Commonly, quantitative gait analysis post-stroke is performed in fully equipped laboratories housing costly technologies for quantitative evaluation of a patient’s movement capacity. Combining such technologies with an electromyography (EMG)-driven musculoskeletal model can estimate muscle force properties non-invasively, offering clinicians insights into motor impairment mechanisms. However, lab-constrained areas and time-demanding sensor setup and data processing limit the practicality of these technologies in routine clinical care. We presented wearable technology featuring a multi-channel EMG-sensorized garment and an automated muscle localization technique. This allows unsupervised computation of muscle-specific activations, combined with five inertial measurement units (IMUs) for assessing joint kinematics and kinetics during various walking speeds. Finally, the wearable system was combined with a person-specific EMG-driven musculoskeletal model (referred to as human digital twins), enabling the quantitative assessment of movement capacity at a muscle-tendon level. This human digital twin facilitates the estimation of ankle dorsi-plantar flexion torque resulting from individual muscle-tendon forces. Results demonstrate the wearable technology’s capability to extract joint kinematics and kinetics. When combined with EMG signals to drive a musculoskeletal model, it yields reasonable estimates of ankle dorsi-plantar flexion torques (R2 = 0.65 ± 0.21) across different walking speeds for post-stroke individuals. Notably, EMG signals revealing an individual’s control strategy compensate for inaccuracies in IMU-derived kinetics and kinematics when input into a musculoskeletal model. Our proposed wearable technology holds promise for estimating muscle kinetics and resulting joint torque in time-limited and space-constrained environments. It represents a crucial step toward translating human movement biomechanics outside of controlled lab environments for effective motor impairment monitoring.

The biological ankle dorsiflexes several degrees during swing to provide adequate clearance between the foot and ground, but conventional energy storage and return (ESR) prosthetic feet remain in their neutral position, increasing the risk of toe scuffs and tripping. We present a new prosthetic ankle intended to reduce fall risk by dorsiflexing the ankle joint during swing, thereby increasing the minimum clearance between the foot and ground. Unlike previous approaches to providing swing dorsiflexion such as powered ankles or hydraulic systems with dissipative yielding in stance, our ankle device features a spring-loaded linkage that adopts a neutral angle during stance, allowing ESR, but adopts a dorsiflexed angle during swing. The ankle unit was designed, fabricated, and assessed in level ground walking trials on a unilateral transtibial prosthesis user to experimentally validate its stance and swing phase behaviors. The assessment consisted of three conditions: the ankle in an operational configuration, the ankle in a locked configuration (unable to dorsiflex), and the subject’s daily use ESR prosthesis. When the ankle was operational, minimum foot clearance (MFC) increased by 13 mm relative to the locked configuration and 15 mm relative to his daily use prosthesis. Stance phase energy return was not significantly impacted in the operational configuration. The increase in MFC provided by the passive dorsiflexing ankle prosthesis may be sufficient to decrease the rate of falls experienced by prosthesis users in the real world.

In today’s world, in order to increase the movement abilities of amputees, different types of passive prostheses are used according to the level of the person’s disability. Although these types of prostheses increase a person’s mobility; however, they still have a limited ability to help the amputee walk normally on uneven terrain, as there is no net stimulus input power for the target joint. These limitations have led to the growth of the use of active prostheses in recent years, which has led to a variety of prosthetic designs. The purpose of this research is, first of all, to provide a suitable design and control of active transtibial prosthesis close to the performance of lost limb of a healthy person, and second and more importantly, to develop a 7-link inverse dynamic model of human gait and use it to analyze of an amputee gait with the designed prosthesis. Winter’s reference data are used in the entire process of design and simulation of prosthesis performance. Also, it is assumed that the amputation occurred in only one leg of the person. Based on the obtained results, when an amputee with 57 kg weight and 1.55 cm height wears an active prosthesis designed with 0.5 kg extra weight, the amount of metabolic cost of amputee in the swing phase increases by about 20%. By using this obtained model, it will be possible to optimize different prosthesis designs for people with different weight and height conditions.

