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人类运动过程中的时变踝关节机械阻抗

Time-Varying Ankle Mechanical Impedance During Human Locomotion.

作者信息

Lee Hyunglae, Hogan Neville

出版信息

IEEE Trans Neural Syst Rehabil Eng. 2015 Sep;23(5):755-64. doi: 10.1109/TNSRE.2014.2346927. Epub 2014 Aug 15.

Abstract

In human locomotion, we continuously modulate joint mechanical impedance of the lower limb (hip, knee, and ankle) either voluntarily or reflexively to accommodate environmental changes and maintain stable interaction. Ankle mechanical impedance plays a pivotal role at the interface between the neuro-mechanical system and the physical world. This paper reports, for the first time, a characterization of human ankle mechanical impedance in two degrees-of-freedom simultaneously as it varies with time during walking. Ensemble-based linear time-varying system identification methods implemented with a wearable ankle robot, Anklebot, enabled reliable estimation of ankle mechanical impedance from the pre-swing phase through the entire swing phase to the early-stance phase. This included heel-strike and toe-off, key events in the transition from the swing to stance phase or vice versa. Time-varying ankle mechanical impedance was accurately approximated by a second order model consisting of inertia, viscosity, and stiffness in both inversion-eversion and dorsiflexion-plantarflexion directions, as observed in our previous steady-state dynamic studies. We found that viscosity and stiffness of the ankle significantly decreased at the end of the stance phase before toe-off, remained relatively constant across the swing phase, and increased around heel-strike. Closer investigation around heel-strike revealed that viscosity and stiffness in both planes increased before heel-strike occurred. This finding is important evidence of "pretuning" by the central nervous system. In addition, viscosity and stiffness were greater in the sagittal plane than in the frontal plane across all subgait phases, except the early stance phase. Comparison with previous studies and implications for clinical study of neurologically impaired patients are provided.

摘要

在人类运动中,我们会不断地自主或反射性地调节下肢(髋、膝和踝)的关节机械阻抗,以适应环境变化并维持稳定的相互作用。踝关节机械阻抗在神经机械系统与物理世界的界面中起着关键作用。本文首次报告了人类踝关节在两个自由度上的机械阻抗特性,该特性在行走过程中随时间变化。通过可穿戴式踝关节机器人Anklebot实施的基于总体的线性时变系统识别方法,能够可靠地估计从摆动前期到整个摆动期再到站立前期的踝关节机械阻抗。这包括足跟触地和足趾离地,它们是从摆动期过渡到站立期或反之的关键事件。如我们之前的稳态动力学研究所观察到的,时变踝关节机械阻抗在反转-内翻和背屈-跖屈方向上都能被一个由惯性、粘性和刚度组成的二阶模型精确近似。我们发现,在足趾离地前的站立期末期,踝关节的粘性和刚度显著降低,在整个摆动期保持相对恒定,并在足跟触地前后增加。对足跟触地附近的进一步研究表明,在足跟触地发生之前,两个平面的粘性和刚度都增加了。这一发现是中枢神经系统“预调谐”的重要证据。此外,除了站立前期,在所有子步态阶段,矢状面的粘性和刚度都大于额状面。文中还提供了与先前研究的比较以及对神经受损患者临床研究的意义。

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