Spring-based passive ankle exoskeletons have been designed to emulate the energy conservation and power amplification roles of biological muscle-tendon units during locomotion. Yet, it remains unknown if similar assistive devices can serve the other elastomechanical role of biological muscle-tendon units - power attenuation. Here we explored the effect of bilateral passive ankle exoskeletons on neuromuscular control and muscle fascicle dynamics in the ankle plantarflexors during rapid, unexpected vertical perturbations. We recorded muscle activation and soleus fascicle length changes during hopping with and without exoskeleton assistance (0 and 76 Nm rad) on elevated platforms (20 cm), which were removed at an unknown time. Our results demonstrate that exoskeleton assistance leads to a reduction in soleus muscle activation, increases in fascicle length change and decreases in muscle forces during perturbed hopping. These changes have competing effects on the mechanics and energetics of lower limb muscles, likely limiting the capacity for series elastic tissues to absorb energy. As we strive towards the design of wearable assistive devices for everyday locomotion, information regarding real-time muscle-tendon behavior may enable tunable assistance that adapts to both the user and the environment.
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http://dx.doi.org/10.1016/j.jbiomech.2023.111775 | DOI Listing |
Mil Med
December 2024
Human Performance Director, 563rd Rescue Group, University of Alabama at Birmingham, Sports and Exercise Medicine, Birmingham, AL 35204, USA.
Lower extremity fractures and musculoskeletal injuries are among the leading causes of morbidity for Special Operations Forces (SOF), frequently resulting in prolonged immobilization and weeks of therapeutic exercises and strength training to return to full status. This is a case of a 34-year-old Caucasian combat rescue officer with a stable right distal fibula (Weber B) fracture managed with early mobilization and assisted plantarflexion using a Dephy Exoboot device. Early mobilization resulted in no adverse events and resulted in a significant reduction in down-time compared with usual care.
View Article and Find Full Text PDFThis pilot study investigated the feasibility and efficacy of using autonomous ankle exoskeletons in community settings among individuals with cerebral palsy (CP). Five participants completed two structured community walking protocols: a week-long ankle exoskeleton acclimation and training intervention, and a dose-matched Sham intervention of unassisted walking. Results demonstrated significant improvements in acclimatized walking performance with the ankle exoskeleton, including increased speed and stride length.
View Article and Find Full Text PDFPLoS One
November 2024
Department of Mechanical Engineering, University of Washington, Seattle, Washington, United States of America.
Background: There is growing interest in the use of biofeedback-augmented gait training in cerebral palsy (CP). Audiovisual, sensorimotor, and immersive biofeedback paradigms are commonly used to elicit short-term gait improvements; however, outcomes remain variable. Because biofeedback training requires that individuals have the capacity to both adapt their gait in response to feedback and retain improvements across sessions, changes in either capacity may affect outcomes.
View Article and Find Full Text PDFProc Inst Mech Eng H
December 2024
Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, China.
Rev Sci Instrum
November 2024
Shenyang Ligong University, No. 6 Nanping Middle Road, Hunnan District, Shenyang City, Liaoning Province 110158, China.
Nowadays, exoskeletons have a place in many fields, such as industrial production, medical rehabilitation, and military. However, there are still many shortcomings in the existing exoskeleton, such as heavyweight and complex structures for active exoskeleton. The driving ability of passive exoskeletons is limited.
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