Modification of spastic gait through mechanical damping.

Abstract:

:The effect of dissipative mechanical loads on spastic gait has been studied, to evaluate the feasibility of using mechanically damped orthoses to effect functional improvements in the gait of spastic patients. This concept is based on a hypothesis citing uninhibited, velocity-dependent stretch reflexes as a possible causal factor in spastic gait abnormalities, such as equinus and back-kneeing. In order to screen potential experimental subjects and to quantify velocity-dependent reflex behaviour, ankle rotation experiments and filmed gait analysis were performed. The results supported the existence of a velocity threshold. Orthosis simulation experiments were performed with one spastic subject, using a wearable, computer-controlled, electromechanical, below-knee orthosis simulator to apply a variety of damping loads to the ankle as the subject walked. Results indicated that appropriate damping can improve local joint kinematics. The damping causes a reduction in muscle stretch velocity which apparently results in reduced spastic reflex activity.

journal_name

J Biomech

journal_title

Journal of biomechanics

authors

Maki BE,Rosen MJ,Simon SR

doi

10.1016/0021-9290(85)90278-7

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

431-43

issue

6

eissn

0021-9290

issn

1873-2380

pii

0021-9290(85)90278-7

journal_volume

18

pub_type

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