 and 65 molecules/μm2 for the three lipid bilayers with high, moderate and low fluidities, respectively.

    Conclusions

    High fluidity of lipid bilayers significantly facilitates diffusion and aggregation of CD40L to the cell contact interface, thus enhancing β1 integrin-CD40L interaction and the stability of cell contact interfaces.

  • Jiaqi WANG , Shengnan WANG , Jintao WU , Ning WANG
    Journal of Medical Biomechanics. 2025, 40(5): 1325-1332.
    Objective

    To investigate the flow field characteristics of peritoneal fluid flowing in the cavity between the liver and the inner wall of the diaphragm peritoneum in patients with ovarian cancer and the effects on deformation of the liver and diaphragm peritoneum.

    Methods

    A bidirectional fluid-structure interaction (FSI) analysis was conducted using COMSOL to investigate the interaction between the peritoneal fluid and the liver and diaphragm peritoneum under varying inlet velocities and viscosity functions.

    Results

    The accuracy of the simulation was validated by comparing the simulation results with the contour lines of the CT scans, and the displacement error between the two was smaller than 5%. When the inlet velocity of the abdominal fluid increased from 0.1 m/s to 0.15 m/s, convex deformation of the diaphragm peritoneum increased by 193.3 μm, and concave deformation decreased by 304.1 μm. Meanwhile, the increase of the inlet velocity made the viscosity near the wall of deformed area increased, which improved the probability of the metastatic implantation of the cancer cells. The higher the viscosity in the main body region of the viscosity function, the larger convex deformation of the diaphragm peritoneum; the larger the linear fitting value in the tail, the smaller the concave deformation. The viscosity of the concave deformation area near the outlet of the right lobe was much larger than that of other areas, and cancer cells were more likely to metastasise in this area.

    Conclusions

    This study elucidates the relationship between peritoneal fluid flow and solid deformation, predicting the regions prone to cancer cell metastasis and implantation under various conditions. The findings provide a theoretical foundation for studying the motion of cancer cells within the flow field.

  • Jing XIE , Zhixue QU , Zhihua CAI
    Journal of Medical Biomechanics. 2025, 40(5): 1101-1113.

    Traumatic brain injury caused by blast shock waves represents a significant type of injury in modern warfare and civilian explosion accidents. Its high incidence and complexity have attracted a widespread attention, and the injury mechanism and cranial brain protection have become current research hotspots. This review first analyzes the dynamic load characteristics of blast shock waves and introduces the development and verification of cranial brain constitutive and finite element models to explore the mechanical responses of the cranial brain at tissue and cellular levels under blast waves and bullet impacts. Subsequently, the current state of research on injury mechanisms at tissue and cellular levels and cranial brain protection, is systematically summarized based on domestic and international studies. Finally, the current research challenges and future development directions are outlined, and the importance of interdisciplinary cooperation and innovation to promote the research and application transformation of blast-induced traumatic brain injury is emphasized. The findings provide a valuable reference for enhancing the comprehension of injury mechanism and fostering multi-disciplinary integration and protective helmet development.

  • Yating QI , Jincheng LIU , Jiaying LIU , Siqi WU , Biaosheng HUANG , Zhixiong HU , Liguo YANG
    Journal of Medical Biomechanics. 2025, 40(5): 1239-1247.
    Objective

    To achieve non-invasive and precise prediction of mean arterial pressure (MAP) based on a fully convolutional neural network (FCNN).

    Methods

    A high-precision blood pressure data acquisition system compliant with international metrological standards was used in conjunction with the ‘gold standard’ auscultation method to collect blood pressure and pulse waveform data from patients. True MAP values were derived via Gaussian fitting of pulse waveform data, constructing a traceable dataset. The FCNN was applied to this dataset to develop a novel MAP prediction method. Additionally, the predictive accuracy of the FCNN was compared with linear regression and conventional empirical formulas.

    Results

    The mean squared errors (MSE) for MAP prediction using the FCNN, linear regression, and empirical formulas were 19.76, 21.40, and 30.97, respectively. The coefficients of determination (R2) were 0.90, 0.89, and 0.84, and the prediction accuracies were 0.90, 0.89, and 0.85, respectively.

    Conclusions

    By using systolic blood pressure, diastolic blood pressure, age, and arm circumference as input parameters, the FCNN-based MAP prediction method significantly reduces the bias of empirical formulas. This approach not only improves the accuracy of hemodynamic boundary condition acquisition but also contributes to refining the metrological traceability system of non-invasive blood pressure measurement.

  • Shixiong ZHANG , Jianxiong MA , Bin LU , Ying WANG , Aixian TIAN , Lei SUN , Zhe HAN , Jiahui CHEN , Jing DAI , Haohao BAI , Hongzhen JIN , Jie ZHAO , Pengfei LI , Xinlong MA
    Journal of Medical Biomechanics. 2025, 40(5): 1144-1149.
    Objective

    To investigate the effect of postoperative reduction quality in femoral neck fracture internal fixation on mechanical properties of the femoral head from the perspective of trabecular bone biomechanics.

    Methods

    From patients who underwent hip replacement surgery for femoral neck fractures, a total of 26 femoral head slice specimens were obtained. The central axis of the primary compressive trabeculae was defined as the 0° group, with the intersection point of the primary compressive trabeculae and the femoral calcar serving as the center. By rotating the specimens to simulate different reduction angles, the cut femoral head slice specimens were randomly divided into five groups: -10°, -5°, 0°, 5°, and 10°, representing femoral heads with varying reduction qualities. The specimens were subjected to single compression load tests and fatigue load tests. The load was set from 70 N to 1 400 N, at a frequency of 1 Hz, with 10 000 cycles. Axial stiffness, displacement, and the number of collapse cycles were measured, to compare the biomechanical properties of femoral head specimens under different reduction qualities.

    Results

    There were differences in the axial stiffness, displacement, and number of collapse cycles among the femoral head specimens in different groups. Under 800 N load, the axial stiffness of 0° group was significantly greater than that of ±10° groups (P<0.05). The axial stiffness of 0° group was also greater than that of the ±5° groups, but the differences were not statistically significant (P>0.05). The axial stiffness of ±5° groups was greater than that of ±10° groups (P<0.05). 0° group had a lower displacement than ±5° groups and ±10° groups. However, the differences in displacement between 0° group and ±5° groups were not statistically significant (P>0.05), while the differences between the 0° group and ±10° groups were statistically significant (P<0.05). The differences in displacement between ±5° groups and ±10° groups were also statistically significant (P<0.05). 0° group had a significantly higher number of collapse cycles than ±10° groups (P<0.05). The number of collapse cycles in 0° group was also higher than that in ±5° groups, but the differences were not statistically significant (P>0.05). The number of collapse cycles in ±5° groups was significantly higher than that ±10° groups (P<0.05).

    Conclusions

    The quality of reduction after internal fixation of femoral neck fractures significantly affects the biomechanical properties of the femoral head. This study provides a scientific basis for optimizing treatment and postoperative management, aiming to improve clinical outcomes and patients’ quality of life.

  • Le ZHAO , Zhengbiao YANG , Meng ZHANG , Jing CHEN , Pengcui LI , Yanqin WANG , Yanru XUE , Xiaogang WU , Xiaochun WEI , Weiyi CHEN
    Journal of Medical Biomechanics. 2025, 40(5): 1114-1121.
    Objective

    To analyze the reverse mechano-electric effect of the layered structure of articular cartilage and its influencing factors.

    Methods

    The cartilage samples were classified according to their physiological thickness (approximately 0.4 mm for the upper layer, 1 mm for the middle layer, and 0.6 mm for the lower layer). Through a non-contact external electric field testing method, how different influencing factors affected the reverse mechano-electric effect of articular cartilage was analyzed.

    Results

    When the electric field spacing decreased, water content increased, and in vitro time decreased, the displacement of normal layered cartilage in a non-contact electric field increased by 18, 10, 15 μm, respectively. In the case of simulated arthritis defects, as the defect depth and radius increased, the overall deviation deflection of articular cartilage gradually decreased by about 7 μm.

    Conclusions

    The three-layer cartilage differed in their reverse mechano-electricity effects, showing the greatest deflection in the middle layer at 90% water content, under 7 mm electric field spacing, and after 12 hours ex vivo.

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