Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 2, 2014
   Pages 245 — 252

Abstract — Complex muscle vibration patterns to induce gait-like lower-limb movements: Proof of concept

Cyril Duclos, PhD;1–2* Claire Kemlin, MSc;1,3 David Lazert, MSc;1 Dany Gagnon, PhD;1–2 Joseph-Omer Dyer, PhD;2 Robert Forget, PhD1–2

1Centre for Interdisciplinary Research in Rehabilitation, Institut de Réadaptation Gingras-Lindsay-de-Montréal, Montréal, Canada; 2School of Rehabilitation, Université de Montréal, Canada; 3Service de Médecine Physique et Réadaptation, Pitié Salpétrière, Paris, France

Abstract — Muscle vibrations can induce motor responses and illusions of complex movements. However, inducing gait-like cyclical movements and illusions requires the application of multiple fast alternating vibrations to lower-limb muscles. The objectives were (1) to test the feasibility of delivering complex vibrations in a time-organized manner and (2) to illustrate the possibility of inducing alternate gait-in-place-like movements using these vibrations. Patterns of vibration, produced by 12 vibrators applied bilaterally on the flexor and extensor muscle groups of the lower limbs, were based on normal gait kinematics. We tested 1 s and 2 s cycle patterns of vibration. Vibrator responses were assessed using auto- and crosscorrelations and frequency analyses based on accelerometry measurements, and compared between patterns. High auto- (>0.8) and crosscorrelation (>0.6) coefficients demonstrated a good response by the vibrators to the control signal. Vibrations induced cyclical, low-amplitude stepping-in-place movements that mimicked alternate walking movements with both legs, with 1 s and 2 s cycle durations, in one nondisabled participant and one participant with American Spinal Injury Association Impairment Scale B spinal cord injury standing, relaxed, with body-weight support. Electromechanical vibrators can deliver complex cyclical vibrations and trigger gait-like lower-limb movements. These results warrant the application of these vibration patterns on individuals with sensorimotor impairments to test their potential in gait rehabilitation.

Key words: accelerometry, electromechanical vibrators, gait rehabilitation, humans, kinematics, locomotion, movement illusion, muscle vibration, neuromuscular stimulation, proprioception, spinal cord injury.


View HTML ¦ View PDF ¦ Contents Vol. 51, No.2
This article and any supplementary material should be cited as follows:
Duclos C, Kemlin C, Lazert D, Gagnon D, Dyer JO, Forget R. Complex muscle vibration patterns to induce gait-like lower-limb movements: Proof of concept. J Rehabil Res Dev. 2014;51(2):245–52.
http://dx.doi.org/10.1682/JRRD.2013.04.0079
ResearcherID/ORCID: Cyril Duclos, PhD: C-4060-2014
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