Steele Lab Presents at NWBS 2024

Members of the Steele Lab traveled to Eugene, OR for the 2024 Northwest Biomechanics Symposium May 17-18 hosted by the University of Oregon. The Northwest Biomechanics Symposium is a student-friendly conference and incorporates research labs from all of the Northwest, including Canada.

Charlotte Caskey, Mia Hoffman, Mackenzie Pitts, and Victoria (Tori) Landrum all gave podium presentations at the conference in Eugene. Kate Bokowy gave a poster presentation.

A special congratulations to Charlotte Caskey and Tori Landrum for receiving the Best Podium Honorable Mention Award in the PhD and Non-PhD categories, respectively.

In addition to sharing their research at the conference, the Steele Lab enjoyed connecting with fellow biomechanics researchers and exploring the surrounding Eugene area.

We are looking forward to NWBS 2025 in Vancouver, Canada!

AA Portnova-Fahreeva, M Yamagami, A Robert-Gonzalez, J Mankoff, H Feldner, KM Steele (2024) “Accuracy of Video-Based Hand Tracking for People With Upper-Body Disabilities”

Journal Article in IEEE Transactions on Neural Systems and Rehabilitation Engineering

Utilization of hand-tracking cameras, such as Leap, for hand rehabilitation and functional assessments is an innovative approach to providing affordable alternatives for people with disabilities. However, prior to deploying these commercially-available tools, a thorough evaluation of their performance for disabled populations is necessary.

A graphic which shows two hands demonstrating hand gestures and a Leap hand tracking device. The graphic also says that "average accuracy for all hands 0.7-0.9".Aim: In this study, we provide an in-depth analysis of the accuracy of Leap’s hand-tracking feature for both individuals with and without upper-body disabilities for common dynamic tasks used in rehabilitation.

Methods: Leap is compared against motion capture with conventional techniques such as signal correlations, mean absolute errors, and digit segment length estimation. We also propose the use of dimensionality reduction techniques, such as Principal Component Analysis (PCA), to capture the complex, high-dimensional signal spaces of the hand.

Results: We found that Leap’s hand-tracking performance did not differ between individuals with and without disabilities, yielding average signal correlations between 0.7-0.9. Both low and high mean absolute errors (between 10-80mm) were observed across participants. Overall, Leap did well with general hand posture tracking, with the largest errors associated with the tracking of the index finger. Leap’s hand model was found to be most inaccurate in the proximal digit segment, underestimating digit lengths with errors as high as 18mm. Using PCA to quantify differences between the high-dimensional spaces of Leap and motion capture showed that high correlations between latent space projections were associated with high accuracy in the original signal space.

Interpretation: These results point to the potential of low-dimensional representations of complex hand movements to support hand rehabilitation and assessment.

Megan Ebers Presents at 2024 WiDS Puget Sound Conference

On May 14, 2024, Steele Lab members Dr. Megan Ebers, Mackenzie Pitts, and Dr. Kat Steele attended the Women in Data Science (WiDS) Puget Sound conference hosted at Seattle University. WiDS aims to inspire and educate data scientists worldwide, regardless of gender, and to support women in the field.

Among the speakers at the conference, postdoctoral scholar Dr. Megan Ebers gave a presentation titled Data Expansion to Improve Accuracy and Availability of Digital Biomarkers for Human Health and Performance.”

A professional woman standing confidently in front of a projector screen, delivering a presentation.

EC Kuska, KM Steele (2024) “Does crouch alter the effects of neuromuscular impairments on gait? A simulation study”

Journal Article in Journal of Biomechanics

Cerebral palsy (CP) is a neurologic injury that impacts control of movement. Individuals with CP also often develop secondary impairments like weakness and contracture. Both altered motor control and secondary impairments influence how an individual walks after neurologic injury. However, understanding the complex interactions between and relative effects of these impairments makes analyzing and improving walking capacity in CP challenging.

A sagittal-plane musculoskeletal model and neuromuscular simulation framework that tracked average nondisabled (ND) kinematics and moderate and severe crouch gait. The model contains nine degrees-of-freedom (pelvic tilt and translation, and right and left hip, knee, and ankle flexion) actuated by eight Hill-type musculotendinous units per leg. The objective function minimized deviations from tracked kinematics and the sum of muscle activations squared (a2). We perturbed each gait simulation with multi-modal neuromuscular impairments—altered control, weakness, and contracture—of varying severities. Altered control was simulated by reducing the number of fixed synergies controlling each leg, and weakness and contracture were simulated by reducing a muscle’s maximum isometric force ( ) and tendon slack length ( ), respectively. A Bayesian Additive Regression Trees (BART) model then predicted resultant a2 from the simulated neuromuscular impairments for crouch and ND gait to evaluate the relative effects of each simulated neuromuscular impairment on the muscle activations required to maintain each gait pattern.Aim: The purpose of this study was to investigate the interactions between neuromuscular impairments and gait in CP.

Methods: We used a sagittal-plane musculoskeletal model and neuromuscular control framework to simulate crouch and nondisabled gait. We perturbed each simulation by varying the number of synergies controlling each leg (altered control), and imposed weakness and contracture. A Bayesian Additive Regression Trees (BART) model was also used to parse the relative effects of each impairment on the muscle activations required for each gait pattern.

Results: By using these simulations to evaluate gait-pattern specific effects of neuromuscular impairments, we identified some advantages of crouch gait. For example, crouch tolerated 13 % and 22 % more plantarflexor weakness than nondisabled gait without and with altered control, respectively. Furthermore, BART demonstrated that plantarflexor weakness had twice the effect on total muscle activity required during nondisabled gait than crouch gait. However, crouch gait was also disadvantageous in the presence of vasti weakness: crouch gait increased the effects of vasti weakness on gait without and with altered control.

Interpretation: These simulations highlight gait-pattern specific effects and interactions between neuromuscular impairments. Utilizing computational techniques to understand these effects can elicit advantages of gait deviations, providing insight into why individuals may select their gait pattern and possible interventions to improve energetics.

NL Zaino, Z McKee, CD Caskey, KM Steele, HA Feldner (2024) “Perceptions and experiences of first mobility aid provision for young children with cerebral palsy in the United States: a mixed-methods study”

Journal Article in Disability and Rehabilitation: Assistive Technology 

This research provides insights into the lived experiences of clinicians and caregivers of young children with CP regarding the prescription, provision, use and impact of first mobility aids, specifically ankle foot orthoses and walkers/gait trainers.

Caregiver views of impact of first orthoses (n = 8) and walkers (n = 4). Proportional bar graph depicting caregiver perceptions on the impacts of their child’s ankle foot orthoses and/or walkers on various activities.Aim: The purpose of this study was to establish and understand the provision process and impacts of first mobility aids for children with cerebral palsy (CP) in the United States – specifically orthoses, walkers and gait-trainers.

Methods: We performed a mixed-methods study including surveys and semi-structured interviews of caregivers of young children with CP (n = 10) and clinicians who work with young children with CP (n = 29). We used content analysis for the surveys and inductive coding for the interviews.

Results: Four themes emerged: (1) first mobility aids have mixed impacts and use patterns, (2) there is varied caregiver education and understanding about mobility aids, (3) clinician knowledge, consistency and connection impact care and (4) numerous access barriers exist for families, and there are still opportunities for improvement across all domains.

Interpretation: This study not only provides researchers and clinicians with an understanding of the current status of the prescription and provision process in the United States, but also offers suggestions for improvements of the process and mobility aids themselves. These results have implications for future research, mobility aid, design and the provision process of first mobility aids.