Seay Joseph F, Hancock Clifford L, O'Keefe Isabella, Ramsay John W, Baum Brian S, Edwards Harvey, Kuzmeski John, O'Donovan Meghan P
United States Army Combat Capabilities Development Command Soldier Center, Natick, MA, USA.
Massachusetts Institute of Technology (MIT LL), Lincoln Laboratories Sensorimotor Technology Realization in Immersive Virtual Environments (STRIVE) Center, Cambridge, MA, USA.
Ergonomics. 2025 Jul;68(7):1080-1093. doi: 10.1080/00140139.2024.2394511. Epub 2024 Aug 27.
Ankle-based exoskeletons have demonstrated metabolic benefits during steady-state walking; however, variability exists in individual adaptation timelines necessary to achieve those benefits. This study assessed timelines for metabolic and gait-related adaptation while wearing an ankle-based exoskeleton while powered (EXOP) compared to unpowered (EXNP) and no device worn (NOEX). Metabolic (VO) and biomechanics data were collected while 14 participants walked on a treadmill at 1.3 m/s for six sessions. To better understand variability in responses to wearing exoskeletons, the cohort was divided based on the slope of the VO response of the first two sessions in the EXOP condition, and gait parameters were compared between subgroups. Repeated measures analyses of variance revealed a significant ( ≤ 0.001) 10% VO reduction for EXOP compared to EXNP and a non-significant 2.5% reduction for EXOP v NOEX. Lack of significant session-based comparisons indicated no additional VO adaptation; however, significant session-related results for peak knee flexion (interaction, = 0.042) and step width (session main effect, = 0.003) suggest gait-related adaptation continued during the sessions. Subgroup results indicated different response profiles to wearing exoskeletons; and implications of classifying initial responses based on metabolic response are discussed as an approach to understand what drives variation in responses to these devices.
基于脚踝的外骨骼在稳态行走过程中已显示出代谢方面的益处;然而,实现这些益处所需的个体适应时间线存在差异。本研究评估了在佩戴基于脚踝的外骨骼时,与未供电(EXNP)和不佩戴设备(NOEX)相比,供电(EXOP)情况下代谢和步态相关适应的时间线。14名参与者在跑步机上以1.3米/秒的速度行走六个时段时,收集了代谢(VO)和生物力学数据。为了更好地理解对外骨骼佩戴反应的变异性,根据EXOP条件下前两个时段VO反应的斜率对队列进行了划分,并比较了亚组之间的步态参数。重复测量方差分析显示,与EXNP相比,EXOP的VO显著降低(≤0.001)10%,与NOEX相比,EXOP的VO非显著降低2.5%。缺乏基于时段的显著比较表明没有额外的VO适应;然而,峰值膝关节屈曲(交互作用,=0.042)和步幅(时段主效应,=0.003)的显著时段相关结果表明,步态相关适应在各时段持续存在。亚组结果表明对外骨骼佩戴有不同的反应模式;并讨论了基于代谢反应对初始反应进行分类的意义,作为一种理解驱动对这些设备反应变化的因素的方法。