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  4. Neglected physical human-robot interaction may explain variable outcomes in gait neurorehabilitation research
 
research article

Neglected physical human-robot interaction may explain variable outcomes in gait neurorehabilitation research

Plooij, M.
•
Apte, S.
•
Keller, U.
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September 29, 2021
Science Robotics

During gait neurorehabilitation, many factors influence the quality of gait patterns, particularly the chosen body-weight support (BWS) device. Consequently, robotic BWS devices play a key role in gait rehabilitation of people with neurological disorders. The device transparency, support force vector direction, and attachment to the harness vary widely across existing robotic BWS devices, but the influence of these factors on the production of gait remains unknown. Because this information is key to designing an optimal BWS, we systematically studied these determinants in this work. We report that with a highly transparent device and a conventional harness, healthy participants select a small backward force when asked for optimal BWS conditions. This unexpected finding challenges the view that during human-robot interactions, humans predominantly optimize energy efficiency. Instead, they might seek to increase their feeling of stability and safety. We also demonstrate that the location of the attachment points on the harness strongly affects gait patterns, yet harness attachment is hardly reported in literature. Our results establish principles for the design of BWS devices and personalization of BWS settings for gait neurorehabilitation.

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Type
research article
DOI
10.1126/scirobotics.abf1888
Web of Science ID

WOS:000708526700004

Author(s)
Plooij, M.
Apte, S.
Keller, U.
Baines, P.
Sterke, B.
Asboth, L.
Courtine, G.  
von Zitzewitz, J.
Vallery, H.
Date Issued

2021-09-29

Publisher

AMER ASSOC ADVANCEMENT SCIENCE

Published in
Science Robotics
Volume

6

Issue

58

Article Number

eabf1888

Subjects

Robotics

•

body-weight support

•

spinal-cord-injury

•

overground walking

•

treadmill walking

•

chronic stroke

•

speed

•

fear

•

rehabilitation

•

stability

•

parameters

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPCOURTINE  
Available on Infoscience
November 6, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/182897
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