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Oscillatory perturbations with varying amplitudes and frequencies have been found to significantly affect human standing balance. However, previous studies have only applied perturbation in either the anterior-posterior (AP) or the medio-lateral (ML) directions. Little is currently known about the impacts of 2D oscillatory perturbations on postural stability, which are

Oscillatory perturbations with varying amplitudes and frequencies have been found to significantly affect human standing balance. However, previous studies have only applied perturbation in either the anterior-posterior (AP) or the medio-lateral (ML) directions. Little is currently known about the impacts of 2D oscillatory perturbations on postural stability, which are more commonly seen in daily life (i.e., while traveling on trains, ships, etc.). This study investigated the effects of applying 2D perturbations vs 1D perturbations on standing stability, and how increasing the frequency and amplitude of perturbation impacts postural stability. A dual-axis robotic platform was utilized to simulate various oscillatory perturbations and evaluate standing postural stability. Fifteen young healthy subjects were recruited to perform quiet stance on the platform. Impacts of perturbation direction (i.e., 1D versus 2D), amplitude, and frequency on postural stability were investigated by analyzing different stability measures, specifically AP/ML/2D Center-of-Pressure (COP) path length, AP/ML/2D Time-to-Boundary (TtB), and sway area. Standing postural stability was compromised more by 2D perturbations than 1D perturbations, evidenced by a significant increase in COP path length and sway area and decrease in TtB. Further, the stability decreased as 2D perturbation amplitude and frequency increased. A significant increase in COP path length and decrease in TtB were consistently observed as the 2D perturbation amplitude and frequency increased. However, sway area showed a considerable increase only with increasing perturbation amplitude but not with increasing frequency.

ContributorsBerrett, Lauren Ann (Author) / Lee, Hyunglae (Thesis director) / Peterson, Daniel (Committee member) / Mechanical and Aerospace Engineering Program (Contributor) / School of International Letters and Cultures (Contributor) / Dean, W.P. Carey School of Business (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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This paper presents a variable damping controller that can be implemented into wearable and exoskeleton robots. The variable damping controller functions by providing different levels of robotic damping from negative to positive to the coupled human-robot system. The wearable ankle robot was used to test this control strategy in the

This paper presents a variable damping controller that can be implemented into wearable and exoskeleton robots. The variable damping controller functions by providing different levels of robotic damping from negative to positive to the coupled human-robot system. The wearable ankle robot was used to test this control strategy in the different directions of motion. The range of damping applied was selected based on the known inherent damping of the human ankle, ensuring that the coupled system became positively damped, and therefore stable. Human experiments were performed to understand and quantify the effects of the variable damping controller on the human user. Within the study, the human subjects performed a target reaching exercise while the ankle robot provided the system with constant positive, constant negative, or variable damping. These three damping conditions could then be compared to analyze the performance of the system. The following performance measures were selected: maximum speed to quantify agility, maximum overshoot to quantify stability, and muscle activation to quantify effort required by the human user. Maximum speed was found to be statistically the same in the variable damping controller and the negative damping condition and to be increased from positive damping controller to variable damping condition by 57.9%, demonstrating the agility of the system. Maximum overshoot was found to significantly decrease overshoot from the negative damping condition to the variable damping controller by 39.6%, demonstrating an improvement in system stability with the variable damping controller. Muscle activation results showed that the variable damping controller required less effort than the positive damping condition, evidenced by the decreased muscle activation of 23.8%. Overall, the study demonstrated that a variable damping controller can balance the trade-off between agility and stability in human-robot interactions and therefore has many practical implications.
ContributorsArnold, James Michael (Author) / Lee, Hyunglae (Thesis director) / Yong, Sze Zheng (Committee member) / Mechanical and Aerospace Engineering Program (Contributor) / School for Engineering of Matter,Transport & Enrgy (Contributor) / Barrett, The Honors College (Contributor)
Created2019-12
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Research on joint control during arm movements in adults has led to the development of the Leading Joint Hypothesis (LJH), which states that the central nervous system takes advantage of interaction torque (IT) and muscle torque (MT) to produce movements with maximum efficiency in the multi-jointed limbs of the human

