Interpersonal motor synergy: coworking strategy depends on task constraints.

We investigated the role of task constraints on interpersonal interactions. Twenty-one pairs of coworkers performed a finger force production task on force sensors placed at two ends of a seesaw-like apparatus and matched a combined target force of 20 N for 23 s over 10 trials. There were two experimental conditions: 1) FIXED: the seesaw apparatus was mechanically held in place so that the only task constraint was to match the 20 N resultant force, and 2) MOVING: the lever in the apparatus was allowed to rotate freely around its fulcrum, acting like a seesaw, so an additional task constraint to (implicitly) balance the resultant moment was added. We hypothesized that the additional task constraint of moment stabilization imposed on the MOVING condition would deteriorate task performance compared with the FIXED condition; however, this was rejected, as the performance of the force matching task was similar between two conditions. We also hypothesized that the central nervous systems (CNSs) would employ distinct coworking strategies or interpersonal motor synergy (IPMS) between conditions to satisfy different task constraints, which was supported by our results. Negative covariance between coworker's forces in the FIXED condition suggested a force stabilization strategy, whereas positive covariance in the MOVING condition suggested a moment stabilization strategy, implying that independent CNSs adopt distinct IPMSs depending on task constraints. We speculate that in the absence of a central neural controller, shared visual and mechanical connections between coworkers may suffice to trigger modulations in the cerebellum of each CNS to satisfy competing task constraints.NEW & NOTEWORTHY To the best of our knowledge, this is the first study to investigate the coworking behavior or IPMS when an additional task constraint is imposed. Our proposed analytical framework quantifies IPMS and allows for investigating variability in offline (i.e., across multiple repetitions) and online (i.e., across time) control, which is novel in coworking research. Understanding variability while performing a task is essential, as repeating a task is not always possible, as in therapeutic contexts.

Roller Massage Prior to Running Does Not Affect Gait Mechanics in Well-Trained Runners.

CONTEXT: Understanding if roller massage prior to a run can mitigate fatigue-related decrements in muscle force production during prolonged running is important because of the association between fatigue and running-related injury. OBJECTIVE: The authors investigated whether a bout of roller massage prior to running would (1) mitigate fatigue-related increases in vertical average load rate and free moment of the ground reaction force of running and (2) mitigate decreases in maximal countermovement jump height. DESIGN: Repeated-measures study. SETTING: Laboratory. PARTICIPANTS: A total of 14 recreational endurance athletes (11 men and 3 women) volunteered for the study. INTERVENTIONS: A 12.5-minute foam roller protocol for the lower extremities and a fatiguing 30-minute treadmill run. MAIN OUTCOME MEASURES: Vertical average load rate, free moment, and maximal jump height before (PRE) and after (POST) the fatiguing treadmill run on separate experimental days: once where participants sat quietly prior to the fatiguing run (REST) and another where the foam roller protocol was performed prior to the run (ROLL). RESULTS: A 2-way multiple analysis of variance found no significant differences in vertical average load rate, free moment, and jump height between PRE/POST times in both REST/ROLL conditions. CONCLUSIONS: The authors concluded that recreational endurance athletes maintain running mechanics and jump performance after a fatiguing run regardless of prerun roller massage and may not rely on prerun roller massage as a form of injury prevention.

Standardized Lab Shoes Do Not Decrease Loading Rate Variability in Recreational Runners.

Studies of running mechanics often use a standardized lab shoe, ostensibly to reduce variance between subjects; however, this may induce unnatural running mechanics. The purpose of this study was to compare the step rate, vertical average loading rate, and ground contact time when running in standardized lab shoes versus participants' normal running shoes. Ground reaction forces were measured while the participants ran overground in both shoe conditions at a self-selected speed. The Student's t-test revealed that the vertical average loading rate magnitude was smaller in lab shoes versus normal shoes (42.09 [11.08] vs 47.35 [10.81] body weight/s, P = .013), while the step rate (170.92 [9.43] vs 168.98 [9.63] steps/min, P = .053) and ground contact time were similar (253 [25] vs 251 [20] ms, P = .5227) and the variance of all outcomes was similar in lab shoes versus normal shoes. Our results indicate that using standardized lab shoes during testing may underestimate the loads runners actually experience during their typical mileage.

