The Influence of the Windlass Mechanism on Kinematic and Kinetic Foot Joint Coupling

Background: Previous research shows kinematic and kinetic coupling between the metatarsophalangeal (MTP) and midtarsal joints during gait. Studying the effects of MTP position as well as foot structure on this coupling may help determine to what extent foot coupling during dynamic and active movement is due to the windlass mechanism. This study’s purpose was to investigate the kinematic and kinetic foot coupling during controlled passive, active, and dynamic movements. Methods: After arch height and flexibility were measured, participants performed four conditions: Seated Passive MTP Extension, Seated Active MTP Extension, Standing Passive MTP Extension, and Standing Active MTP Extension. Next, participants performed three heel raise conditions that manipulated the starting position of the MTP joint: Neutral, Toe Extension, and Toe Flexion. A multisegment foot model was created in Visual 3D and used to calculate ankle, midtarsal, and MTP joint kinematics and kinetics. Results: Kinematic coupling (ratio of midtarsal to MTP angular displacement) was approximately six times greater in Neutral heel raises compared to Seated Passive MTP Extension, suggesting that the windlass only plays a small kinematic role in dynamic tasks. As the starting position of the MTP joint became increasingly extended during heel raises, the amount of negative work at the MTP joint and positive work at the midtarsal joint increased proportionally, while distal-to-hindfoot work remained unchanged. Correlations suggest that there is not a strong relationship between static arch height/flexibility and kinematic foot coupling. Conclusions: Our results show that there is kinematic and kinetic coupling within the distal foot, but this coupling is attributed only in small measure to the windlass mechanism. Additional sources of coupling include foot muscles and elastic energy storage and return within ligaments and tendons. Furthermore, our results suggest that the plantar aponeurosis does not function as a rigid cable but likely has extensibility that affects the effectiveness of the windlass mechanism. Arch structure did not affect foot coupling, suggesting that static arch height or arch flexibility alone may not be adequate predictors of dynamic foot function.

Modelling and Dynamic Analysis of an Unbalanced and Cracked Cardan Shaft for Vehicle Propeller Shaft Systems

The vibrational behaviour of misaligned rotating machinery is described and analysed in this paper. The model, constructed based on the equations of vehicle dynamics, considered the dynamic excitation of a single Hooke’s joint. The system adopted the breathing functions from a recent publication to approximate the actual breathing mechanism of a cracked driveshaft. The study aimed to understand the transmission of a nonlinear signal from the unbalanced and cracked driveshaft to an unbalanced driven shaft via a Hooke’s joint. The governing equation of the system was established based on the energy principle and the Lagrangian approach. The instantaneous frequency (IF) identification of the cracked driveshaft was extracted based on the synchrosqueezing wavelet technique. To correlate the results, the nonlinear synchrosqueezing wavelet transforms combined with the classical waves techniques were experimentally used in various scenarios for dynamic analysis of the Cardan shaft system. The variations in the dynamic response in the form of a rising trend of higher harmonics of rotational frequency and increased level of sub-harmonic peaks in both shafts were presented as significant crack indicators. The synchrosqueezing response showed breathing crack excitation played a crucial role in the mixed faults response and caused divergence of the vibration amplitudes in the rotor’s deflections. The simulation and test results demonstrated that the driveshaft damage features impacted the transfer motion to the driven shaft and the Hooke’s joint coupling was the principal source of instability in the system. The proposed model offers new perspectives on vibration monitoring and enhancement analysis to cover complex Cardan shaft systems.

Preliminary Evidence That Taping Does Not Optimize Joint Coupling of the Foot and Ankle Joints in Patients with Chronic Ankle Instability

Background: Foot–ankle motion is affected by chronic ankle instability (CAI) in terms of altered kinematics. This study focuses on multisegmental foot–ankle motion and joint coupling in barefoot and taped CAI patients during the three subphases of stance at running. Methods: Foot segmental motion data of 12 controls and 15 CAI participants during running with a heel strike pattern were collected through gait analysis. CAI participants performed running trials in three conditions: barefoot running, and running with high-dye and low-dye taping. Dependent variables were the range of motion (RoM) occurring at the different inter-segment angles as well as the cross-correlation coefficients between predetermined segments. Results: There were no significant RoM differences for barefoot running between CAI patients and controls. In taped conditions, the first two subphases only showed RoM changes at the midfoot without apparent RoM reduction compared to the barefoot CAI condition. In the last subphase there was limited RoM reduction at the mid- and rearfoot. Cross-correlation coefficients highlighted a tendency towards weaker joint coupling in the barefoot CAI condition compared to the controls. Joint coupling within the taped CAI conditions did not show optimization compared to the barefoot CAI condition. Conclusions: RoM was not significantly changed for barefoot running between CAI patients and controls. In taped conditions, there was no distinct tendency towards lower mean RoM values due to the mechanical restraints of taping. Joint coupling in CAI patients was not optimized by taping.

Inter-joint coupling of position sense reflects sensory contributions of biarticular muscles

Perception of limb position and motion combines sensory information from spindles in muscles that span one joint (monoarticulars) and two joints (biarticulars). This anatomical organization should create interactions in estimating limb position. We developed two models, one with only monoarticulars (MO Model) and one with monoarticulars and biarticulars (MB Model), to explore how biarticulars influence estimates of arm position in hand (x,y) and joint (shoulder,elbow) coordinates. In hand coordinates, both models predicted larger medial-lateral than proximal-distal errors, though the MB Model predicted that biarticulars would reduce this bias. In contrast, the two models made significantly different predictions in joint coordinates. The MO Model predicted that errors would be uniformly distributed because estimates of angles at each joint would be independent. In contrast, the MB Model predicted that errors would be coupled between the two joints, resulting in smaller errors for combinations of flexion or extension at both joints and larger errors for combinations of flexion at one joint and extension at the other joint. We also carried out two experiments to examine errors made by human subjects during an arm position matching task in which an robot passively moved one arm to different positions and the subjects moved their other arm to mirror-match each position. Errors in hand coordinates were similar to those predicted by both models. Critically, however, errors in joint coordinates were only similar to those predicted by the MB Model. These results highlight how biarticulars influence perceptual estimates of limb position by helping to minimize medial-lateral errors.

