A.H.A. Stienen
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26 records found
1
Experimental data from nine healthy participants performing stoop-lifting trials with and without the passive rigid Laevo exoskeleton included synchronised EMG and motion capture. Analyses examined erector spinae activation, marker-based movement proxies, and hip and leg muscle activation. To determine significance, paired-sample t-tests were used. In OpenSim, the Laevo was modelled as a passive angle-dependent hip flexion torsional spring.
The experimental results did not show a statistically significant reduction in erector spinae activation when using the Laevo, for either peak activation (p = 0.948) or average activation (p = 0.370). The shoulder-hip distance results suggested a trend towards a smaller motion range when using the Laevo, especially in the empty-crate condition (p = 0.090), but this did not reach statistical significance. Clear statistical evidence for a general change in hip or leg muscle activation was not found, although average biceps femoris activation was significantly lower with the Laevo, decreasing from 0.563 to 0.484 in normalized activation (p = 0.016). The model showed partial qualitative agreement with some experimental trends, especially for selected movement-pattern and muscle-activation outcomes.
Overall, the developed framework generated predictive simulations with and without exoskeleton support. However, the results should be interpreted as a preliminary proof of concept rather than model validation. The main contribution is a reproducible OpenSim Moco workflow for modelling a passive back-support exoskeleton and comparing it with experimental EMG and motion-capture trends.
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Experimental data from nine healthy participants performing stoop-lifting trials with and without the passive rigid Laevo exoskeleton included synchronised EMG and motion capture. Analyses examined erector spinae activation, marker-based movement proxies, and hip and leg muscle activation. To determine significance, paired-sample t-tests were used. In OpenSim, the Laevo was modelled as a passive angle-dependent hip flexion torsional spring.
The experimental results did not show a statistically significant reduction in erector spinae activation when using the Laevo, for either peak activation (p = 0.948) or average activation (p = 0.370). The shoulder-hip distance results suggested a trend towards a smaller motion range when using the Laevo, especially in the empty-crate condition (p = 0.090), but this did not reach statistical significance. Clear statistical evidence for a general change in hip or leg muscle activation was not found, although average biceps femoris activation was significantly lower with the Laevo, decreasing from 0.563 to 0.484 in normalized activation (p = 0.016). The model showed partial qualitative agreement with some experimental trends, especially for selected movement-pattern and muscle-activation outcomes.
Overall, the developed framework generated predictive simulations with and without exoskeleton support. However, the results should be interpreted as a preliminary proof of concept rather than model validation. The main contribution is a reproducible OpenSim Moco workflow for modelling a passive back-support exoskeleton and comparing it with experimental EMG and motion-capture trends.
In parallel, the orthosis design was refined to reduce internal friction, improve the input-output force gradient, and minimize twitching during actuation. The redesigned prototype demonstrated a 23.7% improvement in mechanical efficiency compared to the original version. Testing revealed that the system could perform a full hand closing/opening motion within 4 seconds and accurately replicate natural finger trajectories. Retesting the original orthosis under synchronized input/output conditions produced a reliable baseline
dataset, enabling a clear comparison between the legacy and updated systems. While the redesigned prototype encountered minor issues such as spring buckling under high loads due to fabrication tolerances, the overall performance met the core design goals. This work demonstrates the feasibility of integrating the novel bidirectional twisted-string actuation
system with 3D-printed metamaterial structures for wearable assistive devices. It provides a validated platform for further development toward user-ready robotic rehabilitation gloves with improved comfort, responsiveness, and usability. ...
In parallel, the orthosis design was refined to reduce internal friction, improve the input-output force gradient, and minimize twitching during actuation. The redesigned prototype demonstrated a 23.7% improvement in mechanical efficiency compared to the original version. Testing revealed that the system could perform a full hand closing/opening motion within 4 seconds and accurately replicate natural finger trajectories. Retesting the original orthosis under synchronized input/output conditions produced a reliable baseline
dataset, enabling a clear comparison between the legacy and updated systems. While the redesigned prototype encountered minor issues such as spring buckling under high loads due to fabrication tolerances, the overall performance met the core design goals. This work demonstrates the feasibility of integrating the novel bidirectional twisted-string actuation
system with 3D-printed metamaterial structures for wearable assistive devices. It provides a validated platform for further development toward user-ready robotic rehabilitation gloves with improved comfort, responsiveness, and usability.
For the orthosis to be accepted by the users it has to be easy to use and should not limit freedom of movement. A force analysis of the wrist when holding the drill, and when using the drill against a vertical wall indicates that both the ulnar deviation and the radial deviation must be supported. To clarify which requirements are a basic necessity for the orthosis to be functional and which can be scored on functionality, they are divided into product requirements and user requirements, respectively.