Wrist Resistance Training Improves Motor Control and Strength.

Chu, E, Kim, Y-S, Hill, G, Kim, YH, Kim, CK, and Shim, JK. Wrist resistance training improves motor control and strength. J Strength Cond Res 32(4): 962-969, 2018-The aim of this study was to investigate the effects of a 6-week direction-specific resistance training program on isometric torque control and isokinetic torque strength of the wrist joint. Nineteen subjects were randomly assigned to either the wrist training group (n = 9) or the control group (n = 10). The training group performed wrist exercises in 6 directions (flexion, extension, pronation, supination, radial deviation, and ulnar deviation), whereas the control group did not. Data were collected on the isometric torque control, 1-repetition maximum (1RM) strength, and isokinetic maximum torque (angular velocity of 60° per second wrist movements) before and after 6 weeks of resistance training and at 2-week intervals during training. The training group showed significant decreases in isometric torque control error in all 6 directions after 2 weeks of resistance training, whereas the control group did not show significant increase or decrease. After 4 weeks of training, the training group showed significant increases in maximum strength in all 6 directions as assessed by 1RM strength and isokinetic strength tests, whereas the control group did not show any statistically significant changes. This study shows that motor control significantly improves within the first 2 weeks of resistance training, whereas the wrist strength significantly improves within the first 4 weeks of resistance training. Based on the findings of this study, coaches and trainers should consider wrist resistance training to improve athletes' muscular strength and control of the wrist muscles.

Examining impairment of adaptive compensation for stabilizing motor repetitions in stroke survivors.

The hand, one of the most versatile but mechanically redundant parts of the human body, suffers more and longer than other body parts after stroke. One of the rehabilitation paradigms, task-oriented rehabilitation, encourages motor repeatability, the ability to produce similar motor performance over repetitions through compensatory strategies while taking advantage of the motor system's redundancy. The previous studies showed that stroke survivors inconsistently performed a given motor task with limited motor solutions. We hypothesized that stroke survivors would exhibit deficits in motor repeatability and adaptive compensation compared to healthy controls in during repetitive force-pulse (RFP) production tasks using multiple fingers. Seventeen hemiparetic stroke survivors and seven healthy controls were asked to repeatedly press force sensors as fast as possible using the four fingers of each hand. The hierarchical variability decomposition model was employed to compute motor repeatability and adaptive compensation across finger-force impulses, respectively. Stroke survivors showed decreased repeatability and adaptive compensation of force impulses between individual fingers as compared to the control (p < 0.05). The stroke survivors also showed decreased pulse frequency and greater peak-to-peak time variance than the control (p < 0.05). Force-related variables, such as mean peak force and peak force interval variability, demonstrated no significant difference between groups. Our findings indicate that stroke-induced brain injury negatively affects their ability to exploit their redundant or abundant motor system in an RFP task.

Deficits in motor abilities for multi-finger force control in hemiparetic stroke survivors.

