Modulating hip stiffness with a robotic exoskeleton immediately changes gait

© 2020 IEEE. Restoring healthy kinematics is a critical component of assisting and rehabilitating impaired locomotion. Here we tested whether spatiotemporal gait patterns can be modulated by applying mechanical impedance to hip joints. Using the Samsung GEMS-H exoskeleton, we emulated a virtual spri...

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Main Authors: Lee, Jongwoo, Warren, Haley R, Agarwal, Vibha, Huber, Meghan E, Hogan, Neville
Other Authors: Massachusetts Institute of Technology. Department of Mechanical Engineering
Format: Article
Language:English
Published: Institute of Electrical and Electronics Engineers (IEEE) 2022
Online Access:https://hdl.handle.net/1721.1/141413
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author Lee, Jongwoo
Warren, Haley R
Agarwal, Vibha
Huber, Meghan E
Hogan, Neville
author2 Massachusetts Institute of Technology. Department of Mechanical Engineering
author_facet Massachusetts Institute of Technology. Department of Mechanical Engineering
Lee, Jongwoo
Warren, Haley R
Agarwal, Vibha
Huber, Meghan E
Hogan, Neville
author_sort Lee, Jongwoo
collection MIT
description © 2020 IEEE. Restoring healthy kinematics is a critical component of assisting and rehabilitating impaired locomotion. Here we tested whether spatiotemporal gait patterns can be modulated by applying mechanical impedance to hip joints. Using the Samsung GEMS-H exoskeleton, we emulated a virtual spring (positive and negative) between the user's legs. We found that applying positive stiffness with the exoskeleton decreased stride time and hip range of motion for healthy subjects during treadmill walking. Conversely, the application of negative stiffness increased stride time and hip range of motion. These effects did not vary over long nor short repeated exposures to applied stiffness. In addition, minimal transient behavior was observed in spatiotemporal measures of gait when the stiffness controller transitioned between on and off states. These results suggest that changes in gait behavior induced by applying hip stiffness were purely a mechanical effect. Together, our findings indicate that applying mechanical impedance using lower-limb assistive devices may be an effective, minimally-encumbering intervention to restore healthy gait patterns.
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spelling mit-1721.1/1414132023-02-10T21:19:27Z Modulating hip stiffness with a robotic exoskeleton immediately changes gait Lee, Jongwoo Warren, Haley R Agarwal, Vibha Huber, Meghan E Hogan, Neville Massachusetts Institute of Technology. Department of Mechanical Engineering Massachusetts Institute of Technology. Department of Electrical Engineering and Computer Science Massachusetts Institute of Technology. Department of Brain and Cognitive Sciences © 2020 IEEE. Restoring healthy kinematics is a critical component of assisting and rehabilitating impaired locomotion. Here we tested whether spatiotemporal gait patterns can be modulated by applying mechanical impedance to hip joints. Using the Samsung GEMS-H exoskeleton, we emulated a virtual spring (positive and negative) between the user's legs. We found that applying positive stiffness with the exoskeleton decreased stride time and hip range of motion for healthy subjects during treadmill walking. Conversely, the application of negative stiffness increased stride time and hip range of motion. These effects did not vary over long nor short repeated exposures to applied stiffness. In addition, minimal transient behavior was observed in spatiotemporal measures of gait when the stiffness controller transitioned between on and off states. These results suggest that changes in gait behavior induced by applying hip stiffness were purely a mechanical effect. Together, our findings indicate that applying mechanical impedance using lower-limb assistive devices may be an effective, minimally-encumbering intervention to restore healthy gait patterns. 2022-03-30T17:10:27Z 2022-03-30T17:10:27Z 2020 2022-03-30T16:53:55Z Article http://purl.org/eprint/type/ConferencePaper https://hdl.handle.net/1721.1/141413 Lee, Jongwoo, Warren, Haley R, Agarwal, Vibha, Huber, Meghan E and Hogan, Neville. 2020. "Modulating hip stiffness with a robotic exoskeleton immediately changes gait." Proceedings - IEEE International Conference on Robotics and Automation. en 10.1109/ICRA40945.2020.9197054 Proceedings - IEEE International Conference on Robotics and Automation Creative Commons Attribution-Noncommercial-Share Alike http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf Institute of Electrical and Electronics Engineers (IEEE) Prof. Hogan via Elizabeth Kuhlman
spellingShingle Lee, Jongwoo
Warren, Haley R
Agarwal, Vibha
Huber, Meghan E
Hogan, Neville
Modulating hip stiffness with a robotic exoskeleton immediately changes gait
title Modulating hip stiffness with a robotic exoskeleton immediately changes gait
title_full Modulating hip stiffness with a robotic exoskeleton immediately changes gait
title_fullStr Modulating hip stiffness with a robotic exoskeleton immediately changes gait
title_full_unstemmed Modulating hip stiffness with a robotic exoskeleton immediately changes gait
title_short Modulating hip stiffness with a robotic exoskeleton immediately changes gait
title_sort modulating hip stiffness with a robotic exoskeleton immediately changes gait
url https://hdl.handle.net/1721.1/141413
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