BackgroundRobots offer an alternative, potentially advantageous method of providing repetitive, high-dosage, and high-intensity training to address the gait impairments caused by stroke. In this study, we compared the effects of the Stride Management Assist (SMA®) System, a new wearable robotic device developed by Honda R&D Corporation, Japan, with functional task specific training (FTST) on spatiotemporal gait parameters in stroke survivors.MethodsA single blinded randomized control trial was performed to assess the effect of FTST and task-specific walking training with the SMA® device on spatiotemporal gait parameters. Participants (n = 50) were randomly assigned to FTST or SMA. Subjects in both groups received training 3 times per week for 6–8 weeks for a maximum of 18 training sessions. The GAITRite® system was used to collect data on subjects’ spatiotemporal gait characteristics before training (baseline), at mid-training, post-training, and at a 3-month follow-up.ResultsAfter training, significant improvements in gait parameters were observed in both training groups compared to baseline, including an increase in velocity and cadence, a decrease in swing time on the impaired side, a decrease in double support time, an increase in stride length on impaired and non-impaired sides, and an increase in step length on impaired and non-impaired sides. No significant differences were observed between training groups; except for SMA group, step length on the impaired side increased significantly during self-selected walking speed trials and spatial asymmetry decreased significantly during fast-velocity walking trials.ConclusionsSMA and FTST interventions provided similar, significant improvements in spatiotemporal gait parameters; however, the SMA group showed additional improvements across more parameters at various time points. These results indicate that the SMA® device could be a useful therapeutic tool to improve spatiotemporal parameters and contribute to improved functional mobility in stroke survivors. Further research is needed to determine the feasibility of using this device in a home setting vs a clinic setting, and whether such home use provides continued benefits.Trial registrationThis study is registered under the title “Development of walk assist device to improve community ambulation” and can be located in clinicaltrials.gov with the study identifier: NCT01994395.
Ultra-short pulsed laser ablation of stainless steel is accompanied by the evolution of different microstructures. Depending on the fluence, accumulated energy and number of laser passes cones from impurities, laser induced periodic surface structures, cone-like protrusion (CLP), and thermal bumps evolve at the surface. These often unwanted morphologies can be induced or inhibited by carefully choosing the strategy and laser parameters. The investigated range reveals a small processing window for defined 515 nm sub 1 ps ablation leading to low surface roughness using circular polarization. Hitherto, the origin and dependencies of CLP are still not well understood and for the first time a precursor ripple structure reported. These precursor ripples reveal supra-wavelength periodicity with about 2 μm spacing and evolve earliest after the second layer of ablation. Potentially, low spatial frequency laser-induced periodic surface structure generated with the first laser pass with pulse and hatch overlap are the root cause of CLP evolution. Moreover, the CLP growth is grain orientation and strongly polarization state dependent. Preferentially, CLP start to evolve at the {110} planes of the face-centered cubic crystals of the inspected austenitic stainless steel and linear polarized laser radiation revealing a 1:1 aspect ratio of 10 μm. A nanoindentation study at the interface near region on cross-sections reveals robust mechanical properties of this CLP structure.
Ultra-short pulsed laser ablation of stainless steel is accompanied by the evolution of different microstructures. Depending on the fuence, accumulated energy and number of laser passes cones from impurities, laser induced periodic surface structures and conelike protrusion (CLP) evolve at the surface. These often unwanted morphologies can be inhibited by carefully choosing the strategy and laser parameters. Here, the identifed region shows a small processing window fordesigned 515nm sub 1 ps ablation leading to low surface roughness. CLP are still not well understood and here a pre-cursor structure is reported. Subsequently, the CLP growth is grain orientation and polarization dependent and studied in more depth. Preferentially, CLP start to evolve at the (101) grain orientations with linear polarized laser radiation. Moreover, a nanoindentation study reveals robust mechanical properties, which could be beneficial for tribology applications in the hydrodynamic regime.
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