Research on joint control during arm movements in adults has led to the development of the Leading Joint Hypothesis (LJH), which states that the central nervous system takes advantage of interaction torque (IT) and muscle torque (MT) to produce movements with maximum efficiency in the multi-jointed limbs of the human body. A gap in knowledge exists in determining how this mature pattern of joint control develops in children. Prior research focused on the kinematics of joint control for children below the age of three; however, not much is known about interjoint coordination with respect to MT and IT in school-aged children. In the present study, joint control at the shoulder, elbow, and wrist during drawing of five shapes was investigated. A random sample of nine typically developing children ages 6 to 12 served as subjects. The task was to trace with the index finger a template placed on a horizontal table. The template consisted of a circle, horizontal, vertical, right-diagonal, and left-diagonal line. Analysis of muscle torque contribution (MTC) revealed the individual roles of MT and IT in the shoulder, elbow, and wrist joints. During drawing of the horizontal line, which requires the most difficult joint control pattern in adults because it does not allow the use of IT for joint rotation, joint control was found to change through development. For the youngest children, the function of elbow MT modified to suppress IT, thereby producing large elbow rotation. The oldest children simplified this by using the shoulder as the principal joint of movement production and with decreased assistance from the elbow. For the other four drawing movements, differences in the pattern of joint control used by all of the subjects was unaffected by an increase in age. Overall, the results suggest that in children above 6 years of age, minor changes in joint control occur during drawing of relatively simple movements. The limited effect of age that was observed could be related to the restriction of movements to the horizontal plane. For a future study, three-dimensional movements that provide more freedom in joint control due to redundancy of degrees of freedom could be more informative about developmental changes in joint coordination.
ContributorsKemmou, Nadaa (Co-author) / Way, Victoria (Co-author) / Dounskaia, Natalia (Thesis director) / Vidt, Meghan (Committee member) / School of Nutrition and Health Promotion (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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This thesis work presents two separate studies:The first study assesses standing balance under various 2-dimensional (2D) compliant environments simulated using a dual-axis robotic platform and vision conditions. Directional virtual time-to-contact (VTC) measures were introduced to better characterize postural balance from both temporal and spatial aspects, and enable prediction of fall-relevant

This thesis work presents two separate studies:The first study assesses standing balance under various 2-dimensional (2D) compliant environments simulated using a dual-axis robotic platform and vision conditions. Directional virtual time-to-contact (VTC) measures were introduced to better characterize postural balance from both temporal and spatial aspects, and enable prediction of fall-relevant directions. Twenty healthy young adults were recruited to perform quiet standing tasks on the platform. Conventional stability measures, namely center-of-pressure (COP) path length and COP area, were also adopted for further comparisons with the proposed VTC. The results indicated that postural balance was adversely impacted, evidenced by significant decreases in VTC and increases in COP path length/area measures, as the ground compliance increased and/or in the absence of vision (ps < 0.001). Interaction effects between environment and vision were observed in VTC and COP path length measures (ps ≤ 0.05), but not COP area (p = 0.103). The estimated likelihood of falls in anterior-posterior (AP) and medio-lateral (ML) directions converged to nearly 50% (almost independent of the foot setting) as the experimental condition became significantly challenging. The second study introduces a deep learning approach using convolutional neural network (CNN) for predicting environments based on instant observations of sway during balance tasks. COP data were collected from fourteen subjects while standing on the 2D compliant environments. Different window sizes for data segmentation were examined to identify its minimal length for reliable prediction. Commonly-used machine learning models were also tested to compare their effectiveness with that of the presented CNN model. The CNN achieved above 94.5% in the overall prediction accuracy even with 2.5-second length data, which cannot be achieved by traditional machine learning models (ps < 0.05). Increasing data length beyond 2.5 seconds slightly improved the accuracy of CNN but substantially increased training time (60% longer). Importantly, averaged normalized confusion matrices revealed that CNN is much more capable of differentiating the mid-level environmental condition. These two studies provide new perspectives in human postural balance, which cannot be interpreted by conventional stability analyses. Outcomes of these studies contribute to the advancement of human interactive robots/devices for fall prevention and rehabilitation.
ContributorsPhan, Vu Nguyen (Author) / Lee, Hyunglae (Thesis advisor) / Peterson, Daniel (Committee member) / Marvi, Hamidreza (Committee member) / Arizona State University (Publisher)
Created2021
Description
Multiple Sclerosis (MS) is a debilitating neurological disease that affects millions of individuals across the world. There is no current cure for the disease, so much of the patient treatment is focused on management of the disease. One of the potential effects of having MS is having a decrease in

