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Estimation of quasi-stiffness and propulsive work of the human ankle in the stance phase of walking.

ABSTRACT: Characterizing the quasi-stiffness and work of lower extremity joints is critical for evaluating human locomotion and designing assistive devices such as prostheses and orthoses intended to emulate the biological behavior of human legs. This work aims to establish statistical models that allow us to predict the ankle quasi-stiffness and net mechanical work for adults walking on level ground. During the stance phase of walking, the ankle joint propels the body through three distinctive phases of nearly constant stiffness known as the quasi-stiffness of each phase. Using a generic equation for the ankle moment obtained through an inverse dynamics analysis, we identify key independent parameters needed to predict ankle quasi-stiffness and propulsive work and also the functional form of each correlation. These parameters include gait speed, ankle excursion, and subject height and weight. Based on the identified form of the correlation and key variables, we applied linear regression on experimental walking data for 216 gait trials across 26 subjects (speeds from 0.75-2.63 m/s) to obtain statistical models of varying complexity. The most general forms of the statistical models include all the key parameters and have an R(2) of 75% to 81% in the prediction of the ankle quasi-stiffnesses and propulsive work. The most specific models include only subject height and weight and could predict the ankle quasi-stiffnesses and work for optimal walking speed with average error of 13% to 30%. We discuss how these models provide a useful framework and foundation for designing subject- and gait-specific prosthetic and exoskeletal devices designed to emulate biological ankle function during level ground walking.

SUBMITTER: Shamaei K

PROVIDER: S-EPMC3605342 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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Estimation of quasi-stiffness and propulsive work of the human ankle in the stance phase of walking.

Shamaei Kamran K Sawicki Gregory S GS Dollar Aaron M AM

PloS one 20130321 3

Characterizing the quasi-stiffness and work of lower extremity joints is critical for evaluating human locomotion and designing assistive devices such as prostheses and orthoses intended to emulate the biological behavior of human legs. This work aims to establish statistical models that allow us to predict the ankle quasi-stiffness and net mechanical work for adults walking on level ground. During the stance phase of walking, the ankle joint propels the body through three distinctive phases of ...[more]

PMID: 23555839

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Project description:BackgroundElastic ankle exoskeletons with intermediate stiffness springs in parallel with the human plantarflexors can reduce the metabolic cost of walking by ~?7% at 1.25?m?s-?1. In a move toward 'real-world' application, we examined whether the unpowered approach has metabolic benefit across a range of walking speeds, and if so, whether the optimal exoskeleton stiffness was speed dependent. We hypothesized that, for any walking speed, there would be an optimal ankle exoskeleton stiffness - not too compliant and not too stiff - that minimizes the user's metabolic cost. In addition, we expected the optimal stiffness to increase with walking speed.MethodsEleven participants walked on a level treadmill at 1.25, 1.50, and 1.75?m?s-?1 while we used a state-of-the-art exoskeleton emulator to apply bilateral ankle exoskeleton assistance at five controlled rotational stiffnesses (kexo?=?0, 50, 100, 150, 250?Nm?rad-?1). We measured metabolic cost, lower-limb joint mechanics, and EMG of muscles crossing the ankle, knee, and hip.ResultsMetabolic cost was significantly reduced at the lowest exoskeleton stiffness (50?Nm?rad-?1) for assisted walking at both 1.25 (4.2%; p?=?0.0162) and 1.75?m?s-?1 (4.7%; p?=?0.0045). At these speeds, the metabolically optimal exoskeleton stiffness provided peak assistive torques of ~?0.20?Nm?kg-?1 that resulted in reduced biological ankle moment of ~?12% and reduced soleus muscle activity of ~?10%. We found no stiffness that could reduce the metabolic cost of walking at 1.5?m?s-?1. Across all speeds, the non-weighted sum of soleus and tibialis anterior activation rate explained the change in metabolic rate due to exoskeleton assistance (p?<?0.05; R2?>?0.56).ConclusionsElastic ankle exoskeletons with low rotational stiffness reduce users' metabolic cost of walking at slow and fast but not intermediate walking speed. The relationship between the non-weighted sum of soleus and tibialis activation rate and metabolic cost (R2?>?0.56) indicates that muscle activation may drive metabolic demand. Future work using simulations and ultrasound imaging will get 'under the skin' and examine the interaction between exoskeleton stiffness and plantarflexor muscle dynamics to better inform stiffness selection in human-machine systems.

Dataset Information

Estimation of quasi-stiffness and propulsive work of the human ankle in the stance phase of walking.

Publications

Estimation of quasi-stiffness and propulsive work of the human ankle in the stance phase of walking.

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