Limitation of Ankle Mobility Challenges Gait Stability While Walking on Lateral Inclines

Exoskeletons often allow limited movement of the ankle joint. This could increase the chance of falling while walking, particularly on challenging surfaces, such as lateral inclines. In this study, the effect of a mobility limiting ankle brace on gait stability in the frontal plane was assessed, while participants walked on lateral inclines. The brace negatively affected gait stability when it was worn on the leg that was on the vertically lower side or ‘valley side’ of the lateral incline, which would indicate an increased risk of falling in that direction.</p

Do Older Adults Select Appropriate Motor Strategies in a Stepping-Down Paradigm?

Selecting motor strategies in daily life tasks requires a perception of the task requirements as well as of one's own physical abilities. Age-related cognitive and physical changes may affect these perceptions. This might entail that some older adults select inappropriate movement strategies when confronted with daily-life motor tasks, which could lead to balance loss or falls. We investigated whether older adults select motor strategies in accordance with their actual physical ability. Twenty-one older adults were subjected to a stepping down paradigm, in which full-body kinematics of selected and reactive behavior were recorded. Stepping down from a curb can be done with either (1) a relatively low effort but more balance threatening heel landing, or (2) a more controlled but more demanding toe landing. The probability of selecting a toe landing grows with an increase in curb height. We determined the curb height at which participants switched from heel to toe landing during expected stepping down over different heights as an indicator of their perceived ability. During an unexpected step down trial, participants encountered a step down of 0.1 m earlier than expected, because part of the walkway was removed and covered by a black cloth. We evaluated participants' actual physical ability from the reactive behavior, with performance defined as the reduction in kinetic energy between the peak value after landing and the onset of the next step. To unravel whether the selected motor strategies corresponded with actual physical ability, the ability to recover from the unexpected step down was correlated to the height at which the participants switched movement strategy. The switching height was not correlated to the ability to recover from an unexpected step down (ρ = 0.034, p = 0.877). This finding suggests that older adults do not select their movement strategy in stepping down based on their actual abilities, or have an imprecise perception of their actual abilities. Future research should evaluate whether inappropriate motor strategy selection in a stepping down paradigm can explain accidental falls in older adults

Effects of seat back height and posture on 3D vibration transmission to pelvis, trunk and head

Vibration transmission is essential in the design of comfortable vehicle seats but knowledge is lacking on 3D trunk and head motion and the role of seat back and posture. We hypothesized that head motion is reduced when participants upper back is unsupported, as this stimulates active postural control. We developed an experimental methodology to evaluate 3D vibration transmission from compliant seats to the human body. Wide-band (0.1-12 Hz) motion stimuli were applied in fore-aft, lateral and vertical direction to evaluate the translational and rotational body response in pelvis, trunk and head. A standard car seat was equipped with a configurable and compliant back support to test 3 support heights and 3 sitting postures (erect, slouched, and preferred) where we also tested head down looking at a smartphone. Seat back support height and sitting posture substantially affected vibration transmission and affected low-frequency responses in particular for body segment rotation. According to our hypothesis a low support height proved beneficial in reducing head motion. Relevance to industry: Our methodology effectively evaluates 3D wide-band vibration transmission from compliant seats to the human body. The lowest back support height reduced head motion but was perceived as least comfortable. This calls for seat designs which support but do not so much constrain the upper back. The head down posture enlarged head motion, pleading for computer system integration allowing heads up postures in future automated cars. The biomechanical data will serve to validate human models supporting the design of comfortable (automated) vehicles.Comment: submitted to Elsevie

Effects of seat back height and posture on 3D vibration transmission to pelvis, trunk and head

