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1.
Gait Posture ; 109: 70-77, 2024 03.
Artículo en Inglés | MEDLINE | ID: mdl-38281432

RESUMEN

BACKGROUND: Conventional balance and gait assessments for fall risk screening are often conducted under unperturbed conditions. However, older adults can allocate their attention to motor tasks (balance or walking) without revealing performance deficiencies, posing a challenge in identifying those with compromised gait and balance. RESEARCH QUESTIONS: Do community-dwelling older adults exhibit greater changes in cognitive and/or walking performance under balance-challenging conditions compared to typical dual-task walking conditions? METHODS: Twenty-nine healthy, community-dwelling older adults performed four cognitive tasks (visual and auditory Stroop tasks, Clock task, and Paced Auditory Serial Addition Test) while walking with and without lateral treadmill sways (Perturbed vs. Unperturbed) and during standing. We calculated dual-task costs (DTC) and walking perturbation effects (WPE) as the percentage of change in cognitive and walking performance between dual and single-task conditions and between Perturbed and Unperturbed conditions, respectively. RESULTS: Older adults exhibited similar DTC and WPE on cognitive task performance. However, in walking performance, they demonstrated significantly greater WPE than DTC across all gait and stability measures (p < 0.01), including the mean and variability of stride and margins of stability (MOS) measures, the variability of trunk movement and lower-limb joint angles, and the local stability measures. Older adults took shorter but wider steps, exhibited shorter MOSAP but greater MOSML, and experienced increased movement variability and walking instability to a greater extent than during dual-task walking. Overall, changes in variability and stability measures were more pronounced than those in mean gait measures. SIGNIFICANCE: Introducing destabilizing perturbations to increase the task demands of balance and gait assessments is a more effective method to challenge older adults compared to simply adding a concurrent cognitive task. Fall screening assessments for community-dwelling older adults should incorporate balance-challenging conditions, such as introducing gait perturbations.


Asunto(s)
Cognición , Caminata , Humanos , Anciano , Marcha , Análisis y Desempeño de Tareas , Movimiento
2.
J Biomech ; 156: 111688, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37339542

RESUMEN

Lower-body robotic exoskeletons can be used to reduce the energy demand of locomotion and increase the endurance of wearers. Understanding how motor fatigue affects walking performance may lead to better exoskeleton designs to support the changing physical capacity of an individual due to motor fatigue. The purpose of this study was to investigate the effects of motor fatigue on walking mechanics and energetics. Treadmill walking with progressively increased incline gradient was used to induce motor fatigue. Twenty healthy young participants walked on an instrumented treadmill at 1.25 m/s and 0° of incline for 5 min before (PRE) and after (POST) motor fatigue. We examined lower-limb joint mechanics, metabolic cost, and the efficiency of positive mechanical work (η+work). Compared to PRE, participants had increased net metabolic power by ∼14% (p < 0.001) during POST. Participants also had increased total-limb positive mechanical power (Total P+mech) by ∼4% during POST (p < 0.001), resulting in a reduced η+work by ∼8% (p < 0.001). In addition, the positive mechanical work contribution of the lower-limb joints during POST was shifted from the ankle to the knee while the negative mechanical work contribution was shifted from the knee to the ankle (all p < 0.017). Although greater knee positive mechanical power was generated to compensate for the reduction in ankle positive power after motor fatigue, the disproportionate increase in metabolic cost resulted in a reduced walking efficiency. The findings of this study suggest that powering the ankle joint may help delay the onset of the lower-limb joint work redistribution observed during motor fatigue.


Asunto(s)
Tobillo , Caminata , Humanos , Fenómenos Biomecánicos , Articulación del Tobillo , Extremidad Inferior , Marcha
3.
Gait Posture ; 92: 167-175, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34856525