The ability to control redundant motor effectors is one of hallmarks in human motor control, and the topic has been studied extensively over several decades since the initial inquiries proposed by Nicholi Bernstein. However, our understanding of the influence of stroke on the control of redundant motor systems is very limited. This study aimed to investigate the effect of stroke-related constraints on multi-finger force control abilities in a visuomotor task. Impaired (IH) and less-impaired hands (LH) of 19 hemiparetic stroke survivors and 19 age-matched control subjects were examined. Each hand repeatedly produced isometric forces to match a target force of 5 N shown on a computer screen using all four fingers. The hierarchical variability decomposition (HVD) model was used to separate force-matching errors (motor performance) into task-relevant measures (accuracy, steadiness, and reproducibility). Task-irrelevant sources of variability in individual finger force profiles within and between trials (flexibility and multiformity) were also quantified. The IH in the stroke survivors showed deficits in motor performance attributed mainly to lower accuracy and reproducibility as compared to control hands (p < 0.05). The LH in stroke survivors showed lower reproducibility and both hands in stroke also had higher multiformity than the control hands (p < 0.05). The findings from our HVD model suggest that accuracy, reproducibility, and multiformity were mainly impaired during force-matching task in the stroke survivors. The specific motor deficits identified through the HVD model with the new conceptual framework may be considered as critical factors for scientific investigation on stroke and evidence-based rehabilitation of this population.

Amputee Locomotion: Ground Reaction Forces During Submaximal Running With Running-Specific Prostheses.

Individuals with lower extremity amputation must adapt the mechanical interactions between the feet and ground to account for musculoskeletal function loss. However, it is currently unknown how individuals with amputation modulate three-dimensional ground reaction forces (GRFs) when running. This study aimed to understand how running with running-specific prostheses influences three-dimensional support forces from the ground. Eight individuals with unilateral transtibial amputations and 8 control subjects ran overground at 2.5, 3.0, and 3.5 m/s. Ten force plates measured GRFs at 1000 Hz. Peak and average GRFs and impulses in each plane were compared between limbs and groups. Prosthetic limbs generated reduced vertical impulses, braking forces and impulses, and mediolateral forces while generating similar propulsive impulses compared with intact and control limbs. Intact limbs generated greater peak and average vertical forces and average braking forces than control subjects' limbs. These data indicate that the nonamputated limb experiences elevated mechanical loading compared with prosthetic and control limbs. This may place individuals with amputation at greater risk of acute injury or joint degeneration in their intact limb. Individuals with amputation adapted to running-specific prosthesis force production limitations by generating longer periods of positive impulse thus producing propulsive impulses equivalent to intact and control limbs.

The role of tactile sensation in online and offline hierarchical control of multi-finger force synergy.

The hand, one of the most versatile but mechanically redundant parts of the human body, must overcome imperfect motor commands and inherent noise in both the sensory and motor systems in order to produce desired motor actions. For example, it is nearly impossible to produce a perfectly consistent note during a single violin stroke or to produce the exact same note over multiple strokes, which we denote online and offline control, respectively. To overcome these challenges, the central nervous system synergistically integrates multiple sensory modalities and coordinates multiple motor effectors. Among these sensory modalities, tactile sensation plays an important role in manual motor tasks by providing hand-object contact information. The purpose of this study was to investigate the role of tactile feedback in individual finger actions and multi-finger interactions during constant force production tasks. We developed analytical techniques for the linear decomposition of the overall variance in the motor system in both online and offline control. We removed tactile feedback from the fingers and demonstrated that tactile sensors played a critical role in the online control of synergistic interactions between fingers. In contrast, the same sensors did not contribute to offline control. We also demonstrated that when tactile feedback was removed from the fingers, the combined motor output of individual fingers did not change while individual finger behaviors did. This finding supports the idea of hierarchical control where individual fingers at the lower level work together to stabilize the performance of combined motor output at the higher level.

EFFECT OF RESISTANCE TRAINING OF THE WRIST JOINT MUSCLES ON MULTI-DIGIT COORDINATION.

This study investigated the effects of a specific regimen of resistance training on coordinated actions of human hand digits during grasping. Participants were instructed to hold a rectangular object with all five digits and to maintain the orientation of the object against transient perturbation. Indices of co-varied actions (i.e., synergies) among multi-digit grasping and rotational actions were quantified. The index of anticipatory changes of co-varied actions among digit forces (i.e., anticipatory synergy adjustment) was also quantified, which represents the controller's ability to predict an upcoming perturbation. The synergies of both grasping force and moment stabilization increased with the training. No change in the index of anticipatory synergy adjustment with training was observed. The current results suggest that the resistance training on the wrist could be an effective way to enhance both voluntary muscle force/torque production capability and ability to stabilize task performances during multi-digit prehensile tasks.

