An official website of the United States government
This work aims to investigate the effects of knee extension assistance during squat lifting. We hypothesize that adding an external torque to the knee joint using a soft inflatable exosuit can potentially induce a reduction in the muscular effort that extends to the posterior chain muscles. A total of 8 healthy test participants are recruited and instructed to lift a weight equivalent to 10% of their bodyweight. The muscle activities of the left and right Vastus Lateralis, Biceps Femoris, Gluteus Maximus, Erector Spinae (Iliocostalis and Longissimus) and Multifidus muscle groups were studied for baseline, non-assisted, and assisted conditions. The majority of participants (6 out of 8) demonstrated consistent reduction in the muscular effort of at least one muscle group of the posterior chain. A maximum reduction of 55% in the average muscle activity of the Multifidus muscle group is observed in one participant. Different neuromuscular adaptation mechanisms were observed among subjects that ultimately led to a reduction in lower-limb or back muscles activity. The results reveal that assisting knee extension during a lifting task has significant effects on muscle activity with benefits that extend to the posterior chain muscles. This work provides early evidence that the soft inflatable knee exosuit can be used in material handling tasks to reduce muscle effort and prevent work-related injuries.
more »
« less
Motion Tape Strain During Trunk Muscle Engagement in Young, Healthy Participants
Background: Motion Tape (MT) is a low-profile, disposable, self-adhesive wearable sensor that measures skin strain. Preliminary studies have validated MT for measuring lower back movement. However, further analysis is needed to determine if MT can be used to measure lower back muscle engagement. The purpose of this study was to measure differences in MT strain between conditions in which the lower back muscles were relaxed versus maximally activated. Methods: Ten participants without low back pain were tested. A matrix of six MTs was placed on the lower back, and strain data were captured under a series of conditions. The first condition was a baseline trial, in which participants lay prone and the muscles of the lower back were relaxed. The subsequent trials were maximum voluntary isometric contractions (MVICs), in which participants did not move, but resisted the examiner force in extension or rotational directions to maximally engage their lower back muscles. The mean MT strain was calculated for each condition. A repeated measures ANOVA was conducted to analyze the effects of conditions (baseline, extension, right rotation, and left rotation) and MT position (1–6) on the MT strain. Post hoc analyses were conducted for significant effects from the overall analysis. Results: The results of the ANOVA revealed a significant main effect of condition (p < 0.001) and a significant interaction effect of sensor and condition (p = 0.01). There were significant differences in MT strain between the baseline condition and the extension and rotation MVIC conditions, respectively, for sensors 4, 5, and 6 (p = 0.01–0.04). The largest differences in MT strain were observed between baseline and rotation conditions for sensors 4, 5, and 6. Conclusions: MT can capture maximal lower back muscle engagement while the trunk remains in a stationary position. Lower sensors are better able to capture muscle engagement than upper sensors. Furthermore, MT captured muscle engagement during rotation conditions better than during extension.
more »
« less
- Award ID(s):
- 2205093
- PAR ID:
- 10631168
- Publisher / Repository:
- MDPI
- Date Published:
- Journal Name:
- Sensors
- Volume:
- 24
- Issue:
- 21
- ISSN:
- 1424-8220
- Page Range / eLocation ID:
- 6933
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
Monitoring posture and movement accurately and efficiently is essential for both physical therapy and athletic training evaluation and interventions. Motion Tape (MT), a self-adhesive wearable skin-strain sensor made of piezoresistive graphene nanosheets (GNS), has demonstrated promise in capturing low back posture and movements. However, to address some of its limitations, this work explores alternative materials by replacing GNS with multi-walled carbon nanotubes (MWCNT). This study aimed to characterize the electromechanical properties of MWCNT-based MT. Cyclic load tests for different peak tensile strains ranging from 1% to 10% were performed on MWCNT-MT made with an aqueous ink of 2% MWCNT. Additional tests to examine load rate sensitivity and fatigue were also conducted. After characterizing the properties of MWCNT-MT, a human subject study with 10 participants was designed to test its ability to capture different postures and movements. Sets of six sensors were made from each material (GNS and MWCNT) and applied in pairs at three levels along each side of the lumbar spine. To record movement of the lower back, all participants performed forward flexion, left and right bending, and left and right rotation movements. The results showed that MWCNT-MT exceeded GNS-MT with respect to consistency of signal stability even when strain limits were surpassed. In addition, both types of MT could assess lower back movements.more » « less
-
Isenberg, Jeffrey S (Ed.)Different levels of arterial occlusive disease (aortoiliac, femoropopliteal, multi-level disease) can produce claudication symptoms in different leg muscle groups (buttocks, thighs, calves) in patients with peripheral artery disease (PAD). We tested the hypothesis that different locations of occlusive disease uniquely affect the muscles of PAD legs and produce distinctive patterns in the way claudicating patients walk. Ninety-seven PAD patients and 35 healthy controls were recruited. PAD patients were categorized to aortoiliac, femoropopliteal and multi-level disease groups using computerized tomographic angiography. Subjects performed walking trials both pain-free and during claudication pain and joint kinematics, kinetics, and spatiotemporal parameters were calculated to evaluate the net contribution of the calf, thigh and buttock muscles. PAD patients with occlusive disease affecting different segments of the arterial tree (aortoiliac, femoropopliteal, multi-level disease) presented with symptoms affecting different muscle groups of the lower extremity (calves, thighs and buttocks alone or in combination). However, no significant biomechanical differences were found between PAD groups during the pain-free conditions with minimal differences between PAD groups in the claudicating state. All statistical differences in the pain-free condition occurred between healthy controls and one or more PAD groups. A discriminant analysis function was able to adequately predict if a subject was a control with over 70% accuracy, but the function was unable to differentiate between PAD groups. In-depth gait analyses of claudicating PAD patients indicate that different locations of arterial disease produce claudication symptoms that affect different muscle groups across the lower extremity but impact the function of the leg muscles in a diffuse manner generating similar walking impairments.more » « less
-
Gu, Yaodong (Ed.)Over the course of the physical activity transition, machines have largely replaced skeletal muscle as the source of work for locomotion and other forms of occupational physical activity in industrial environments. To better characterize this transition and its effect on back muscles and the spine, we tested to what extent typical occupational activities of rural subsistence farmers demand higher magnitudes and increased variability of back muscle activity and spinal loading compared to occupational activities of urban office workers in Rwanda, and whether these differences were associated with back muscle endurance, the dominant risk factor for back pain. Using electromyography, inertial measurement units, and OpenSim musculoskeletal modeling, we measured back muscle activity and spinal loading continuously while participants performed occupational activities for one hour. We measured back muscle endurance using electromyography median frequency analysis. During occupational work, subsistence farmers activate their back muscles and load their spines at 390% higher magnitudes and with 193% greater variability than office workers. Partial correlations accounting for body mass show magnitude and variability response variables are positively associated with back muscle endurance (R= 0.39–0.90 [P< 0.001–0.210] andR= 0.54–0.72 [P= 0.007–0.071], respectively). Body mass is negatively correlated with back muscle endurance (R= -0.60,P= 0.031), suggesting higher back muscle endurance may be also partly attributable to having lower body mass. Because higher back muscle endurance is a major factor that prevents back pain, these results reinforce evidence that under-activating back muscles and under-loading spines at work increases vulnerability to back pain and may be an evolutionary mismatch. As sedentary occupations become more common, there is a need to study the extent to which occupational and leisure time physical activities that increase back muscle endurance helps prevent back pain.more » « less
-
BackgroundLow back pain (LBP) is a significant public health problem that can result in physical disability and financial burden for the individual and society. Physical therapy is effective for managing LBP and includes evaluation of posture and movement, interventions directed at modifying posture and movement, and prescription of exercises. However, physical therapists have limited tools for objective evaluation of low back posture and movement and monitoring of exercises, and this evaluation is limited to the time frame of a clinical encounter. There is a need for a valid tool that can be used to evaluate low back posture and movement and monitor exercises outside the clinic. To address this need, a fabric-based, wearable sensor, Motion Tape (MT), was developed and adapted for a low back use case. MT is a low-profile, disposable, self-adhesive, skin-strain sensor developed by spray coating piezoresistive graphene nanocomposites directly onto commercial kinesiology tape. ObjectiveThe objectives of this study were to (1) validate MT for measuring low back posture and movement and (2) assess the acceptability of MT for users. MethodsA total of 10 participants without LBP were tested. A 3D optical motion capture system was used as a reference standard to measure low back kinematics. Retroreflective markers and a matrix of MTs were placed on the low back to measure kinematics (motion capture) and strain (MT) simultaneously during low back movements in the sagittal, frontal, and axial planes. Cross-correlation coefficients were calculated to evaluate the concurrent validity of MT strain in reference motion capture kinematics during each movement. The acceptability of MT was assessed using semistructured interviews conducted with each participant after laboratory testing. Interview data were analyzed using rapid qualitative analysis to identify themes and subthemes of user acceptability. ResultsVisual inspection of concurrent MT strain and kinematics of the low back indicated that MT can distinguish between different movement directions. Cross-correlation coefficients between MT strain and motion capture kinematics ranged from –0.915 to 0.983, and the strength of the correlations varied across MT placements and low back movement directions. Regarding user acceptability, participants expressed enthusiasm toward MT and believed that it would be helpful for remote interventions for LBP but provided suggestions for improvement. ConclusionsMT was able to distinguish between different low back movements, and most MTs demonstrated moderate to high correlation with motion capture kinematics. This preliminary laboratory validation of MT provides a basis for future device improvements, which will also involve testing in a free-living environment. Overall, users found MT acceptable for use in physical therapy for managing LBP.more » « less
- Free Publicly Accessible Full Text
-
Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.3390/s24216933
