Evidence map›Paper›PMID 28623037›Full record

ArticleJournal of biomechanics2017

Muscle recruitment and coordination with an ankle exoskeleton.

Katherine M Steele, Rachel W Jackson, Benjamin R Shuman, Steven H Collins

Abstract read
In one paragraph

Article in Journal of biomechanics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Advances on mechanical designs for assistive ankle-foot orthoses.Frontiers in bioengineering and biotechnology · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Katherine M SteeleMechanical Engineering, University of Washington, Seattle, WA, United States; WRF Institute of Neuroengineering, University of Washington, Seattle, WA, United States. Electronic address: kmsteele@uw.edu.
Rachel W JacksonMechanical Engineering, Carnegie Mellon University, Pittsburgh, PA, United States.
Benjamin R ShumanMechanical Engineering, University of Washington, Seattle, WA, United States; WRF Institute of Neuroengineering, University of Washington, Seattle, WA, United States.
Steven H CollinsMechanical Engineering, Carnegie Mellon University, Pittsburgh, PA, United States.

Funding

Quantifying patient-specific changes in neuromuscular control in cerebral palsyR01NS091056 · NINDS · UNIVERSITY OF WASHINGTON · PI Michael Hart Schwartz, Katherine M Steele · 2015 to 2026
$3.4M
NINDS NIH HHS R01 NS091056
6 · The paper itself

Abstract

Exoskeletons have the potential to assist and augment human performance. Understanding how users adapt their movement and neuromuscular control in response to external assistance is important to inform the design of these devices. The aim of this research was to evaluate changes in muscle recruitment and coordination for ten unimpaired individuals walking with an ankle exoskeleton. We evaluated changes in the activity of individual muscles, cocontraction levels, and synergistic patterns of muscle coordination with increasing exoskeleton work and torque. Participants were able to selectively reduce activity of the ankle plantarflexors with increasing exoskeleton assistance. Increasing exoskeleton net work resulted in greater reductions in muscle activity than increasing exoskeleton torque. Patterns of muscle coordination were not restricted or constrained to synergistic patterns observed during unassisted walking. While three synergies could describe nearly 95% of the variance in electromyography data during unassisted walking, these same synergies could describe only 85-90% of the variance in muscle activity while walking with the exoskeleton. Synergies calculated with the exoskeleton demonstrated greater changes in synergy weights with increasing exoskeleton work versus greater changes in synergy activations with increasing exoskeleton torque. These results support the theory that unimpaired individuals do not exclusively use central pattern generators or other low-level building blocks to coordinate muscle activity, especially when learning a new task or adapting to external assistance, and demonstrate the potential for using exoskeletons to modulate muscle recruitment and coordination patterns for rehabilitation or performance.

Indexed as

Exoskeleton DeviceAdultAnkleAnkle JointBiomechanical PhenomenaElectromyographyFemaleHumansMaleMuscle, SkeletalTorqueWalkingYoung AdultCocontractionElectromyographyMetabolicsMuscle synergyOrthosis

Identifiers

PMID28623037
PMCPMC5644499

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.