Effect of expertise on 3D force application during the starting block phase and subsequent steps in sprint running.

In sprinters with different levels of block acceleration, we investigated differences in their three-dimensional force application in terms of the magnitude, direction, and impulse of the ground reaction force (GRF) during the starting block phase and subsequent two steps. Twenty-nine participants were divided into three groups (well-trained, trained, and nontrained sprinters) based on their mean anteroposterior block acceleration and experience with a block start. The participants sprinted 10 m from a block start with maximum effort. Although the mean net resultant GRF magnitude did not differ between the well-trained and trained sprinters, the net sagittal GRF vector of the well-trained sprinters was leaned significantly further forward than that of the trained and nontrained sprinters during the starting block phase. In contrast, during the starting block phase and the subsequent steps, the transverse GRF vectors which cause the anteroposterior and mediolateral acceleration of the whole-body was directed toward the anterior direction more in the well-trained sprinters as compared with the other sprinters. Therefore, a more forward-leaning GRF vector and a greater anteroposterior GRF may particularly allow well-trained sprinters to generate a greater mean anteroposterior block acceleration than trained and nontrained sprinters.

Sampling rate requirement for accurate calculation of heart rate and its variability based on the electrocardiogram.

Objective. To develop analytical formulas which can serve as quantitative guidelines for the selection of the sampling rate for the electrocardiogram (ECG) required to calculate heart rate (HR) and heart rate variability (HRV) with a desired level of accuracy.Approach. We developed analytical formulas which relate the ECG sampling rate to conservative bounds on HR and HRV errors: (i) one relating HR and sampling rate to a HR error bound and (ii) the others relating sampling rate to HRV error bounds (in terms of root-mean-square of successive differences (RMSSD) and standard deviation of normal sinus beats (SDNN)). We validated the formulas using experimental data collected from 58 young healthy volunteers which encompass a wide HR and HRV ranges through strenuous exercise.Main results. The results strongly supported the validity of the analytical formulas as well as their tightness. The formulas can be used to (i) predict an upper bound of inaccuracy in HR and HRV for a given sampling rate in conjunction with HR and HRV as well as to (ii) determine a sampling rate to achieve a desired accuracy requirement at a given HR or HRV (or its range).Significance. HR and its variability (HRV) derived from the ECG have been widely utilized in a wide range of research in physiology and psychophysiology. However, there is no established guideline for the selection of the sampling rate for the ECG required to calculate HR and HRV with a desired level of accuracy. Hence, the analytical formulas may guide in selecting sampling rates for the ECG tailored to various applications of HR and HRV.

Cutaneous sensory feedback plays a critical role in agonist-antagonist co-activation.

The purpose of this study was to investigate the role of cutaneous feedback in the agonist-antagonist co-activation mechanism during maximum voluntary force (MVF) production by the fingers. Seventeen healthy male subjects (age: 23.8 ± 1.0 years) were asked to press with maximal effort at their fingertips. Finger forces at the fingertips and muscle activities of the flexor digitorum superficialis (FDS, agonist) and extensor digitorum communis (EDC, antagonist) were recorded using force sensors and electromyography, respectively. There were two experimental conditions: with and without administration of a ring block to the fingers (i.e., anesthesia and normal conditions, or AC and NC, respectively). The ring block was used to deprive cutaneous feedback. Consistent with previous studies, finger MVF decreased significantly in AC compared with NC. Moreover, the force production of non-task fingers significantly increased in AC. Muscle activity of the EDC was significantly lower in AC than in NC; no significant changes in the FDS muscle were observed. The findings of this study show that cutaneous feedback not only increases MVF and force accuracy, but facilitates agonist-antagonist co-activation by increasing antagonist muscle activation. The results of this study imply that cutaneous feedback is linked to both primary and adjacent motor neurons.

