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  4. EMG patterns during assisted walking in the exoskeleton

EMG patterns during assisted walking in the exoskeleton

Frontiers in Human Neuroscience, 2014 · DOI: 10.3389/fnhum.2014.00423 · Published: June 16, 2014

Assistive TechnologyNeurologyRehabilitation

Simple Explanation

This study examines how muscles activate when people walk with a robotic exoskeleton. Researchers measured muscle activity in both healthy individuals and those with spinal cord injuries to understand how the exoskeleton affects their walking patterns. The research found that in healthy subjects, leg muscle activity was not reduced during exoskeleton-assisted walking, contrary to what was expected. This suggests that the exoskeleton doesn't simply take over the work of the muscles. In individuals with spinal cord injuries, upper limb muscle activity increased, while leg muscle activity remained low. This indicates that SCI patients rely more on their upper body for stability and movement when using the exoskeleton.

Study Duration
5-49 months post-injury (SCI patients)
Participants
6 healthy volunteers, 4 spinal cord injury (SCI) participants
Evidence Level
Original Research Article

Key Findings

  • 1
    In neurologically intact subjects, EMG activity of leg muscles was similar or even larger during exoskeleton-assisted walking compared to normal overground walking.
  • 2
    In SCI patients, EMG activity of the upper limb muscles was augmented while activation of leg muscles was typically small.
  • 3
    Significant variations in the EMG waveforms were found across different walking conditions; the most variable pattern was observed in the hamstring muscles.

Research Summary

The study investigated muscle activation patterns during exoskeleton-assisted walking in healthy individuals and SCI patients, revealing a non-linear reorganization of locomotor output. Contrary to expectations, healthy subjects did not exhibit reduced leg muscle activity during assisted walking, highlighting the role of sensory input and the active nature of stepping with the exoskeleton. SCI patients showed increased upper limb muscle activity and minimal leg muscle activity, indicating a shift in muscle usage and reliance on upper body support.

Practical Implications

Rehabilitation Strategies

The findings suggest that robotic exoskeletons can be effectively used to engage lumbosacral locomotor circuitry during rehabilitation.

Exoskeleton Design

The study underscores the importance of considering human-machine interactions and the role of sensory feedback in designing exoskeletons.

Personalized Therapy

The observed variability in muscle activation patterns highlights the need for personalized therapy approaches when using robotic exoskeletons.

Study Limitations

  • 1
    Small sample size, especially for SCI patients.
  • 2
    The brace connections were not tight and had slag.
  • 3
    Limited ecological validity due to the controlled lab environment.

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