RESNA 2023 Conference: Mia Hoffman receives Student Scientific Paper Award

Nicole wearing a black dress and Mia wearing a floral dress standing in front of a large sign at the RESNA conference.Two lab members, Nicole Zaino and Mia Hoffman attended the annual Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) Conference on July 24-26 in New Orleans, LA.

Big congratulations to Mia Hoffman for being selected as an awardee in the Student Scientific Paper Competition (SSPC).

Mia gave a podium presentation on “Exploring the World on Wheels: A Geospatial Comparison of Two Pediatric Mobility Devices

Nicole was also selected to give an interactive poster presentation on “Quantifying Toddler Exploration in Seated and Standing Postures with Powered Mobility“. She also completed her time as the student board member for RESNA.

Way to go, Mia and Nicole!

Introducing Dr. Nicole Zaino

Congratulations to Dr. Nicole Zaino on earning her Doctorate in Mechanical Engineering! Dr. Zaino’s PhD thesis dissertation was titled Walking and Rolling: Evaluation Technology to Support Multimodal Mobility for Individuals with DisabilitiesCongratulations and best of luck as you move forward training on the Elite Team at Crosscut Mountain Sports Center in para nordic sit skiing and assistive technology field.

AM Spomer, RZ Yan, MH Schwartz, KM Steele (2023) “Motor control complexity can be dynamically simplified during gait pattern exploration using motor control-based biofeedback”

Journal Article in Journal of Neurophysiology

Understanding how the central nervous system coordinates diverse motor outputs has been a topic of extensive investigation. Although it is generally accepted that a small set of synergies underlies many common activities, such as walking, whether synergies are equally robust across a broader array of gait patterns or can be flexibly modified remains unclear.

Schematic of the custom biofeedback system. A) Motor control biofeedback used to encourage pattern exploration. B) Individuals significantly modified motor control complexity using biofeedback. C) Distal gait mechanics were associated with changes in control complexity.Aim: The aim of this study was to characterize the robustness of synergies to changing biomechanical constraints during walking. Specifically, we evaluated the extent to which nondisabled individuals could modulate both synergy structure and complexity while using motor control biofeedback to drive broad gait pattern exploration.

Methods: We evaluated the extent to which synergies changed as nondisabled adults (n = 14) explored gait patterns using custom biofeedback. Secondarily, we used Bayesian additive regression trees to identify factors that were associated with synergy modulation.

Results: Participants explored 41.1 ± 8.0 gait patterns using biofeedback, during which synergy recruitment changed depending on the type and magnitude of gait pattern modification. Specifically, a consistent set of synergies was recruited to accommodate small deviations from baseline, but additional synergies emerged for larger gait changes. Synergy complexity was similarly modulated; complexity decreased for 82.6% of the attempted gait patterns, but distal gait mechanics were strongly associated with these changes. In particular, greater ankle dorsiflexion moments and knee flexion through stance, as well as greater knee extension moments at initial contact, corresponded to a reduction in synergy complexity.

Interpretation: Taken together, these results suggest that the central nervous system preferentially adopts a low-dimensional, largely invariant control strategy but can modify that strategy to produce diverse gait patterns. Beyond improving understanding of how synergies are recruited during gait, study outcomes may also help identify parameters that can be targeted with interventions to alter synergies and improve motor control after neurological injury.

New & Noteworthy: We used a motor control-based biofeedback system and machine learning to characterize the extent to which nondisabled adults can modulate synergies during gait pattern exploration. Results revealed that a small library of synergies underlies an array of gait patterns but that recruitment from this library changes as a function of the imposed biomechanical constraints. Our findings enhance understanding of the neural control of gait and may inform biofeedback strategies to improve synergy recruitment after neurological injury.