Amputee locomotion: determining the inertial properties of running-specific prostheses.

OBJECTIVES: (1) To test the validity of a trifilar pendulum in estimating moments of inertia (MOIs) for running-specific prostheses (RSPs), (2) to measure inertial properties (mass, center of mass [CM] position, and MOIs) for 4 RSPs, (3) to verify the influence of the stiffness on the inertial properties of RSPs, and (4) to develop a predictive equation to estimate RSP CM positions. DESIGN: An aluminum block with known MOIs was used for verifying the accuracy of the trifilar pendulum MOI measurements. MOI errors were investigated by systematically misaligning the block and pendulum principal axes across a range of 1 to 10cm. Mass, CM position, and MOI were tested across 4 RSP designs with 3 stiffness categories each. SETTING: University biomechanics laboratory. SPECIMENS: Four different RSP designs and 3 stiffness categories per design were examined. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: MOI errors from known values and principal axis misalignments between RSPs and pendulum; mass, CM positions, and RSP principal axis MOIs; and predictive equation CM position errors. RESULTS: The trifilar pendulum estimated MOIs within -6.21×10(-5)kg/m(2) (≤1% error) for a block with known MOIs. Misalignments of 1 to 5cm between the RSPs' and pendulum's CM yielded errors from .00002 to .00113 kg/m(2) (0.3%-59.2%). Each RSP's inertial properties are presented. MOIs about any axis varied <.004kg/m(2) across stiffness categories; MOIs differed up to .013kg/m(2) between different designs. The predictive CM equation erred between .010 and .028m when using average input values across an RSP design. CONCLUSIONS: Trifilar pendulums can accurately measure RSP MOI. The RSP inertial properties differed slightly across stiffness categories within each design, but differed more substantially across different RSP designs. Using a predictive equation to estimate RSP CM positions can provide adequate data, but directly measuring CM positions is preferable.

Whole body mass estimates and error propagation in countermovement jump: a simulated error study.

High-velocity actions are central to clinical and athletic performance, with jumping used to assess outcomes in sports medicine. Ground reaction force (GRF)-based methods are the standard for computing jump characteristics, but require mass estimation and GRF integration, potentially resulting in mass errors which influence outcomes. This study investigated how simulated mass errors influenced the centre of mass (CoM) trajectory during a countermovement jump. The mass was estimated from the static GRF, and simulated errors were added or subtracted to the mass. The CoM trajectory with simulated mass errors was computed using the GRF-based method to investigate mass mis-estimation's influence on jump height. A regression model indicated that, for a 1 kg mass change, there was a 7.7 cm jump height change, and the jump height differed by 11.5 ± 0.4 cm from the maximum to minimum error. A 2-way ANOVA identified significant height differences between the starting position, and landing, or final position with mass errors of ± 0.2 or ± 0.4 kg. These results reveal that small mass errors may produce inaccurate conclusions regarding performance changes, and that errors may propagate throughout the jump trajectory. Caution may be necessary when using GRF-based methods to compute jump height as a power proxy.

Dorsiflexion shoes affect joint-level landing mechanics related to lower extremity injury risk in females.