Five concepts are presented to help support both the ulnar deviation and the radial deviation. Three of them are passive solutions, the other two are active. A prototype of all concepts is made and they are scored following the User Requirements utilizing a Harris Profile. During testing it is clear that the ulnar deviation support has little to no impact on the experienced muscle force. Therefore, this requirement is ignored and the orthosis ar scored with the other requirements. Both the concept using Bowden cables and the Support Arm scored well. Since the Support Arm is less complex and functional for the purpose of this research, the Support Arm is further developed.
A force analysis confirmed that the Support Arm can assist in lifting the drill by generating a configurable support force, adjustable via the spring constant or position of the attachment point. Testing the orthosis indicated that the forearm is not in line with the drill, as was expected, reducing the force on the drill. To resolve this, the attachment points of the spring and beam are angled 20 degrees to counteract the angle of the forearm compared to the drill.
The calculation in this paper are simplified, further analysis is needed to determine the effects excluded in this paper. The prototype of the orthosis should also be tested using EMG and a musculoskeletal model. This can give an indication on the effect of the orthosis on muscle activation an muscle force. More improvements of the orthosis are needed to improve user comfort and increase the force transfer. The Support Arm functions only to help lift an object. For more general wrist support and with further research, the Bowden Cable concept is promising. While more complex, the concept can help with dynamic forces to assist to the wrist movements.
In conclusion, the Support Arm orthosis effectively reduces the experienced muscle load during radial deviation when a drill is being lifted. The supporting force of the orthosis can be easily modified depending on the task. For the goal of this research, to support employees in construction and industry work when working with a drill, the Support Arm is a functional solution that can decrease the necessary muscle force and, in doing so, also decrease the bone contact forces in the wrist. ...
For the orthosis to be accepted by the users it has to be easy to use and should not limit freedom of movement. A force analysis of the wrist when holding the drill, and when using the drill against a vertical wall indicates that both the ulnar deviation and the radial deviation must be supported. To clarify which requirements are a basic necessity for the orthosis to be functional and which can be scored on functionality, they are divided into product requirements and user requirements, respectively.
Five concepts are presented to help support both the ulnar deviation and the radial deviation. Three of them are passive solutions, the other two are active. A prototype of all concepts is made and they are scored following the User Requirements utilizing a Harris Profile. During testing it is clear that the ulnar deviation support has little to no impact on the experienced muscle force. Therefore, this requirement is ignored and the orthosis ar scored with the other requirements. Both the concept using Bowden cables and the Support Arm scored well. Since the Support Arm is less complex and functional for the purpose of this research, the Support Arm is further developed.
A force analysis confirmed that the Support Arm can assist in lifting the drill by generating a configurable support force, adjustable via the spring constant or position of the attachment point. Testing the orthosis indicated that the forearm is not in line with the drill, as was expected, reducing the force on the drill. To resolve this, the attachment points of the spring and beam are angled 20 degrees to counteract the angle of the forearm compared to the drill.
The calculation in this paper are simplified, further analysis is needed to determine the effects excluded in this paper. The prototype of the orthosis should also be tested using EMG and a musculoskeletal model. This can give an indication on the effect of the orthosis on muscle activation an muscle force. More improvements of the orthosis are needed to improve user comfort and increase the force transfer. The Support Arm functions only to help lift an object. For more general wrist support and with further research, the Bowden Cable concept is promising. While more complex, the concept can help with dynamic forces to assist to the wrist movements.
In conclusion, the Support Arm orthosis effectively reduces the experienced muscle load during radial deviation when a drill is being lifted. The supporting force of the orthosis can be easily modified depending on the task. For the goal of this research, to support employees in construction and industry work when working with a drill, the Support Arm is a functional solution that can decrease the necessary muscle force and, in doing so, also decrease the bone contact forces in the wrist.
The device uses a linear solenoid actuator housed in a wrist brace to generate short, pulse-type forces, thereby inducing small angular deflections (approximately 1–3°) to the arm. An inertial measurement unit (IMU) placed on the brace tracks the resulting movement, while an accelerometer on the solenoid coil measures the perturbation force. Nine healthy participants performed three tasks—relax, resist, and move. Random pulse signals were used to prevent anticipation of the perturbations. The device successfully deflected the arm in all tasks. The largest deflections was recorded during the relax task and smaller, though still measurable, deflections in the resist and move tasks.
