Residual Limb Revision Surgery Alters Velocity-Curvature Coupling during Stepping and Turning of a Transfemoral Amputee

Emily T. Levy, Keith Edward Gordon, Nicholas P. Fey

Research output: Chapter in Book/Report/Conference proceedingConference contribution

1 Citation (Scopus)

Abstract

Two-Thirds Power Law is a frequently observed relationship in human movement, relating velocity and curvature of movement trajectory. These movements span handwriting, larvae crawling, and human-robot interaction. Despite vast acceptance as a common principle of biology, it is unknown if the power law applies to interaction between amputees and prostheses, and if interventions to augment the physical connection between amputees and prostheses influence this speed-curvature coupling during demanding forms of human locomotion. The purpose of this study was to determine if individuals with transfemoral amputation exhibit a biologically-appropriate power law relationship during non-steady-state locomotion, and if a surgical intervention to reduce residual limb soft tissue would influence the observed coupling. We hypothesized that a power regression would well characterize amputee locomotion, and that limb revision surgery would result in a non-linear power coupling close to one-third and overall increased speed (i.e., higher linear coupling) in each non-steady-state movement. The subject performed repeated trials of left and right 90° turns during walking, as well as Foursquare Step Test (FSST), while whole-body kinematics were captured. After fitting center-of-mass velocity and curvature to the power law, the power coupling in FSST was similar to the Two-Thirds Power Law, while turning was not. Finally, the intervention was shown to increase linear coupling suggesting an overall improvement in movement tempo characterized by modest changes in velocity, enabling tasks to be achieved more quickly.

Original languageEnglish (US)
Title of host publication40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
PublisherInstitute of Electrical and Electronics Engineers Inc.
Pages1883-1886
Number of pages4
ISBN (Electronic)9781538636466
DOIs
StatePublished - Oct 26 2018
Event40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018 - Honolulu, United States
Duration: Jul 18 2018Jul 21 2018

Publication series

NameProceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS
Volume2018-July
ISSN (Print)1557-170X

Other

Other40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018
CountryUnited States
CityHonolulu
Period7/18/187/21/18

Fingerprint

Amputees
Locomotion
Reoperation
Surgery
Extremities
Prosthetics
Exercise Test
Prostheses and Implants
Handwriting
Human robot interaction
Amputation
Biomechanical Phenomena
Walking
Larva
Kinematics
Trajectories
Tissue

ASJC Scopus subject areas

  • Signal Processing
  • Biomedical Engineering
  • Computer Vision and Pattern Recognition
  • Health Informatics

Cite this

Levy, E. T., Gordon, K. E., & Fey, N. P. (2018). Residual Limb Revision Surgery Alters Velocity-Curvature Coupling during Stepping and Turning of a Transfemoral Amputee. In 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018 (pp. 1883-1886). [8512669] (Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS; Vol. 2018-July). Institute of Electrical and Electronics Engineers Inc.. https://doi.org/10.1109/EMBC.2018.8512669
Levy, Emily T. ; Gordon, Keith Edward ; Fey, Nicholas P. / Residual Limb Revision Surgery Alters Velocity-Curvature Coupling during Stepping and Turning of a Transfemoral Amputee. 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018. Institute of Electrical and Electronics Engineers Inc., 2018. pp. 1883-1886 (Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS).
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abstract = "Two-Thirds Power Law is a frequently observed relationship in human movement, relating velocity and curvature of movement trajectory. These movements span handwriting, larvae crawling, and human-robot interaction. Despite vast acceptance as a common principle of biology, it is unknown if the power law applies to interaction between amputees and prostheses, and if interventions to augment the physical connection between amputees and prostheses influence this speed-curvature coupling during demanding forms of human locomotion. The purpose of this study was to determine if individuals with transfemoral amputation exhibit a biologically-appropriate power law relationship during non-steady-state locomotion, and if a surgical intervention to reduce residual limb soft tissue would influence the observed coupling. We hypothesized that a power regression would well characterize amputee locomotion, and that limb revision surgery would result in a non-linear power coupling close to one-third and overall increased speed (i.e., higher linear coupling) in each non-steady-state movement. The subject performed repeated trials of left and right 90° turns during walking, as well as Foursquare Step Test (FSST), while whole-body kinematics were captured. After fitting center-of-mass velocity and curvature to the power law, the power coupling in FSST was similar to the Two-Thirds Power Law, while turning was not. Finally, the intervention was shown to increase linear coupling suggesting an overall improvement in movement tempo characterized by modest changes in velocity, enabling tasks to be achieved more quickly.",
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Levy, ET, Gordon, KE & Fey, NP 2018, Residual Limb Revision Surgery Alters Velocity-Curvature Coupling during Stepping and Turning of a Transfemoral Amputee. in 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018., 8512669, Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS, vol. 2018-July, Institute of Electrical and Electronics Engineers Inc., pp. 1883-1886, 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018, Honolulu, United States, 7/18/18. https://doi.org/10.1109/EMBC.2018.8512669

Residual Limb Revision Surgery Alters Velocity-Curvature Coupling during Stepping and Turning of a Transfemoral Amputee. / Levy, Emily T.; Gordon, Keith Edward; Fey, Nicholas P.

40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018. Institute of Electrical and Electronics Engineers Inc., 2018. p. 1883-1886 8512669 (Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS; Vol. 2018-July).

Research output: Chapter in Book/Report/Conference proceedingConference contribution

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Levy ET, Gordon KE, Fey NP. Residual Limb Revision Surgery Alters Velocity-Curvature Coupling during Stepping and Turning of a Transfemoral Amputee. In 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBC 2018. Institute of Electrical and Electronics Engineers Inc. 2018. p. 1883-1886. 8512669. (Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS). https://doi.org/10.1109/EMBC.2018.8512669