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A three-site clinical feasibility study of a flexible functional electrical stimulation system to support functional task practice for upper limb recovery in people with stroke (2019)
Journal Article

Introduction: Of those people who survive a stroke, only between 40 and 70% regain upper limb dexterity. A number of reviews have suggested that functional electrical stimulation (FES) may have a beneficial effect on upper limb motor recovery. In lig... Read More about A three-site clinical feasibility study of a flexible functional electrical stimulation system to support functional task practice for upper limb recovery in people with stroke.

Logging therapy session data via an upper limb FES rehabilitation system (2018)
Presentation / Conference
Sun, M., Kenney, L., Howard, D., Smith, C., Waring, K., & Luckie, H. (2018, August). Logging therapy session data via an upper limb FES rehabilitation system. Presented at Annual Conference of the International Functional Electrical Stimulation Society, Nottwil, Switzerland

This paper reports on an approach to capturing real-time therapy session data using an upper limb functional electrical stimulation (FES) system to support our under-standing of its usability in clinical environments and to record therapy delivered.... Read More about Logging therapy session data via an upper limb FES rehabilitation system.

FES-UPP : a flexible functional electrical stimulation system to support upper limb functional activity practice (2018)
Journal Article

There is good evidence supporting highly intensive, repetitive, activity-focused, voluntary-initiated practice as a key to driving recovery of upper limb function following stroke. Functional electrical stimulation (FES) offers a potential mechanism... Read More about FES-UPP : a flexible functional electrical stimulation system to support upper limb functional activity practice.

Performance of optimised prosthetic ankle designs that are based on a hydraulic variable displacement actuator (VDA) (2017)
Journal Article
Gardiner, J., Bari, A., Kenney, L., Twiste, M., Moser, D., Zahedi, S., & Howard, D. (2017). Performance of optimised prosthetic ankle designs that are based on a hydraulic variable displacement actuator (VDA). IEEE Transactions on Neural Systems and Rehabilitation Engineering, 25(12), 2418-2426. https://doi.org/10.1109/TNSRE.2017.2763999

Current energy storage and return (ESR) prosthetic
feet only marginally reduce the cost of amputee locomotion
compared to basic solid ankle cushioned heel (SACH) feet,
possibly due to their lack of push-off at the end of stance. To our knowledge,... Read More about Performance of optimised prosthetic ankle designs that are based on a hydraulic variable displacement actuator (VDA).

Estimating the material properties of heel pad sub-layers using inverse finite element analysis (2016)
Journal Article
Ahanchian, N., Nester, C., Howard, D., Ren, L., & Parker, D. (2016). Estimating the material properties of heel pad sub-layers using inverse finite element analysis. Medical Engineering and Physics, 40, 11-19. https://doi.org/10.1016/j.medengphy.2016.11.003

Detailed information about the biomechanical behaviour of plantar heel pad tissue contributes to our understanding of load transfer when the foot impacts the ground. The objective of this work was to obtain the hyperelastic and viscoelastic material... Read More about Estimating the material properties of heel pad sub-layers using inverse finite element analysis.

Energy flow analysis of amputee walking shows a proximally-directed transfer of energy in intact limbs, compared to a distally-directed transfer in prosthetic limbs at push-off (2016)
Journal Article
Weinert-Aplin, R., Howard, D., Twiste, M., Jarvis, H., Bennett, A., & Baker, R. (2017). Energy flow analysis of amputee walking shows a proximally-directed transfer of energy in intact limbs, compared to a distally-directed transfer in prosthetic limbs at push-off. Medical Engineering and Physics, 39, 73-82. https://doi.org/10.1016/j.medengphy.2016.10.005

Reduced capacity and increased metabolic cost of walking occurs in amputees, despite advances in prosthetic componentry. Joint powers can quantify deficiencies in prosthetic gait, but do not reveal how energy is exchanged between limb segments. This... Read More about Energy flow analysis of amputee walking shows a proximally-directed transfer of energy in intact limbs, compared to a distally-directed transfer in prosthetic limbs at push-off.