This study compares various morphometric features of two strains of broilers, selected and ‘relaxed’ (ie random-bred), raised under two feeding regimes, ad-libitum-fed and restricted-fed. We consider the possible consequences of the different body shapes on the musculoskeletal system. The ad-libitum-fed selected birds reached heavier bodyweights at younger ages, had wider girths, and developed large amounts of breast muscle which probably displaced their centre of gravity cranially. At cull weight, they had shorter legs than birds in the other groups and greater thigh-muscle masses; therefore, greater forces would have to be exerted by shorter lever arms in order to move the body. The tarsometatarsi were broader, providing increased resistance to greater loads, but the bones had a lower calcium and phosphorus content, which would theoretically make them weaker. Many of these morphological changes are likely to have detrimental effects on the musculoskeletal system and therefore compromise the walking ability and welfare of the birds.

This study tests the hypothesis that growth rate and bodyweight affect walking ability in broilers by comparing objective measurements of the spatial and temporal gait parameters of several groups of birds. Two strains of birds were used (relaxed and selected), raised on two feeding regimes (ad-libitum and restricted), and culled at the same final bodyweight (commercial cull weight of 2.4 kg). The ad-libitum-fed selected birds walked more slowly, with lower cadences, and took shorter steps. The steps were wider, and the toes were pointed outwards, resulting in a wider walking base. They kept their feet in contact with the ground for longer periods, having longer percentage stance times, shorter percentage swing times and increased double-contact times compared to the relaxed birds. These changes serve to increase stability during walking and are a likely consequence of the morphological changes in the selected broiler — in particular, the rapid growth of breast muscle moving the centre of gravity forward, and the relatively short legs compared to their bodyweight (see Corr et al, pp 145-157, this issue). This altered gait would be very inefficient and would rapidly tire the birds, and could help to explain the low level of activity seen in the modern broiler.

In Denmark and Sweden, surveys were undertaken to estimate the prevalence of leg problems in conventional broiler production. The Danish survey included 28 Ross 208 flocks, and the Swedish survey included 15 Ross 208 and 16 Cobb flocks. Leg problems included reduced walking ability (gait), tibial dyschondroplasia (TD), varus/valgus deformations (VV) and foot-pad dermatitis (FPD). Danish Ross chicks showed a significantly higher prevalence of gait score > 0, gait score > 2 and TD, but a lower prevalence of VV, than Swedish Ross chicks. Cobb chicks showed a significantly higher prevalence of gait score > 0, gait score > 2 and TD than Swedish Ross chicks, a significantly higher prevalence of VV than Danish Ross chicks, and a significantly lower prevalence of FPD than both Danish and Swedish Ross chicks. The two genotypes of Swedish chicks showed similar relationships between body weight and probability of gait score > 0, TD and VV, indicating that the difference in prevalence of these leg problems may be due to the difference in mean body weight at slaughter age. At body weights below 2300 g, Danish chicks showed a higher probability of gait score > 2 than Swedish chicks. Furthermore, at body weights below 1900 g, Danish chicks had a higher probability of TD than Swedish chicks, whereas at body weights above 2200 g they had a lower probability of TD. This indicates that the difference in prevalence of TD between Danish and Swedish chicks was due to differences in mean body weight at slaughter age as well as housing conditions. Therefore, further studies on the risk factors in relation to management and housing conditions are required.