Multiple Sclerosis (MS) is a debilitating neurological disease that affects millions of individuals across the world. There is no current cure for the disease, so much of the patient treatment is focused on management of the disease. One of the potential effects of having MS is having a decrease in balance which leads to a greater risk in sustaining a fall. It has been found in previous studies that MS patients have slower reaction times compared to healthy controls. Furthermore, electromyography (EMG) is an effective way to measure a subject's reaction to a perturbation. This study aims to see if MS subjects can improve their reaction times through a series of perturbation-based training visits. 18 MS patients and 11 healthy controls were recruited for this study. Each subject went through two baseline visits, six training visits, and two post-assessment visits. During each visit, subjects went through a series of forward and backward perturbations from a stand to react position administered by a dual-belt perturbation treadmill. The subjects' reaction times were measured by taking the difference between the onset of the treadmill movement and the onset of the muscle activation. This muscle activation was measured by placing EMG sensors on the tibialis anterior muscle and medial gastrocnemius muscle on each leg. After running a repeated measures ANOVA test, it was found that there were no significant differences in the reaction times between MS participants and healthy controls. However, the overall trend in the data was promising, as MS patients did improve their performance in backward-stepping slightly. Adding more participants to the study could strengthen this trend. It was also found that males across both groups significantly improved their reaction times compared to females. However, it is unknown why this occurred. Future goals would be to add more participants to the study and follow-up with MS patients to see if they have a decrease in falls post-training.
ContributorsSalek, Aydin (Author) / Peterson, Daniel (Thesis director) / Lee, Hyunglae (Committee member) / Barrett, The Honors College (Contributor) / Harrington Bioengineering Program (Contributor)
Created2024-05
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Low back pain (LBP) is the most common symptom leading to hospitalization and medical assistance. In the US, LBP is the fifth most prevalent case for visiting hospitals. Approximately 2.06 million LBP incidents were reported during the timeline between 2004 and 2008. Globally, LBP occurrence increased by almost 200 million

Low back pain (LBP) is the most common symptom leading to hospitalization and medical assistance. In the US, LBP is the fifth most prevalent case for visiting hospitals. Approximately 2.06 million LBP incidents were reported during the timeline between 2004 and 2008. Globally, LBP occurrence increased by almost 200 million from 1990 to 2017. This problem is further implicated by physical and financial constraints that impact the individual’s quality of life. The medical cost exceeded $87.6 billion, and the lifetime prevalence was 84%. This indicates that the majority of people in the US will experience this symptom. Also, LBP limits Activities of Daily Living (ADL) and possibly affects the gait and postural stability. Prior studies indicated that LBP patients have slower gait speed and postural instability. To alleviate this symptom, the epidural injection is prescribed to treat pain and improve mobility function. To evaluate the effectiveness of LBP epidural injection intervention, gait and posture stability was investigated before and after the injection. While these factors are the fundamental indicator of LBP improvement, ADL is an element that needs to be significantly considered. The physical activity level depicts a person’s dynamic movement during the day, it is essential to gather activity level that supports monitoring chronic conditions, such as LBP, osteoporosis, and falls. The objective of this study was to assess the effects of Epidural Steroid Injection (ESI) on LBP and related gait and postural stability in the pre and post-intervention status. As such, the second objective was to assess the influence of ESI on LBP, and how it influences the participant’s ADL physical activity level. The results indicated that post-ESI intervention has significantly improved LBP patient’s gait and posture stability, however, there was insufficient evidence to determine the significant disparity in the physical activity levels. In conclusion, ESI depicts significant positive effects on LBP patients’ gait and postural parameters, however, more verification is required to indicate a significant effect on ADL physical activity levels.
ContributorsMoon, Seong Hyun (Author) / Lockhart, Thurmon (Thesis advisor) / Honeycutt, Claire (Committee member) / Peterson, Daniel (Committee member) / Lee, Hyunglae (Committee member) / Soangra, Rahul (Committee member) / Arizona State University (Publisher)
Created2023
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Description
Chronic ankle instability (CAI) is caused by the failure to seek treatment and rehabilitation after an acute ankle sprain. Typically, clinical assessment of ankle sprains is done under unloaded conditions, despite the fact that ankle sprains occur during weight loading. Characterization of ankle stiffness, a representation of ankle stability during

