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Researchers have made advances in reducing the metabolic rate of both walking and running by modulating mono-articular energy with exoskeletons. However, how to modulate multiarticular energy with exoskeletons to improve the energy economy of both walking and running is still a challenging problem, due to the lack of understanding of energy transfer among human lower-limb joints. Based on the study of the energy recycling and energy transfer function of biarticular muscles, we proposed a hip-knee unpowered exoskeleton that emulates and reinforces the function of the hamstrings and rectus femoris in different gait phases. The biarticular exo-tendon of the exoskeleton assists hamstrings to recycle the kinetic energy of the leg swing while providing hip extension torque in the swing phase. In the following stance phase, the exo-tendon releases the stored energy to assist the co-contraction of gluteus maximus and rectus femoris for both hip extension and knee extension, thus realizing the phased modulation of hip and knee joint energy. The metabolic rate of both walking (1.5 m/s) and running (2.5 m/s) can be reduced by 6.2% and 4.0% with the multiarticular energy modulation of a hip-knee unpowered exoskeleton, compared to that of walking and running without an exoskeleton. The bio-inspired design method of this study may inspire people to develop devices that assist multiple gaits in the future.
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http://dx.doi.org/10.3390/s22218539 | DOI Listing |
Eur J Orthop Surg Traumatol
September 2025
University of Leeds, Leeds, United Kingdom.
Introduction: This study aimed to evaluate the health perception of quality of life and function in patients with segmental bone defects (SBD) of the femur or tibia treated with the Induced Membrane Technique (IMT) and achieved bone healing and infection control.
Methods: This cross-sectional cohort study was conducted at a single referral center. Patients with infected SBD of the femur or tibia treated with IMT were included if they had at least 12 months of bone healing and no evidence of infection.
Int J Exerc Sci
September 2025
Department of Sport and Exercise Science, School of Science, University of Phayao, Phayao, Thailand.
The intensity of aerobic exercise is influenced by maximum heart rate (MHR), which can be assessed through an incremental exercise test. However, this method requires specialized equipment and a level of fitness that individuals who are sedentary or overweight may lack. Therefore, estimating MHR using formulas is essential.
View Article and Find Full Text PDFCan Prosthet Orthot J
June 2025
Össur South Africa, Cape Town, South Africa.
Background: Microprocessor knees (MPKs) support safe and confident prosthetic walking. Their cost often prohibits prescription in low- and middle-income settings like South Africa. Funding of high-end prosthetic products in South Africa is dependent on justifications that explain why the component is prescribed, and how it can improve the user`s function.
View Article and Find Full Text PDFSAGE Open Med Case Rep
August 2025
Education and Training, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.
The aim of this case study is to report how treatment and rehabilitation for meniscus tears can exacerbate the underlying condition or improve function. In addition, the objective of the study is to compare quadriceps physical therapy in a patient to gluteal muscle therapy. There are different types of meniscus tears, and each rehabilitation plan depends on the location and type of meniscus injury.
View Article and Find Full Text PDFThe transition to bipedal locomotion is a key event in human evolution, involving substantial changes to the skeleton, including the bones of the hands and feet (autopods). Hominins evolved a more muscular and opposable thumb while the other fingers are relatively shorter, enhancing manipulative capacity. The feet evolved robust first toes and short lateral toes to meet the challenges of bipedal walking and running.
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