Background: Perturbation-based training improves reactive stepping responses to prevent falling following a loss-of-balance. As there is currently no safe and feasible method for home-based practice, this randomized study investigated whether action observation with motor simulation (AOMS) of balance recovery improves reactive stepping in older adults with a history of falls. Additionally, we evaluated whether effects differ between AOMS of a human actor in the same experimental context or of an avatar in a virtual world.
View Article and Find Full Text PDFThe central nervous system employs distinct motor control strategies depending on task demands. Accordingly, the activity of alpha-motoneuron (MN) pools innervating skeletal muscle fibers is modulated based on muscle force and rate of force development (RFD). In human subjects, biophysical MN models enable inferring in vivo the neural processes (e.
View Article and Find Full Text PDFIEEE Trans Neural Syst Rehabil Eng
September 2024
Accurately estimating whole-body angular momentum (WBAM) during daily activities may benefit from choosing a locally-defined reference frame aligned with anatomical axes, particularly during activities involving body turns. Local reference frames, potentially defined by pelvis heading angles, horizontal center of mass velocity (vCoM), or average angular velocity ( Aω ), can be utilized. To minimize the impact of inherent mediolateral oscillations of these frames, such as those caused by pelvis or vCoM rotation in the transverse plane, a low-pass filter is recommended.
View Article and Find Full Text PDFBackground: Ankle-foot orthoses (AFOs) are commonly used by children with cerebral palsy (CP), but traditional solutions are unable to address the heterogeneity and evolving needs amongst children with CP. One key limitation lies in the inability of current passive devices to customize the torque-angle relationship, which is essential to adapt the support to the specific individual needs. Powered alternatives can provide customized behavior, but often face challenges with reliability, weight, and cost.
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