RESUMEN

BACKGROUND: Cognitive-walking interference is manifested when simultaneously performing a cognitive task while walking. However, majority of the dual-task walking paradigms incorporated relatively short testing trials and were focused on posing a cognitive challenge by adding a secondary cognitive task but not introducing walking perturbations. RESEARCH QUESTION: How do healthy young adults adapt to concurrent cognitive challenges and walking perturbations in terms of task prioritization and adaptation strategies to control walking stability? METHODS: Eighteen healthy young participants walked with and without (1) continuous treadmill platform sways (Perturbed and Unperturbed walking), and (2) performing one of the cognitive tasks: visual and auditory Stroop tasks, Clock task, Paced Auditory Serial Addition Test (PASAT), and walk only. Primary outcome measures included cognitive task performance, mediolateral dynamic margins of stability (MOSML), M-L local dynamic stability, stride time variability and the dual-task interference (DTI) on these measures. RESULTS: Gait adjustments made during Perturbed walking did not improve walking stability but instead, showing more local instability and greater gait variability (all p < 0.001) than Unperturbed walking. Participants increased average MOSML during Clock and PASAT compared to Walk Only for both Perturbed and Unperturbed walking (THSD, p < 0.05). Participants had significantly less DTI on stride time variability during Unperturbed walking than during Perturbed walking (p < 0.001). Participants also had significantly greater DTI on PASAT performance during Perturbed than during Unperturbed walking (THSD, p < 0.05) SIGNIFICANCE: Participants prioritized the walking task under a more challenging walking condition although the adjustments made during Perturbed walking were not sufficient to maintain a similar level of walking stability as Unperturbed walking. Adjustments to the cognitive-walking challenges were differed by the type of cognitive tasks. The current findings suggest that cognitive tasks involving both working memory and information processing or visuospatial recognition or attention have greater impact on gait especially during the perturbed walking condition.


Asunto(s)
Marcha , Caminata , Cognición , Prueba de Esfuerzo , Humanos , Análisis y Desempeño de Tareas , Caminata/psicología , Adulto Joven
4.
Hum Factors ; 64(7): 1137-1153, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-33617350

RESUMEN

OBJECTIVE: To provide a comprehensive characterization of explosive ordnance disposal (EOD) personal protective equipment (PPE) by evaluating its effects on the human body, specifically the poses, tasks, and conditions under which EOD operations are performed. BACKGROUND: EOD PPE is designed to protect technicians from a blast. The required features of protection make EOD PPE heavy, bulky, poorly ventilated, and difficult to maneuver in. It is not clear how the EOD PPE wearer physiologically adapts to maintain physical and cognitive performance during EOD operations. METHOD: Fourteen participants performed EOD operations including mobility and inspection tasks with and without EOD PPE. Physiological measurement and kinematic data recording were used to record human physiological responses and performance. RESULTS: All physiological measures were significantly higher during the mobility and the inspection tasks when EOD PPE was worn. Participants spent significantly more time to complete the mobility tasks, whereas mixed results were found in the inspection tasks. Higher back muscle activations were seen in participants who performed object manipulation while wearing EOD PPE. CONCLUSION: EOD operations while wearing EOD PPE pose significant physical stress on the human body. The wearer's mobility is impacted by EOD PPE, resulting in decreased speed and higher muscle activations. APPLICATION: The testing and evaluation methodology in this study can be used to benchmark future EOD PPE designs. Identifying hazards posed by EOD PPE lays the groundwork for developing mitigation plans, such as exoskeletons, to reduce physical and cognitive stress caused by EOD PPE on the wearers without compromising their operational performance.


Asunto(s)
Sustancias Explosivas , Equipo de Protección Personal , Cuerpo Humano , Humanos , Ropa de Protección , Estrés Fisiológico/fisiología
5.
Exp Gerontol ; 155: 111582, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34637948

RESUMEN

BACKGROUND: Cognitive decline increases the risk of falls in older adults. Understanding the association between cognitive function, functional physical capacity, and falls may help identify targets for fall screening and intervention. This study examined (1) cognitive and functional physical capacity in community-dwelling older adults with and without a history of falls or the presence of brain-derived neurotrophic factor (BDNF) gene Val66Met polymorphism (Val/Met), and (2) the association between their cognitive and functional physical capacity, focusing on the cognitive performance during dual-task, challenging walking conditions. METHODS: Twenty-nine healthy, community-dwelling older adults attended two testing sessions for (1) functional assessments of physical capacity and global cognitive status, and (2) performing four cognitive tasks (visual and auditory Stroop tasks, Clock task, and Paced Auditory Serial Addition Test) during standing and while walking on the treadmill with and without medio-lateral treadmill platform sways. RESULTS: Participants with a fall history had reduced functional reach distance whereas individuals with Val/Met had reduced functional gait assessment (FGA) score compared to their controls. In addition, participants with a fall history or Val/Met showed reduced Clock task performance under dual-task conditions. Among all cognitive tasks, visual-Stroop performance, especially during the perturbed walking conditions, was significantly correlated with more physical capacity items. The performance of the other three cognitive tasks provided complementary information on those items not correlated with visual-Stroop performance. CONCLUSIONS: Clock task performance can distinguish fallers from non-fallers as well as older adults with and without the BDNF gene polymorphism. Administering different types of cognitive tasks and under more challenging walking conditions can better reveal the association between cognitive and functional physical capacity in older adults. Fall screening and prevention intervention should integrate cognitive tasks into the functional physical capacity assessment and training regime, and progress to a more challenging condition such as introducing gait or balance perturbations during the assessment or training.


