Master of Science (M.S.), University of Dayton, 2020, Mechanical Engineering
Ankle-foot orthoses (AFOs) are commonly prescribed to individuals with conditions such as stroke and multiple sclerosis (MS) to assist with foot drop and other gait deficits. While AFOs have obvious benefits, there is still a high fall rate among wearers. This is likely due to the rigidity and support provided by AFOs, restricting ankle movements, which could be helpful for recovery upon a slip or trip. While there are numerous studies that utilize a lean-and-release mechanism to examine reactive stepping in order to better understand fall mechanisms and fall recovery strategies, no study has used this mechanism to understand the impact of an AFO. The goal of this study was to examine, first in healthy young adults, differences in step recovery with and without an AFO using a lean-and-release paradigm.
Twenty healthy, young adults completed a total of 30 reactive stepping trials (10 no AFO and 10 wearing the AFO on each leg) in a lean-and-release system. The forward lean angle was set to a 15º. To determine release, two retro-reflective markers were attached to the harness, which would separate upon release. Each participant had retro-reflective markers placed on anatomical locations of the back, hips, thighs, shank, and feet. Study participants were instructed to do whatever was necessary to regain their balance. All trials were recorded with a VICON motion capture system linked to two Bertec in-ground force plates, one for each foot. Temporal and kinematic variables were calculated, as well as stepping foot preference. Differences between conditions were determined by running a one-way ANOVA with a Tukey post-hoc in SPSS to compare.
Participants, on average, stepped 1.4 times more frequently with the leg not wearing the AFO. Step length was significantly shorter (p<0.001) in the stepping leg AFO condition (0.56 ± 0.12 m), as compared to the no AFO condition (0.63 ± 0.09 m). However, step duration remained the same across all conditions, indicating changes in (open full item for complete abstract)
Committee: Kimberly Bigelow Ph.D. (Committee Chair); Kurt Jackson Ph.D., P.T. (Committee Member); Allison Kinney Ph.D. (Committee Member); David Myszka Ph.D.,P.E. (Committee Member)
Subjects: Biomechanics; Mechanical Engineering