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1.
Article in English | MEDLINE | ID: mdl-38709603

ABSTRACT

Neck muscle weakness due to amyotrophic lateral sclerosis (ALS) can result in dropped head syndrome, adversely impacting the quality of life of those affected. Static neck collars are currently prescribed to hold the head in a fixed upright position. However, these braces are uncomfortable and do not allow any voluntary head-neck movements. By contrast, powered neck exoskeletons have the potential to enable head-neck movements. Our group has recently improved the mechanical structure of a state-of-the-art neck exoskeleton through a weighted optimization. To evaluate the effect of the structural changes, we conducted an experiment in which patients with ALS were asked to perform head-neck tracking tasks while using the two versions of the neck exoskeleton. We found that the neck muscle activation was significantly reduced when assisted by the structurally enhanced design compared to no assistance provided. The improved structure also improved kinematics tracking performance, allowing users to better achieve the desired head poses. In comparison, the previous design did not help reduce the muscle effort required to perform these tasks and even slightly worsened the kinematic tracking performance. It was also found that biomechanical benefits gained from using the structurally improved design were consistent across participants with both mild and severe neck weakness. Furthermore, we observed that participants preferred to use the powered neck exoskeletons to voluntarily move their heads and make eye contact during a conversation task rather than remain in a fixed upright position. Each of these findings highlights the importance of the structural design of neck exoskeletons in achieving desired biomechanical benefits and suggests that neck exoskeletons can be a viable method to improve the daily life of patients with ALS.


Subject(s)
Amyotrophic Lateral Sclerosis , Exoskeleton Device , Neck Muscles , Humans , Amyotrophic Lateral Sclerosis/physiopathology , Male , Female , Middle Aged , Neck Muscles/physiopathology , Biomechanical Phenomena , Aged , Electromyography , Head Movements , Neck/physiopathology , Equipment Design , Adult , Muscle Weakness/physiopathology
2.
Langmuir ; 25(10): 5835-9, 2009 May 19.
Article in English | MEDLINE | ID: mdl-19334725

ABSTRACT

We have developed a simple, low-cost process to fabricate free-standing porous metal oxide monoliths. Various swollen polymers and hydrogels possessing an open network structure are infiltrated with pure liquid metal alkoxide. Hydrolysis followed by chemical or thermal degradation of the polymer leads to bulk porous monoliths, TiO2 and SiO2 as initial examples. The titania solids were subsequently employed as photocatalysts under UV light and monitored for adsorption. The materials show efficient reusable photocatalytic ability as compared to pure-phase nanoparticle titanium oxide.

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