Vibration transmission is essential in the design of comfortable vehicle seats but knowledge is lacking on 3D trunk and head motion and the role of seat back and posture. We hypothesized that head motion is reduced when participants’ upper back is unsupported, as this stimulates active postural control. We developed an experimental methodology to evaluate 3D vibration transmission from compliant seats to the human body. Wide-band (0.1–12 Hz) motion stimuli were applied in fore-aft, lateral and vertical direction to evaluate the translational and rotational body response in pelvis, trunk and head. A standard car seat was equipped with a configurable and compliant back support to test 3 support heights and 3 sitting postures (erect, slouched, and preferred) where we also tested head down looking at a smartphone. Seat back support height and sitting posture substantially affected vibration transmission and affected low frequency responses in particular for body segment rotation. According to our hypothesis a low support height proved beneficial in reducing head motion. Relevance to industry: Our methodology effectively evaluates 3D wide-band vibration transmission from compliant seats to the human body. The lowest back support height reduced head motion but was perceived as least comfortable. This calls for seat designs which support but do not so much constrain the upper back. The head down posture enlarged head motion, pleading for computer system integration allowing heads up postures in future automated cars. The biomechanical data will serve to validate human models supporting the design of comfortable (automated) vehicles

Do older adults select appropriate motor strategies in a stepping down paradigm?

In this project we investigated whether older adults select stepping down strategies on the basis of their actual ability. The actual ability was determined by the ability to recover from an unexpected-step-down perturbation

Does misjudgment in a stepping down paradigm predict falls in an older population?

In this study we investigate whether the misjudgment, disparity of the perceived and actual ability, could help predicting falls in older adults. Published in Royal Society Open Science

Simulating 3D Human Postural Stabilization in Vibration and Dynamic Driving

In future automated vehicles we will often engage in non-driving tasks and will not watch the road. This will affect postural stabilization and may elicit discomfort or even motion sickness in dynamic driving. Future vehicles will accommodate this with properly designed seats and interiors, whereas comfortable vehicle motion will be achieved with smooth driving styles and well-designed (active) suspensions. To support research and development in dynamic comfort, this paper presents the validation of a multi-segment full-body human model, including visuo-vestibular and muscle spindle feedback, for postural stabilization. Dynamic driving is evaluated using a “sickening drive”, including a 0.2 Hz 4 m/s2 slalom. Vibration transmission is evaluated with compliant automotive seats, applying 3D platform motion and evaluating 3D translation and rotation of pelvis, trunk and head. The model matches human motion in dynamic driving and reproduces fore–aft, lateral and vertical oscillations. Visuo-vestibular and muscle spindle feedback are shown to be essential, in particular, for head–neck stabilization. Active leg muscle control at the hips and knees is shown to be essential to stabilize the trunk in the high-amplitude slalom condition but not with low-amplitude horizontal vibrations. However, active leg muscle control can strongly affect 4–6 Hz vertical vibration transmission. Compared to the vibration tests, the dynamic driving tests show enlarged postural control gains to minimize trunk and head roll and pitch and to align head yaw with driving direction. Human modelling can enable the insights required to achieve breakthrough comfort enhancements, while enabling efficient developments for a wide range of driving conditions, body sizes and other factors. Hence, modelling human postural control can accelerate the innovation of seats and vehicle motion-control strategies for (automated) vehicles

The influence of postural threat on strategy selection in a stepping-down paradigm

To walk safely in their environment, people need to select adequate movement strategies during gait. In situations that are perceived as more threatening, older adults adopt more cautious strategies. For individuals with excessive fear, selecting adequate strategies might be troubling. We investigated how a postural threat affects the selection of strategies within and between older adults by using a stepping-down paradigm. In twenty-four older adults we determined the height at which they switched in stepping-down strategies from a less demanding but more balance threatening heel landing to a more demanding yet safer toe landing. We expected that this switching height would be lower in the high (0.78 m elevation) compared to low threat (floor level) condition. Furthermore, we investigated if older adults, for which the postural threat evoked an increase in the perceived fear, presented a different stepping down strategy due to the postural threat. Our results indicated that the postural threat changed older adults’ strategies selection towards a more conservative toe landing. Hence, despite the additional effort, older adults prefer more cautious strategies during a postural threat. No effects of perceived fear on strategy selection between individuals were observed, potentially due to relatively small differences in fear among participants