The purpose of this study was to quantify adaptation to a new prosthesis in terms of mechanical work profiles. Currently, there is a lack of knowledge on how individuals adapt to a new prosthesis, with many studies investigating different prosthetic feet but not adaptation over time. Thus, there is a need for objective measures to quantify the process of adaptation. Mechanical power and work profiles are a prime subject for modern energy-storage-and-return type prostheses, as the amount of energy a prosthesis stores and returns (i.e., positive and negative work) during stance is directly related to how a user loads and unloads the limb. 22 individuals with unilateral, transtibial amputation were given a new prosthesis at their current mobility level (K3 or above) and wore it for a three-week adaptation period. Kinematic and kinetic measures were recorded from walking on overground force plates at 0, 1.5, and 3 weeks into the adaptation period. Positive and negative work done by the prosthesis and intact ankle-foot was calculated using a unified deformable segment model. Positive work from the prosthesis side increased by 6.1% and intact side by 5.7% after 3 weeks (p = .041, .036). No significant changes were seen in negative power from prosthesis or intact side (p = .115, .192). Analyzing work done by a prosthesis may be desirable for tracking a patient’s gait rehabilitation over time. Future work may analyze how mechanical work profiles relate to more traditional clinical measures.
Sensorimotor changes such as postural and gait instabilities can affect the functional performance of astronauts after gravitational transitions. When astronauts are trained before flight with supra-threshold noisy, stochastic vestibular stimulation (SVS), the central nervous system can be trained to reweight sensory information by using veridical information from other sensory inputs (such as vision and proprioception) for postural and gait control. This reweighting, in turn, can enhance functional performance in novel gravitational environments. However, the optimal maximum amplitude of stimulation has not yet been identified that can simulate the effect of deterioration in vestibular inputs for preflight training or for evaluating vestibular contribution in functional tests in general. Most studies have used arbitrary but fixed maximum current amplitudes from 3 to 5 mA in the mediolateral (ML) direction to disrupt balance function in both ML and anterior-posterior directions in healthy adults. The goal of this study was to determine the minimum SVS level that yields an equivalently degraded balance performance. Fourteen subjects stood on a compliant surface with their eyes closed and were instructed to maintain a stable upright stance. Measures of stability of the head, trunk, and whole body were quantified in the ML direction. Objective perceptual motion thresholds were estimated ahead of time by having subjects sit on a chair with their eyes closed and giving 1-Hz bipolar binaural sinusoidal electrical stimulation at various current amplitudes. Results from the balance task suggest that using stimulation amplitudes of 280% of motion-perceptual threshold (~2.2 mA on average) significantly degraded balance performance.
Running-related injuries are most often single-sided and are partially attributed to lower limb movement and loading asymmetries. For example, runners with tibial stress fractures demonstrate asymmetry in loading rate. Running is a dynamic athletic event in which runners often engage in both inclined and declined running with the goal of improving conditioning. Symmetry Angle (SA) is a commonly used, robust measure of determining symmetry. The purpose of this study was to compare peak vertical ground reaction force (VGRF) symmetry using the SA during uphill, level and downhill running on an instrumented treadmill.
Eleven healthy adults volunteered to participate in this study and running at 2.7 m/s at grades of 0°, 5.74° incline and 5.74° decline were analyzed. SA was computed using the peak VGRF values from both the limbs.
RESULTS AND DISCUSSION
No statistically significant differences in SA were observed between the three running conditions. (p=0.61) The unexpected uniformity in vertical GRF across uphill, level, and downhill running is consistent with the absence of changes in the peak magnitudes of the GRF observed previously. This suggests that neither moderate uphill or downhill running result in increases in peak GRF that may be considered injurious.
This was the first study that looked at kinetic symmetry using peak GRF in healthy recreational runners during the three running conditions. This study suggested that uphill and downhill running does not contribute to potential differences in interlimb symmetry and could be considered as a safe alternative to level running on a treadmill.
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2016 2nd Quarter recipients of the travel awards are: Samuel Ray, Rahul Goel, Bhushan Thakkar, Jesse Frank, Jonathan Foster, Courtney Butowicz, Rebecca Krupenevich, Jesse Stein, Carleigh High, Chantelle Lachance, Angela Sondalle