More Like this

1. Functional Resistance Training Differentially Alters Gait Kinetics After Anterior Cruciate Ligament Reconstruction: A Pilot Study

   https://doi.org/10.1177/19417381221104042  

   Washabaugh, Edward P. ; Brown, Scott R. ; Palmieri-Smith, Riann M. ; Krishnan, Chandramouli ( June 2022 , Sports Health: A Multidisciplinary Approach)

   Quadriceps weakness is common after anterior cruciate ligament (ACL) reconstruction and can alter gait mechanics. Functional resistance training (FRT) is a novel approach to retraining strength after injury, but it is unclear how it alters gait mechanics. Therefore, we tested how 3 different types of FRT devices: a knee brace resisting extension (unidirectional brace), a knee brace resisting extension and flexion (bidirectional brace), and an elastic band pulling backwards on the ankle (elastic band)–acutely alter gait kinetics in this population.

   The type of FRT device will affect ground-reaction forces (GRFs) during and after the training. Specifically, the uni- and bidirectional braces will increase GRFs when compared with the elastic band.

   Crossover study.

   Level 2.

   A total of 15 individuals with ACL reconstruction received FRT with each device over 3 separate randomized sessions. During training, participants walked on a treadmill while performing a tracking task with visual feedback. Sessions contained 5 training trials (180 seconds each) with rest between. Vertical and anterior-posterior GRFs were assessed on the ACL-reconstructed leg before, during, and after training. Changes in GRFs were compared across devices using 1-dimensional statistical parametric mapping.

   Resistance applied via bidirectional brace acutely increased gait kinetics during terminal stance/pre-swing (ie, push-off), while resistance applied via elastic band acutely increased gait kinetics during initial contact/loading (ie, braking). Both braces behaved similarly, but the unidirectional brace was less effective for increasing push-off GRFs.

   FRT after ACL reconstruction can acutely alter gait kinetics during training. Devices can be applied to selectively alter gait kinetics. However, the long-term effects of FRT after ACL reconstruction with these devices are still unknown.

   FRT may be applied to alter gait kinetics of the involved limb after ACL reconstruction, depending on the device used.

    

   more » « less
2. Closing the Wearable Gap—Part VIII: A Validation Study for a Smart Knee Brace to Capture Knee Joint Kinematics

   https://doi.org/10.3390/biomechanics1010012  

   Turner, Alana J. ; Carroll, Will ; Kodithuwakku Arachchige, Sachini N. ; Saucier, David ; Burch V, Reuben F. ; Ball, John E. ; Smith, Brian K. ; Freeman, Charles E. ; Knight, Adam C. ; Chander, Harish ( June 2021 , Biomechanics)

   null (Ed.)

   Background: Wearable technology is used by clinicians and researchers and play a critical role in biomechanical assessments and rehabilitation. Objective: The purpose of this research is to validate a soft robotic stretch (SRS) sensor embedded in a compression knee brace (smart knee brace) against a motion capture system focusing on knee joint kinematics. Methods: Sixteen participants donned the smart knee brace and completed three separate tasks: non-weight bearing knee flexion/extension, bodyweight air squats, and gait trials. Adjusted R2 for goodness of fit (R2), root mean square error (RMSE), and mean absolute error (MAE) between the SRS sensor and motion capture kinematic data for all three tasks were assessed. Results: For knee flexion/extension: R2 = 0.799, RMSE = 5.470, MAE = 4.560; for bodyweight air squats: R2 = 0.957, RMSE = 8.127, MAE = 6.870; and for gait trials: R2 = 0.565, RMSE = 9.190, MAE = 7.530 were observed. Conclusions: The smart knee brace demonstrated a higher goodness of fit and accuracy during weight-bearing air squats followed by non-weight bearing knee flexion/extension and a lower goodness of fit and accuracy during gait, which can be attributed to the SRS sensor position and orientation, rather than range of motion achieved in each task. 

   more » « less
3. A Lightweight Exoskeleton-Based Portable Gait Data Collection System

   https://doi.org/10.3390/s21030781  

   Haque, Md Rejwanul ; Imtiaz, Masudul H. ; Kwak, Samuel T. ; Sazonov, Edward ; Chang, Young-Hui ; Shen, Xiangrong ( February 2021 , Sensors)

   null (Ed.)