Chronic ankle instability (CAI) is caused by the failure to seek treatment and rehabilitation after an acute ankle sprain. Typically, clinical assessment of ankle sprains is done under unloaded conditions, despite the fact that ankle sprains occur during weight loading. Characterization of ankle stiffness, a representation of ankle stability during weight loading, is crucial to quantify ankle stability. Patients with CAI suffer from gait asymmetry, and the descriptions of the asymmetry ratio vary widely throughout the research community. Bilateral ankle stiffness could be a systematic metric to describe the gait asymmetry of CAI patients. Additionally, women generally have higher ankle joint and ligamentous laxity than men, and lower ankle stiffness, which has been thoroughly investigated in previous literature. However, differences in bilateral ankle stiffness between sexes still need to be investigated. Using twin dual-axis robotic platforms, this study investigated the weight loading effect on ankle stiffness in the frontal plane during standing, the bilateral difference in stiffness between the dominant and non-dominant ankle, and the sex difference in bilateral ankle stiffness during standing for varying weight distribution. The group average results of 20 healthy subjects showed that ankle stiffness increased with increasing weight loading on the ankle, which is speculated to be caused by active muscle contraction and changes in passive structure due to weight loading. For the bilateral difference of the group, the statistical analysis showed that there was no significant difference between dominant and non-dominant ankle stiffness for all the weight distributions considered. Although the group average result of the difference in bilateral ankle stiffness was statistically insignificant, individual analysis confirmed the importance of subject-specific investigation of bilateral ankle stiffness, as there were more cases of dominant ankle stiffness being larger than non-dominant ankle stiffness, and the bilateral difference was subject-specific. Investigations into sex differences in bilateral ankle stiffness showed that ankle stiffness in males is significantly greater than in females, even after normalizing the stiffness by weight, which is speculated to be caused by higher joint and ligamentous laxity in females regardless of laterality.
ContributorsPaing, Soe Lin (Author) / Lee, Hyunglae (Thesis advisor) / Berman, Spring (Committee member) / Peterson, Daniel (Committee member) / Arizona State University (Publisher)
Created2023
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Mechanical impedance is a concept that is used to model biomechanical propertiesof human joints. These models can then be utilized to provide insight into the inner workings of the human neuromuscular system or to provide insight into how to best design controllers for robotic applications that either attempt to mimic capabilities of the

Mechanical impedance is a concept that is used to model biomechanical propertiesof human joints. These models can then be utilized to provide insight into the inner workings of the human neuromuscular system or to provide insight into how to best design controllers for robotic applications that either attempt to mimic capabilities of the human neuromuscular system or physically interact with it. To further elucidate patterns and properties of how the human neuromuscular system modulates mechanical impedance at the human ankle joint, multiple studies were conducted. The first study was to assess the ability of linear regression models to characterize the change in stiffness - a component of mechanical impedance - seen at the human ankle during the stance phase of walking in the Dorsiflexion-Plantarflexion (DP) direction. A collection of biomechanical variables were used as input variables. The R^2 value of the best performing model was 0.71. The second and third studies were performed to showcase the ability of a newly developed twin dual-axis platform, which goes beyond the limits of a single dual-axis platform, to quantify bilateral stiffness properties. The second study quantified the bilateral mechanical stiffness of the human ankle joint for healthy able-bodied subjects during the stance phase of walking and during quiet standing in both the DP and inversion-eversion directions. Subjects showed a high level of subject specific symmetry. Lastly, a similar bilateral ankle characterization study was conducted on a set of subjects with multiple sclerosis, but only during quiet standing and in the DP direction. Results showed a high level of discrepancy between the subject’s most-affected and least-affected limbs with a larger range and variance than in the healthy population.
ContributorsRussell, Joshua (Author) / Lee, Hyunglae (Thesis advisor) / Honeycutt, Claire (Committee member) / Marvi, Hamid (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Basilisk lizards are often studied for their unique ability to run across the surface of

