Recent research suggests that locomotor training can improve human walking ability after neurological injury. When stroke and spinal cord injury patients practice stepping with manual assistance, they recover mobility more quickly due to task-specific motor learning. Although multiple studies support the efficacy of this rehabilitation method, there is considerable debate about the extent of motor adaptation possible in the human locomotor pattern. Some animal and clinical studies indicate that muscle activation patterns during locomotion are hardwired into the nervous system and incapable of substantial modification. This would suggest that there are limits to locomotor training as a therapeutic tool. The proposed research project will use powered ankle-foot orthoses to study human locomotor adaptation. The powered orthoses will exert a torque about the ankle joint, altering normal lower limb kinematics if muscle activity patterns are not modified. As a result, these studies will test the relative invariance of muscle activity patterns and lower limb kinematics during human locomotion. This will not only provide the opportunity to study human locomotor adaptation under controlled experimental conditions, it will also provide a means to test the hypothesis that the nervous system controls lower limb movements during locomotion based on kinematics. The overall objectives of the proposed research are 1) to determine the extent of motor adaptation possible in the human locomotor pattern and 2) to test and hypothesized neural control strategy for human walking. Healthy human subjects will walk while wearing carbon fiber ankle-foot orthoses that are powered by artificial pneumatic muscles and controlled via proportional myoelectrical control. The studies will test the hypothesis that subjects will modify their muscle activity patterns when walking with powered orthoses to maintain joint kinematics similar to normal walking. In addition to providing important insight into the neural control of human locomotion, the project will advance robotic technologies for assisting gait rehabilitation and controlling powered lower limb prostheses.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
5R01NS045486-02
Application #
6650176
Study Section
Special Emphasis Panel (ZRG1-GRM (01))
Program Officer
Chen, Daofen
Project Start
2002-09-01
Project End
2006-07-31
Budget Start
2003-08-01
Budget End
2004-07-31
Support Year
2
Fiscal Year
2003
Total Cost
$313,092
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Miscellaneous
Type
Other Domestic Higher Education
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Lewis, Cara L; Garibay, Erin J (2015) Effect of increased pushoff during gait on hip joint forces. J Biomech 48:181-5
Gordon, Keith E; Kinnaird, Catherine R; Ferris, Daniel P (2013) Locomotor adaptation to a soleus EMG-controlled antagonistic exoskeleton. J Neurophysiol 109:1804-14
Collins, Steven H; Adamczyk, Peter G; Ferris, Daniel P et al. (2009) A simple method for calibrating force plates and force treadmills using an instrumented pole. Gait Posture 29:59-64
Simon, Ann M; Kelly, Brian M; Ferris, Daniel P (2009) Sense of effort determines lower limb force production during dynamic movement in individuals with poststroke hemiparesis. Neurorehabil Neural Repair 23:811-8
Simon, Ann M; Kelly, Brian M; Ferris, Daniel P (2009) Preliminary trial of symmetry-based resistance in individuals with post-stroke hemiparesis. Conf Proc IEEE Eng Med Biol Soc 2009:5294-9
Ferris, Daniel P; Lewis, Cara L (2009) Robotic lower limb exoskeletons using proportional myoelectric control. Conf Proc IEEE Eng Med Biol Soc 2009:2119-24
Kinnaird, Catherine R; Ferris, Daniel P (2009) Medial gastrocnemius myoelectric control of a robotic ankle exoskeleton. IEEE Trans Neural Syst Rehabil Eng 17:31-7
Sawicki, Gregory S; Lewis, Cara L; Ferris, Daniel P (2009) It pays to have a spring in your step. Exerc Sport Sci Rev 37:130-8
Kao, Pei-Chun; Ferris, Daniel P (2009) Motor adaptation during dorsiflexion-assisted walking with a powered orthosis. Gait Posture 29:230-6
Lewis, Cara L; Ferris, Daniel P (2008) Walking with increased ankle pushoff decreases hip muscle moments. J Biomech 41:2082-9

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