Gait evaluation of a novel hip constraint orthosis with implication for walking in paraplegia

IEEE Transactions on Neural Systems and Rehabilitation Engineering

Volumn 18, Issue 6, 2010, Pages 610-618

  Audu, Musa L ^a   To, Curtis S ^a   Kobetic, Rudi ^b   Triolo, Ronald J ^a,b,c  

^a Case Western Reserve University   (United States)

^b LOUIS STOKES CLEVELAND VA MEDICAL CENTER   (United States)

^c METROHEALTH MEDICAL CENTER   (United States)

Author keywords

Functional neuromuscular stimulation (FNS); gait; human walking; hybrid neuroprosthesis (HNP); mechanical orthosis

Indexed keywords

FUNCTIONAL NEUROMUSCULAR STIMULATION; GAIT; HUMAN WALKING; NEURO-PROSTHESIS; ORTHOSIS;

ALGORITHMS; HIP PROSTHESES; HYBRID SYSTEMS; JOINTS (ANATOMY); KINEMATICS; NEUROSURGERY;

CONTROLLERS;

ADULT; ALGORITHM; ANKLE; ARTICLE; BIOMECHANICS; ELECTROMYOGRAPHY; EQUIPMENT DESIGN; GAIT; HIP; HISTOLOGY; HUMAN; KNEE; MALE; MIDDLE AGED; ORTHOTICS; PARAPLEGIA; PATHOPHYSIOLOGY; PHYSIOLOGY; SKELETAL MUSCLE; SPINAL CORD INJURY; STATISTICAL ANALYSIS; TENDON; WALKING;

ADULT; ALGORITHMS; ANKLE; BIOMECHANICS; DATA INTERPRETATION, STATISTICAL; ELECTROMYOGRAPHY; EQUIPMENT DESIGN; GAIT; HIP; HUMANS; KNEE; MALE; MIDDLE AGED; MUSCLE, SKELETAL; ORTHOTIC DEVICES; PARAPLEGIA; SPINAL CORD INJURIES; TENDONS; WALKING;

EID: 78650038001     PISSN: 15344320     EISSN: None     Source Type: Journal    
DOI: 10.1109/TNSRE.2010.2047594     Document Type: Article

References (26)

