Metabolic cost adaptations during training with a soft exosuit assisting the hip joint.

Different adaptation rates have been reported in studies involving ankle exoskeletons designed to reduce the metabolic cost of their wearers. This work aimed to investigate energetic adaptations occurring over multiple training sessions, while walking with a soft exosuit assisting the hip joint. The participants attended five training sessions within 20 days. They walked carrying a load of 20.4 kg for 20 minutes with the exosuit powered and five minutes with the exosuit unpowered. Percentage change in net metabolic cost between the powered and unpowered conditions improved across sessions from -6.2 ± 3.9% (session one) to -10.3 ± 4.7% (session five), indicating a significant effect associated with training. The percentage change at session three (-10.5 ± 4.5%) was similar to the percentage change at session five, indicating that two 20-minute sessions may be sufficient for users to fully adapt and maximize the metabolic benefit provided by the exoskeleton. Retention was also tested measuring the metabolic reduction five months after the last training session. The percent change in metabolic cost during this session (-10.1 ± 3.2%) was similar to the last training session, indicating that the adaptations resulting in reduced metabolic cost are preserved. These outcomes are relevant when evaluating exoskeletons' performance on naïve users, with a specific focus on hip extension assistance.

Consensus paper on testing and evaluation of military exoskeletons for the dismounted combatant.

Enhancing the capabilities of the dismounted combatant has been an enduring goal of international military research communities. Emerging developments in exoskeleton technology offers the potential to augment the dismounted combatant's capabilities. However, the ability to determine the value proposition of an exoskeleton in a military context is difficult due to the variety of methods and metrics used to evaluate previous devices. The aim of this paper was to present a standard framework for the evaluation and assessment of exoskeletons for use in the military. A structured and systematic methodology was developed from the end-user perspective and progresses from controlled laboratory conditions (Stage A), to simulated movements specific to the dismounted combatant (Stage B), and real-world military specific tasks (Stage C). A standard set of objective and subjective metrics were described to ensure a holistic assessment on the human response to wearing the exoskeleton and the device's mechanical performance during each stage. A standardised methodology will ensure further advancement of exoskeleton technology and support improved international collaboration across research and industry groups. In doing so, this better enables international military groups to evaluate a system's potential, with the hope of accelerating the maturity and ultimately the fielding of devices to augment the dismounted close combatant and small team capability.

Prior Mental Fatigue Impairs Marksmanship Decision Performance.

Purpose: Mental fatigue has been shown to impair subsequent physical performance in continuous and discontinuous exercise. However, its influence on subsequent fine-motor performance in an applied setting (e.g., marksmanship for trained soldiers) is relatively unknown. The purpose of this study was to investigate whether prior mental fatigue influences subsequent marksmanship performance as measured by shooting accuracy and judgment of soldiers in a live-fire scenario. Methods: Twenty trained infantry soldiers engaged targets after completing either a mental fatigue or control intervention in a repeated measure design. Heart rate variability and the NASA-TLX were used to gauge physiological and subjective effects of the interventions. Target hit proportion, projectile group accuracy, and precision were used to measure marksmanship accuracy. Marksmanship accuracy was assessed by measuring bullet group accuracy (i.e., how close a group of shots are relative to center of mass) and bullet group precision (i.e., how close are each individual shot to each other). Additionally, marksmanship decision accuracy (correctly shooting vs. correctly withholding shot) when engaging targets was used to examine marksmanship performance. Results: Soldiers rated the mentally fatiguing task (59.88 ± 23.7) as having greater mental workload relative to the control intervention [31.29 ± 12.3, t(19) = 1.72, p < 0.001]. Additionally, soldiers completing the mental fatigue intervention (96.04 ± = 37.1) also had lower time-domain (standard deviation of normal to normal R-R intervals) heart rate variability relative to the control [134.39 ± 47.4, t(18) = 3.59, p < 0.001]. Projectile group accuracy and group precision failed to show differences between interventions [t(19) = 0.98, p = 0.34, t(19) = 0.18, p = 0.87, respectively]. Marksmanship decision errors significantly increased after soldiers completed the mental fatigue intervention (48% ± 22.4) relative to the control intervention [M = 32% ± 79.9, t(19) = 4.39, p < 0.001]. There was a significant negative correlation between shooting response time and errors of commission (r = -0.61; p = 0.004) when preceded by the mental fatigue intervention, but not the control (r = -0.31; p = 0.17). Conclusion: The mental fatigue intervention was successful in eliciting fatigue which was supported subjectively and objectively. Marksmanship judgment performance is significantly reduced when soldiers are mentally fatigued, although shot accuracy is not.

Shooter-System Performance Variability as a Function of Recoil Dynamics.

OBJECTIVE: The goal of this study was to quantify shooter performance relative to subtle variations in recoil energy. BACKGROUND: Marksmanship performance remains undefined for subtle distinctions in weapon recoil energy across common small-arms platforms. METHOD: Weapons were customized using multiple components and ammunition types. Firing scenarios were designed to examine the effect of recoil energy on shooter timing and accuracy. RESULTS: The results suggest that recoil condition does not affect timing during firing sequences designed to elicit differences in timed-fire performance. Recoil condition did, however, influence shot placement, with accuracy decreasing as the energy associated with firing increased. Subjective recoil estimations were quantified according to relative magnitude and spatial distribution of perceived energy transferred at shooter-weapon surface contact locations. CONCLUSION: The absence of differences in time to engage may be reflective of resistance to recoil-induced point-of-aim deviation based on experience. Distinctions in performance were revealed despite subtle differences in recoil energy between conditions. An instrument that may be sensitive to shooter perception of subtle differences in recoil energy during firing was also developed. APPLICATION: The findings inform performance expectations for small-arms systems relative to recoil energy levels transferred to the shooter during dynamic firing events.

