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1. Human–Exoskeleton Coupling Simulation for Lifting Tasks with Shoulder, Spine, and Knee-Joint Powered Exoskeletons

   https://doi.org/10.3390/biomimetics9080454  

   Arefeen, Asif; Xia, Ting; Xiang, Yujiang (August 2024, Biomimetics)

   In this study, we introduce a two-dimensional (2D) human skeletal model coupled with knee, spine, and shoulder exoskeletons. The primary purpose of this model is to predict the optimal lifting motion and provide torque support from the exoskeleton through the utilization of inverse dynamics optimization. The kinematics and dynamics of the human model are expressed using the Denavit–Hartenberg (DH) representation. The lifting optimization formulation integrates the electromechanical dynamics of the DC motors in the exoskeletons of the knee, spine, and shoulder. The design variables for this study include human joint angle profiles and exoskeleton motor current profiles. The optimization objective is to minimize the squared normalized human joint torques, subject to physical and task-specific lifting constraints. We solve this optimization problem using the gradient-based optimizer SNOPT. Our results include a comparison of predicted human joint angle profiles, joint torque profiles, and ground reaction force (GRF) profiles between lifting tasks with and without exoskeleton assistance. We also explore various combinations of exoskeletons for the knee, spine, and shoulder. By resolving the lifting optimization problems, we designed the optimal torques for the exoskeletons located at the knee, spine, and shoulder. It was found that the support from the exoskeletons substantially lowers the torque levels in human joints. Additionally, we conducted experiments only on the knee exoskeleton. Experimental data indicated that using the knee exoskeleton decreases the muscle activation peaks by 35.00%, 10.03%, 22.12%, 30.14%, 16.77%, and 25.71% for muscles of the erector spinae, latissimus dorsi, vastus medialis, vastus lateralis, rectus femoris, and biceps femoris, respectively. 

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2. “Fine synergies” describe motor adaptation in people with drop foot in a way that supplements traditional “coarse synergies”

   https://doi.org/10.3389/fspor.2023.1080170  

   Bartsch-Jimenez, Angelo; Błażkiewicz, Michalina; Azadjou, Hesam; Novotny, Ryan; Valero-Cuevas, Francisco J (February 2023, Frontiers in Sports and Active Living)

   Synergy analysis via dimensionality reduction is a standard approach in biomechanics to capture the dominant features of limb kinematics or muscle activation signals, which can be called “coarse synergies.” Here we demonstrate that the less dominant features of these signals, which are often explicitly disregarded or considered noise, can nevertheless exhibit “fine synergies” that reveal subtle, yet functionally important, adaptations. To find the coarse synergies, we applied non-negative matrix factorization (NMF) to unilateral EMG data from eight muscles of the involved leg in ten people with drop-foot (DF), and of the right leg of 16 unimpaired (control) participants. We then extracted the fine synergies for each group by removing the coarse synergies (i.e., first two factors explaining $\ge$85% of variance) from the data and applying Principal Component Analysis (PCA) to those residuals. Surprisingly, the time histories and structure of the coarse EMG synergies showed few differences between DF and controls—even though the kinematics of drop-foot gait is evidently different from unimpaired gait. In contrast, the structure of the fine EMG synergies (as per their PCA loadings) showed significant differences between groups. In particular, loadings forTibialis Anterior,Peroneus Longus,Gastrocnemius Lateralis,BicepsandRectus Femoris,Vastus MedialisandLateralismuscles differed between groups ( $p<0.05$). We conclude that the multiple differences found in the structure of the fine synergies extracted from EMG in people with drop-foot vs. unimpaired controls—not visible in the coarse synergies—likely reflect differences in their motor strategies. Coarse synergies, in contrast, seem to mostly reflect the gross features of EMG in bipedal gait that must be met by all participants—and thus show few differences between groups. However, drawing insights into the clinical origin of these differences requires well-controlled clinical trials. We propose that fine synergies should not be disregarded in biomechanical analysis, as they may be more informative of the disruption and adaptation of muscle coordination strategies in participants due to drop-foot, age and/or other gait impairments. 

