TY - GEN
T1 - Segmental contributions to sagittal-plane whole-body angular momentum when using powered compared to passive ankle-foot prostheses on ramps
AU - Pickle, Nathaniel T.
AU - Silverman, Anne K.
AU - Wilken, Jason M.
AU - Fey, Nicholas P.
N1 - Publisher Copyright:
© 2017 IEEE.
PY - 2017/8/11
Y1 - 2017/8/11
N2 - Understanding the effects of an assistive device on dynamic balance is crucial, particularly for robotic leg prostheses. Analyses of dynamic balance commonly evaluate the range of whole-body angular momentum (H). However, the contributions of individual body segments to overall H throughout gait may yield futher insights, specifically for people with transtibial amputation using powered prostheses. We evaluated segment contributions to H using Statistical Parametric Mapping to assess the effects of prosthesis type (powered vs passive) and ramp angle on segmental coordination. The slope main effect was significant in all segments, the prosthesis main effect was significant in the prosthetic leg (device and residuum) and trunk, and the slope by prosthesis interaction effect was significant in the prosthetic leg and trunk. The magnitude of contributions to sagittal-plane H from the prosthetic leg was larger when using the powered prosthesis. The trunk contributed more positive (backward) H after prosthetic leg toe-off when using the powered prosthesis on inclines, similar to the soleus muscle. However, trunk contributions to H on declines were similar when using a powered and passive prosthesis, suggesting that the powered prosthesis may not replicate soleus function when walking downhill. Our novel assessment method evaluated robotic leg prostheses not only based on local joint mechanics, but also considering whole-body biomechanics.
AB - Understanding the effects of an assistive device on dynamic balance is crucial, particularly for robotic leg prostheses. Analyses of dynamic balance commonly evaluate the range of whole-body angular momentum (H). However, the contributions of individual body segments to overall H throughout gait may yield futher insights, specifically for people with transtibial amputation using powered prostheses. We evaluated segment contributions to H using Statistical Parametric Mapping to assess the effects of prosthesis type (powered vs passive) and ramp angle on segmental coordination. The slope main effect was significant in all segments, the prosthesis main effect was significant in the prosthetic leg (device and residuum) and trunk, and the slope by prosthesis interaction effect was significant in the prosthetic leg and trunk. The magnitude of contributions to sagittal-plane H from the prosthetic leg was larger when using the powered prosthesis. The trunk contributed more positive (backward) H after prosthetic leg toe-off when using the powered prosthesis on inclines, similar to the soleus muscle. However, trunk contributions to H on declines were similar when using a powered and passive prosthesis, suggesting that the powered prosthesis may not replicate soleus function when walking downhill. Our novel assessment method evaluated robotic leg prostheses not only based on local joint mechanics, but also considering whole-body biomechanics.
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U2 - 10.1109/ICORR.2017.8009478
DO - 10.1109/ICORR.2017.8009478
M3 - Conference contribution
C2 - 28814050
AN - SCOPUS:85034859096
T3 - IEEE International Conference on Rehabilitation Robotics
SP - 1609
EP - 1614
BT - 2017 International Conference on Rehabilitation Robotics, ICORR 2017
A2 - Ajoudani, Arash
A2 - Artemiadis, Panagiotis
A2 - Beckerle, Philipp
A2 - Grioli, Giorgio
A2 - Lambercy, Olivier
A2 - Mombaur, Katja
A2 - Novak, Domen
A2 - Rauter, Georg
A2 - Rodriguez Guerrero, Carlos
A2 - Salvietti, Gionata
A2 - Amirabdollahian, Farshid
A2 - Balasubramanian, Sivakumar
A2 - Castellini, Claudio
A2 - Di Pino, Giovanni
A2 - Guo, Zhao
A2 - Hughes, Charmayne
A2 - Iida, Fumiya
A2 - Lenzi, Tommaso
A2 - Ruffaldi, Emanuele
A2 - Sergi, Fabrizio
A2 - Soh, Gim Song
A2 - Caimmi, Marco
A2 - Cappello, Leonardo
A2 - Carloni, Raffaella
A2 - Carlson, Tom
A2 - Casadio, Maura
A2 - Coscia, Martina
A2 - De Santis, Dalia
A2 - Forner-Cordero, Arturo
A2 - Howard, Matthew
A2 - Piovesan, Davide
A2 - Siqueira, Adriano
A2 - Sup, Frank
A2 - Lorenzo, Masia
A2 - Catalano, Manuel Giuseppe
A2 - Lee, Hyunglae
A2 - Menon, Carlo
A2 - Raspopovic, Stanisa
A2 - Rastgaar, Mo
A2 - Ronsse, Renaud
A2 - van Asseldonk, Edwin
A2 - Vanderborght, Bram
A2 - Venkadesan, Madhusudhan
A2 - Bianchi, Matteo
A2 - Braun, David
A2 - Godfrey, Sasha Blue
A2 - Mastrogiovanni, Fulvio
A2 - McDaid, Andrew
A2 - Rossi, Stefano
A2 - Zenzeri, Jacopo
A2 - Formica, Domenico
A2 - Karavas, Nikolaos
A2 - Marchal-Crespo, Laura
A2 - Reed, Kyle B.
A2 - Tagliamonte, Nevio Luigi
A2 - Burdet, Etienne
A2 - Basteris, Angelo
A2 - Campolo, Domenico
A2 - Deshpande, Ashish
A2 - Dubey, Venketesh
A2 - Hussain, Asif
A2 - Sanguineti, Vittorio
A2 - Unal, Ramazan
A2 - Caurin, Glauco Augusto de Paula
A2 - Koike, Yasuharu
A2 - Mazzoleni, Stefano
A2 - Park, Hyung-Soon
A2 - Remy, C. David
A2 - Saint-Bauzel, Ludovic
A2 - Tsagarakis, Nikos
A2 - Veneman, Jan
A2 - Zhang, Wenlong
PB - IEEE Computer Society
T2 - 2017 International Conference on Rehabilitation Robotics, ICORR 2017
Y2 - 17 July 2017 through 20 July 2017
ER -