The Effects of the Addition of a Single Session of While-Body Vibration to a Bout of Treadmill Walking on Gait and Lower Extremity Spasticity in Ambulatory Children with Cerebral Palsy

Single bouts of whole-body vibration (WBV) have been shown to reduce spasticity and increase active range of motion (ROM) in adults and children with cerebral palsy (CP). The effects, while transient, may provide a time window for participating in another intervention. Treadmill training is a common intervention that allows for the massed practice of walking in a controlled environment. I hypothesized that the use of WBV as a preparatory tool prior to treadmill walking may represent a more effective paradigm than using treadmill walking in isolation. This study aimed to investigate the acute effects of the addition of WBV to treadmill walking on muscle spasticity and overground walking of ambulatory children with CP. Nine children (3M/6F) with CP aged 6-17 years, Gross Motor Function Classification System (GMFCS) levels I-III participated in this study. Subjects’ lower extremity spasticity and overground walking were evaluated before and after two interventions: 10 minutes of treadmill walking alone, and 12 minutes of WBV (20Hz, 2mm) followed by 10 minutes of treadmill walking. Some subjects showed improvements after the combined intervention. However, several subjects also demonstrated improvements following the treadmill walking alone. Changes in lower extremity spasticity and overground walking parameters demonstrated high inter-subject variability. Interestingly, the inter-subject variability of response was not correlated with age, motor ability, or baseline spasticity. It was concluded that WBV may be a promising modality to reduce spasticity and improve motor function in children with CP. However, future studies are warranted to further investigate potential factors associated with the variability of response to the modality of WBV and treadmill walking more thoroughly

Avionics Box Cold Plate Damage Prevention

Over the years there have been several occurrences of damage to Space Shuttle Orbiter cold plates during removal and replacement of avionics boxes. Thus a process improvement team was put together to determine ways to prevent these kinds of damage. From this effort there were many solutions including, protective covers, training, and improved operations instructions. The focus of this paper is to explain the cold plate damage problem and the corrective actions for preventing future damage to aerospace avionics cold plate designs

Human Centered Hardware Modeling and Collaboration

In order to collaborate engineering designs among NASA Centers and customers, to in clude hardware and human activities from multiple remote locations, live human-centered modeling and collaboration across several sites has been successfully facilitated by Kennedy Space Center. The focus of this paper includes innovative a pproaches to engineering design analyses and training, along with research being conducted to apply new technologies for tracking, immersing, and evaluating humans as well as rocket, vehic le, component, or faci lity hardware utilizing high resolution cameras, motion tracking, ergonomic analysis, biomedical monitoring, wor k instruction integration, head-mounted displays, and other innovative human-system integration modeling, simulation, and collaboration applications

Human Modeling For Ground Processing Human Factors Engineering Analysis

There have been many advancements and accomplishments over that last few years using human modeling for human factors engineering analysis for design of spacecraft and launch vehicles. The key methods used for this are motion capture and computer generated human models. The focus of this paper is to explain the different types of human modeling used currently and in the past at Kennedy Space Center (KSC) currently, and to explain the future plans for human modeling for future spacecraft designs

Variability of spatiotemporal gait parameters in children with and without Down syndrome during treadmill walking

Methods: Thirteen children with DS (aged 7–10 years) and thirteen age- and sex-matched typically developing (TD) children participated in this study. Subjects completed two bouts of 60-second treadmill walking at two different speeds (slow and fast) and two load conditions (no load and ankle load equaling to 2% bodyweight at each side). Kinematic data was captured using a Vicon motion capture system. Mean and coefficient of variance of spatiotemporal gait variables were calculated and compared between children with and without DS. Results and significance: Across all conditions, the DS group took shorter and wider steps than the TD group, but walked with a similar swing percentage, double support percentage, and foot rotation angle. Further, the DS group demonstrated greater variability of all spatiotemporal parameters, except for step width and foot rotation angle. Our results indicated that children with DS can modulate their spatiotemporal gait pattern accordingly like their TD peers when walking faster on a treadmill and/or with an external ankle load. Smaller step width variability in the DS group suggests that mediolateral stability may be prioritized during treadmill walking to safely navigate the treadmill and complete walking tasks. Similar temporal parameters but distinct spatial parameters in the DS group suggest that they may have developed similar rhythmic control but are confined by their spatial movement limitations

Postures and Motions Library Development for Verification of Ground Crew Human Factors Requirements

Spacecraft and launch vehicle ground processing activities require a variety of unique human activities. These activities are being documented in a primitive motion capture library. The library will be used by human factors engineering analysts to infuse real to life human activities into the CAD models to verify ground systems human factors requirements. As the primitive models are being developed for the library, the project has selected several current human factors issues to be addressed for the Space Launch System (SLS) and Orion launch systems. This paper explains how the motion capture of unique ground systems activities is being used to verify the human factors engineering requirements for ground systems used to process the SLS and Orion vehicles, and how the primitive models will be applied to future spacecraft and launch vehicle processing

