Effects of ankle stiffness on daily-life activities

Authors

  • Sabela Otero Universidad CEU San Pablo
  • Edwin van Asseldonk University of Twente
  • Cristina Bayón CSIC

DOI:

https://doi.org/10.17979/ja-cea.2025.46.12039

Keywords:

Daily-life activities, Ankle-foot orthosis, Stiffness, Ankle

Abstract

The capacity to perform basic activities of daily living (ADLs) is essential for personal independence. This requires multi-joint coordination and proper voluntary control, which is normally limited in people with neurological and motor disorders. Ankle-foot orthoses (AFOs) are often used to support ankle motion and improve mobility in these individuals. A key feature of these devices is the stiffness at what the AFO is configured, which highly influences the outcomes. This study focuses on analyzing the effects of different ankle stiffness conditions during ADLs. Five healthy subjects wore the inGAIT-VSO while performing ADLs at four different conditions (Low, Medium, High and No stiffness). The results show that increased stiffness reduces ankle range of motion (ROM) and influences muscle activity with differences across activities. These findings might provide valuable insight into AFOs behavior and stiffness adjustments to enhance performance in ADLs.

References

Conner, B. C., Remec, N. M., Michaels, C. M., Wallace, C. W., Andrisevic, E., Lerner, Z. F., 1 2022. Relationship between ankle function and walking ability for children and young adults with cerebral palsy: A systematic review of deficits and targeted interventions. DOI: 10.1016/j.gaitpost.2021.10.024

Damiano, D. L., Stanley, C. J., Ohlrich, L., Alter, K. E., 8 2017. Task-specific and functional effects of speed-focused elliptical or motor-assisted cycle training in children with bilateral cerebral palsy: Randomized clinical trial. Neurorehabilitation and Neural Repair 31, 736–745. DOI: 10.1177/1545968317718631

Fukuchi, C. A., Fukuchi, R. K., Duarte, M., 6 2019. Effects of walking speed on gait biomechanics in healthy participants: A systematic review and meta-analysis. DOI: 10.1186/s13643-019-1063-z

Grimmer, M., Elshamanhory, A. A., Beckerle, P., 2 2020. Human lower limb joint biomechanics in daily life activities: A literature based requirement analysis for anthropomorphic robot design. Frontiers in Robotics and AI. DOI: 10.3389/frobt.2020.00013

Lora-Millan, J. S., Nabipour, M., van Asseldonk, E., Bay´on, C., jul 2023. Advances on mechanical designs for assistive ankle-foot orthoses. Frontiers in Bioengineering and Biotechnology 11. DOI: 10.3389/fbioe.2023.1188685

Meyns, P., Kerkum, Y. L., Brehm, M. A., Becher, J. G., Buizer, A. I., Harlaar, J., 5 2020. Ankle foot orthoses in cerebral palsy: Effects of ankle stiffness on trunk kinematics, gait stability and energy cost of walking. European Journal of Paediatric Neurology 26, 68–74. DOI: 10.1016/j.ejpn.2020.02.009

Mlinac, M. E., Feng, M. C., 9 2016. Assessment of activities of daily living, self-care, and independence. Archives of Clinical Neuropsychology 31, 506–516. DOI: 10.1093/arclin/acw049

Murtagh, E. M., Mair, J. L., Aguiar, E., Tudor-Locke, C., Murphy, M. H., 1 2021. Outdoor walking speeds of apparently healthy adults: A systematic review and meta-analysis. DOI: 10.1007/s40279-020-01351-3

Pashmdarfard, M., Azad, A., 2020. Assessment tools to evaluate activities of daily living (adl) and instrumental activities of daily living (iadl) in older adults: A systematic review. DOI: 10.34171/mjiri.34.33

Sakanaka, T. E., Lakie, M., Reynolds, R. F., 1 2021. Individual differences in intrinsic ankle stiffness and their relationship to body sway and ankle torque. PLoS ONE 16. DOI: 10.1371/journal.pone.0244993

Sankaranarayan, H., Gupta, A., Khanna, M., Taly, A., Thennarasu, K., 2016. Role of ankle foot orthosis in improving locomotion and functional recovery in patients with stroke: A prospective rehabilitation study. Journal of Neurosciences in Rural Practice 7. DOI: 10.4103/0976-3147.185507

van Noort, L., Crey, N. V., Rouse, E. J., Martínez-Caballero, I., van Asseldonk, E. H., Bayón, C., 12 2024. A usability study on the ingait-vso: effects of a variable-stiffness ankle-foot orthosis on the walking performance of children with cerebral palsy. Journal of NeuroEngineering and Rehabilitation 21. DOI: 10.1186/s12984-024-01433-7

Yoo, S. Y., Gille, E. A., Gómez, J., Rocon, E., Martínez-Caballero, I., Van Asseldonk, E., & Bayón, C. 2025. Tailoring Ankle-Foot Orthoses Stiffness to End-Users’ Needs: Which Performance Variables Matter? 2025 International Conference On Rehabilitation Robotics (ICORR), 687–692. DOI: 10.1109/ICORR66766.2025.11062985

Downloads

Published

2025-09-01

Issue

Section

Bioingeniería