Athletic shoes that induce dorsiflexion in standing can improve jump height compared to traditional athletic shoes that induce plantarflexion, but it is unknown if dorsiflexion shoes (DF) also affect landing biomechanics associated with lower extremity injury risk. Thus, the purpose of this study was to investigate if DF adversely affect landing mechanics related to patellofemoral pain and anterior cruciate ligament injury risk compared to neutral (NT) and plantarflexion (PF) shoes. Sixteen females (21.65 ± 4.7 years, 63.69 ± 14.3 kg, 1.60 ± 0.05 m) performed three maximum vertical countermovement jumps in DF (-1.5°), NT (0°) and PF (8°) shoes as 3D kinetics and kinematics were recorded. One-way repeated-measures ANOVAs revealed peak vertical ground reaction force, knee abduction moment and total energy absorption were similar between conditions. At the knee, peak flexion and joint displacement were lower in DF and NT, while relative energy absorption was greater in PF (all p < .01). Conversely, relative ankle energy absorption was greater in DF and NT compared to PF (p < .01). Both DF and NT induce landing patterns that may increase strain on passive structures in the knee, emphasising the need for landing mechanics to be considered when testing footwear as gains in performance could come at the cost of injury risk.

Prediction of knee adduction moment using innovative instrumented insole and deep learning neural networks in healthy female individuals.

BACKGROUND: The knee adduction moment, a biomechanical risk factor of knee osteoarthritis, is typically measured in a gait laboratory with expensive equipment and inverse dynamics modeling software. We aimed to develop a framework for a portable knee adduction moment estimation for healthy female individuals using deep learning neural networks and custom instrumented insole and evaluated its accuracy compared to the standard inverse dynamics approach. METHODS: Feed-forward, convolutional, and recurrent neural networks were applied to the data extracted from five piezo-resistive force sensors attached to the insole of a shoe. RESULTS: All models predicted knee adduction moment variables during walking with high correlation coefficients, r > 0.72, and low root mean squared errors (RMSE), ranging from 0.5% to 1.2%. The convolutional neural network is the most accurate predictor of average knee adduction moment (r = 0.96; RMSE = 0.5%) followed by the recurrent and feed-forward neural networks. CONCLUSION: These findings and the methods presented in the current study are expected to facilitate a cost-effective clinical analysis of knee adduction moment for healthy female individuals and to facilitate future research on prediction of other biomechanical risk factors using similar methods.

Anthropometric, physical activity, and psychological characteristics of Korean adults with and without developmental coordination disorder (DCD).

Developmental Coordination Disorder (DCD), also known as Dyspraxia, is characterized by movement difficulties in individuals without discernible neurological disorders or identifiable medical conditions. Previous studies from various countries have highlighted disparities in anthropometric, physical activity, and psychological characteristics between children diagnosed with DCD and their typically developing (TD) peers. These differences are influenced by sociocultural norms and geographical locations. However, little attention has been given to scrutinizing analogous differences in adult populations, particularly within Republic of Korea. This study aims to address this knowledge gap by employing a battery of questionnaires to assess anthropometric, physical activity, and psychological traits in a cohort of 377 Korean adults, encompassing those with DCD (n = 54) alongside TD counterparts (n = 323). It was hypothesized that Korean adults with DCD would exhibit higher body mass index and lower ratings in physical activity and psychological characteristics than TD, consistent with the previous studies performed in other countries on children. The results showed no statistically significant differences between the DCD and TD groups in anthropometric characteristics such as weight (kg), height (cm), and body mass index. The prevalence of walking and biking for daily commuting in daily routines within Korean society might have contributed to the mitigation of anthropometric among individuals with/without DCD. Statistically significant differences were found in physical activity levels at work and recreational settings, as shown in physical activity scores and duration. The DCD group also displayed lower scores across several psychological characteristics, including exercise adherence, intrinsic motivation, self-efficacy, physical self-concept, exercise expectations, and intrinsic regulation. These findings underscore the necessity of incorporating sociocultural dynamics when investigating anthropometric, physical activity, and psychological characteristics in adults with DCD. Their perceived difficulties in fine motor skills were also significantly poor than TD. Future research studies are warranted to elucidate the underlying mechanisms driving the observed patterns in this study, thus contributing to a more nuanced comprehension of how DCD manifests within specific sociocultural contexts.

Prehension synergy: use of mechanical advantage during multifinger torque production on mechanically fixed and free objects.