Estimated stiffness values in each task indicated that the device could distinguish different levels of joint rigidity, although comparisons with established literature showed some over- or underestimation. Factors such as non-rigid brace attachment and off-center actuator placement contributed to these discrepancies. Despite these limitations, the prototype demonstrates the feasibility of wearable, ungrounded force perturbations for assessing elbow dynamics. Future work will focus on improving the device’s rigidity, exploring multi-degree-of-freedom perturbations, and refining stiffness estimation algorithms to better capture realistic joint behaviors. ...
The device uses a linear solenoid actuator housed in a wrist brace to generate short, pulse-type forces, thereby inducing small angular deflections (approximately 1–3°) to the arm. An inertial measurement unit (IMU) placed on the brace tracks the resulting movement, while an accelerometer on the solenoid coil measures the perturbation force. Nine healthy participants performed three tasks—relax, resist, and move. Random pulse signals were used to prevent anticipation of the perturbations. The device successfully deflected the arm in all tasks. The largest deflections was recorded during the relax task and smaller, though still measurable, deflections in the resist and move tasks.
Estimated stiffness values in each task indicated that the device could distinguish different levels of joint rigidity, although comparisons with established literature showed some over- or underestimation. Factors such as non-rigid brace attachment and off-center actuator placement contributed to these discrepancies. Despite these limitations, the prototype demonstrates the feasibility of wearable, ungrounded force perturbations for assessing elbow dynamics. Future work will focus on improving the device’s rigidity, exploring multi-degree-of-freedom perturbations, and refining stiffness estimation algorithms to better capture realistic joint behaviors.
Development of a field hockey stick with adaptive properties
Identification of influential stick properties and a design of an adaptive mechanism
The stiffness, damping and mass of the stick are properties influencing the stick behaviour; these properties are present locally, at the impact location, as well as over the full length as deflective properties due to the moment originating from the ball impact.
The deflective stiffness and damping properties are identified by applying a disturbance force on the stick tip and measuring the displacement; this shows a range of stick stiffness from 1.4 to 3.0 kN/m and a stick damping from 0.5 to 2.7 Ns/m. Measurements are performed analysing the influence of stiffness, damping, mass and effective mass; this is done by a setup where a stick falls down towards a ball and the ball distance is measured. Additionally, a mathematical model is developed for the analysis of these stick properties. This consists of a collision model, including the coefficient of restitution reflecting the stiffness and damping properties. It can be concluded that the effective stick mass is most influential and the desired properties are opposite for striking and stopping.
A design of a mechanism that fits inside the stick is proposed, this mechanism reacts to the angular acceleration of the stick, and thereby changes its properties between striking and stopping a ball. It adapts the effective mass of the stick, by two weights moving towards the head of the stick when striking a ball. By this increase in effective stick mass, an increase of 7% (compared to the original effective mass) of the ball velocity after hitting the ball is expected. ...
The stiffness, damping and mass of the stick are properties influencing the stick behaviour; these properties are present locally, at the impact location, as well as over the full length as deflective properties due to the moment originating from the ball impact.
The deflective stiffness and damping properties are identified by applying a disturbance force on the stick tip and measuring the displacement; this shows a range of stick stiffness from 1.4 to 3.0 kN/m and a stick damping from 0.5 to 2.7 Ns/m. Measurements are performed analysing the influence of stiffness, damping, mass and effective mass; this is done by a setup where a stick falls down towards a ball and the ball distance is measured. Additionally, a mathematical model is developed for the analysis of these stick properties. This consists of a collision model, including the coefficient of restitution reflecting the stiffness and damping properties. It can be concluded that the effective stick mass is most influential and the desired properties are opposite for striking and stopping.
A design of a mechanism that fits inside the stick is proposed, this mechanism reacts to the angular acceleration of the stick, and thereby changes its properties between striking and stopping a ball. It adapts the effective mass of the stick, by two weights moving towards the head of the stick when striking a ball. By this increase in effective stick mass, an increase of 7% (compared to the original effective mass) of the ball velocity after hitting the ball is expected.
Design of a Modular Multi-Finger Grip-Force Measurement System for Post-Stroke Hand Function Assessment
Design, Implementation, and Prototype Validation
Methods and Results— An iterative Design Thinking approach guided the development of a modular hand-function assessment device featuring interchangeable grasp interfaces with spring-guided pistons to enable natural grasp motion while capturing individual finger forces. Sensor calibration using standardized weight steps showed excellent linearity, with an average calibration error of 0.15 N, substantially outperforming the 1.25 N error specified by the manufacturer. Validation with thirteen healthy participants demonstrated high repeatability across all grasp types, with SD, CV, and RMSE values comparable to a reference dynamometer. The device further reproduced expected biomechanical force-distribution patterns, including the characteristic flattening of finger contributions in larger cylindrical grasps.