water. Due to the complicated fluid dynamics of this process, the forces applied on the

water’s surface cannot be measured using traditional methods. This thesis presents a

novel technique of measuring the forces using a fluid dynamic force

Basilisk lizards are often studied for their unique ability to run across the surface of

water. Due to the complicated fluid dynamics of this process, the forces applied on the

water’s surface cannot be measured using traditional methods. This thesis presents a

novel technique of measuring the forces using a fluid dynamic force platform (FDFP),

a light, rigid box immersed in water. This platform, along with a motion capture

system, can be used to characterize the kinematics and dynamics of a basilisk lizard

running on water. This could ultimately lead to robots that can run on water in a

similar manner.
ContributorsSweeney, Andrew Joseph (Author) / Marvi, Hamidreza (Thesis advisor) / Lentink, David (Committee member) / Lee, Hyunglae (Committee member) / Arizona State University (Publisher)
Created2019
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Description
Individuals fluent in sign language who have at least one deaf parent are considered native signers while those with non-signing, hearing parents are non-native signers. Musculoskeletal pain from repetitive motion is more common from non-natives than natives. The goal of this study was twofold: 1) to examine differences in upper

Individuals fluent in sign language who have at least one deaf parent are considered native signers while those with non-signing, hearing parents are non-native signers. Musculoskeletal pain from repetitive motion is more common from non-natives than natives. The goal of this study was twofold: 1) to examine differences in upper extremity (UE) biomechanical measures between natives and non-natives and 2) upon creating a composite measure of injury-risk unique to signers, to compare differences in scores between natives and non-natives. Non-natives were hypothesized to have less favorable biomechanical measures and composite injury-risk scores compared to natives. Dynamometry was used for measurement of strength, electromyography for ‘micro’ rest breaks and muscle tension, optical motion capture for ballistic signing, non-neutral joint angle and work envelope, a numeric pain rating scale for pain, and the modified Strain Index (SI) as a composite measure of injury-risk. There were no differences in UE strength (all p≥0.22). Natives had more rest (natives 76.38%; non-natives 26.86%; p=0.002) and less muscle tension (natives 11.53%; non-natives 48.60%; p=0.008) for non-dominant upper trapezius across the first minute of the trial. For ballistic signing, no differences were found in resultant linear segment acceleration when producing the sign for ‘again’ (natives 27.59m/s2; non-natives 21.91m/s2; p=0.20). For non-neutral joint angle, natives had more wrist flexion-extension motion when producing the sign for ‘principal’ (natives 54.93°; non-natives 46.23°; p=0.04). Work envelope demonstrated the greatest significance when determining injury-risk. Natives had a marginally greater work envelope along the z-axis (inferior-superior) across the first minute of the trial (natives 35.80cm; non-natives 30.84cm; p=0.051). Natives (30%) presented with a lower pain prevalence than non-natives (40%); however, there was no significant difference in the modified SI scores (natives 4.70 points; non-natives 3.06 points; p=0.144) and no association between presence of pain with the modified SI score (r=0.087; p=0.680). This work offers a comprehensive analysis of all the previously identified UE biomechanics unique to signers and helped to inform a composite measure of injury-risk. Use of the modified SI demonstrates promise, although its lack of association with pain does confirm that injury-risk encompasses other variables in addition to a signer’s biomechanics.
ContributorsRoman, Gretchen Anne (Author) / Swan, Pamela (Thesis advisor) / Vidt, Meghan (Committee member) / Peterson, Daniel (Committee member) / Lockhart, Thurmon (Committee member) / Ofori, Edward (Committee member) / Arizona State University (Publisher)
Created2018