The Impact of Variable Pressure on Subject Entrainment to the Soft Robotics Ankle Foot Orthosis

The concept of entrainment broadly applies the locking of phases between 2 independent systems [17]. This physical phenomenon can be applied to modify neuromuscular movement in humans during bipedal locomotion. Gait entrainment to robotic devices have shown great success as alternatives to labor intensive methods of rehabilitation. By applying additional torque at the ankle joint, previous studies have exhibited consistent gait entrainment to both rigid and soft robotic devices. This entrainment is characterized by consistent phase locking of plantarflexion perturbations to the ‘push off’ event within the gait cycle. However, it is unclear whether such phase locking can be attributed to the plantarflexion assistance from the device or the sensory stimulus of movement at the ankle. To clarify the mechanism of entrainment, an experiment was designed to expose the user to a multitude of varying torques applied at the ankle to assist with plantar flexion. In this experiment, no significant difference in success of subject entrainment occurred when additional torque applied was greater than a detectable level. Force applied at the ankle varied from ~60N to ~130N. This resulted in successful entrainment ~88\% of the time at 98 N, with little to no increase in success as force increased thereafter. Alternatively, success of trials decreased significantly as force was reduced below this level, causing the perturbations to become undetectable by participants. Ultimately this suggests that higher levels of actuator pressure, and thus greater levels of torque applied to the foot, do not increase the likelihood of entrainment during walking. Rather, the results of this study suggest that proper detectable sensory stimulus is the true mechanism for entrainment.