The influence of push-off timing in a robotic ankle-foot prosthesis on the energetics and mechanics of walking.

Journal: Journal of neuroengineering and rehabilitation
Published Date:

Abstract

BACKGROUND: Robotic ankle-foot prostheses that provide net positive push-off work can reduce the metabolic rate of walking for individuals with amputation, but benefits might be sensitive to push-off timing. Simple walking models suggest that preemptive push-off reduces center-of-mass work, possibly reducing metabolic rate. Studies with bilateral exoskeletons have found that push-off beginning before leading leg contact minimizes metabolic rate, but timing was not varied independently from push-off work, and the effects of push-off timing on biomechanics were not measured. Most lower-limb amputations are unilateral, which could also affect optimal timing. The goal of this study was to vary the timing of positive prosthesis push-off work in isolation and measure the effects on energetics, mechanics and muscle activity.

Authors

  • Philippe Malcolm
    Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium. philippe.malcolm@ugent.be.
  • Roberto E Quesada
    Department of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, PA, USA. roberto.quesada@gmail.com.
  • Joshua M Caputo
    Department of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, PA, USA. joshua.m.caputo@gmail.com.
  • Steven H Collins
    Department of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, PA, USA. stevecollins@cmu.edu.