ETDs

This collection includes most of the ASU Theses and Dissertations from 2011 to present. ASU Theses and Dissertations are available in downloadable PDF format; however, a small percentage of items are under embargo. Information about the dissertations/theses includes degree information, committee members, an abstract, supporting data or media.

In addition to the electronic theses found in the ASU Digital Repository, ASU Theses and Dissertations can be found in the ASU Library Catalog.

Dissertations and Theses granted by Arizona State University are archived and made available through a joint effort of the ASU Graduate College and the ASU Libraries. For more information or questions about this collection contact or visit the Digital Repository ETD Library Guide or contact the ASU Graduate College at gradformat@asu.edu.

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Evaluating the Effects of Ankle-Foot-Orthoses, Functional Electrical Stimulators, and Trip-specific Training on Fall Outcomes in Individuals with Stroke

Description
This dissertation aimed to evaluate the effectiveness and drawbacks of promising fall prevention strategies in individuals with stroke by rigorously analyzing the biomechanics of laboratory falls and compensatory movements required to prevent a fall. Ankle-foot-orthoses (AFOs) and functional electrical stimulators (FESs) are commonly prescribed to treat foot drop. Despite well-established…

This dissertation aimed to evaluate the effectiveness and drawbacks of promising fall prevention strategies in individuals with stroke by rigorously analyzing the biomechanics of laboratory falls and compensatory movements required to prevent a fall. Ankle-foot-orthoses (AFOs) and functional electrical stimulators (FESs) are commonly prescribed to treat foot drop. Despite well-established positive impacts of AFOs and FES devices on balance and gait, AFO and FES users fall at a high rate. In chapter 2 (as a preliminary study), solely mechanical impacts of a semi-rigid AFO on the compensatory stepping response of young healthy individuals following trip-like treadmill perturbations were evaluated. It was found that a semi-rigid AFO on the stepping leg diminished the propulsive impulse of the compensatory step which led to decreased trunk movement control, shorter step length, and reduced center of mass (COM) stability. These results highlight the critical role of plantarflexors in generating an effective compensatory stepping response. In chapter 3, the underlying biomechanical mechanisms leading to high fall risk in long-term AFO and FES users with chronic stroke were studied. It was found that AFO and FES users fall more than Non-users because they have a more impaired lower limb that is not fully addressed by AFO/FES, therefore leading to a more impaired compensatory stepping response characterized by increased inability to generate a compensatory step with paretic leg and decreased trunk movement control. An ideal future AFO that provides dorsiflexion assistance during the swing phase and plantarflexion assistance during the push-off phase of gait is suggested to enhance the compensatory stepping response and reduce more falls. In chapter 4, the effects of a single-session trip-specific training on the compensatory stepping response of individuals with stroke were evaluated. Trunk movement control was improved after a single session of training suggesting that this type of training is a viable option to enhance compensatory stepping response and reduce falls in individuals with stroke. Finally, a future powered AFO with plantarflexion assistance complemented by a trip-specific training program is suggested to enhance the compensatory stepping response and decrease falls in individuals with stroke.
ContributorsNevisipour, Masood (Author) / Honeycutt, Claire (Thesis advisor) / Sugar, Thomas (Thesis advisor) / Artemiadis, Panagiotis (Committee member) / Abbas, James (Committee member) / Lee, Hyunglae (Committee member) / Arizona State University (Publisher)
Created2019
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Evaluation of Machine Learning Algorithms for Modeling Therapist Assistance during Gait Rehabilitation

Description
Robotic assisted devices in gait rehabilitation have not seen penetration into clinical settings proportionate to the developments in this field. A possible reason for this is due to the development and evaluation of these devices from a predominantly engineering perspective. One way to mitigate this effect is to further include…

Robotic assisted devices in gait rehabilitation have not seen penetration into clinical settings proportionate to the developments in this field. A possible reason for this is due to the development and evaluation of these devices from a predominantly engineering perspective. One way to mitigate this effect is to further include the principles of neurophysiology into the development of these systems. To further include these principles, this research proposes a method for grounded evaluation of three machine learning algorithms to gain insight on what modeling approaches are able to both replicate therapist assistance and emulate therapist strategies. The algorithms evaluated in this paper include ordinary least squares regression (OLS), gaussian process regression (GPR) and inverse reinforcement learning (IRL). The results show that grounded evaluation is able to provide evidence to support the algorithms at a higher resolution. Also, it was observed that GPR is likely the most accurate algorithm to replicate therapist assistance and to emulate therapist adaptation strategies.
ContributorsSmith, Mason Owen (Author) / Zhang, Wenlong (Thesis advisor) / Ben Amor, Hani (Committee member) / Sugar, Thomas (Committee member) / Arizona State University (Publisher)
Created2021