An animal's welfare state is intrinsically linked to its affective state. Evidence suggests that sentient, conscious animals can experience a range of affective states, such as pain, fear or boredom as well as positive affects like joy, curiosity, satiation or lust. In the behavioural assessment of animal welfare, there is increasing recognition that it is not simply which behaviours an animal engages in but also the quality of its movement. Kinematics is an approach which is being more widely applied to the behavioural assessment of animal welfare. Kinematics is a field of mechanics that describes the movement of points on a body by defining these points in a coordinate system and precisely tracking how they change in terms of space and time. A major opportunity exists for using kinematic technology to inform our understanding of the emotional state of animals. This review argues that kinematics is a useful methodology for identifying and characterising movement indicative of an animal's affective state. It demonstrates that kinematics: i) appears useful in detecting subtleties in the expression of affective states; ii) could be used in conjunction with, and add extra information to, affective tests (for example, an approach/avoidance paradigm); and iii) could potentially, eventually, be developed into an automated affective state detection system for improving the welfare of animals used in research or production. Furthering our knowledge of animal affective states using kinematics requires engagement from many areas of science outside of animal welfare, such as sports science, computer science, engineering and psychology.

Many animal welfare traits vary on a continuous scale but are commonly scored using an ordinal scale with few categories. The rationale behind this practice is rarely stated but appears largely based on the debatable conviction that it increases data reliability. Using 54 observers of varying levels of expertise, inter-observer reliability (IOR) and user-satisfaction were compared between a 3-point ordinal scale (OS) and a continuous modified visual analogue scale with multiple anchors (VAS) for scoring lameness in dairy cattle from video. IOR was significantly better for the VAS than for the OS. IOR increased with self-reported level of expertise for the VAS, whereas for the OS it was highest for observers with a moderate level of expertise. The mean continuous scores and the mean categorical scores were highly correlated. Three times as many observers stated a preference for the VAS (n = 27) compared to the OS (n = 9) in investigating differences in lameness between herds. Contrary to common perception, these results illustrate that it is possible for a continuous cattle lameness score to be more reliable and to have greater user acceptability than a simple categorical scale. As continuous scales are also potentially more sensitive, and produce data more amenable to algebraic processing and more powerful parametric analyses, the scepticism against their application for assessing animal welfare traits should be reconsidered.

Modern rehabilitation processes for neurological patients have been widely assisted by robotic structures, with continuous research and improvements. The use of robotic assistance in rehabilitation is a consolidated technique for upper limb training sessions. However, human gait robotic rehabilitation still needs further research and development. Based on that, this paper deals with the development of a novel active body weight support (BWS) system integrated with a serious game for poststroke patients. This paper starts with a brief review of the state of the art of applied technologies for gait rehabilitation. Next, it presents the obtained mathematical model followed by multibody synthesis techniques and meta-heuristic optimization to the proposed device. The control of the structure is designed using proportional integral derivative (PID) controllers tuned with meta-heuristic optimization and associated with a suppression function to perform assist-as-needed actions. Then, the prototype is integrated with a serious game designed specifically for this application. Finally, a pilot study is conducted with the structure and healthy volunteers. The results obtained show that the mobility of the novel BWS is as expected and the proposed system potentially offers a novel tool for gait training.

This research communication evaluates experts’ opinions on the importance and weights of six gait aspects. In 2016, a Qualtrics (Qualtrics LLC., Provo, Utah) survey was distributed to lameness experts. Six gait aspects – general symmetry, tracking, spine curvature, head bobbing, speed and abduction as well as adduction were included. Respondents were asked to rank the gait aspects from 1 (most important) to 6 (least important), and to indicate which weight each gait aspect should receive when assessing lameness. For each gait aspect, frequency (percentage %) was used to describe the distribution of rank, and medians as well as 25th and 75th percentiles were used to summarize assigned weights. Thirty-nine percent of respondents ranked general symmetry first, followed by 32% for tracking, and 19% ranked spine curvature third. Head bobbing ranked fourth with 10% whereas, speed, abduction and adduction were not ranked. The median, 25th and 75th percentiles weight for each gait aspect were: general symmetry (25, 15, and 30), tracking (20, 10, and 30), spine curvature (20, 10, and 21), head bobbing (15, 10, and 20), speed (10, 5, and 20), and abduction and adduction (10, 5, and 10). General symmetry and tracking were deemed the most important gait aspects. A composite gait score can be calculated based on weighted importance of different gait aspects to indicate possible lameness.