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3. Inhibition of knee joint sensory afferents alters covariation across strides between quadriceps muscles during locomotion

   https://doi.org/10.1152/japplphysiol.00591.2022  

   Alessandro, Cristiano; Prashara, Adarsh; Tentler, David P.; Tresch, Matthew C. (April 2023, Journal of Applied Physiology)

   Sport-related injuries to articular structures often alter the sensory information conveyed by joint structures to the nervous system. However, the role of joint sensory afferents in motor control is still unclear. Here, we evaluate the role of knee joint sensory afferents in the control of quadriceps muscles, hypothesizing that such sensory information modulates control strategies that limit patellofemoreal joint loading. We compared locomotor kinematics and muscle activity before and after inhibition of knee sensory afferents by injection of lidocaine into the knee capsule of rats. We evaluated whether this inhibition reduced the strength of correlation between the activity of vastus medialis (VM) and vastus lateralis (VL) both across strides and within each stride, coordination patterns that limit net mediolateral patellofemoral forces. We also evaluated whether this inhibition altered correlations among the other quadriceps muscle activity, the time-profiles of individual EMG envelopes, or movement kinematics. Neither the EMG envelopes nor limb kinematics was affected by the inhibition of knee sensory afferents. This perturbation also did not affect the correlations between VM and VL, suggesting that the regulation of patellofemoral joint loading is mediated by different mechanisms. However, inhibition of knee sensory afferents caused a significant reduction in the correlation between vastus intermedius (VI) and both VM and VL across, but not within, strides. Knee joint sensory afferents may therefore modulate the coordination between the vasti muscles but only at coarse time scales. Injuries compromising joint afferents might result in altered muscle coordination, potentially leading to persistent internal joint stresses and strains. NEW & NOTEWORTHY Sensory afferents originating from knee joint receptors provide the nervous system with information about the internal state of the joint. In this study, we show that these sensory signals are used to modulate the covariations among the activity of a subset of vasti muscles across strides of locomotion. Sport-related injuries that damage joint receptors may therefore compromise these mechanisms of muscle coordination, potentially leading to persistent internal joint stresses and strains. 

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4. Closing the Wearable Gap—Part V: Development of a Pressure-Sensitive Sock Utilizing Soft Sensors

   https://doi.org/10.3390/s20010208  

   Luczak, Tony; Burch V, Reuben F.; Smith, Brian K.; Carruth, Daniel W.; Lamberth, John; Chander, Harish; Knight, Adam; Ball, J.E.; Prabhu, R.K. (January 2020, Sensors)

   The purpose of this study was to evaluate the use of compressible soft robotic sensors (C-SRS) in determining plantar pressure to infer vertical and shear forces in wearable technology: A ground reaction pressure sock (GRPS). To assess pressure relationships between C-SRS, pressure cells on a BodiTrakTM Vector Plate, and KistlerTM Force Plates, thirteen volunteers performed three repetitions of three different movements: squats, shifting center-of-pressure right to left foot, and shifting toes to heels with C-SRS in both anterior–posterior (A/P) and medial–lateral (M/L) sensor orientations. Pearson correlation coefficient of C-SRS to BodiTrakTM Vector Plate resulted in an average R-value greater than 0.70 in 618/780 (79%) of sensor to cell comparisons. An average R-value greater than 0.90 was seen in C-SRS comparison to KistlerTM Force Plates during shifting right to left. An autoregressive integrated moving average (ARIMA) was conducted to identify and estimate future C-SRS data. No significant differences were seen in sensor orientation. Sensors in the A/P orientation reported a mean R2 value of 0.952 and 0.945 in the M/L sensor orientation, reducing the effectiveness to infer shear forces. Given the high R values, the use of C-SRSs to infer normal pressures appears to make the development of the GRPS feasible. 

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5. Biarticular Muscles Improve the Stability of a Neuromechanical Model of the Rat Hindlimb

   https://doi.org/10.1007/978-3-031-39504-8_2  

   Deng, K.; Hunt, A.; Chiel, H.; Quinn, R. (August 2023, Biomimetic and Biohybrid Systems. Living Machines 2023. Lecture Notes in Computer Science())

   Meder, F.; Hunt, A.; Margheri, L.; Mura, A.; Mazzolai, B. (Ed.)

   This study introduces a novel neuromechanical model of rat hindlimbs with biarticular muscles producing walking movements without ground contact. The design of the control network is informed by the findings from our previous investigations into two-layer central pattern generators (CPGs). Specifically, we examined one plausible synthetic nervous system (SNS) designed to actuate 3 biarticular muscles, including the Biceps femoris posterior (BFP) and Rectus femoris (RF), both of which provide torque about the hip and knee joints. We conducted multiple perturbation tests on the simulation model to investigate the contribution of these two biarticular muscles in stabilizing perturbed hindlimb walking movements. We tested the BFP and RF muscles under three conditions: active, only passive tension, and fully disabled. Our results show that when these two biarticular muscles were active, they not only reduced the impact of external torques, but also facilitated rapid coordination of motion phases. As a result, the hindlimb model with biarticular muscles demonstrated faster recovery compared to our previous monoarticular muscle model. 

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