title: Multivariable static ankle mechanical impedance with relaxed muscles.
abstract: Quantitative characterization of ankle mechanical impedance is important to understand how the ankle supports lower-extremity functions during interaction with the environment. This paper reports a novel procedure to characterize static multivariable ankle mechanical impedance. An experimental protocol using a wearable therapeutic robot, Anklebot, enabled reliable measurement of torque and angle data in multiple degrees of freedom simultaneously, a combination of inversion-eversion and dorsiflexion-plantarflexion. The measured multivariable torque-angle relation was represented as a vector field, and approximated using a method based on thin-plate spline smoothing with generalized cross validation. The vector field enabled assessment of several important characteristics of static ankle mechanical impedance, which are not available from prior single degree of freedom studies: the directional variation of ankle mechanical impedance, the extent to which the ankle behaves as a spring, and evidence of uniquely neural contributions. The method was validated by testing a simple physical "mock-up" consisting of passive elements. Experiments with young unimpaired subjects quantified the behavior of the maximally relaxed human ankle, showing that ankle mechanical impedance is spring-like but strongly direction-dependent, being weakest in inversion. Remarkably, the analysis was sufficiently sensitive to detect a subtle but statistically significant deviation from spring-like behavior if subjects were not fully relaxed. This method may provide new insight about the function of the ankle, both unimpaired and after biomechanical or neurological injury.
authors.affiliation: Department of Mechanical Engineering, Massachusetts Institute of Technology, Room 3-147, 77 Massachusetts Avenue, Cambridge, MA 02139, USA. hyunglae@mit.edu
authors.forename: Hyunglae
authors.initials: H
authors.lastname: Lee
authors.forename: Patrick
authors.initials: P
authors.lastname: Ho
authors.forename: Mohammad A
authors.initials: MA
authors.lastname: Rastgaar
authors.forename: Hermano I
authors.initials: HI
authors.lastname: Krebs
authors.forename: Neville
authors.initials: N
authors.lastname: Hogan
mesh_terms: D000328:Adult; D000842:Ankle / Q000502:physiology*; D000843:Ankle Joint / Q000502:physiology*; D001696:Biomechanical Phenomena; D003198:Computer Simulation; D017097:Electric Impedance; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008959:Models, Neurological; D015999:Multivariate Analysis; D009132:Muscles / Q000473:pathology*; D016059:Range of Motion, Articular / Q000502:physiology; D013314:Stress, Mechanical; D013977:Tibia / Q000502:physiology; D019415:Torque