Human-Robot Interaction: Does Robotic Guidance Force Affect Gait-Related Brain Dynamics during Robot-Assisted Treadmill Walking?

Kristel Knaepen, Andreas Mierau, Eva Swinnen, Helio Fernandez Tellez, Marc Michielsen, Eric Kerckhofs, Dirk Lefeber, Romain Meeusen, Kristel Knaepen, Andreas Mierau, Eva Swinnen, Helio Fernandez Tellez, Marc Michielsen, Eric Kerckhofs, Dirk Lefeber, Romain Meeusen

Abstract

In order to determine optimal training parameters for robot-assisted treadmill walking, it is essential to understand how a robotic device interacts with its wearer, and thus, how parameter settings of the device affect locomotor control. The aim of this study was to assess the effect of different levels of guidance force during robot-assisted treadmill walking on cortical activity. Eighteen healthy subjects walked at 2 km.h-1 on a treadmill with and without assistance of the Lokomat robotic gait orthosis. Event-related spectral perturbations and changes in power spectral density were investigated during unassisted treadmill walking as well as during robot-assisted treadmill walking at 30%, 60% and 100% guidance force (with 0% body weight support). Clustering of independent components revealed three clusters of activity in the sensorimotor cortex during treadmill walking and robot-assisted treadmill walking in healthy subjects. These clusters demonstrated gait-related spectral modulations in the mu, beta and low gamma bands over the sensorimotor cortex related to specific phases of the gait cycle. Moreover, mu and beta rhythms were suppressed in the right primary sensory cortex during treadmill walking compared to robot-assisted treadmill walking with 100% guidance force, indicating significantly larger involvement of the sensorimotor area during treadmill walking compared to robot-assisted treadmill walking. Only marginal differences in the spectral power of the mu, beta and low gamma bands could be identified between robot-assisted treadmill walking with different levels of guidance force. From these results it can be concluded that a high level of guidance force (i.e., 100% guidance force) and thus a less active participation during locomotion should be avoided during robot-assisted treadmill walking. This will optimize the involvement of the sensorimotor cortex which is known to be crucial for motor learning.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1. Scalp map, PSD, dipole locations…
Fig 1. Scalp map, PSD, dipole locations and ERSPs for cluster 3, located in the midline PMC & SMA.
(A) Cluster average scalp projection; (B) Gait cycle PSD for G, 30% GF, 60% GF and 100% GF; (C) Dipole locations of cluster ICs (blue spheres) and cluster centroids (red sphere) visualized in the MNI brain volume in coronal and sagittal views; (D) average cluster ERSP (3–45 Hz) plots showing significant changes in spectral power relative to the full gait cycle baseline (p<.05 for g gf and gf. non-significant differences relative to the full gait cycle baseline are masked in green db starts ends with r hs vertical line at of marks l hs.>

Fig 2. Scalp map, PSD, dipole locations…

Fig 2. Scalp map, PSD, dipole locations and ERSPs for cluster 6, located in the…

Fig 2. Scalp map, PSD, dipole locations and ERSPs for cluster 6, located in the left SA.
(A) Cluster average scalp projection; (B) Gait cycle PSD for G, 30% GF, 60% GF and 100% GF; (C) Dipole locations of cluster ICs (blue spheres) and cluster centroids (red sphere) visualized in the MNI brain volume in coronal and sagittal views; (D) average cluster ERSP (3–45 Hz) plots showing significant changes in spectral power relative to the full gait cycle baseline (p<.05 for g gf and gf. non-significant differences relative to the full gait cycle baseline are masked in green db starts ends with r hs vertical line at of marks l hs.>

Fig 3. Scalp map, PSD, dipole locations…

Fig 3. Scalp map, PSD, dipole locations and ERSPs for cluster 12, located in the…

