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This study investigates the effects of increased hip joint stiffness on the gait of individuals using a lower-limb paralysis simulator to simulate the reciprocating gait orthosis. The aim is to determine if increased hip joint stiffness improves gait efficiency and walking speed in individuals with lower-limb paralysis. The findings suggest that increasing hip joint stiffness may indeed increase walking speed for reciprocating gait orthosis users.
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Modeling effects of sagittal-plane hip joint stiffness on reciprocating gait orthosis-assisted gait William Brett Johnson, PhD; Stefania Fatone, PhD, BPO(Hons); Steven A. Gard, PhD
Aim • Determine effects of increased hip joint stiffness on gait of nondisabled persons using lower-limb paralysis simulator (LLPS). • LLPS enabled nondisabled persons to exhibit characteristics of reciprocating gait orthosis (RGO)-assisted gait • Relevance • Upright ambulation may improve quality of life for persons with lower-limb paralysis. • However, walking with RGO can be slow and exhausting. • Increased RGO hip joint stiffness may improve gait efficiency.
Method • While nondisabled subjects walked with LLPS at four different hip joint stiffness settings, we measured: • Hip flexion. • Crutch ground reaction forces (GRFs). • Oxygen consumption. LLPS.
Results • Walking speed was observed to initially increase with increases in hip joint stiffness, and then decrease. • Oxygen cost was observed to initially decrease with increases in hip joint stiffness, and then decrease.
Conclusion • Findings suggest that increasing hip joint stiffness may increase walking speed for RGO users.