The Effect of Soldier Marching, Rucksack Load, and Heart Rate on Marksmanship.

OBJECTIVE: The purpose was to determine if Soldier rucksack load, marching distance, and average heart rate (HR) during shooting affect the probability of hitting the target. BACKGROUND: Infantry Soldiers routinely carry heavy rucksack loads and are expected to engage enemy targets should a threat arise. METHOD: Twelve male Soldiers performed two 11.8 km marches in forested terrain at 4.3 km/hour on separate days (randomized, counterbalanced design). The Rifleman load consisted of protective armor (26.1 kg); the Rucksack load included the Rifleman load plus a weighted rucksack (48.5 kg). Soldiers performed a live-fire shooting task (48 targets) prior to the march, in the middle of the march, and at the end of the march. HR was collected during the shooting task. Data were assessed with multilevel logistic regression controlling for the multiple observations on each subject and shooting target distance. Predicted probabilities for hitting the target were calculated. RESULTS: There was a three-way interaction effect between rucksack load, average HR, and march ( p = .02). Graphical assessment of predicted probabilities indicated that regardless of load, marching increases shooting performance. Increases in shooting HR after marching result in lower probability of hitting the target, and rucksack load has inconsistent effects on marksmanship. CONCLUSION: Early evidence suggests that rucksack load and marching may not uniformly decrease marksmanship but that an inverted-U phenomenon may govern changes in marksmanship. APPLICATION: The effects of load and marching on marksmanship are not linear; the abilities of Soldiers should be continuously monitored to understand their capabilities in a given scenario.

Cognitive Fatigue Influences Time-On-Task during Bodyweight Resistance Training Exercise.

Prior investigations have shown measurable performance impairments on continuous physical performance tasks when preceded by a cognitively fatiguing task. However, the effect of cognitive fatigue on bodyweight resistance training exercise task performance is unknown. In the current investigation 18 amateur athletes completed a full body exercise task preceded by either a cognitive fatiguing or control intervention. In a randomized repeated measure design, each participant completed the same exercise task preceded by a 52 min cognitively fatiguing intervention (vigilance) or control intervention (video). Data collection sessions were separated by 1 week. Participants rated the fatigue intervention with a significantly higher workload compared to the control intervention (p < 0.001). Additionally, participants self-reported significantly greater energetic arousal for cognitively fatiguing task (p = 0.02). Cognitive fatigue did not significantly impact number of repetitions completed during the exercise task (p = 0.77); however, when cognitively fatigued, participants had decreased percent time-on-task (57%) relative to the no fatigue condition (60%; p = 0.04). RPE significantly changed over time (p < 0.001), but failed to show significant differences between the cognitive fatigue intervention and control intervention (p > 0.05). There was no statistical difference for heart rate or metabolic expenditure as a function of fatigue intervention during exercise. Cognitively fatigued athletes have decreased time-on-task in bodyweight resistance training exercise tasks.

Modulation of force transmission to the head while carrying a backpack load at different walking speeds.

This study was designed to investigate the capability of the joints and segments to reduce transmission of forces during load carriage. Eleven subjects were required to carry a backpack loaded with 40% of their body weight and to walk at 6 speeds increasing from 0.6 to 1.6 ms(-1) in increments of 0.2 ms(-1), and then decreasing in the same manner. Subjects were filmed in 3-dimensions, but analysis of shock transmission ratio (TR) was limited to the sagittal plane. Shock transmission was measured as the ratio of peak vertical accelerations (ankle:head, ankle:knee, and knee:head) measured immediately following foot strike. TR for all ratios increased significantly as a function of increasing speed. TR from the ankle to the head showed no significant increase as a function of load carriage, but did increase as a function of load in transmission from knee to head. A significant interaction effect revealed that during load carriage at the higher speeds the acceleration of the ankle and knee decreased below that for the unloaded conditions. These findings suggest that the potentially injurious effects of previously observed increased ground reaction forces and increased joint stiffness while walking with loads are offset by adaptations in the gait pattern that maintain force transmission at acceptable levels. Increased variability in the acceleration of the head and in the transmission ratios suggest a potentially destabilizing effect of load carriage on the head trajectory.

Increased musculoskeletal stiffness during load carriage at increasing walking speeds maintains constant vertical excursion of the body center of mass.

The primary objective of this research was to determine changes in body and joint stiffness parameters and kinematics of the knee and body center of mass (COM), that result from wearing a backpack (BP) with a 40% body weight load at increasing speeds of walking. It was hypothesized that there would be speed and load-related increases in stiffness that would prevent significant deviations in the COM trajectory and in lower-extremity joint angles. Three independent biomechanical models employing kinematic data were used to estimate global lower-extremity stiffness, vertical stiffness and knee joint rotational stiffness in the sagittal plane during walking on a treadmill at speeds of 0.6-1.6 ms(-1) in 0.2 ms(-1) increments in BP and no backpack conditions. Kinematic data were collected using an Optotrak, three-dimensional motion analysis system. Knee angles and vertical excursion of the COM during the compression (loading phase) increased as a function of speed but not load. All three estimates of stiffness showed significant increases as a function of both speed and load. Significant interaction effects indicated a convergence of load-related stiffness values at lower speeds. Results suggested that increases in muscle-mediated stiffness are used to maintain a constant vertical excursion of the COM under load across the speeds tested, and thereby limit increases in metabolic cost that would occur if the COM would travel through greater vertical range of motion.