{"title":"基于自定义正向预测模拟的腓骨肌综合征患者外骨骼辅助优化。","authors":"Yiying Peng, Fengchao Zhang, Liping Wang, Jianda Han, Juanjuan Zhang","doi":"10.1080/10255842.2025.2566963","DOIUrl":null,"url":null,"abstract":"<p><p>Charcot-Marie-Tooth (CMT) disease causes gait abnormalities like foot-drop. While powered orthoses can assist, their effectiveness varies. This study optimized ankle torque assistance for CMT patients using forward predictive simulation with customized musculoskeletal models. Gait data from patients informed model customization, improving simulation accuracy. The optimized assistive torque profile, applied to a patient-specific model, reduced simulated metabolic cost by 9.9% compared to normal walking and significantly decreased soleus and gastrocnemius activity. This simulation framework provides guidance for exoskeleton assistance and the design of assistive devices for CMT patients.</p>","PeriodicalId":50640,"journal":{"name":"Computer Methods in Biomechanics and Biomedical Engineering","volume":" ","pages":"1-10"},"PeriodicalIF":1.6000,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exoskeleton assistance optimization for Charcot-Marie-Tooth patients based on customized forward predictive simulation.\",\"authors\":\"Yiying Peng, Fengchao Zhang, Liping Wang, Jianda Han, Juanjuan Zhang\",\"doi\":\"10.1080/10255842.2025.2566963\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Charcot-Marie-Tooth (CMT) disease causes gait abnormalities like foot-drop. While powered orthoses can assist, their effectiveness varies. This study optimized ankle torque assistance for CMT patients using forward predictive simulation with customized musculoskeletal models. Gait data from patients informed model customization, improving simulation accuracy. The optimized assistive torque profile, applied to a patient-specific model, reduced simulated metabolic cost by 9.9% compared to normal walking and significantly decreased soleus and gastrocnemius activity. This simulation framework provides guidance for exoskeleton assistance and the design of assistive devices for CMT patients.</p>\",\"PeriodicalId\":50640,\"journal\":{\"name\":\"Computer Methods in Biomechanics and Biomedical Engineering\",\"volume\":\" \",\"pages\":\"1-10\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-10-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Computer Methods in Biomechanics and Biomedical Engineering\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://doi.org/10.1080/10255842.2025.2566963\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Computer Methods in Biomechanics and Biomedical Engineering","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1080/10255842.2025.2566963","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS","Score":null,"Total":0}
Exoskeleton assistance optimization for Charcot-Marie-Tooth patients based on customized forward predictive simulation.
Charcot-Marie-Tooth (CMT) disease causes gait abnormalities like foot-drop. While powered orthoses can assist, their effectiveness varies. This study optimized ankle torque assistance for CMT patients using forward predictive simulation with customized musculoskeletal models. Gait data from patients informed model customization, improving simulation accuracy. The optimized assistive torque profile, applied to a patient-specific model, reduced simulated metabolic cost by 9.9% compared to normal walking and significantly decreased soleus and gastrocnemius activity. This simulation framework provides guidance for exoskeleton assistance and the design of assistive devices for CMT patients.
期刊介绍:
The primary aims of Computer Methods in Biomechanics and Biomedical Engineering are to provide a means of communicating the advances being made in the areas of biomechanics and biomedical engineering and to stimulate interest in the continually emerging computer based technologies which are being applied in these multidisciplinary subjects. Computer Methods in Biomechanics and Biomedical Engineering will also provide a focus for the importance of integrating the disciplines of engineering with medical technology and clinical expertise. Such integration will have a major impact on health care in the future.