Asunto(s)
Equilibrio Postural , Caminata , Anciano , Cognición , Marcha , Humanos
6.
Gait Posture ; 89: 92-101, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34265526

RESUMEN

BACKGROUND: Investigating cognitive-motor interference on the treadmill allows for better examination of motor adaptation to the dual-task challenges through the information of continuous strides. However, one of the major critiques for conducting dual-task investigation on a treadmill is the use of a constant, fixed walking speed, constraining the natural fluctuations of the speed of human walking, which could be addressed by using the self-paced feature of a feedback-controlled treadmill. RESEARCH QUESTION: Do people use different adaptation and task prioritization strategies during the dual-task treadmill walking at self-paced versus fixed speeds? METHODS: Eighteen healthy younger participants walked on an instrumented treadmill (1) under two speed conditions: self-paced and fixed-speed, and (2) with and without each of the four different cognitive tasks. Dynamic margins of stability (MOS), step spatiotemporal measures, kinematic variability, and local dynamic stability were computed for each trial. RESULTS: Participants had significantly more local instability during self-paced than fixed-speed treadmill walking. The often-reported response of reducing stride time variability during dual-task, fixed-speed walking was not observed during dual-task, self-paced walking. In addition, there were significantly greater dual-task interference effects on stride time variability and local dynamic stability as well as the Paced Auditory Serial Addition Test performance during self-paced walking. Reduced variability in the lower-extremity joint angles, trunk motion and position, and MOS measures were observed both in dual-task, self-paced and fixed-speed walking. SIGNIFICANCE: Healthy younger adults had different task prioritization and greater dual-task effects on gait stability and cognitive performance during self-paced versus fixed-speed walking. However, similar adaptation strategies, in terms of gait adjustments, were used for the two walking conditions. The results suggest that self-paced treadmill walking is more challenging than the fixed-speed walking and can serve as a better alternative to the overground walking than the fixed-speed walking for the dual-task investigation.


Asunto(s)
Prueba de Esfuerzo , Caminata , Adulto , Fenómenos Biomecánicos , Marcha , Humanos , Velocidad al Caminar
7.
Gait Posture ; 68: 545-554, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30639795

RESUMEN

BACKGROUND: Individuals with developmental dysplasia of the hip (DDH) often report hip pain and exhibit gait adaptations. Previous studies in this patient population have focused on average kinematic and acceleration measures during gait, but have not examined variability. RESEARCH QUESTION: Do individuals with hip pain and DDH have altered kinematic variability or local dynamic stability (LDS) compared to individuals without hip pain? METHODS: Twelve individuals with hip pain and DDH and 12 matched controls walked for two minutes on a treadmill at three speeds: preferred, fast (25% faster than preferred), and prescribed (1.25 m/s). Kinematic variability of spatiotemporal measures, joint and segment angles, and LDS of the trunk were calculated for each speed. RESULTS: At the prescribed speed, individuals with hip pain and DDH had more kinematic variability than controls at the hip, pelvis, and trunk as well as greater variability in spatiotemporal measures. LDS was not different between groups. Kinematic variability of the joints decreased and LDS of the trunk increased (i.e., increased gait stability) with increased speed. SIGNIFICANCE: Individuals with hip pain and DDH had greater kinematic variability compared to individuals without hip pain when walking at the same prescribed speed, indicating either an adaptation to pain or reduced neuromuscular control. LDS of the trunk was not different between groups, suggesting that hip pain does not affect overall gait stability. Kinematic variability and LDS were affected by walking speed, but in different ways, emphasizing that these measures quantify different aspects of walking behavior.


