Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.

Lower limb exoskeletons and lower limb prostheses have the potential to reduce gait limitations during stair ambulation. To develop robotic assistance devices, the biomechanics of stair ambulation and the required transitions to level walking have to be understood. This study aimed to identify the t...

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Main Authors: Martin Grimmer, Julian Zeiss, Florian Weigand, Guoping Zhao, Sascha Lamm, Martin Steil, Adrian Heller
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0239148
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author Martin Grimmer
Julian Zeiss
Florian Weigand
Guoping Zhao
Sascha Lamm
Martin Steil
Adrian Heller
author_facet Martin Grimmer
Julian Zeiss
Florian Weigand
Guoping Zhao
Sascha Lamm
Martin Steil
Adrian Heller
author_sort Martin Grimmer
collection DOAJ
description Lower limb exoskeletons and lower limb prostheses have the potential to reduce gait limitations during stair ambulation. To develop robotic assistance devices, the biomechanics of stair ambulation and the required transitions to level walking have to be understood. This study aimed to identify the timing of these transitions, to determine if transition phases exist and how long they last, and to investigate if there exists a joint-related order and timing for the start and end of the transitions. Therefore, this study analyzed the kinematics and kinetics of both transitions between level walking and stair ascent, and between level walking and stair descent (12 subjects, 25.4 yrs, 74.6 kg). We found that transitions primarily start within the stance phase and end within the swing phase. Transition phases exist for each limb, all joints (hip, knee, ankle), and types of transitions. They have a mean duration of half of one stride and they do not last longer than one stride. The duration of the transition phase for all joints of a single limb in aggregate is less than 35% of one stride in all but one case. The distal joints initialize stair ascent, while the proximal joints primarily initialize the stair descent transitions. In general, the distal joints complete the transitions first. We believe that energy- and balance-related processes are responsible for the joint-specific transition timing. Regarding the existence of a transition phase for all joints and transitions, we believe that lower limb exoskeleton or prosthetic control concepts should account for these transitions in order to improve the smoothness of the transition and to thus increase the user comfort, safety, and user experience. Our gait data and the identified transition timings can provide a reference for the design and the performance of stair ambulation- related control concepts.
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spelling doaj.art-b8930ec2becb419e9922c951ddbc4c8c2022-12-21T22:38:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01159e023914810.1371/journal.pone.0239148Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.Martin GrimmerJulian ZeissFlorian WeigandGuoping ZhaoSascha LammMartin SteilAdrian HellerLower limb exoskeletons and lower limb prostheses have the potential to reduce gait limitations during stair ambulation. To develop robotic assistance devices, the biomechanics of stair ambulation and the required transitions to level walking have to be understood. This study aimed to identify the timing of these transitions, to determine if transition phases exist and how long they last, and to investigate if there exists a joint-related order and timing for the start and end of the transitions. Therefore, this study analyzed the kinematics and kinetics of both transitions between level walking and stair ascent, and between level walking and stair descent (12 subjects, 25.4 yrs, 74.6 kg). We found that transitions primarily start within the stance phase and end within the swing phase. Transition phases exist for each limb, all joints (hip, knee, ankle), and types of transitions. They have a mean duration of half of one stride and they do not last longer than one stride. The duration of the transition phase for all joints of a single limb in aggregate is less than 35% of one stride in all but one case. The distal joints initialize stair ascent, while the proximal joints primarily initialize the stair descent transitions. In general, the distal joints complete the transitions first. We believe that energy- and balance-related processes are responsible for the joint-specific transition timing. Regarding the existence of a transition phase for all joints and transitions, we believe that lower limb exoskeleton or prosthetic control concepts should account for these transitions in order to improve the smoothness of the transition and to thus increase the user comfort, safety, and user experience. Our gait data and the identified transition timings can provide a reference for the design and the performance of stair ambulation- related control concepts.https://doi.org/10.1371/journal.pone.0239148
spellingShingle Martin Grimmer
Julian Zeiss
Florian Weigand
Guoping Zhao
Sascha Lamm
Martin Steil
Adrian Heller
Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.
PLoS ONE
title Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.
title_full Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.
title_fullStr Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.
title_full_unstemmed Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.
title_short Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.
title_sort lower limb joint biomechanics based identification of gait transitions in between level walking and stair ambulation
url https://doi.org/10.1371/journal.pone.0239148
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