Conclusion— The results demonstrate the feasibility of a practical, compact, and modular multi-finger force measurement system capable of detailed hand-function assessment. With refinement of mechanical tolerances and subsequent clinical validation, the device has strong potential for both rehabilitation assessment and integration into perturbation-based motor-control research, providing a more complete understanding of individual finger contributions during functional grasping. ...
Methods and Results— An iterative Design Thinking approach guided the development of a modular hand-function assessment device featuring interchangeable grasp interfaces with spring-guided pistons to enable natural grasp motion while capturing individual finger forces. Sensor calibration using standardized weight steps showed excellent linearity, with an average calibration error of 0.15 N, substantially outperforming the 1.25 N error specified by the manufacturer. Validation with thirteen healthy participants demonstrated high repeatability across all grasp types, with SD, CV, and RMSE values comparable to a reference dynamometer. The device further reproduced expected biomechanical force-distribution patterns, including the characteristic flattening of finger contributions in larger cylindrical grasps.
Conclusion— The results demonstrate the feasibility of a practical, compact, and modular multi-finger force measurement system capable of detailed hand-function assessment. With refinement of mechanical tolerances and subsequent clinical validation, the device has strong potential for both rehabilitation assessment and integration into perturbation-based motor-control research, providing a more complete understanding of individual finger contributions during functional grasping.
Passing the Load
An In-Situ and In-Silico Approach for Biomechanical Analysis of Industrial Scaffold Workers
Additionaly, in-situ markerless kinematic (OpenCap) and kinetic (acceleration and forces) captures, as well as \textit{in-silico} biomechanical analysis (OpenSim) were combined to uncover the highest-impact areas of the passing-on task on three experienced scaffold workers.
Inverse Dynamics analysis revealed that when external forces (stander weight) were included, mean lumbar lateral bending and rotation moments increased by over 10%. Shoulder flexion moments exceeded 60 degrees regularly, with the dominant arm experiencing over 15% higher mean moments over the non-dominant arm. Smaller materials (ledger, console) resulted in average mean joint moments that are 25% higher compared to the stander: 39.8 and 40.3 Nm compared to 31.3 Nm. The mean shoulder flexion moment in the dominant arm was 55% (ledger) and 20% (console) higher compared to the non-dominant arm.
These findings highlight excessive lumbar lateral bending and rotation, and asymmetric arm usage as key risk factors for WMSDs.
This study demonstrates the feasibility of a combined in-situ andin-silico approach of uncovering high-impact areas within occupational workers, informing targeted interventions.
Future works should address OpenCap's limitations, explore the biomechanical effects of compensatory movements, and the develop interventions to mitigate the identified risks. ...
Additionaly, in-situ markerless kinematic (OpenCap) and kinetic (acceleration and forces) captures, as well as \textit{in-silico} biomechanical analysis (OpenSim) were combined to uncover the highest-impact areas of the passing-on task on three experienced scaffold workers.
Inverse Dynamics analysis revealed that when external forces (stander weight) were included, mean lumbar lateral bending and rotation moments increased by over 10%. Shoulder flexion moments exceeded 60 degrees regularly, with the dominant arm experiencing over 15% higher mean moments over the non-dominant arm. Smaller materials (ledger, console) resulted in average mean joint moments that are 25% higher compared to the stander: 39.8 and 40.3 Nm compared to 31.3 Nm. The mean shoulder flexion moment in the dominant arm was 55% (ledger) and 20% (console) higher compared to the non-dominant arm.
These findings highlight excessive lumbar lateral bending and rotation, and asymmetric arm usage as key risk factors for WMSDs.
This study demonstrates the feasibility of a combined in-situ andin-silico approach of uncovering high-impact areas within occupational workers, informing targeted interventions.
Future works should address OpenCap's limitations, explore the biomechanical effects of compensatory movements, and the develop interventions to mitigate the identified risks.
Lifting the Load
Ergonomic Risk Assessment of Catenary Construction Work and the Development of an In-Situ Biomechanical Analysis Tool
The Separate Identification of Intrinsic and Reflexive Joint Impedance
Open loop system identification for enhanced \\ post-stroke elbow diagnostics
This work presents the investigation of an Open Loop System Identification (OL-SID) protocol, to perform this separate quantification of intrinsic and reflexive impedance for the elbow joint. Perturbation experiments were performed with 16 healthy subjects, using multisine positional perturbations and measuring the elbow torque response. An impedance model consisting of both intrinsic and reflexive parameters was fit to the estimated frequency response function (FRF), relating perturbation angle to joint torque. It was assessed how background muscle activation, as well as the frequency and velocity of the perturbation signal, influenced the modelled intrinsic stiffness, intrinsic damping, and reflex velocity-gain.