Asunto(s)
Adaptación Fisiológica/fisiología , Artralgia/fisiopatología , Marcha/fisiología , Luxación Congénita de la Cadera/complicaciones , Articulación de la Cadera/fisiopatología , Velocidad al Caminar/fisiología , Caminata/fisiología , Adolescente , Adulto , Artralgia/etiología , Artralgia/rehabilitación , Fenómenos Biomecánicos , Prueba de Esfuerzo , Femenino , Estudios de Seguimiento , Luxación Congénita de la Cadera/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
8.
PLoS One ; 13(11): e0208120, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30496257

RESUMEN

Community dwelling stroke survivors most often fall while walking. Understanding how post-stroke individuals control mediolateral footpath during walking may help elucidate the mechanisms that contribute to walking instability. By applying the Uncontrolled Manifold (UCM) approach, we investigated (1) how post-stroke individuals coordinate lower-extremity joint motions to stabilize mediolateral footpath of the swing leg, and (2) how the inter-joint coordination in footpath stabilization correlates to their walking stability. Nine stroke subjects and nine healthy controls walked on a treadmill at four different speeds. UCM analysis partitions the variance of kinematic configurations across gait cycles into "good variance" (i.e., the variance component leading to a consistent footpath) or "bad variance" (i.e., the variance component leading to an inconsistent footpath). We found that both groups had a significantly greater "good" than "bad" variance (p<0.05) for most of the swing phase, suggesting that mediolateral footpath is an important variable stabilized by the central nervous system during walking. Stroke subjects had significantly greater relative variance difference (ΔV) (i.e. normalized difference between "good" and "bad" variance) (p<0.05), indicating a stronger kinematic synergy in footpath stabilization, than the controls. In addition, the kinematic synergy in mediolateral footpath stabilization is strongest during mid-swing but weakest during late swing in healthy gait. However, this phase-dependent strategy is preserved for mid-swing but not for late swing in stroke gait. Moreover, stroke and healthy subjects demonstrated different relationships between UCM and walking stability measures. A stronger kinematic synergy in healthy gait is associated with better walking stability whereas having more "good variance" or stronger kinematic synergy in stroke gait is associated with less walking stability. The current findings suggest that walking with too much "good variance" in people following stroke, despite no effect on the footpath, may adversely affect their walking stability to some extent.


Asunto(s)
Terapia por Ejercicio/métodos , Rehabilitación de Accidente Cerebrovascular/métodos , Anciano , Fenómenos Biomecánicos , Prueba de Esfuerzo/métodos , Femenino , Pie/fisiología , Marcha , Análisis de la Marcha/métodos , Humanos , Masculino , Persona de Mediana Edad , Accidente Cerebrovascular/complicaciones , Caminata/fisiología
9.
J Phys Ther Sci ; 30(8): 1069-1072, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-30154602

RESUMEN

[Purpose] To examine muscular demands during self-propelled treadmill walking to provide a potential option for fitness training. [Participants and Methods] Eleven healthy college students were recruited. Participants walked under three conditions: over-ground walking at a self-selected speed, treadmill walking at a self-selected speed, and treadmill walking at a speed comparable to that of over-ground walking. Step lengths and lower extremity muscle activations were recorded while participants walked under the three conditions. [Results] Step lengths were significantly shorter when participants walked on a self-propelled treadmill than when walking over-ground. The spatiotemporal and muscle activations of the gaits varied among the different walking conditions. Muscular demands at the moment of heel-strike were higher around the hip and knee when walking on the self-propelled treadmill than when walking over-ground. [Conclusion] During heel-strike, the lower extremity extensors were activated more on the self-propelled treadmill with an incline, especially at faster speeds, than during over-ground walking. A low-cost, self-propelled treadmill may be a modality for training specific muscles.

