Asymmetric shoe height induces reactive changes in gait kinematics but not kinetics in healthy young adults

Sato, Sumire; Schlechter, Maia; Price, Mark; Hoogkamer, Wouter

doi:10.1016/j.gaitpost.2023.05.027

Cited by 2 publications

(1 citation statement)

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“…Drawing direct inspiration from split-belt treadmill training, the development of asymmetry-inducing footwear has demonstrated the promise of overground training. For instance, walking with shoes that have asymmetric height has shown to induce asymmetries in temporal and lower extremity kinematic gait parameters [ 38 ]. Even though this study was performed on the treadmill, the results still show that this could be an effective overground training approach for individuals poststroke.…”

Section: Discussionmentioning

confidence: 99%

Gait Adaptation to Asymmetric Hip Stiffness Applied by a Robotic Exoskeleton

Abdikadirova,

Price,

Jaramillo

et al. 2024

IEEE Trans. Neural Syst. Rehabil. Eng.

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Wearable exoskeletons show significant potential for improving gait impairments, such as interlimb asymmetry. However, a more profound understanding of whether exoskeletons are capable of eliciting neural adaptation is needed. This study aimed to characterize how individuals adapt to bilateral asymmetric joint stiffness applied by a hip exoskeleton, similar to split-belt treadmill training. Thirteen unimpaired individuals performed a walking trial on the treadmill while wearing the exoskeleton. The right side of the exoskeleton acted as a positive stiffness torsional spring, pulling the thigh towards the neutral standing position, while the left acted as a negative stiffness spring pulling the thigh away from the neutral standing position. The results showed that this intervention applied by a hip exoskeleton elicited adaptation in spatiotemporal and kinetic gait measures similar to split-belt treadmill training. These results demonstrate the potential of the proposed intervention for retraining symmetric gait.

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Section: Discussionmentioning

confidence: 99%