Publications by authors named "E J P van Asseldonk"

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.

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The 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.

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Article Synopsis
  • - Stretch hyperreflexia in children with spastic cerebral palsy (CP) is investigated to enhance their walking ability, leading to a study comparing muscle-tendon behavior during gait in CP children and typically developing (TD) peers.
  • - Three-dimensional gait analysis using electromyography (EMG) and dynamic ultrasound revealed that muscle activation and stretch patterns differ significantly between CP and TD children, with CP exhibiting much higher ratios of EMG to muscle stretch velocities and accelerations.
  • - The findings indicate that muscle activation during late swing in CP is influenced by the velocity of muscle-tendon stretch, while early stance activation is dependent on both velocity and acceleration, potentially guiding future therapeutic interventions.
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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.

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Background: 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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