Evidence map›Paper›PMID 33362502›Full record

ArticleFrontiers in neurorobotics2020

Effect of Joint Friction Compensation on a "Muscle-First" Motor-Assisted Hybrid Neuroprosthesis.

Ryan-David Reyes, Rudolf Kobetic, Mark Nandor, Nathaniel Makowski, Musa Audu, Roger Quinn, Ronald Triolo

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurorobotics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Combining neural stimulation and a powered exoskeletal knee to enhance walking after stroke.Journal of rehabilitation and assistive technologies engineering
    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 at 3 institutions in 1 country.

Ryan-David ReyesAdvanced Platform Technology Center, Department of Veterans Affairs, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, United States.
Rudolf KobeticAdvanced Platform Technology Center, Department of Veterans Affairs, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, United States.
Mark NandorAdvanced Platform Technology Center, Department of Veterans Affairs, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, United States.
Nathaniel MakowskiAdvanced Platform Technology Center, Department of Veterans Affairs, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, United States.
Musa AuduAdvanced Platform Technology Center, Department of Veterans Affairs, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, United States.
Roger QuinnDepartment of Mechanical Engineering, Case Western Reserve University, Cleveland, OH, United States.
Ronald TrioloAdvanced Platform Technology Center, Department of Veterans Affairs, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, United States.
Case Western Reserve University · USLouis Stokes Cleveland VA Medical Center · USMetroHealth · US

Funding

Integrated Neural Engineering and Rehabilitation Training ProgramT32EB004314 · NIBIB · CASE WESTERN RESERVE UNIVERSITY · PI Jeffrey R Capadona, Robert F. Kirsch · 2004 to 2026
$6.1M
NIBIB NIH HHS T32 EB004314
6 · The paper itself

Abstract

This study assessed the metabolic energy consumption of walking with the external components of a "Muscle-First" Motor Assisted Hybrid Neuroprosthesis (MAHNP), which combines implanted neuromuscular stimulation with a motorized exoskeleton. The "Muscle-First" approach prioritizes generating motion with the wearer's own muscles via electrical stimulation with the actuators assisting on an as-needed basis. The motorized exoskeleton contributes passive resistance torques at both the hip and knee joints of 6Nm and constrains motions to the sagittal plane. For the muscle contractions elicited by neural stimulation to be most effective, the motorized joints need to move freely when not actively assisting the desired motion. This study isolated the effect of the passive resistance or "friction" added at the joints by the assistive motors and transmissions on the metabolic energy consumption of walking in the device. Oxygen consumption was measured on six able-bodied subjects performing 6 min walk tests at three different speeds (0.4, 0.8, and 1.2 m/s) under two different conditions: one with the motors producing no torque to compensate for friction, and the other having the motors injecting power to overcome passive friction based on a feedforward friction model. Average oxygen consumption in the uncompensated condition across all speeds, measured in Metabolic Equivalent of Task (METs), was statistically different than the friction compensated condition. There was an average decrease of 8.8% for METs and 1.9% for heart rate across all speeds. While oxygen consumption was reduced when the brace performed friction compensation, other factors may have a greater contribution to the metabolic energy consumption when using the device. Future studies will assess the effects of gravity compensation on the muscular effort required to lift the weight of the distal segments of the exoskeleton as well as the sagittal plane constraint on walking motions in individuals with spinal cord injuries (SCI).

Indexed as

compensationconsumptionexoskeletonfrictionmetabolicMETsmotorized

Identifiers

PMID33362502
PMCPMC7759638
OpenAlexW3111786811

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.