10.
PLoS One ; 13(7): e0201433, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30048551

RESUMEN

Cognitive-motor interference, a negative influence on the performance of one or both tasks, is manifested when simultaneously performing a cognitive and a motor task. Motor fatigue reduces the ability of generating a required force level. However, little is known about the effects of motor fatigue on the cognitive-motor dual-tasking performance, an important capability during our daily lives. This study investigated how motor fatigue affects dual-task walking performance. Eighteen healthy younger adults walked on a treadmill under three different conditions: walking only, walking while receiving the Paced Auditory Serial Addition Test (PASAT) or a modified Stroop test before and after a lower-extremity fatiguing exercise. We computed dynamic margins of stability (MOS), step and joint kinematic variability, and short-term local divergence exponent (LDE) of the trunk motion. We found that subjects had similar values of short-term LDE during all conditions, indicating that local stability was not affected by the motor fatigue or dual-task conditions. Compared to the baseline, subjects had significantly greater mean MOS after the fatiguing exercise by walking with greater step length and width while having significantly greater gait variability. In contrast, subjects walked with similar mean MOS but significantly less gait variability during the dual-task conditions, indicating that subjects used different adaptive strategies when walking with motor fatigue and during dual-task conditions. There were no significant differences in the number of errors for the two cognitive tests before and after the fatiguing exercise. The current findings demonstrate that motor fatigue does not affect cognitive but motor performance in younger adults.


Asunto(s)
Cognición , Fatiga Muscular , Desempeño Psicomotor , Caminata , Adulto , Fenómenos Biomecánicos , Prueba de Esfuerzo , Femenino , Humanos , Extremidad Inferior/fisiología , Masculino , Pruebas Neuropsicológicas , Análisis y Desempeño de Tareas , Adulto Joven
11.
Exp Brain Res ; 236(6): 1835, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-29574479

RESUMEN

In the original publication of the article, the corrections for the typographical errors in the equations for variance that affects the footpath (VORT) and the total variance (VTOT) should be as following.

12.
Exp Brain Res ; 234(7): 1903-1914, 2016 07.
Artículo en Inglés | MEDLINE | ID: mdl-26898314

RESUMEN

The central nervous system (CNS) is believed to use the abundant degrees of freedom of muscles and joints to stabilize a particular task variable important for task success, such as footpath during walking. Stroke survivors often demonstrate impaired balance and high incidences of falls due to increased footpath variability during walking. In the current study, we use the uncontrolled manifold (UCM) approach to investigate the role of motor abundance in stabilizing footpath during swing phase in healthy individuals and stroke survivors. Twelve stroke survivors and their age- and gender-matched controls walked over-ground at self-selected speed, while electromyographic and kinematic data were collected. UCM analysis partitioned the variance of muscle groups (modes) across gait cycles into "good variance" (i.e., muscle mode variance leading to a consistent or stable footpath) or "bad variance" (i.e., muscle mode variance resulting in an inconsistent footpath). Both groups had a significantly greater "good" than "bad" variance, suggesting that footpath is an important task variable stabilized by the CNS during walking. The relative variance difference that reflects normalized difference between "good" and "bad" variance was not significantly different between groups. However, significant differences in muscle mode structure and muscle mode activation timing were observed between the two groups. Our results suggest that though the mode structure and activation timing are altered, stroke survivors may retain their ability to explore the redundancy within the neuromotor system and utilize it to stabilize the footpath.


Asunto(s)
Pierna/fisiología , Músculo Esquelético/fisiología , Accidente Cerebrovascular/fisiopatología , Caminata/fisiología , Anciano , Anciano de 80 o más Años , Fenómenos Biomecánicos , Electromiografía , Femenino , Marcha/fisiología , Humanos , Masculino , Persona de Mediana Edad , Sobrevivientes
13.
Int J Phys Med Rehabil ; 4(5)2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28580370

RESUMEN

OBJECTIVE: Body Weight Supported Treadmill Training (BWSTT) with therapists' assistance is often used for gait rehabilitation post-stroke. However, this training method is labor-intensive, requiring at least one or as many as three therapists at once for manual assistance. Previously, we demonstrated that providing movement guidance using a performance-based robot-aided gait training (RAGT) that applies a compliant, assist-as-needed force-field improves gait pattern and functional walking ability in people post-stroke. In the current study, we compared the effects of assist-as-needed RAGT combined with functional electrical stimulation and visual feedback with BWSTT to determine if RAGT could serve as an alternative for locomotor training. METHODS: Twelve stroke survivors were randomly assigned to one of the two groups, either receiving BWSTT with manual assistance or RAGT with functional electrical stimulation and visual feedback. All subjects received fifteen 40-minutes training sessions. RESULTS: Clinical measures, kinematic data, and EMG data were collected before and immediately after the training for fifteen sessions. Subjects receiving RAGT demonstrated significant improvements in their self-selected over-ground walking speed, Functional Gait Assessment, Timed Up and Go scores, swing-phase peak knee flexion angle, and muscle coordination pattern. Subjects receiving BWSTT demonstrated significant improvements in the Six-minute walk test. However, there was an overall trend toward improvement in most measures with both interventions, thus there were no significant between-group differences in the improvements following training. CONCLUSION: The current findings suggest that RAGT worked at least as well as BWSTT and thus may be used as an alternative rehabilitation method to improve gait pattern post-stroke as it requires less physical effort from the therapists compared to BWSTT.

