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Poggensee, K. (author), Collins, Steven H. (author)Exoskeletons that assist in ankle plantarflexion can improve energy economy in locomotion. Characterizing the joint-level mechanisms behind these reductions in energy cost can lead to a better understanding of how people interact with these devices, as well as to improved device design and training protocols. We examined the biomechanical...journal article 2024
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Hulshof, Chantal M. (author), Schallig, Wouter (author), van den Noort, Josien C. (author), Streekstra, Geert J. (author), Kleipool, Roeland P. (author), GG Dobbe, Johannes (author), Maas, Mario (author), Harlaar, J. (author), van der Krogt, Marjolein M. (author)Segment coordinate systems (CSs) of marker-based multi-segment foot models are used to measure foot kinematics, however their relationship to the underlying bony anatomy is barely studied. The aim of this study was to compare marker-based CSs (MCSs) with bone morphology-based CSs (BCSs) for the hindfoot and forefoot. Markers were placed on...journal article 2024
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Lyu, Silong (author), Bidarra, Rafael (author)Conventional gait rehabilitation methods have the risk of alienating the patient due to their monotonous nature, thus negatively impacting the effectiveness of gait training. Modern technologies can help provide patients with better support, safety and immersive experience during training. However, physiotherapists cannot be required to...conference paper 2023
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van den Berg, A. (author), de Vries, B. (author), Breedveld, Z.A. (author), van Mierlo, A.M.A. (author), Tijhuis, M.J. (author), Marchal Crespo, L. (author)Immersive Virtual Reality (IVR) has gained popularity in neurorehabilitation for its potential to increase patients’ motivation and engagement. A crucial yet relatively unexplored aspect of IVR interfaces is the patients’ representation in the virtual world, such as with an avatar. A higher level of embodiment over avatars has been shown to...journal article 2023
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van Mierlo, M. (author), Vlutters, M. (author), van Asseldonk, E. H.F. (author), van der Kooij, H. (author)Spatiotemporal gait characteristics change during very slow walking, a relevant speed considering individuals with movement disorders or using assistive devices. However, we lack insights in how very slow walking affects human balance control. Therefore, we aimed to identify how healthy individuals use balance strategies while walking very...journal article 2023
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van Mierlo, M. (author), Abma, M. (author), Vlutters, M. (author), van Asseldonk, E. H.F. (author), van der Kooij, H. (author)Humans prioritize regulation of the whole-body angular momentum (WBAM) during walking. When perturbed, modulations of the moment arm of the ground reaction force (GRF) with respect to the centre of mass (CoM) assist in recovering WBAM. For sagittal-plane perturbations of the WBAM given at toe off right (TOR), horizontal GRF modulations and...journal article 2023
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Waterval, N. F.J. (author), Brehm, M. A. (author), Veerkamp, K. (author), Geijtenbeek, T. (author), Harlaar, J. (author), Nollet, F. (author), van der Krogt, M. M. (author)To maximize effects of dorsal leaf ankle foot orthoses (AFOs) on gait in people with bilateral plantarflexor weakness, the AFO properties should be matched to the individual. However, how AFO properties interact regarding their effect on gait function is unknown. We studied the interaction of AFO bending stiffness with neutral angle and...journal article 2023
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Guffanti, Diego (author), Lemus Perez, D.S. (author), Vallery, H. (author), Brunete, Alberto (author), Hernando, Miguel (author), Horemans, H.L.D. (author)Three-dimensional (3D) cameras used for gait assessment obviate the need for bodily markers or sensors, making them particularly interesting for clinical applications. Due to their limited field of view, their application has predominantly focused on evaluating gait patterns within short walking distances. However, assessment of gait...journal article 2023
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Roelofs, Jolanda M.B. (author), Zandvliet, Sarah B. (author), Schut, I.M. (author), Huisinga, Anouk C.M. (author), Schouten, A.C. (author), Hendricks, Henk T. (author), de Kam, Digna (author), Aerden, Leo A.M. (author), Bussmann, J.B.J. (author), Geurts, Alexander C.H. (author), Weerdesteyn, Vivian (author)Background: After mild stroke persistent balance limitations may occur, creating a risk factor for fear of falling, falls, and reduced activity levels. Objective. To investigate whether individuals in the chronic phase after mild stroke show balance and gait limitations, elevated fall risk, reduced balance confidence, and physical activity...journal article 2023
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de Miguel-Fernández, Jesús (author), Lobo-Prat, Joan (author), Prinsen, Erik (author), Font-Llagunes, Josep M. (author), Marchal Crespo, L. (author)Background: In the past decade, there has been substantial progress in the development of robotic controllers that specify how lower-limb exoskeletons should interact with brain-injured patients. However, it is still an open question which exoskeleton control strategies can more effectively stimulate motor function recovery. In this review,...review 2023
