A computational biomechanics study to investigate the effect of myoelectric stimulation on peroneal muscles in preventing inversion-type ankle ligamentous sprain injury

Methods The subject who sustained a grade 1 anterior talofibular ligamentous sprain injury on his right ankle during our previous case report [1] was invited to participate in this project. There were three steps: 1) Computational model development: CT scan was performed from mid-femur to the foot segments. The CT images were separated and meshed as individual solid bodies in MIMICS. These individual bones were computationally separated and meshed in STL files. These files will be remeshed in MIMICS to smooth each bone in order to reduce the file size. The 3D computational lower limb model was then imported into SolidWorks for applying ligamentous restraints, prescribing force, motion constraints, prescribing muscle forces, and simulating the ankle dynamics. 2) Model validation: This model will be validated against two cadaveric studies. 3) Model simulation: A systematic series of simulations will be conducted to deliver the myoelectric stimulation when different ankle inversion velocity threshold is achieved, at different delay time, and at different stimulation. Results The model is validated. Stimulation with a delay time of 25 milliseconds could successfully prevent the ankle inversion sprain when the lower threshold of 300 or 400 degrees per second was identified.