14.
Gait Posture ; 41(4): 947-53, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25890490

RESUMEN

The number of falls and/or accidental injuries associated with cellular phone use during walking is growing rapidly. Understanding the effects of concurrent cell phone use on human gait may help develop safety guidelines for pedestrians. It was shown previously that older adults had more pronounced dual-task interferences than younger adults when concurrent cognitive task required visual information processing. Thus, cell phone use might have greater impact on walking stability in older than in younger adults. This study examined gait stability and variability during a cell phone dialing task (phone) and two classic cognitive tasks, the Paced Auditory Serial Addition Test (PASAT) and Symbol Digit Modalities Test (SDMT). Nine older and seven younger healthy adults walked on a treadmill at four different conditions: walking only, PASAT, phone, and SDMT. We computed short-term local divergence exponent (LDE) of the trunk motion (local stability), dynamic margins of stability (MOS), step spatiotemporal measures, and kinematic variability. Older and younger adults had similar values of short-term LDE during all conditions, indicating that local stability was not affected by the dual-task. Compared to walking only, older and younger adults walked with significantly greater average mediolateral MOS during phone and SDMT conditions but significantly less ankle angle variability during all dual-tasks and less knee angle variability during PASAT. The current findings demonstrate that healthy adults may try to control foot placement and joint kinematics during cell phone use or another cognitive task with a visual component to ensure sufficient dynamic margins of stability and maintain local stability.


Asunto(s)
Accidentes por Caídas/estadística & datos numéricos , Teléfono Celular/estadística & datos numéricos , Marcha/fisiología , Equilibrio Postural , Caminata/fisiología , Fenómenos Biomecánicos , Prueba de Esfuerzo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
15.
IEEE Trans Neural Syst Rehabil Eng ; 23(6): 956-63, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25314703

RESUMEN

A novel robot-aided assist-as-needed gait training paradigm has been developed recently. This paradigm encourages subjects' active participation during training. Previous pilot studies demonstrated that assist-as-needed robot-aided gait training (RAGT) improves treadmill walking performance post-stroke. However, it is not known if there is an over-ground transfer of the training effects from RAGT on treadmill or long-term retention of the effects. The purpose of the current study was to examine the effects of assist-as-needed RAGT on over-ground walking pattern post-stroke. Nine stroke subjects received RAGT with visual feedback of each subject's instantaneous ankle malleolus position relative to a target template for 15 40-minute sessions. Clinical evaluations and gait analyses were performed before, immediately after, and 6 months post-training. Stroke subjects demonstrated significant improvements and some long-term retention of the improvements in their self-selected over-ground walking speed, Dynamic Gait Index, Timed Up and Go, peak knee flexion angle during swing phase and total hip joint excursion over the whole gait cycle for their affected leg . These preliminary results demonstrate that subjects improved their over-ground walking pattern and some clinical gait measures post-training suggesting that assist-as-needed RAGT including visual feedback may be an effective approach to improve over-ground walking pattern post-stroke.


Asunto(s)
Trastornos Neurológicos de la Marcha/rehabilitación , Robótica , Rehabilitación de Accidente Cerebrovascular , Caminata , Anciano , Anciano de 80 o más Años , Tobillo/anatomía & histología , Fenómenos Biomecánicos , Diseño de Equipo , Terapia por Ejercicio , Retroalimentación Sensorial , Femenino , Articulación de la Cadera/anatomía & histología , Humanos , Masculino , Persona de Mediana Edad , Resultado del Tratamiento
16.
Gait Posture ; 40(3): 457-63, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24931112