For this, three different biceps muscle activation levels were requested from the participants in different trials; 0%, 10%, and 30% of Maximum Voluntary Contraction (MVC), as confirmed by online EMG measurements. Participants were requested to not actively resist perturbations, but only to comply with the requested biceps activation level. Furthermore, three rotational multisine perturbations with a max. amplitude of 2 degrees were applied; Wide Bandwidth - High Velocity, Narrow Bandwidth - Low Velocity, and Wide Bandwidth - Low Velocity. Cross-combination of biceps activation levels and perturbation signal resulted in 9 impedance quantifications per participant.
Increased biceps activation resulted in a significant increase of intrinsic stiffness, intrinsic damping, and the reflex-gain. This confirmed the expected relationship between muscle activation and intrinsic impedance, as well as the theorised relation between intrinsic activation and the reflex response. Unexpectedly, differences in used perturbation bandwidth or velocity showed no clear influence on identified reflex gain. This contradicts findings of reflex suppression during high-bandwidth force perturbations in tasks that require resisting these perturbations, as well as during high-velocity binary or unidirectional joint stretches. This discrepancy shows that joint system identification results are highly dependent on perturbation type and subject task, emphasising the need to align the experimental design with the clinical question at hand.
Despite some shortcomings regarding low coherence of the estimated FRFs, and necessary further research on perturbation signal properties and their effect on the reflex response, the results of this study are promising. The observed trends in fitted parameters with increased activation levels in line with physiological expectations, indicate the ability of this technique to validly identify reflexive and intrinsic joint impedance. This distinction is highly valuable for advancing investigation of the pathophysiology and clinical presentation of UMNL post-stroke, in the pursuit of adequate treatment for different patients.
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This work presents the investigation of an Open Loop System Identification (OL-SID) protocol, to perform this separate quantification of intrinsic and reflexive impedance for the elbow joint. Perturbation experiments were performed with 16 healthy subjects, using multisine positional perturbations and measuring the elbow torque response. An impedance model consisting of both intrinsic and reflexive parameters was fit to the estimated frequency response function (FRF), relating perturbation angle to joint torque. It was assessed how background muscle activation, as well as the frequency and velocity of the perturbation signal, influenced the modelled intrinsic stiffness, intrinsic damping, and reflex velocity-gain.
For this, three different biceps muscle activation levels were requested from the participants in different trials; 0%, 10%, and 30% of Maximum Voluntary Contraction (MVC), as confirmed by online EMG measurements. Participants were requested to not actively resist perturbations, but only to comply with the requested biceps activation level. Furthermore, three rotational multisine perturbations with a max. amplitude of 2 degrees were applied; Wide Bandwidth - High Velocity, Narrow Bandwidth - Low Velocity, and Wide Bandwidth - Low Velocity. Cross-combination of biceps activation levels and perturbation signal resulted in 9 impedance quantifications per participant.
Increased biceps activation resulted in a significant increase of intrinsic stiffness, intrinsic damping, and the reflex-gain. This confirmed the expected relationship between muscle activation and intrinsic impedance, as well as the theorised relation between intrinsic activation and the reflex response. Unexpectedly, differences in used perturbation bandwidth or velocity showed no clear influence on identified reflex gain. This contradicts findings of reflex suppression during high-bandwidth force perturbations in tasks that require resisting these perturbations, as well as during high-velocity binary or unidirectional joint stretches. This discrepancy shows that joint system identification results are highly dependent on perturbation type and subject task, emphasising the need to align the experimental design with the clinical question at hand.
Despite some shortcomings regarding low coherence of the estimated FRFs, and necessary further research on perturbation signal properties and their effect on the reflex response, the results of this study are promising. The observed trends in fitted parameters with increased activation levels in line with physiological expectations, indicate the ability of this technique to validly identify reflexive and intrinsic joint impedance. This distinction is highly valuable for advancing investigation of the pathophysiology and clinical presentation of UMNL post-stroke, in the pursuit of adequate treatment for different patients.
Origami-inspired muscle augmentation
An exploration of inflatable structured sheets to support the muscle function in individuals with muscle impairments
Adaptation and evaluation of shoulder manipulator setup for assessing low extremity admittance and stiffness
To explore the potential impact of fear of pain on posture control and athletic performance in the future