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Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton
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Investigating User Volitional Influence on Step Length in Powered Exoskeleton Designed for Users with SCI.

Xiruo Cheng, Justin Fong, Ying Tan

    IEEE ... International Conference on Rehabilitation Robotics : [Proceedings]
    |September 30, 2022
    PubMed
    Summary
    This summary is machine-generated.

    Users can intentionally control step length with assistive lower limb exoskeletons, enhancing adaptability for diverse terrains. This research explored volitional step length adjustments in individuals with and without spinal cord injury (SCI).

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    Area of Science:

    • Robotics
    • Biomechanics
    • Neurorehabilitation

    Background:

    • Assistive lower limb exoskeletons can improve mobility for individuals with spinal cord injury (SCI).
    • Exploiting user volitional control may enhance human-exoskeleton system adaptability to varied terrains.

    Purpose of the Study:

    • To investigate the extent to which users can volitionally influence step length while using an assistive exoskeleton.
    • To assess the accessible range of step lengths during exoskeleton use in able-bodied individuals and a participant with SCI.

    Main Methods:

    • An experiment involving five able-bodied participants and one participant with SCI using a user-balanced exoskeleton.
    • Participants were instructed to take "large" and "small" steps, with step length measured.
    • Surface electromyography (sEMG) data collected from leg muscles of able-bodied subjects.

    Main Results:

    • All participants demonstrated a significant ability to volitionally alter step length (p < 0.05).
    • Substantial inter-individual variability was observed in absolute step lengths and the difference between large and small steps.
    • Normalized step length range was 0.237–0.375 for able-bodied subjects and 0.245 for the SCI participant.

    Conclusions:

    • Users can intentionally manipulate step length when using assistive lower limb exoskeletons.
    • Individual variability in step length control suggests personalized control strategies may be beneficial.
    • Further research is needed to explore the correlation between muscle activity and step length control.