Technology-aided assessment of functionally relevant sensorimotor impairments in arm and hand of post-stroke individuals

Background Assessing arm and hand sensorimotor impairments that are functionally relevant is essential to optimize the impact of neurorehabilitation interventions. Technology-aided assessments should provide a sensitive and objective characterization of upper limb impairments, but often provide arm weight support and neglect the importance of the hand, thereby questioning their functional relevance. The Virtual Peg Insertion Test (VPIT) addresses these limitations by quantifying arm and hand movements as well as grip forces during a goal-directed manipulation task requiring active lifting of the upper limb against gravity. The aim of this work was to evaluate the ability of the VPIT metrics to characterize arm and hand sensorimotor impairments that are relevant for performing functional tasks. Methods Arm and hand sensorimotor impairments were systematically characterized in 30 chronic stroke patients using conventional clinical scales and the VPIT. For the latter, ten previously established kinematic and kinetic core metrics were extracted. The validity and robustness of these metrics was investigated by analyzing their clinimetric properties (test-retest reliability, measurement error, learning effects, concurrent validity). Results Twenty-three of the participants, the ones with mild to moderate sensorimotor impairments and without strong cognitive deficits, were able to successfully complete the VPIT protocol (duration 16.6 min). The VPIT metrics detected impairments in arm and hand in 90.0% of the participants, and were sensitive to increased muscle tone and pathological joint coupling. Most importantly, significant moderate to high correlations between conventional scales of activity limitations and the VPIT metrics were found, thereby indicating their functional relevance when grasping and transporting objects, and when performing dexterous finger manipulations. Lastly, the robustness of three out of the ten VPIT core metrics in post-stroke individuals was confirmed. Conclusions This work provides evidence that technology-aided assessments requiring goal-directed manipulations without arm weight support can provide an objective, robust, and clinically feasible way to assess functionally relevant sensorimotor impairments in arm and hand in chronic post-stroke individuals with mild to moderate deficits. This allows for a better identification of impairments with high functional relevance and can contribute to optimizing the functional benefits of neurorehabilitation interventions.

Technology-aided assessment of functionally relevant sensorimotor impairments in arm and hand of post-stroke individuals

BackgroundAssessing arm and hand sensorimotor impairments that are functionally relevant is essential to optimize the impact of neurorehabilitation interventions. Technology-aided assessments should provide a sensitive and objective characterization of upper limb impairments, but often provide arm weight support and neglect the importance of the hand, thereby questioning their functional relevance. The Virtual Peg Insertion Test (VPIT) addresses these limitations by quantifying arm movements and grip forces during a goal-directed manipulation task without arm weight support. The aim of this work was to evaluate the potential and robustness of the VPIT metrics to inform on sensorimotor impairments in arm and hand, and especially identify the functional relevance of the detected impairments.MethodsArm and hand sensorimotor impairments were systematically characterized in 30 chronic stroke patients using conventional clinical scales and the VPIT. For the latter, ten previously established kinematic and kinetic core metrics were extracted and compared to conventional clinical scales of impairment and activity limitations. Additionally, the robustness of the VPIT metrics was investigated by analyzing their clinimetric properties (test-retest reliability, measurement error, and learning effects).ResultsTwenty-three of the participants, the ones with mild to moderate sensorimotor impairments and without strong cognitive deficits, were able to successfully complete the VPIT protocol (duration 16.6 min). The VPIT metrics detected impairments in arm and hand in 90.0% of the participants, and were sensitive to increased muscle tone and pathological joint coupling. Most importantly, moderate to high significant correlations between conventional scales of activity limitations and the VPIT metrics were found, thereby indicating their functional relevance when grasping and transporting lightweight objects as well as dexterous finger manipulations. Lastly, the robustness of three out of the ten VPIT core metrics in post-stroke individuals was confirmed.ConclusionsThis work provides evidence that technology-aided assessments requiring goal-directed manipulations without arm weight support can provide an objective, robust, and clinically feasible way to assess functionally relevant sensorimotor impairments in arm and hand in chronic post-stroke individuals with mild to moderate deficits. This allows better identifying impairments with high functional relevance and can contribute to optimizing the functional benefits of neurorehabilitation interventions.Retrospectively registered: clinicaltrials.gov/ct2/show/NCT03135093

Design and verification of a novel motion-decoupled cable-driven manipulator

The joint coupling relationship was studied aiming at the motion coupling among multi cable-driven robot joints. A novel motion-decoupled mechanism is proposed and investigated. Two driving cables of distal joint traverse the modular in a specific routing. As a result, cables will wind and unwind at a certain angular along the groove in the following wheel. This design can effectively compensate the length change of cables during the rotating moving of proximal joint. Afterward, a 2–degree-of-freedom cable-driven manipulator platform using this motion-decoupled modular was set up. The verification experiment has shown a productive performance in realizing motion independence. Then, a new robust controller using time-delay estimation and fuzzy algorithm is proposed for the decoupled cable-driven manipulator. Thanks to time-delay estimation and fuzzy algorithm, the proposed controller is model-free, precise and easy to use under practical applications. Finally, contrast control experiments have been performed, and the result illustrates the superiority of the proposed control strategy.