Evidence map›Paper›PMID 32936793›Full record

ArticlePloS one2020

Lower limb joint biomechanics-based identification of gait transitions in between level walking and stair ambulation.

Martin Grimmer, Julian Zeiss, Florian Weigand, Guoping Zhao, Sascha Lamm, Martin Steil, Adrian Heller

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Design and evaluation of a bone-anchored, neurally-controlled knee prosthesis.Journal of neuroengineering and rehabilitation · 2026
    Article
  2. Controlling Powered Prosthesis Joint Impedance Over Continuous Stance Transitions Between Walking and Stair Ascent/Descent.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  3. Article
  4. Ambilateral Activity Recognition and Continuous Adaptation with a Powered Knee-Ankle Prosthesis.IEEE transactions on robotics : a publication of the IEEE Robotics and Automation Society · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Controlling Powered Prosthesis Kinematics Over Continuous Inter-Leg Transitions Between Walking and Stair Ascent/Descent.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2024
    Article
  9. Review
  10. Controlling Powered Prosthesis Kinematics over Continuous Transitions Between Walk and Stair Ascent.Proceedings of the ... IEEE/RSJ International Conference on Intelligent Robots and Systems. IEEE/RSJ International Conference on Intelligent Robots and Systems · 2023
    Article
  11. Article
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  15. Article
  16. Performance of Sonomyographic and Electromyographic Sensing for Continuous Estimation of Joint Torque During Ambulation on Multiple Terrains.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2021
    Article
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

7 authors.

Martin GrimmerInstitute for Sports Science, Technical University of Darmstadt, Darmstadt, Hesse, Germany.ORCID 0000-0003-1921-1433
Julian ZeissInstitute of Automatic Control and Mechatronics, Technical University of Darmstadt, Darmstadt, Hesse, Germany.
Florian WeigandInstitute of Automatic Control and Mechatronics, Technical University of Darmstadt, Darmstadt, Hesse, Germany.
Guoping ZhaoInstitute for Sports Science, Technical University of Darmstadt, Darmstadt, Hesse, Germany.
Sascha LammTechnical University of Darmstadt, Darmstadt, Hesse, Germany.
Martin SteilTechnical University of Darmstadt, Darmstadt, Hesse, Germany.
Adrian HellerTechnical University of Darmstadt, Darmstadt, Hesse, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lower limb exoskeletons and lower limb prostheses have the potential to reduce gait limitations during stair ambulation. To develop robotic assistance devices, the biomechanics of stair ambulation and the required transitions to level walking have to be understood. This study aimed to identify the timing of these transitions, to determine if transition phases exist and how long they last, and to investigate if there exists a joint-related order and timing for the start and end of the transitions. Therefore, this study analyzed the kinematics and kinetics of both transitions between level walking and stair ascent, and between level walking and stair descent (12 subjects, 25.4 yrs, 74.6 kg). We found that transitions primarily start within the stance phase and end within the swing phase. Transition phases exist for each limb, all joints (hip, knee, ankle), and types of transitions. They have a mean duration of half of one stride and they do not last longer than one stride. The duration of the transition phase for all joints of a single limb in aggregate is less than 35% of one stride in all but one case. The distal joints initialize stair ascent, while the proximal joints primarily initialize the stair descent transitions. In general, the distal joints complete the transitions first. We believe that energy- and balance-related processes are responsible for the joint-specific transition timing. Regarding the existence of a transition phase for all joints and transitions, we believe that lower limb exoskeleton or prosthetic control concepts should account for these transitions in order to improve the smoothness of the transition and to thus increase the user comfort, safety, and user experience. Our gait data and the identified transition timings can provide a reference for the design and the performance of stair ambulation- related control concepts.

Indexed as

AdultAnkle JointArtificial LimbsBiomechanical PhenomenaExoskeleton DeviceGaitHip JointHumansKnee JointLower ExtremityMalePostural BalanceProsthesis DesignRange of Motion, ArticularStair ClimbingTime Factors

Identifiers

PMID32936793
PMCPMC7494088

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.