Congratulations to Nicole Zaino for being awarded the ESMAC (European Society of Movement Analysis for Adults and Children) Best Paper Award. Nicole received this award at the 2019 ESMAC conference in Amsterdam, September 23-28, 2019 where she gave her talk: “Spasticity reduction in children with cerebral palsy is not associated with reduced energy during walking.” For more information, visit ESMAC.
Congratulations to Nicole Zaino and our colleague Mike Schwartz at Gillette Children’s Specialty Healthcare for both being nominated as finalists for the Best Presentation Award at the upcoming ESMAC Conference in Amsterdam. Their abstracts are among the top 16 submissions to the conference and the final award will be determined based upon their presentations.
Nicole will be presenting her research:
Spasticity reduction in children with cerebral palsy is not associated with reduced energy during walking
Selective dorsal rhizotomy reduces spasticity, but does it also reduce energy consumption during walking? In an analysis of over 300 children with cerebral palsy, Nicole demonstrated that although rhiztomy does reduce spasticity, it does not reduce energy consumption. These results provide further evidence that spasticity is not a main contributor to elevated energy among people with cerebral palsy. You can also learn more about this study from our recent submitted manuscript, available on bioRxiv.
Mike will be presenting his research:
The effects of walking speed and age on energy consumption in children with cerebral palsy and their typically developing peers
We know that walking energy is high among people with cerebral palsy, and that energy varies with speed and age. Using retrospective data of over 300 kids with cerebral palsy and 150 typically-developing peers, Mike used a statistical model to evaluate these speed and age effects. He found that energy decreases until 8-10 years of age for kids with CP, while it remains stable beyond age 5 for typically-developing peers. Kids with CP also have a greater elevation in energy with greater walking speeds. These results are important to help quantify and understand impacts of interventions, like surgery or assistive devices, which are often done during this time period when kids are still growing and developing.
They will both be presenting in the Optimizing Energy Cost session from 11:40-12:30 on Thursday, September 26th.
Best of luck to Nicole & Mike!
Five members of our lab – Kat, Michael, Alyssa, Megan, & Nicole – attended ISB 2019 in Calgary, Canada. The International Society of Biomechanics promotes and supports international contacts amongst scientists, the dissemination of knowledge, and the activities of national organizations in the field of biomechanics.
Our work at the conference included:
Kat Steele: ISB presentation on in-clinic EMG monitoring for muscle activity and movement in acute care in the initial days after stroke.
Michael Rosenberg: ISB poster showcasing how individuals’ kinematics and muscle activity change in response to ankle exoskeleton stiffness during acceleration from standing. ISB presentation on open-loop modeling of response to ankle exoskeleton torque during walking.
Alyssa Spomer: ISB poster highlighting how motor control is impacted when typically developing individuals emulate cerebral palsy gait patterns. ISB poster on understanding how individuals can alter motor control expression using visual biofeedback.
Megan Auger: ISB presentation on how muscle coordination strategies in typically developing children and children with cerebral palsy are not accurately captured using standard musculoskeletal modeling optimization algorithms in computer simulation.
Nicole Zaino: ISB presentation on spasticity reduction via rhizotomy in children with cerebral palsy and how there was no significant difference in the change in energy consumption when compared to a control group of children with cerebral palsy who had no rhizotomy.
Additionally, two members of our lab – Michael & Megan – attended TGCS 2019 in Canmore, Canada prior to ISB 2019. The Technical Group on Computer Simulation (TGCS) is a scientific and technical meeting for investigators and students in all areas of computer simulation in biomechanics. This group was a highly-focused subset of the ISB community, primarily focusing on forward simulation of unimpaired and pathological gait patterns, but also touching on multi-scale simulation, diving, cycling, and wheelchair use.
Five members of our lab – Brandon, Christina, Nick, Michael, & Kat – attended RehabWeek 2019 in Toronto, Canada. This is a unique mega-conference where multiple conferences (ICORR, ACRM, ISPO, RESNA, etc) are hosted at the same time in the same location. Everyone attended common keynotes, poster sessions, and meals. In the morning and afternoon, each conference had their own scientific sessions.
While it was a bit overwhelming to figure out which sessions to attend, it was a great way to get a more diverse audience to provide feedback on your work. For future conferences, I would recommend that students just pick one conference (e.g., ICORR or RESNA) to attend and not bounce between sessions. This lets you more fully engage with a community, have long discussions, and identify common threads across presentations.
Our work at the conference included:
- Michael Rosenberg: ISPO presented on how muscle coordination differs when you start to walk compared to steady-state walking. Synergies differ during the first step, but quickly converge to steady-state patterns and there was minimal effect of different AFO stiffnesses.
- Christina Papazian: INERS poster demonstrating correlations between FIM scores and muscle activity in acute stroke care.
- Brandon Nguyen: ISPO poster on the accuracy and repeatability of using a smartphone to monitor gait for AFO tuning – ISPO Best Student Poster Award
- Nick Baicoianu: Developer’s Showcase for HuskySTEPS
- Kat Steele: ISPO poster on synergy-based control of predictive simulations of walking.
I also served on the IEEE Women in Engineering panel at lunch on Thursday, which focused on new frontiers in technology that could increase accessibility and inclusion. A lot of the discussion focused on the potential of machine learning, wearable technology, and autonomous vehicles.
You can view our notes and take-aways from the conference in these slides.
We also got to visit with Naser Mehrabi, a former post-doc in the lab, who now works for General Motors. We took the train just north of downtown to visit with him, his wife, and their 9-week-old son. Not only did we get to enjoy some delicious Iranian food, but we also got to get lots of simulation questions answered.
The next RehabWeek will be 2021 in Rotterdam, Netherlands.
Congrats to Brandon Nguyen who was awarded the Best Student Poster award by the International Society of Prosthetics & Orthotics Canada at RehabWeek in Toronto this past week! Brandon presented his work, “Accuracy and repeatability of using smartphone sensors for orthotic tuning.”
You can also download the HuskySTEPS app to try it out yourself.
This work, in collaboration with Nick Baicoianu and Darrin Howell, examined the accuracy of measuring shank-to-vertical angle during walking with a smartphone compared to traditional motion capture systems. Shank-to-vertical angle is a measure used by orthotists and therapists for AFO tuning and gait training. The short story – placing the smartphone on the front of the shank can measure shank-vertical-angle with errors less than two degrees compared to traditional motion capture systems, with high intra-rater and inter-rater repeatability across days.
Brandon also recently finished his Doctorate of Physical Therapy (DPT) degree at the University of Washington – making him one of the rare engineer-therapists. In recognition of his efforts to combine academic scholarship with social awareness and concern, he was awarded the 2019 UW Graduate Medal.
Congratulations Brandon! We are so excited to see what you do next.