The aim of this study was to test the mechanical advantage (MA) hypothesis in multifinger torque production tasks in humans: fingers with longer moment arms produce greater force magnitudes during torque production tasks. There were eight experimental conditions: two prehension types determined by different mechanical constraints (i.e., fixed- and free-object prehension) with two torque directions (supination and pronation) and two torque magnitudes (0.24 and 0.48 N·m). The subjects were asked to produce prescribed torques during the fixed-object prehension or to maintain constant position of the free hand-held object against external torques. The index of MA was calculated for agonist and antagonist fingers, which produce torques in the same and opposite directions to the target torques, respectively. Within agonist fingers, the fingers with longer moment arms produced greater grasping forces while within antagonist fingers, the fingers with shorter moment arms produced greater forces. The MA index was greater in the fixed-object condition as compared with the free-object condition. The MA index was greater in the pronation condition than in the supination condition. This study supports the idea that the CNS utilizes the MA of agonist fingers, but not of antagonist fingers, during torque production in both fixed- and free-object conditions.

Multi-finger pressing synergies change with the level of extra degrees of freedom.

The purpose of this study was to test the principle of motor abundance, which has been hypothesized as the principle by which the central nervous system controls the excessive degrees of freedom of the human movements, in contrast to the traditional negative view of motor redundancy. This study investigated the changes in force stabilizing and moment stabilizing synergies for multi-finger pressing tasks involving different number of fingers. Twelve healthy subjects produced a constant pressing force while watching visual feedback of the total pressing force for the fingers involved in each task. Based on the principle of motor abundance, it was hypothesized that the multi-finger synergies for the total force stabilizing synergy and the total moment stabilizing synergy would be greater as the number of task finger increases. Force stabilizing and moment stabilizing synergies were quantified using the framework of the uncontrolled manifold analysis. It was found that strong force stabilizing synergies existed for all the finger combinations. The index of force stabilizing synergies was greater when the task involved more number of fingers. The index of moment stabilizing synergies was negative for the two-finger combination, representing moment destabilizing synergies. However, the index of moment stabilizing synergies was positive for three-finger and four-finger combinations, representing strong moment stabilizing synergies for these finger combinations. We interpret the findings as an evidence for the principle of abundance for stabilization of both, total force as well as total moment.

Vibration Suppression of a Composite Prosthetic Foot Using Piezoelectric Shunt Damping: Implications to Vibration-Induced Cumulative Trauma.

OBJECTIVE: Energy-storage-and-return (ESAR) prosthetic feet have improved amputee mobility due to their efficient conversion of strain energy to mechanical work. However, this efficiency is typically achieved using light-weight, high-stiffness materials, which generate high-frequency vibrations that are potentially injurious if transmitted to biological tissues. To reduce the vibration which may cause cumulative tissue trauma, high-frequency vibration suppression by piezoelectric shunt damping patches on a commercial ESAR foot was evaluated. METHODS: Two patches with either passive or active shunt circuits were placed on the foot to investigate vibration suppression during experimental tests where a plastic hammer was used to hit a clamped ESAR foot on the free end. Prosthesis bending moments at each modal frequency were obtained by finite element methods to identify piezoelectric patch placement. RESULTS: Both shunt circuits decreased vibration amplitudes at specific modes better than the no shunt case, but also increased the amplitude at specific frequencies. The vibration suppression performance of the active shunt circuit deteriorated at the second mode, while the vibration suppression performance of the passive shunt circuit deteriorated at all frequencies above the third mode. CONCLUSIONS: These results indicate piezoelectric shunt patches may be a viable strategy for decreasing vibrations of an ESAR foot, with active methods more efficient at suppressing high-frequency vibrations. Additional research is necessary to fine-tune the method for maximal vibration suppression. SIGNIFICANCE: Overall, this study indicates that high-frequency vibration suppression is possible using piezoelectric patches, possibly decreasing the cumulative tissue damage that may occur with repetitive exposure to vibration.