Dealing with time-varying recruitment and length in Hill-type muscle models (2016)
Journal Article
Hamouda, A., Kenney, L., & Howard, D. (2016). Dealing with time-varying recruitment and length in Hill-type muscle models. Journal of Biomechanics, 49(14), 3375-3380. https://doi.org/10.1016/j.jbiomech.2016.08.030

Hill-type muscle models are often used in muscle simulation studies and also in the design
and virtual prototyping of functional electrical stimulation systems. These models have to
behave in a sufficiently realistic manner when recruitment level a... Read More about Dealing with time-varying recruitment and length in Hill-type muscle models.

A flexible finite state controller for upper limb functional electrical stimulation (2016)
Presentation / Conference
Sun, M., Kenney, L., Smith, C., Waring, K., Luckie, H., & Howard, D. (2016, June). A flexible finite state controller for upper limb functional electrical stimulation. Poster presented at 20th Annual Conference of the International Functional Electrical Stimulation Society, La Grande-Motte, France

This paper reports on a flexible finite stage machine (FSM) controller for the real-time control of functional electrical stimulation (FES) during upper limb rehabilitation, and an associated setup Graphical User Interface (GUI) guides clinical users... Read More about A flexible finite state controller for upper limb functional electrical stimulation.

A device for characterising the mechanical properties of the plantar soft tissue of the foot (2015)
Journal Article
Parker, D., Cooper, G., Pearson, S., Crofts, G., Howard, D., Busby, P., & Nester, C. (2015). A device for characterising the mechanical properties of the plantar soft tissue of the foot. Medical Engineering and Physics, 37(11), 1098-1104. https://doi.org/10.1016/j.medengphy.2015.08.008

The plantar soft tissue is a highly functional viscoelastic structure involved in transferring load to the human body during walking. A Soft Tissue Response Imaging Device was developed to apply a vertical compression to the plantar soft tissue whils... Read More about A device for characterising the mechanical properties of the plantar soft tissue of the foot.

Meta-analysis of metabolic cost of amputee walking shows only a marginal improvement in cost when using ESR feet compared to conventional SACH feet (2015)
Presentation / Conference
Gardiner, J., Bari, Z., Kenney, L., & Howard, D. (2015, June). Meta-analysis of metabolic cost of amputee walking shows only a marginal improvement in cost when using ESR feet compared to conventional SACH feet. Presented at ISPO World Congress 2015, Lyon, France

Background: Energy storage and return (ESR) prosthetic feet are designed to store strain energy during stance and release that energy during push-off and, hence, promote a more energy efficient gait. However, despite ESR feet being prescribed for app... Read More about Meta-analysis of metabolic cost of amputee walking shows only a marginal improvement in cost when using ESR feet compared to conventional SACH feet.

A forward dynamic modelling investigation of cause-and-effect relationships in single support phase of human walking (2015)
Journal Article
McGrath, M., Howard, D., & Baker, R. (2015). A forward dynamic modelling investigation of cause-and-effect relationships in single support phase of human walking. Computational and Mathematical Methods in Medicine, 2015, 1-9. https://doi.org/10.1155/2015/383705

Mathematical gait models often fall into one of two categories: simple and complex. There is a large leap in complexity between model types, meaning the effects of individual gait mechanisms get overlooked. This study investigated the cause-and-effec... Read More about A forward dynamic modelling investigation of cause-and-effect relationships in single support phase of human walking.

The use of an adjustable electrode housing unit to compare electrode alignment and contact variation with myoelectric prosthesis functionality: A pilot study (2014)
Journal Article
and contact variation with myoelectric prosthesis functionality: A pilot study. Prosthetics and Orthotics International, 40(1), 123-128. https://doi.org/10.1177/0309364614545417

Background: Usable myoelectric control relies on secure and intimate contact at all times between the electrode, the socket and the residual limb. At present, there is little post-fitting socket adjustment available to prosthetists with respect to el... Read More about The use of an adjustable electrode housing unit to compare electrode alignment and contact variation with myoelectric prosthesis functionality: A pilot study.

A systematic procedure to optimise dose and image quality for the measurement of inter-vertebral angles from lateral spinal projections using Cobb and superimposition methods (2014)
Journal Article
Al Qaroot, B., Hogg, P., Twiste, M., & Howard, D. (2014). A systematic procedure to optimise dose and image quality for the measurement of inter-vertebral angles from lateral spinal projections using Cobb and superimposition methods. Journal of X-Ray Science and Technology, 22(5), 613-625. https://doi.org/10.3233/XST-140449

BACKGROUND: Patients with vertebral column deformations are exposed to high risks associated with ionising radiation exposure. Risks are further increased due to the serial X-ray images that are needed to measure and asses their spinal deformation us... Read More about A systematic procedure to optimise dose and image quality for the measurement of inter-vertebral angles from lateral spinal projections using Cobb and superimposition methods.