Lessons Learned for Improving Spacecraft Ground Operations

NASA has a unique history in processing the Space Shuttle fleet for launches. Some of this experience has been captured in the NASA Lessons Learned Information System (LLIS). This tool provides a convenient way for design engineers to review lessons from the past to prevent problems from reoccurring and incorporate positive lessons in new designs. At the Kennedy Space Center, the LLIS is being used to design ground support equipment for the next generation of launch and crewed vehicles. This paper describes the LLIS process and offers some examples

Improvement in overground walking after treadmill-based gait training in a child with agenesis of the corpus callosum

Background: Agenesis of the corpus callosum (ACC) is a rare congenital brain defect that produces a wide variety of cognitive and motor impairments. Literature regarding the response of pediatric populations with ACC to physical rehabilitation is scarce. Treadmill-based gait training (TT) has been shown to improve walking ability in some pediatric populations but has not been investigated in children with ACC. Objective: The purpose of this study was to investigate the effect of a novel treadmill intervention paradigm on the gait parameters of a child with ACC. Design: A single-participant design with 2 phases was used. Methods: The settings were the participant\u27s home and the laboratory. The participant was a 13-year-old girl who had ACC and cortical visual impairment and who ambulated independently using a reverse walker for household and short community distances. A home-based TT intervention (2 phases of 3 months of training over 6 months) was implemented, and a laboratory-based gait analysis was conducted at 4 time points: baseline, after each of the 2 training phases, and 3 months after the cessation of training. The intervention consisted of weekly bouts of TT. Phase I incorporated forward, backward, and incline walking for 15 minutes each; in phase II, this protocol was continued, but short-burst interval training for 10 minutes was added. Data collected at each laboratory visit included spatiotemporal parameters and kinematics (joint angles) during overground and treadmill walking. Results: After both phases of training, increased step length, decreased step width, and foot progression angle and decreased variability of most spatiotemporal parameters were observed for the participant. Further, after phase II, increased peak extension at the hip, knee, and ankle, decreased crouched gait, and improved minimum foot clearance during overground walking were observed. Most gait improvements were retained for 3 months after the cessation of the intervention. Limitations: The small sample size of this study and wide variety of presentations within individuals with ACC limit the generalizability of our findings. Conclusions: TT may be a safe and effective treatment paradigm for children with ACC. Future research should investigate the effect of intervention dosage on gait improvements and generalization in individuals with ACC

Lessons Learned for Improving Spacecraft Ground Operations

NASA policy requires each Program or Project to develop a plan for how they will address Lessons Learned. Projects have the flexibility to determine how best to promote and implement lessons learned. A large project might budget for a lessons learned position to coordinate elicitation, documentation and archival of the project lessons. The lessons learned process crosses all NASA Centers and includes the contactor community. o The Office of The Chief Engineer at NASA Headquarters in Washington D.C., is the overall process owner, and field locations manage the local implementation. One tool used to transfer knowledge between program and projects is the Lessons Learned Information System (LLIS). Most lessons come from NASA in partnership with support contractors. A search for lessons that might impact a new design is often performed by a contractor team member. Knowledge is not found with only one person, one project team, or one organization. Sometimes, another project team, or person, knows something that can help your project or your task. Knowledge sharing is an everyday activity at the Kennedy Space Center through storytelling, Kennedy Engineering Academy presentations and through searching the Lessons Learned Information system. o Project teams search the lessons repository to ensure the best possible results are delivered. o The ideas from the past are not always directly applicable but usually spark new ideas and innovations. Teams have a great responsibility to collect and disseminate these lessons so that they are shared with future generations of space systems designers. o Leaders should set a goal for themselves to host a set numbers of lesson learned events each year and do more to promote multiple methods of lessons learned activities. o High performing employees are expected to share their lessons, however formal knowledge sharing presentation are not the norm for many employees

1-G Human Factors for Optimal Processing and Operability of Ground Systems up to CxP GOP PDR

During the mid stages of design development, up to Constellation Program (CxP) Preliminary Design Review (PDR), the requirements for leveraging I-G human factors for optimizing ground processing of Flight Hardware were mature for levels - 2, 3, 4, and 5. This paper gives an overview of the accomplishments achieved during that time. The main focus of this paper will be on the CxP Ground Operations Project human factors engineering analysis process using a Human Factors Engineering Analysis Tool (HFEAT) for developing the level- 5 requirements effecting the design development of the subsystems for Ground Support System (GSS), and Ground Support Equipment (GSE)