Fig 3. Scalp map, PSD, dipole locations and ERSPs for cluster 12, located in the right S1.
(A) Cluster average scalp projection; (B) Gait cycle PSD for G, 30% GF, 60% GF and 100% GF; (C) Dipole locations of cluster ICs (blue spheres) and cluster centroids (red sphere) visualized in the MNI brain volume in coronal and sagittal views; (D) average cluster ERSP (3–45 Hz) plots showing significant changes in spectral power relative to the full gait cycle baseline (p<.05 for g gf and gf. non-significant differences relative to the full gait cycle baseline are masked in green db starts ends with r hs vertical line at of marks l hs.>
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References
    1. Mehrholz J, Elsner B, Werner C, Kugler J, Pohl M. Electromechanical-assisted training for walking after stroke. Cochrane Database Syst Rev. 2013;7:CD006185 Epub 2013/07/28. 10.1002/14651858.CD006185.pub3 . - DOI - PMC - PubMed
    1. Sale P, Franceschini M, Waldner A, Hesse S. Use of the robot assisted gait therapy in rehabilitation of patients with stroke and spinal cord injury. Eur J Phys Rehabil Med. 2012;48(1):111–21. Epub 2012/05/01. doi: R33122769 [pii]. . - PubMed
    1. Ada L, Dean CM, Vargas J, Ennis S. Mechanically assisted walking with body weight support results in more independent walking than assisted overground walking in non-ambulatory patients early after stroke: a systematic review. J Physiother. 2010;56(3):153–61. Epub 2010/08/28. . - PubMed
    1. Shin JC, Kim JY, Park HK, Kim NY. Effect of robotic-assisted gait training in patients with incomplete spinal cord injury. Ann Rehabil Med. 2014;38(6):719–25. Epub 2015/01/08. 10.5535/arm.2014.38.6.719 - DOI - PMC - PubMed
    1. Swinnen E, Beckwee D, Pinte D, Meeusen R, Baeyens JP, Kerckhofs E. Treadmill training in multiple sclerosis: can body weight support or robot assistance provide added value? A systematic review. Mult Scler Int. 2012;2012:240274 Epub 2012/06/16. 10.1155/2012/240274 - DOI - PMC - PubMed
Show all 79 references
Publication types
Grant support
The preparation of this paper was funded by the Vrije Universiteit Brussel (i.e., GOA 59 and the Strategic Research Program ‘Exercise and the Brain in Health & Disease: the Added Value of Human-Centered Robotics’). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Fig 2. Scalp map, PSD, dipole locations…
Fig 2. Scalp map, PSD, dipole locations and ERSPs for cluster 6, located in the left SA.
(A) Cluster average scalp projection; (B) Gait cycle PSD for G, 30% GF, 60% GF and 100% GF; (C) Dipole locations of cluster ICs (blue spheres) and cluster centroids (red sphere) visualized in the MNI brain volume in coronal and sagittal views; (D) average cluster ERSP (3–45 Hz) plots showing significant changes in spectral power relative to the full gait cycle baseline (p<.05 for g gf and gf. non-significant differences relative to the full gait cycle baseline are masked in green db starts ends with r hs vertical line at of marks l hs.>

Fig 3. Scalp map, PSD, dipole locations…

Fig 3. Scalp map, PSD, dipole locations and ERSPs for cluster 12, located in the…

Fig 3. Scalp map, PSD, dipole locations and ERSPs for cluster 12, located in the right S1.
(A) Cluster average scalp projection; (B) Gait cycle PSD for G, 30% GF, 60% GF and 100% GF; (C) Dipole locations of cluster ICs (blue spheres) and cluster centroids (red sphere) visualized in the MNI brain volume in coronal and sagittal views; (D) average cluster ERSP (3–45 Hz) plots showing significant changes in spectral power relative to the full gait cycle baseline (p<.05 for g gf and gf. non-significant differences relative to the full gait cycle baseline are masked in green db starts ends with r hs vertical line at of marks l hs.>
Similar articles
Cited by
References
    1. Mehrholz J, Elsner B, Werner C, Kugler J, Pohl M. Electromechanical-assisted training for walking after stroke. Cochrane Database Syst Rev. 2013;7:CD006185 Epub 2013/07/28. 10.1002/14651858.CD006185.pub3 . - DOI - PMC - PubMed
    1. Sale P, Franceschini M, Waldner A, Hesse S. Use of the robot assisted gait therapy in rehabilitation of patients with stroke and spinal cord injury. Eur J Phys Rehabil Med. 2012;48(1):111–21. Epub 2012/05/01. doi: R33122769 [pii]. . - PubMed
    1. Ada L, Dean CM, Vargas J, Ennis S. Mechanically assisted walking with body weight support results in more independent walking than assisted overground walking in non-ambulatory patients early after stroke: a systematic review. J Physiother. 2010;56(3):153–61. Epub 2010/08/28. . - PubMed
    1. Shin JC, Kim JY, Park HK, Kim NY. Effect of robotic-assisted gait training in patients with incomplete spinal cord injury. Ann Rehabil Med. 2014;38(6):719–25. Epub 2015/01/08. 10.5535/arm.2014.38.6.719 - DOI - PMC - PubMed
    1. Swinnen E, Beckwee D, Pinte D, Meeusen R, Baeyens JP, Kerckhofs E. Treadmill training in multiple sclerosis: can body weight support or robot assistance provide added value? A systematic review. Mult Scler Int. 2012;2012:240274 Epub 2012/06/16. 10.1155/2012/240274 - DOI - PMC - PubMed
Show all 79 references
Publication types
Grant support
The preparation of this paper was funded by the Vrije Universiteit Brussel (i.e., GOA 59 and the Strategic Research Program ‘Exercise and the Brain in Health & Disease: the Added Value of Human-Centered Robotics’). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
[x]
Cite
Copy Download .nbib
Format: AMA APA MLA NLM
Fig 3. Scalp map, PSD, dipole locations…
Fig 3. Scalp map, PSD, dipole locations and ERSPs for cluster 12, located in the right S1.
(A) Cluster average scalp projection; (B) Gait cycle PSD for G, 30% GF, 60% GF and 100% GF; (C) Dipole locations of cluster ICs (blue spheres) and cluster centroids (red sphere) visualized in the MNI brain volume in coronal and sagittal views; (D) average cluster ERSP (3–45 Hz) plots showing significant changes in spectral power relative to the full gait cycle baseline (p<.05 for g gf and gf. non-significant differences relative to the full gait cycle baseline are masked in green db starts ends with r hs vertical line at of marks l hs.>

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Source: PubMed

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