ASB 2024 Recap

Steele Lab members, Charlotte Caskey, Victoria (Tori) Landrum, and Megan Ebers, attended the American Society of Biomechanics Annual Meeting (ASB) in Madison, WI from August 5-8, 2024.

Charlotte gave a poster presentation on the “Effect of spinal stimulation and interval treadmill training on gait mechanics in children with cerebral palsy”

Tori also gave a poster presentation on the “Impact of a Resistive Exoskeleton on Fatigue in Children with Cerebral Palsy”

Megan co-hosted a Symposia Session titled, “Can machine learning reveal the next generation of neural and biomechanical processes governing human movement?” with Steele Lab Alumni, Michael Rosenberg. In Megan’s talk, “A machine learning approach to quantify individual gait responses to ankle exoskeletons,” she discussed how neural network-based discrepancy modeling can be used to isolate the dynamics governing changes in gait with ankle exoskeletons.

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.

Introducing Dr. Charlotte DeVol Caskey!

Congratulations to Dr. Charlotte DeVol Caskey on earning her Doctorate in Mechanical Engineering! Dr. Caskey’s PhD thesis dissertation was titled Effects of Spinal Stimulation on Neuromechanics of Gait for Children with Cerebral Palsy. Congratulations and best of luck as you move forward as a Postdoc in the Human Neuromechanics Laboratory at the University of Florida in Gainesville!

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.

Charlotte Caskey on “Gears of Progress” Podcast

Gears of Progress Episode Three featured Charlotte Caskey on spinal stimulation in children with cerebral Palsy, fancy neuroscience, and balance between clinical research and real world. Charlotte has long brown hair. She is wearing glasses and a cozy scarf.

“Gears of Progress” Episode Three featured Charlotte Caskey on spinal stimulation in children with cerebral Palsy, fancy neuroscience, and balance between clinical research and real world.

Gears of Progress Logo with three gears featuring assistive devicesName: Gears of Progress

PlatformsSpotifyApple PodcastsAmazon MusicCastbox

Release frequency: bi-weekly on Fridays

Theme: Podcast about research and innovations in rehabilitation engineering and assistive technologies aimed to improve accessibility for people with disabilities. Every episode will feature engineers, medical professionals, end-users, and organizations who focus on improving the health and well-being of individuals with disabilities. We will be covering topics such as emerging tech, outcome measures, medical practice, public policy, accessibility education, and so much more!

Twitterhttps://twitter.com/GearsOfProgress