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Stroke is a major global issue, affecting millions every year. When a stroke occurs, survivors are often left with physical disabilities or difficulties, frequently marked by abnormal gait. Post-stroke gait normally presents as one of or a combination of unilaterally shortened step length, decreased dorsiflexion during swing phase, and decreased walking speed. These factors lead to an increased chance of falling and an overall decrease in quality of life due to a reduced ability to locomote quickly and safely under one’s own power. Many current rehabilitation techniques fail to show lasting results that suggest the potential for producing permanent changes. As technology has advanced, robot-assisted rehabilitation appears to have a distinct advantage, as the precision and repeatability of such an intervention are not matched by conventional human-administered therapy. The possible role in gait rehabilitation of the Variable Stiffness Treadmill (VST), a unique, robotic treadmill, is further investigated in this paper. The VST is a split-belt treadmill that can reduce the vertical stiffness of one of the belts, while the other belt remains rigid. In this work, we show that the repeated unilateral stiffness perturbations created by this device elicit an aftereffect of increased step length that is seen for over 575 gait cycles with healthy subjects after a single 10-min intervention. These long aftereffects are currently unmatched in the literature according to our knowledge. This step length increase is accompanied by kinematics and muscle activity aftereffects that help explain functional changes and have their own independent value when considering the characteristics of post-stroke gait. These results suggest that repeated unilateral stiffness perturbations could possibly be a useful form of post-stroke gait rehabilitation.
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This content will become publicly available on March 1, 2026
The Variable Stiffness Treadmill 2: Development and Validation of a Unique Tool to Investigate Locomotion on Compliant Terrains
Abstract Understanding legged locomotion in various environments is valuable for many fields, including robotics, biomechanics, rehabilitation, and motor control. Specifically, investigating legged locomotion in compliant terrains has recently been gaining interest for the robust control of legged robots over natural environments. At the same time, the importance of ground compliance has also been highlighted in poststroke gait rehabilitation. Currently, there are not many ways to investigate walking surfaces of varying stiffness. This article introduces the variable stiffness treadmill (VST) 2, an improvement of the first version of the VST, which was the first treadmill able to vary belt stiffness. In contrast to the VST 1, the device presented in this paper (VST 2) can reduce the stiffness of both belts independently, by generating vertical deflection instead of angular, while increasing the walking surface area from 0.20m2 to 0.74m2. In addition, both treadmill belts are now driven independently, while high-spatial-resolution force sensors under each belt allow for measurement of ground reaction forces and center of pressure. Through validation experiments, the VST 2 displays high accuracy and precision. The VST 2 has a stiffness range of 13kN/m to 1.5MN/m, error of less than 1%, and standard deviations of less than 2.2kN/m, demonstrating its ability to simulate low-stiffness environments reliably. The VST 2 constitutes a drastic improvement of the VST platform, a one-of-its-kind system that can improve our understanding of human and robotic gait while creating new avenues of research on biped locomotion, athletic training, and rehabilitation of gait after injury or disease.
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- PAR ID:
- 10553294
- Publisher / Repository:
- ASME
- Date Published:
- Journal Name:
- Journal of Mechanisms and Robotics
- Volume:
- 17
- Issue:
- 3
- ISSN:
- 1942-4302
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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