Current treatments for gait pathologies associated with neuromuscular disorders may employ a passive, rigid brace. While these provide certain benefits, they can also cause muscle atrophy. In this study, we examined NiTi shape memory alloy (SMA) wires that were annealed into springs to develop an active, soft orthotic (ASO) for the knee. Actively controlled SMA springs may provide variable assistances depending on factors such as when, during the gait cycle, the springs are activated; ongoing muscle activity level; and needs of the wearer. Unlike a passive brace, an active orthotic may provide individualized control, assisting the muscles so that they may be used more appropriately, and possibly leading to a re-education of the neuro-motor system and eventual independence from the orthotic system. A prototype was tested on a suspended, robotic leg to simulate the swing phase of a typical gait. The total deflection generated by the orthotic depended on the knee angle and the total number of actuators triggered, with a max deflection of 35°. While SMA wires have a high energy density, they require a significant amount of power. Furthermore, the loaded SMA spring response times were much longer than the natural frequency of an average gait for the power conditions tested. While the SMA wires are not appropriate for correction of gait pathologies as currently implemented, the ability to have a soft, actuated material could be appropriate for slower timescale applications.
Lack of physical activity is an increasing public-health problem. Physicians should counsel elderly patients to maintain regular physical activity in order to retain functionality and quality of life. This study examined the patterns of physician advice about physical activity in an elderly population. A homogeneous group of older adults living in public housing (N= 146) was surveyed to determine the extent to which they received such advice. Their mean age was 77.9 ± 7 years, 74% were women, 70.5% were White, and 53.4% had high school education or less. We assessed the association between physician counseling practices and the participants’ demographic characteristics, overweight status, and type of physical activity performed. The prevalence rate of physician counseling was 61.6%. Elderly men who were married and those who were overweight were most likely to receive advice. Routine physician counseling of elderly patients regardless of overweight status could contribute to improving their quality of life.
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