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  4. Improving stand-to-sit maneuver for individuals with spinal cord injury

Improving stand-to-sit maneuver for individuals with spinal cord injury

Journal of NeuroEngineering and Rehabilitation, 2016 · DOI: 10.1186/s12984-016-0137-6 · Published: March 9, 2016

Spinal Cord InjuryNeurologyBiomedical

Simple Explanation

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.

Study Duration
Not specified
Participants
Two individuals with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Both the hip-knee coupling and knee damping mechanisms improved coordination between the hip and knee joints during the STS maneuver.
  • 2
    Both mechanisms significantly reduced upper limb support forces by 70% and impact force by half compared to using stimulation alone.
  • 3
    The knee damping mechanism provided a lower and more constant knee angular velocity compared to the hip-knee coupling mechanism.

Research Summary

This study investigated the effectiveness of two orthotic mechanisms, hip-knee coupling and knee damping, in improving the stand-to-sit (STS) maneuver for individuals with spinal cord injury (SCI) using electrical stimulation (ES). The results showed that both mechanisms improved hip-knee coordination, reduced upper limb support forces, and decreased impact force at initial contact with the chair. The knee damping mechanism provided a more constant knee angular velocity, suggesting it could be a beneficial addition to hybrid neuroprostheses for SCI patients performing STS maneuvers.

Practical Implications

Improved STS Biomechanics

Orthotic mechanisms can normalize upper limb support forces, peak knee angular velocity, and peak impact force during STS maneuvers.

Reduced Injury Risk

Decreasing impact force during STS is important for reducing the chance of injury, especially in individuals with SCI who have no sensation.

Hybrid Neuroprosthesis Design

Coupling and damping mechanisms can be incorporated into hybrid neuroprostheses to enhance the control and safety of STS transitions.

Study Limitations

  • 1
    Small subject population limits generalizability of results
  • 2
    Stimulation only data were collected in a separate experimental session on a different day
  • 3
    Mechanisms tested in this study were all controlled with an open-loop system

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