Automatic Gait-Pattern Adaptation Algorithms for Rehabilitation With a 4-DOF Robotic Orthosis

2004 ◽  
Vol 20 (3) ◽  
pp. 574-582 ◽  
Author(s):  
S. Jezernik ◽  
G. Colombo ◽  
M. Morari
Author(s):  
Firas Massaad ◽  
Frédéric Dierick ◽  
Adélaïde van den Hecke ◽  
Christine Detrembleur

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 81
Author(s):  
Su Min Son ◽  
Min Cheol Chang

We describe the successful application of hinged ankle−foot orthoses (AFOs) in a cerebral palsied (CP) patient with gait instability due to a disrupted medial lemniscus (ML). The patient was a 27-month-old male CP child with gait instability who presented with reduced knee flexion and ankle dorsiflexion, with severe genu recurvatum on his right lower extremity during gait. The patient had no motor weakness or spasticity. Conventional magnetic resonance imaging (MRI) revealed no definite abnormal lesion. However, diffusion tensor tractography (DTT) showed disruption of the left ML, consistent with right hemiplegic symptoms. The integrity of the major motor-related neural tracts, including the corticospinal and corticoreticulospinal tracts, was preserved. We considered that the patient’s abnormal gait pattern was related to the disrupted ML state. We applied hinged AFOs, which immediately resulted in a significantly stabilized gait. The angles of knee flexion and ankle dorsiflexion increased. Our findings indicate that the application of hinged AFOs could be a useful therapeutic option for CP patients with gait instability related to ML disruption. In addition, we showed that DTT is a useful tool for identifying the causative brain pathology in CP patients, especially when conventional brain MRIs show no specific lesion.


Author(s):  
Jiayi Wang ◽  
Iordanis Chatzinikolaidis ◽  
Carlos Mastalli ◽  
Wouter Wolfslag ◽  
Guiyang Xin ◽  
...  

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shamekh Mohamed El-Shamy ◽  
Ehab Mohamed Abd El Kafy

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).


Author(s):  
Leah S. Hartman ◽  
Stephanie A. Whetsel Borzendowski ◽  
Alan O. Campbell

As the use of surveillance video at commercial properties becomes more prevalent, it is more likely an incident involving a personal injury will be captured on film. This provides a unique opportunity for Human Factors practitioners involved in forensic investigations to analyze the behavior of the individual prior to, during, and after the event in question. It also provides an opportunity to gather unique and objective data. The present work describes a case study of a slip and fall where surveillance video and onsite measurements were combined and analyzed to quantify a plaintiff’s gait pattern. Using this type of analysis, we were able to determine that the plaintiff was likely aware that the floor was slippery and adjusted her gait and behavior prior to the slip and fall incident.


2021 ◽  
Vol 11 (5) ◽  
pp. 2342
Author(s):  
Long Li ◽  
Zhongqu Xie ◽  
Xiang Luo ◽  
Juanjuan Li

Gait pattern generation has an important influence on the walking quality of biped robots. In most gait pattern generation methods, it is usually assumed that the torso keeps vertical during walking. It is very intuitive and simple. However, it may not be the most efficient. In this paper, we propose a gait pattern with torso pitch motion (TPM) during walking. We also present a gait pattern with torso keeping vertical (TKV) to study the effects of TPM on energy efficiency of biped robots. We define the cyclic gait of a five-link biped robot with several gait parameters. The gait parameters are determined by optimization. The optimization criterion is chosen to minimize the energy consumption per unit distance of the biped robot. Under this criterion, the optimal gait performances of TPM and TKV are compared over different step lengths and different gait periods. It is observed that (1) TPM saves more than 12% energy on average compared with TKV, and the main factor of energy-saving in TPM is the reduction of energy consumption of the swing knee in the double support phase and (2) the overall trend of torso motion is leaning forward in double support phase and leaning backward in single support phase, and the amplitude of the torso pitch motion increases as gait period or step length increases.


Sensors ◽  
2021 ◽  
Vol 21 (12) ◽  
pp. 4033
Author(s):  
Peng Ren ◽  
Fatemeh Elyasi ◽  
Roberto Manduchi

Pedestrian tracking systems implemented in regular smartphones may provide a convenient mechanism for wayfinding and backtracking for people who are blind. However, virtually all existing studies only considered sighted participants, whose gait pattern may be different from that of blind walkers using a long cane or a dog guide. In this contribution, we present a comparative assessment of several algorithms using inertial sensors for pedestrian tracking, as applied to data from WeAllWalk, the only published inertial sensor dataset collected indoors from blind walkers. We consider two situations of interest. In the first situation, a map of the building is not available, in which case we assume that users walk in a network of corridors intersecting at 45° or 90°. We propose a new two-stage turn detector that, combined with an LSTM-based step counter, can robustly reconstruct the path traversed. We compare this with RoNIN, a state-of-the-art algorithm based on deep learning. In the second situation, a map is available, which provides a strong prior on the possible trajectories. For these situations, we experiment with particle filtering, with an additional clustering stage based on mean shift. Our results highlight the importance of training and testing inertial odometry systems for assisted navigation with data from blind walkers.


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