Key result
Unassisted exoskeleton-mediated walking produced widespread bilateral cortical activation compared to assisted conditions and rest, confirming a relation between cortical activation and effort.
Why the study?
Force and effort can impact rehabilitation effectiveness, but few studies have evaluated their impact on cortical activation during gait.
Does the level of physical assistance during exoskeleton-mediated gait affect cortical activation in healthy individuals?
Cross-Sectional (n=24)
Does the level of physical assistance during exoskeleton-mediated gait affect cortical activation in healthy individuals?
Cortical activation during exoskeleton-mediated gait is related to the level of effort, with unassisted conditions driving widespread activation, which may inform neurological rehabilitation strategies.
Cortical effort signals may aid exoskeleton gait training design; hypothesis-generating and requires validation before clinical use.
Force and effort are important components of a motor task that can impact rehabilitation effectiveness. However, few studies have evaluated the impact of these factors on cortical activation during gait. The purpose of the study was to investigate the relation between cortical activation and effort required during exoskeleton-mediated gait at different levels of physical assistance in healthy individuals. Twenty-four healthy participants walked 10 m with an exoskeleton that provided four levels of assistance: 100%, 50%, 0%, and 25% resistance. Functional near-infrared spectroscopy (fNIRS) was used to measure cerebral flow dynamics with a 20-channel (plus two reference channels) device that covered most cortical motor regions bilaterally. We measured changes in oxyhemoglobin (HbO2) and deoxyhemoglobin (HbR). According to HbO2 levels, cortical activation only differed slightly between the assisted conditions and rest. In contrast, bilateral and widespread cortical activation occurred during the two unassisted conditions (somatosensory, somatosensory association, primary motor, premotor, and supplementary motor cortices). A similar pattern was seen for HbR levels, with a smaller number of significant channels than for HbO2. These results confirmed the hypothesis that there is a relation between cortical activation and level of effort during gait. This finding should help to optimize neurological rehabilitation strategies to drive neuroplasticity.
No takes yet. Share an insight, caveat, or question.
Bonnal et al. (2022) conducted a cross-sectional in Healthy (n=24). Exoskeleton-mediated walking at different levels of physical assistance (100%, 50%, 0%, and 25% resistance) vs. Rest and assisted conditions was evaluated on Changes in oxyhemoglobin (HbO2) and deoxyhemoglobin (HbR) in cortical motor regions. Unassisted exoskeleton-mediated walking produced widespread bilateral cortical activation compared to assisted conditions and rest, confirming a relation between cortical activation and effort.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: