@article {awad2017reducing,
	title = {Reducing Circumduction and Hip Hiking During Hemiparetic Walking Through Targeted Assistance of the Paretic Limb Using a Soft Robotic Exosuit.},
	journal = {American Journal of Physical Medicine \& Rehabilitation},
	year = {2017},
	publisher = {LWW},
	abstract = {
	ObjectiveThe aim of the study was to evaluate the effects on common poststroke gait compensations of a soft wearable robot (exosuit) designed to assist the paretic limb during hemiparetic walking.



	DesignA single-session study of eight individuals in the chronic phase of stroke recovery was conducted. Two testing conditions were compared: walking with the exosuit powered versus walking with the exosuit unpowered. Each condition was 8 minutes in duration.



	ResultsCompared with walking with the exosuit unpowered, walking with the exosuit powered resulted in reductions in hip hiking (27 [6\%], P = 0.004) and circumduction (20 [5\%], P = 0.004). A relationship between changes in knee flexion and changes in hip hiking was observed (Pearson r = -0.913, P \&lt; 0.001). Similarly, multivariate regression revealed that changes in knee flexion (β = -0.912, P = 0.007), but not ankle dorsiflexion (β = -0.194, P = 0.341), independently predicted changes in hip hiking (R2= 0.87, F(2, 4) = 13.48, P = 0.017).



	ConclusionsExosuit assistance of the paretic limb during walking produces immediate changes in the kinematic strategy used to advance the paretic limb. Future work is necessary to determine how exosuit-induced reductions in paretic hip hiking and circumduction during gait training could be leveraged to facilitate more normal walking behavior during unassisted walking.

},
	url = {https://doi.org/10.1097/PHM.0000000000000800},
	author = {Louis N. Awad and Jaehyun Bae and Kudzia, Pawel and Long, Andrew and Hendron, Kathryn and Kenneth G. Holt and Kathleen O{\textquoteright}Donnell and Terry D. Ellis and Conor J Walsh}
}