1. E. B. Marsolais, R. Kobetic, G. Polando, K. Ferguson, S. Tashman, R. Gaudio, S. Nandurkar, and H. R. Lehneis, "The case western reserve university hybrid gait orthosis", J. Spinal Cord Med., vol. 23, no. 2, pp. 100-108, 2000.
2. R. Douglas, P. F. Larson, R. D'Ambrosia, and R. E. McCall, "The LSU reciprocating-gait orthosis", Orthopedics, vol. 6, pp. 834-838, 1983.
3. W. Motloch, "Principles of orthotic management for child and adult paraplegia and clinical experience with isocentric RGO", presented at the Proc. 7th World Congress ISPO, Chicago, IL, Jun./Jul. 1992.
4. G. Baardman, M. J. Ijzerman, H. J. Hermens, P. H. Veltink, H. B. K. Boom, and G. Zilvold, "The influence of the reciprocal hip joint link in the advanced reciprocating gait orthosis on standing performance in paraplegia", Prosthet. Orthot. Int., vol. 21, pp. 210-221, 1997. (Pubitemid 28026992)
5. P. M. Dall, B. Muller, I. Stallard, J. Edwards, and M. H. Granat, "The functional use of the reciprocal hip mechanism during gait for paraplegic patients walking in the Louisiana state university reciprocating gait orthosis", Prosth Orth. Int., vol. 23, pp. 152-162, 1999.
6. L. Yang, M. H. Granat, J. P. Paul, D. N. Condie, and D. I. Rowley, "Further development of hybrid functional electrical stimulation orthoses", Spinal Cord, vol. 34, no. 10, pp. 611-614, 1996.
7. M. Bernardi, I. Canale, V. Castellano, L. Di Filippo, F. Felici, and M. Marchetti, "The efficiency of walking of paraplegic patients using a reciprocating gait orthosis", Paraplegia, vol. 33, no. 7, pp. 409-415, 1995.
8. L. Schwirlich and D. Popovic, "Hibrid orthosis for deficient locomotion", in Adv. External Control Extremities VII, 1984, pp. 23-32.
9. B. J. Andrews, R. H. Baxendale, R. Barnett, G. F. Phillips, J. P. Paul, and P. A. Freeman, "A hybrid orthosis for paraplegics incorporating feedback control", in Proc. 9th Symp. ECHE, 1997, pp. 297-311.
10. J. S. Petrofsky, C. A. Phillips, R. Douglas, and P. Larson, "A computer-controlled walking system: The combination of an orthosis with functional electrical stimulation", J. Clin. Eng., vol. 11, pp. 121-133, 1986.
11. B. J. Andrews, R. H. Baxendale, R. Barnett, G. F. Phillips, T. Yamazaki, J. P. Paul, and P. A. Freeman, "Hybrid FES orthosis incorporating closed loop control and sensory feedback", Biomed. Eng., vol. 10, pp. 189-195, 1988.
12. D. Popovic and L. Schwirtlich, Yugoslav Committee for ETAN, "Hybrid powered orthoses", Advances in External Control of Human Extremities IX D. Popovic, Ed., Yugoslavia, pp. 95-104, 1987.
13. R. T. Jaeger, G. M. Yarkony, and E. G. Roth, "Standing by a combined orthotic/electrical stimulation system in thoracic paraplegic", in Proc. ICCAART, Montreal, Canada, 1988, pp. 336-337.
14. P. F. Larson, R. D. Douglas, J. S. Petrofsky, and C. A. Phillips, "Walking assistance system", U. S. Patent 4 697 808, 1987.
15. S. Hirokawa, M. Grimm, L. E. Thanh, M. Solomonow, R. V. Baratta, H. Shoji, and R. D. D'Ambrosia, "Energy consumption in paraplegia ambulation using the reciprocating gait orthosis and electrical stimulation of the thigh muscles", Arch. Phys. Med. Rehabil., vol. 71, pp. 687-694, 1990.
16. M. Solomonow et al., "The RGO Generation II: Muscle stimulation powered orthosis as a practical walking system for thoracic paraplegics", Orthopedics, vol. 12, pp. 1309-1315, 1989.
17. C. S. To, R. Kobetic, J. R. Schnellenberger, M. L. Audu, and R. J. Triolo, "Design of a variable constraint hip mechanism for a hybrid neuroprosthesis to restore gait after spinal cord injury", IEEE/ASME Trans. Mechatron., vol. 13, no. 2, pp. 197-205, 2008.
18. R. Kobetic, C. S. To, J. R. Schnellenberger, M. L. Audu, T. C. Bulea, R. Gaudio, G. Pinault, S. Tashman, and R. J. Triolo, "Development of a hybrid orthosis for standing, walking, and stair climbing after spinal cord injury", J. Rehabil. Res. Develop., vol. 46, no. 3, pp. 447-462, 2009.
19. L. Yang, D. N. Condie, M. H. Granat, J. P. Paul, and D. I. Rowley, "Effects of joint motion constraints on the gait of normal subjects and their implications on the further development of hybrid Fes orthosis for paraplegic persons", J. Biomechan., vol. 29, no. 2, pp. 217-226, 1996.
20. D. A. Winter, The biomechanics and motor control of human gait: Normal, elderly and pathological. Waterloo, ON, Canada, Univ. Waterloo Press, 1991.
21. M. P. Kadaba, H. K. Ramakrishnan, and M. E. Wooten, "Measurement of lower extremity kinematics during level walking", J. Orthopedic Res., vol. 8, no. 3, pp. 383-392, 1990.
22. B. Bresler and J. P. Frankel, "The forces and moments in the leg during level walking", Trans. Am. Soc. Mech. Eng., vol. 72, pp. 27-36, 1950.
23. E. A. Clancy and N. Hogan, "Single site electromyograph amplitude estimation", IEEE Trans. Biomed. Eng., vol. 41, no. 2, pp. 159-167, Feb. 1994.
24. J. M. Bland and D. G. Altman, "A noteonthe useof the intraclass correlation coefficient in the evaluation of agreement between two methods of measurement", Comput. Biol. Med., vol. 20, pp. 337-340, 1990.
25. K. O. McGraw and S. P. Wong, "Forming inferences about some intraclass correlation coefficients", Psychol. Methods, vol. 1, no. 1, pp. 30-46, 1996.
26. P. E. Shrout and J. L. Fleiss, "Intraclass correlations: Uses in assessing reliability", Psychol. Bull., vol. 86, pp. 420-428, 1979.