Applause sign (AS) is a clinical phenomenon observed in several neurological disorders including progressive supranuclear palsy (PSP). We investigated the factors associated with AS in patients with PSP. PSP patients with AS showed greater motor impairment compared to those with negative AS. Global cognition including attention and memory were affected more in patients with positive AS. We also observed that gait variability, a known marker for unstable gait is pronounced in those who presented with positive AS. Hence, the clinician might expect a more severe disease and an unstable gait in a PSP patient presenting with AS.

Individuals with lower limb amputation experience reduced ankle push-off work in the absence of functional muscles spanning the joint, leading to decreased walking performance. Conventional energy storage and return (ESR) prostheses partially compensate by storing mechanical energy during midstance and returning this energy during the terminal stance phase of gait. These prostheses can provide approximately 30% of the push-off work performed by a healthy ankle–foot during walking. Novel prostheses that return more normative levels of mechanical energy may improve walking performance. In this work, we designed a Decoupled ESR (DESR) prosthesis which stores energy usually dissipated at heel-strike and loading response, and returns this energy during terminal stance, thus increasing the mechanical push-off work done by the prosthesis. This decoupling is achieved by switching between two different cam profiles that produce distinct, nonlinear torque–angle mechanics. The cams automatically interchange at key points in the gait cycle via a custom magnetic switching system. Benchtop characterization demonstrated the successful decoupling of energy storage and return. The DESR mechanism was able to capture energy at heel-strike and loading response, and return it later in the gait cycle, but this recycling was not sufficient to overcome mechanical losses. In addition to its potential for recycling energy, the DESR mechanism also enables unique mechanical customizability, such as dorsiflexion during swing phase for toe clearance, or increasing the rate of energy release at push-off.

We investigated the effects of botulinum toxin on gait in Parkinson’s disease (PD) patients with foot dystonia. Six patients underwent onabotulinum toxin A injection and were assessed by Burke–Fahn–Marsden Dystonia Rating Scale (BFMDRS), visual analog scale (VAS) of pain, Timed Up and Go (TUG), Berg Balance Test (BBT), and 3D gait analysis at baseline, 1 month, and 3 months. BFMDRS (p = 0.002), VAS (p = 0.024), TUG (p = 0.028), and BBT (p = 0.034) were improved. Foot pressures at Toe 1 (p = 0.028) and Midfoot (p = 0.018) were reduced, indicating botulinum toxin’s effects in alleviating the dystonia severity and pain and improving foot pressures during walking in PD.

Functional changes in the brain during ageing can alter learning and memory, gait and balance – in some cases leading to early cognitive decline, disability or injurious falls among older adults. Dietary interventions with strawberry (SB) have been associated with improvements in neuronal, psychomotor and cognitive functions in rodent models of ageing. We hypothesised that dietary supplementation with SB would improve mobility and cognition among older adults. In this study, twenty-two men and fifteen women, between the ages of 60 and 75 years, were recruited into a randomised, double-blind, placebo-controlled trial in which they consumed either freeze-dried SB (24 g/d, equivalent to two cups of fresh SB) or a SB placebo for 90 d. Participants completed a battery of balance, gait and cognitive tests at baseline and again at 45 and 90 d of intervention. Significant supplement group by study visit interactions were observed on tests of learning and memory. Participants in the SB group showed significantly shorter latencies in a virtual spatial navigation task (P = 0·020, ηp2 = 0·106) and increased word recognition in the California Verbal Learning test (P = 0·014, ηp2 = 0·159) across study visits relative to controls. However, no improvement in gait or balance was observed. These findings show that the addition of SB to the diets of healthy, older adults can improve some aspects of cognition, but not gait or balance, although more studies with a larger sample size and longer follow-up are needed to confirm this finding.