RESUMEN

Falls and fall-related injuries cause extremely costly and potentially fatal health problems in people post-stroke. However, there is no global indicator of walking instability for detecting which individuals will have increased risk of falls. The purposes of this study were to directly quantify walking stability in stroke survivors and neurologically intact controls and to determine which stability measures would reveal the changes in walking stability following stroke. This study thus provided an initial step to establish objective measures for identifying potential fallers. Nine post-stroke individuals and nine controls walked on a treadmill at four different speeds. We computed short-term local divergence exponent (LDE) and maximum Floquet multiplier (maxFM) of the trunk motion, average and variability of dynamic margins of stability (MOS) and step spatiotemporal measures. Post-stroke individuals demonstrated larger short-term LDE (p = 0.002) and maxFM (p = 0.041) in the mediolateral (ML) direction compared to the controls but remained orbitally stable (maxFM < 1). In addition, post-stroke individuals walked with greater average step width (p = 0.003) but similar average ML MOS (p = 0.154) compared to the controls. Post-stroke individuals also exhibited greater variability in all MOS and step measures (all p < 0.005). Our findings indicate that post-stroke individuals walked with greater local and orbital instability and gait variability than neurologically intact controls. The results suggest that short-term LDE of ML trunk motion and the variability of MOS and step spatiotemporal measures detect the changes in walking stability associated with stroke. These stability measures may have the potential for identifying those post-stroke individuals at increased risk of falls.


Asunto(s)
Trastornos Neurológicos de la Marcha/fisiopatología , Hemiplejía/fisiopatología , Accidente Cerebrovascular/fisiopatología , Caminata/fisiología , Adulto , Anciano , Fenómenos Biomecánicos/fisiología , Estudios de Casos y Controles , Prueba de Esfuerzo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Equilibrio Postural/fisiología , Factores de Riesgo
17.
Bioresour Technol ; 145: 307-12, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23664178

RESUMEN

Spirulina platensis produces nutraceutical product C-phycocyanin (C-PC) and simultaneously mitigates CO2 emissions during its growth. Using a designed flat-type photobioreactor, the S. platensis biomass production was markedly enhanced, leading to a CO2 removal rate and a biomass concentration of 0.23 g/L/d and 2.25 g/L, respectively. The cell growth, CO2 fixation rate and C-PC production of S. platensis were investigated when it was cultivated under different irradiation conditions. As the light intensity increased from 100 to 700 µmol/m(2)/s, the overall biomass productivity, CO2 consumption rate and maximal C-PC productivity increased significantly to 0.74, 1.53 and 0.11 g/L/d, respectively. After determining the suitable light intensity, the nitrogen concentration was also adjusted to further enhance the performance of CO2 fixation and C-PC production. The results show that with an optimal nitrogen concentration of 0.045 M, the CO2 consumption rate and maximal C-PC productivity were further increased to 1.58 and 0.13 g/L/d, respectively.


Asunto(s)
Bioingeniería/métodos , Ciclo del Carbono/fisiología , Dióxido de Carbono/metabolismo , Luz , Fotobiorreactores , Ficocianina/biosíntesis , Spirulina/fisiología , Biomasa , Biotecnología/métodos , Cinética , Nitrógeno/análisis , Espectrofotometría , Spirulina/metabolismo
18.
Gait Posture ; 37(1): 113-20, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22832470

RESUMEN

Effective locomotion training with robotic exoskeletons requires identification of optimal control algorithms to better facilitate motor learning. Two commonly employed training protocols emphasize use of training stimuli that either augment or reduce performance errors. The current study sought to identify which of these training strategies promote better short-term modification of a typical gait pattern in healthy individuals as a framework for future application to neurologically impaired individuals. Ten subjects were assigned to each of a performance-based error-augmentation or error-reduction training group. All subjects completed a 45-min session of treadmill walking at their preferred speed with a robotic exoskeleton. Target templates prescribed an ankle path for training that corresponded to an increased step height. When subjects' instantaneous ankle positions fell below the inferior virtual wall of the target ankle path, robotic forces were applied that either decreased (error-reduction) or increased (error-augmentation) the deviation from the target path. When the force field was turned on, both groups walked with ankle paths better approximating the target template compared to baseline. When the force field was removed unexpectedly during catch and post-training trials, only the error-augmentation group maintained an ankle path close to the target ankle path. Further investigation is required to determine if a similar training advantage is provided for neurologically impaired individuals.


