Adaptive walking assistance does not impact long-range stride-to-stride autocorrelations in healthy people.

Abstract

Many studies have demonstrated in the past that the level of long-range autocorrelations in series of stride durations, characterizing natural gait variability, is impacted by external constraints, such as treadmill or metronome, or by pathologies, such as Parkinson's or Huntington's disease. Nevertheless, no one has analyzed the effects on this metric of a gait constrained by a robot-mediated walking assistance, which intrinsically tends to normalize the gait pattern. This paper focuses on the influence of a wearable active pelvis orthosis on the level of long-range autocorrelations in series of stride durations. Ten healthy participants, aged between 55 and 77 yr, performed four overground walking sessions, wearing this orthosis, and with different assistive parameters. This study showed that the adaptive assistance provided by this device has the potential of improving gait metrics that are typically affected by aging, such as the hip range of motion, walking speed, stride length, and stride duration, without impacting natural gait variability, i.e., the level of long-range autocorrelations in series of stride durations. This combination is virtuous toward the design of an assistive device for people with locomotion disorders resulting in deteriorated levels of long-range autocorrelations, such as patients with Parkinson's disease.NEW & NOTEWORTHY This study is the first that investigates the effects of a wearable active pelvis orthosis using an oscillator-based adaptive assistance on the level of long-range autocorrelations in series of stride durations during overground walking. It is also the first to compare the effects of different assistance settings on spatiotemporal gait metrics.