Journal of NeuroEngineering and Rehabilitation, 2016 · DOI: 10.1186/s12984-016-0137-6 · Published: March 9, 2016
This study explores how to improve the stand-to-sit (STS) movement for people with spinal cord injuries (SCI) using electrical stimulation (ES). The researchers tested two orthotic mechanisms: one that links hip and knee movement, and another that dampens knee motion for a smoother descent. Both mechanisms helped coordinate hip and knee joints, reduced reliance on arms, and lessened impact force when sitting, making the movement closer to that of non-disabled individuals.
Orthotic mechanisms can normalize upper limb support forces, peak knee angular velocity, and peak impact force during STS maneuvers.
Decreasing impact force during STS is important for reducing the chance of injury, especially in individuals with SCI who have no sensation.
Coupling and damping mechanisms can be incorporated into hybrid neuroprostheses to enhance the control and safety of STS transitions.