Asunto(s)
Retroalimentación Sensorial , Trastornos Neurológicos de la Marcha/rehabilitación , Marcha , Aparatos Ortopédicos , Robótica , Adulto , Fenómenos Biomecánicos , Señales (Psicología) , Femenino , Humanos , Locomoción , Masculino , Factores de Tiempo
19.
Bioresour Technol ; 105: 74-80, 2012 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22178497

RESUMEN

An efficient CO(2)-fixing indigenous microalga Scenedesmus obliquus CNW-N was used as the biosorbent to remove cadmium from aqueous solution. The microalga was grown with continuous feeding of 2.5% CO(2), achieving a maximum CO(2) consumption rate of 495 mg/l/d and a biomass production of 2.56 g/l. Cadmium (Cd) biosorption by S. obliquus CNW-N was optimal at pH 6.0 and 30 °C. For an initial cadmium concentration of 50mg/l, the biosorption capacity tended to decrease with an increase in biosorbent, while the cadmium removal efficiency was nearly 100% when the biosorbent loading was higher than 0.6g. The biosorption kinetics followed the pseudo-second order adsorption model. The adsorption equilibrium obeys Langmuir isotherm with an estimated maximum capacity of 68.6 mg/g and a saturation coefficient of 0.101 l/mg. The cadmium-loaded microalgal biomass could be regenerated preferably with 0.05 M CaCl(2), as the regenerated biosorbent retained good adsorption capability after five consecutive adsorption/desorption cycles.


Asunto(s)
Cadmio/química , Dióxido de Carbono/química , Microalgas/metabolismo , Scenedesmus/metabolismo , Adsorción , Biomasa , Reactores Biológicos , Biotecnología/métodos , Concentración de Iones de Hidrógeno , Cinética , Luz , Fotoquímica/métodos , Temperatura , Contaminantes Químicos del Agua/análisis , Purificación del Agua/métodos
20.
J Neuroeng Rehabil ; 7: 33, 2010 Jul 26.
Artículo en Inglés | MEDLINE | ID: mdl-20659331

RESUMEN

BACKGROUND: To improve design of robotic lower limb exoskeletons for gait rehabilitation, it is critical to identify neural mechanisms that govern locomotor adaptation to robotic assistance. Previously, we demonstrated soleus muscle recruitment decreased by approximately 35% when walking with a pneumatically-powered ankle exoskeleton providing plantar flexor torque under soleus proportional myoelectric control. Since a substantial portion of soleus activation during walking results from the stretch reflex, increased reflex inhibition is one potential mechanism for reducing soleus recruitment when walking with exoskeleton assistance. This is clinically relevant because many neurologically impaired populations have hyperactive stretch reflexes and training to reduce the reflexes could lead to substantial improvements in their motor ability. The purpose of this study was to quantify soleus Hoffmann (H-) reflex responses during powered versus unpowered walking. METHODS: We tested soleus H-reflex responses in neurologically intact subjects (n=8) that had trained walking with the soleus controlled robotic ankle exoskeleton. Soleus H-reflex was tested at the mid and late stance while subjects walked with the exoskeleton on the treadmill at 1.25 m/s, first without power (first unpowered), then with power (powered), and finally without power again (second unpowered). We also collected joint kinematics and electromyography. RESULTS: When the robotic plantar flexor torque was provided, subjects walked with lower soleus electromyographic (EMG) activation (27-48%) and had concomitant reductions in H-reflex amplitude (12-24%) compared to the first unpowered condition. The H-reflex amplitude in proportion to the background soleus EMG during powered walking was not significantly different from the two unpowered conditions. CONCLUSION: These findings suggest that the nervous system does not inhibit the soleus H-reflex in response to short-term adaption to exoskeleton assistance. Future studies should determine if the findings also apply to long-term adaption to the exoskeleton.


Asunto(s)
Adaptación Psicológica/fisiología , Tobillo/fisiología , Actividad Motora/fisiología , Músculo Esquelético/fisiología , Reflejo Anormal/fisiología , Robótica/instrumentación , Articulación del Tobillo/fisiología , Fenómenos Biomecánicos , Estimulación Eléctrica , Electromiografía , Femenino , Humanos , Masculino , Práctica Psicológica , Caminata/fisiología , Adulto Joven
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