   For the controller of wearable lower-limb assistive devices, quantitative understanding of human locomotion serves as the basis for human motion intent recognition and joint-level motion control. Traditionally, the required gait data are obtained in gait research laboratories, utilizing marker-based optical motion capture systems. Despite the high accuracy of measurement, marker-based systems are largely limited to laboratory environments, making it nearly impossible to collect the desired gait data in real-world daily-living scenarios. To address this problem, the authors propose a novel exoskeleton-based gait data collection system, which provides the capability of conducting independent measurement of lower limb movement without the need for stationary instrumentation. The basis of the system is a lightweight exoskeleton with articulated knee and ankle joints. To minimize the interference to a wearer’s natural lower-limb movement, a unique two-degrees-of-freedom joint design is incorporated, integrating a primary degree of freedom for joint motion measurement with a passive degree of freedom to allow natural joint movement and improve the comfort of use. In addition to the joint-embedded goniometers, the exoskeleton also features multiple positions for the mounting of inertia measurement units (IMUs) as well as foot-plate-embedded force sensing resistors to measure the foot plantar pressure. All sensor signals are routed to a microcontroller for data logging and storage. To validate the exoskeleton-provided joint angle measurement, a comparison study on three healthy participants was conducted, which involves locomotion experiments in various modes, including overground walking, treadmill walking, and sit-to-stand and stand-to-sit transitions. Joint angle trajectories measured with an eight-camera motion capture system served as the benchmark for comparison. Experimental results indicate that the exoskeleton-measured joint angle trajectories closely match those obtained through the optical motion capture system in all modes of locomotion (correlation coefficients of 0.97 and 0.96 for knee and ankle measurements, respectively), clearly demonstrating the accuracy and reliability of the proposed gait measurement system. 

   more » « less
4. Toward goal-oriented robotic gait training: The effect of gait speed and stride length on lower extremity joint torques

   https://doi.org/10.1109/ICORR.2017.8009258  

   McGrath, Robert L. ; Pires-Fernandes, Margaret ; Knarr, Brian ; Higginson, Jill S. ; Sergi, Fabrizio ( July 2017 , IEEE International Conference on Rehabiliation Robotics)

   Robot-assisted gait training is becoming increasingly common to support recovery of walking function after neurological injury. How to formulate controllers capable of promoting desired features in gait, i.e. goals, is complicated by the limited understanding of the human response to robotic input. A possible method to formulate controllers for goal-oriented gait training is based on the analysis of the joint torques applied by healthy subjects to modulate such goals. The objective of this work is to understand how sagittal plane joint torque is affected by two important gait parameters: gait speed (GS) and stride length (SL). We here present the results obtained from healthy subjects walking on a treadmill at different speeds, and asked to modulate stride length via visual feedback. Via principal component analysis, we extracted the global effects of the two factors on the peak-to-peak amplitude of joint torques. Next, we used a torque pulse approximation analysis to determine optimal timing and amplitude of torque pulses that approximate the SL-specific difference in joint torque profiles measured at different values of GS. Our results show a strong effect of GS on the torque profiles in all joints considered. In contrast, SL mostly affects the torque produced at the knee joint at early and late stance, with smaller effects on the hip and ankle joints. Our analysis generated a set of torque assistance profiles that will be experimentally tested using gait training robots. 

   more » « less
5. Design and Preliminary Testing of an Instrumented Exoskeleton for Walking Gait Measurement

   Haque, M.R. ; Imtiaz, M.H. ; Chou, C. ; Sazonov, E. ; Shen, X. ( April 2019 , IEEE SoutheastCon)

   This paper presents the design and preliminary testing of an instrumented exoskeleton system, which is targeted at collecting gait data of the human locomotion to support the controller development of lower-limb wearable robots. This compact and lightweight device features a unique two-degree-of-freedom joint to minimize the interference to the user movement and a simple yet effective adjustment mechanism to fit subjects at different heights. For the gait measurement, the device incorporates embedded joint goniometers to obtain the knee and ankle positions, and inertial measurement units to obtain three-dimensional kinematic information. Force-sensing resistors are also incorporated into the shoe insole for plantar pressure measurement. Sensor signals are routed to an onboard microcontroller system for data storage and transfer, and the system is fully self-contained with onboard battery to facilitate data collection in various environments. A prototype of the exoskeleton was fabricated, and preliminary testing was conducted on two healthy subjects in various postures and modes of movement (walking, sitting, standing, stair climbing, etc.). The evaluation of a temporal event detection test showed no more than 5.5% mean variation in the measure of step counts by the sensory system and video annotation. These results indicate that the exoskeleton can provide an accurate measurement of gait information, using measurements taken from external video recordings as the benchmark in this preliminary validation study. 

   more » « less