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Flux, Eline (author), Bar-On, Lynn (author), Buizer, Annemieke I. (author), Harlaar, J. (author), van der Krogt, Marjolein M. (author)Background: Children with cerebral palsy often show deviating calf muscle activation patterns during gait, with excess activation during early stance and insufficient activation during push-off. Research question: Can children with cerebral palsy improve their calf muscle activation patterns during gait using one session of biofeedback-driven...journal article 2023
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Yang, Yang (author), Yang, Xiaoyi (author), Sakamoto, Takuya (author), Fioranelli, F. (author), Li, Beichen (author), Lang, Yue (author)In recent years, gait-based person identification has gained significant interest for a variety of applications, including security systems and public security forensics. Meanwhile, this task is faced with the challenge of disguised gaits. When a human subject changes what he or she is wearing or carrying, it becomes challenging to reliably...journal article 2022
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Xu, Weitao (author), Xue, Wanli (author), Lin, Qi (author), Lan, G. (author), Feng, Xingyu (author), Wei, Bo (author), Luo, Chengwen (author), Li, Wei (author), Zomaya, Albert Y. (author)Smart space has emerged as a new paradigm that combines sensing, communication, and artificial intelligence technologies to offer various customized services. A fundamental requirement of these services is person identification. Although a variety of person-identification approaches has been proposed, they suffer from several limitations in...journal article 2022
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Waterval, N.F.J. (author), Brehm, M. A. (author), Harlaar, J. (author), Nollet, F. (author)Background: In individuals with unilateral plantar flexor weakness, the second peak of the vertical ground reaction force (GRF) is decreased. This leads to a higher ground reaction force, e.g. impact, of the contralateral leg, potentially explaining quadriceps muscle and/or knee joint pain. Energy cost optimized dorsal leaf ankle-foot...journal article 2022
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van Mierlo, M. (author), Ambrosius, J. I. (author), Vlutters, M. (author), van Asseldonk, E. H.F. (author), van der Kooij, H. (author)Healthy individuals highly regulate their whole body angular momentum (WBAM) during walking. Since WBAM regulation is essential in maintaining balance, a better understanding is required on how healthy individuals recover from WBAM perturbations. We therefore studied how healthy individuals recover WBAM in the sagittal plane. WBAM can be...journal article 2022
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Schallig, Wouter (author), van den Noort, Josien C. (author), Piening, Marjolein (author), Streekstra, Geert J. (author), Maas, Mario (author), van der Krogt, Marjolein M. (author), Harlaar, J. (author)Background: Foot and ankle joint kinematics are measured during clinical gait analyses with marker-based multi-segment foot models. To improve on existing models, measurement errors due to soft tissue artifacts (STAs) and marker misplacements should be reduced. Therefore, the aim of this study is to define a clinically informed, universally...journal article 2022
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Urbanus, Francine C.A. (author), Grayson, Jane (author), Harlaar, J. (author), Simic, Milena (author)Load modifying gait retraining strategies, such as changing the foot progression angle (FPA) to toe-in and toe-out gait, are used for people with medial knee osteoarthritis. The FPA can be measured using a pressure sensitive walkway (PSW), but inertial measurement units (IMUs) are considered more suitable for clinical use. This study...journal article 2022
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Bayón, Cristina (author), Keemink, Arvid Q.L. (author), van Mierlo, Michelle (author), Rampeltshammer, Wolfgang (author), van der Kooij, H. (author), van Asseldonk, Edwin H.F. (author)BACKGROUND: In the last two decades, lower-limb exoskeletons have been developed to assist human standing and locomotion. One of the ongoing challenges is the cooperation between the exoskeleton balance support and the wearer control. Here we present a cooperative ankle-exoskeleton control strategy to assist in balance recovery after...journal article 2022
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van der Kooij, H. (author), Fricke, Simone S. (author), Van 't Veld, Ronald C. (author), Prieto, Ander Vallinas (author), Keemink, Arvid Q.L. (author), Schouten, A.C. (author), Van Asseldonk, Edwin H.F. (author)Knowledge on joint impedance during walking in various conditions is relevant for clinical decision-making and the development of robotic gait trainers, leg prostheses, leg orthotics and wearable exoskeletons. Whereas ankle impedance during walking has been experimentally assessed, knee and hip joint impedance during walking have not been...journal article 2022
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Schallig, Wouter (author), Streekstra, Geert J. (author), Hulshof, Chantal M. (author), Kleipool, Roeland P. (author), Dobbe, Johannes G.G. (author), Maas, Mario (author), Harlaar, J. (author), van der Krogt, Marjolein M. (author), van den Noort, Josien C. (author)Movement of skin markers with respect to their underlying bone (i.e. soft tissue artifacts (STAs)) might corrupt the accuracy of marker-based movement analyses. This study aims to quantify STAs in 3D for foot markers and their effect on multi-segment foot kinematics as calculated by the Oxford and Rizzoli Foot Models (OFM, RFM). Fifteen...journal article 2021