TY - GEN
T1 - Relationship between assistive torque and knee biomechanics during exoskeleton walking in individuals with crouch gait
AU - Lerner, Zachary F.
AU - Damiano, Diane L.
AU - Bulea, Thomas C.
N1 - Publisher Copyright:
© 2017 IEEE.
PY - 2017/8/11
Y1 - 2017/8/11
N2 - Crouch or 'flexed knee' gait is a pathological gait pattern affecting many individuals with cerebral palsy. One proposed method to alleviate crouch is to provide robotic assistance to knee extension during walking. The purpose of this study was to evaluate how the magnitude of knee extensor torque affects knee kinematics, kinetics, and muscle activity. Motion capture, ground reaction force and electromyography data were collected while four participants with crouch gait from cerebral palsy walked with assistance from a novel robotic exoskeleton on an instrumented treadmill. Different magnitudes of knee extensor torque were provided during the stance (range: 0.09-0.38 Nm/kg) and swing (range: 0.09-0.29 Nm/kg) phases of the gait cycle. Using a linear regression analysis, we found that greater torque from the exoskeleton was positively associated with increased knee extension (reduction in crouch) at foot contact and mid-stance, negatively associated with the biological knee extensor moment, and positively associated with knee flexor muscle activity. Determining the relationships between exoskeleton assistance and knee kinematics and kinetics will benefit the continued investigation of robotic treatment strategies for treating crouch gait. Our findings indicate the importance of properly tuned robotic control strategies for gait rehabilitation.
AB - Crouch or 'flexed knee' gait is a pathological gait pattern affecting many individuals with cerebral palsy. One proposed method to alleviate crouch is to provide robotic assistance to knee extension during walking. The purpose of this study was to evaluate how the magnitude of knee extensor torque affects knee kinematics, kinetics, and muscle activity. Motion capture, ground reaction force and electromyography data were collected while four participants with crouch gait from cerebral palsy walked with assistance from a novel robotic exoskeleton on an instrumented treadmill. Different magnitudes of knee extensor torque were provided during the stance (range: 0.09-0.38 Nm/kg) and swing (range: 0.09-0.29 Nm/kg) phases of the gait cycle. Using a linear regression analysis, we found that greater torque from the exoskeleton was positively associated with increased knee extension (reduction in crouch) at foot contact and mid-stance, negatively associated with the biological knee extensor moment, and positively associated with knee flexor muscle activity. Determining the relationships between exoskeleton assistance and knee kinematics and kinetics will benefit the continued investigation of robotic treatment strategies for treating crouch gait. Our findings indicate the importance of properly tuned robotic control strategies for gait rehabilitation.
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U2 - 10.1109/ICORR.2017.8009296
DO - 10.1109/ICORR.2017.8009296
M3 - Conference contribution
C2 - 28813868
AN - SCOPUS:85034819801
T3 - IEEE International Conference on Rehabilitation Robotics
SP - 492
EP - 497
BT - 2017 International Conference on Rehabilitation Robotics, ICORR 2017
A2 - Ajoudani, Arash
A2 - Artemiadis, Panagiotis
A2 - Beckerle, Philipp
A2 - Grioli, Giorgio
A2 - Lambercy, Olivier
A2 - Mombaur, Katja
A2 - Novak, Domen
A2 - Rauter, Georg
A2 - Rodriguez Guerrero, Carlos
A2 - Salvietti, Gionata
A2 - Amirabdollahian, Farshid
A2 - Balasubramanian, Sivakumar
A2 - Castellini, Claudio
A2 - Di Pino, Giovanni
A2 - Guo, Zhao
A2 - Hughes, Charmayne
A2 - Iida, Fumiya
A2 - Lenzi, Tommaso
A2 - Ruffaldi, Emanuele
A2 - Sergi, Fabrizio
A2 - Soh, Gim Song
A2 - Caimmi, Marco
A2 - Cappello, Leonardo
A2 - Carloni, Raffaella
A2 - Carlson, Tom
A2 - Casadio, Maura
A2 - Coscia, Martina
A2 - De Santis, Dalia
A2 - Forner-Cordero, Arturo
A2 - Howard, Matthew
A2 - Piovesan, Davide
A2 - Siqueira, Adriano
A2 - Sup, Frank
A2 - Lorenzo, Masia
A2 - Catalano, Manuel Giuseppe
A2 - Lee, Hyunglae
A2 - Menon, Carlo
A2 - Raspopovic, Stanisa
A2 - Rastgaar, Mo
A2 - Ronsse, Renaud
A2 - van Asseldonk, Edwin
A2 - Vanderborght, Bram
A2 - Venkadesan, Madhusudhan
A2 - Bianchi, Matteo
A2 - Braun, David
A2 - Godfrey, Sasha Blue
A2 - Mastrogiovanni, Fulvio
A2 - McDaid, Andrew
A2 - Rossi, Stefano
A2 - Zenzeri, Jacopo
A2 - Formica, Domenico
A2 - Karavas, Nikolaos
A2 - Marchal-Crespo, Laura
A2 - Reed, Kyle B.
A2 - Tagliamonte, Nevio Luigi
A2 - Burdet, Etienne
A2 - Basteris, Angelo
A2 - Campolo, Domenico
A2 - Deshpande, Ashish
A2 - Dubey, Venketesh
A2 - Hussain, Asif
A2 - Sanguineti, Vittorio
A2 - Unal, Ramazan
A2 - Caurin, Glauco Augusto de Paula
A2 - Koike, Yasuharu
A2 - Mazzoleni, Stefano
A2 - Park, Hyung-Soon
A2 - Remy, C. David
A2 - Saint-Bauzel, Ludovic
A2 - Tsagarakis, Nikos
A2 - Veneman, Jan
A2 - Zhang, Wenlong
PB - IEEE Computer Society
T2 - 2017 International Conference on Rehabilitation Robotics, ICORR 2017
Y2 - 17 July 2017 through 20 July 2017
ER -