Automated detection of instantaneous gait events using time frequency analysis and manifold embedding (2013)
Journal Article
using time frequency analysis and manifold embedding. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 21(6), 908-915. https://doi.org/10.1109/TNSRE.2013.2239313

Accelerometry is a widely used sensing modality
in human biomechanics due to its portability, non-invasiveness, and accuracy. However, difficulties lie in signal variability and interpretation in relation to biomechanical events. In walking, heel st... Read More about Automated detection of instantaneous gait events using time frequency analysis and manifold embedding.

The effects of prosthetic ankle stiffness on ankle and knee kinematics, prosthetic limb loading, and net metabolic cost of trans-tibial amputee gait (2013)
Journal Article
Major, M., Twiste, M., Kenney, L., & Howard, D. (2014). The effects of prosthetic ankle stiffness on ankle and knee kinematics, prosthetic limb loading, and net metabolic cost of trans-tibial amputee gait. Clinical Biomechanics, 29(1), 98-104. https://doi.org/10.1016/j.clinbiomech.2013.10.012

Background
Previous studies of commercially-available trans-tibial prosthetic components have been unable to provide clear insight into the relationships between prosthetic mechanical properties and user performance (i.e., gait quality and energy ex... Read More about The effects of prosthetic ankle stiffness on ankle and knee kinematics, prosthetic limb loading, and net metabolic cost of trans-tibial amputee gait.

Automatic detection of lift-off and touch-down of a pick-up walker using 3D kinematics (2013)
Journal Article
Grootveld, L., Thies, S., Ogden, D., Howard, D., & Kenney, L. (2014). Automatic detection of lift-off and touch-down of a pick-up walker using 3D kinematics. Medical Engineering and Physics, 36(2), 255-260. https://doi.org/10.1016/j.medengphy.2013.08.008

Walking aids have been associated with falls and it is believed that incorrect use limits their usefulness. Measures are therefore needed that characterize their stable use and the classification of key events in walking aid movement is the first ste... Read More about Automatic detection of lift-off and touch-down of a pick-up walker using 3D kinematics.

The relationship between impairment, functional ability, hand-arm task complexity and set-up difficulty for an Advanced FES Rehab Tool (2013)
Presentation / Conference
Smith, C., Kenney, L., Howard, D., Waring, K., Sun, M., & Hardiker, N. (2013, April). The relationship between impairment, functional ability, hand-arm task complexity and set-up difficulty for an Advanced FES Rehab Tool. Poster presented at Fourth Conference of the UK and Ireland Chapter of the International Functional Electrical Stimulation Society (IFESSUKI), Southampton, UK

The effects of transverse rotation angle on compression and effective lever arm of prosthetic feet during simulated stance (2012)
Journal Article
Major, M., Howard, D., Jones, R., & Twiste, M. (2012). The effects of transverse rotation angle on compression and effective lever arm of prosthetic feet during simulated stance. Prosthetics and Orthotics International, 36(2), 231-235. https://doi.org/10.1177/0309364611435996

Background and Aim: Unlike sagittal plane prosthesis alignment, few studies have observed the effects of transverse plane alignment on gait and prosthesis behaviour. Changes in transverse plane rotation angle will rotate the points of loading on the... Read More about The effects of transverse rotation angle on compression and effective lever arm of prosthetic feet during simulated stance.

Effects of ramp negotiation, paving type and shoe sole geometry on toe clearance in young adults (2011)
Journal Article
Thies, S., Jones, R., Kenney, L., Howard, D., & Baker, R. (2011). Effects of ramp negotiation, paving type and shoe sole geometry on toe clearance in young adults. Journal of Biomechanics, 44(15), 2679-2684. https://doi.org/10.1016/j.jbiomech.2011.07.027

Trips are a major cause of falls and result from involuntary contact of the foot with the ground during the swing phase of gait. Adequate toe clearance during swing is therefore crucial for safe locomotion. To date, little is known about the effects... Read More about Effects of ramp negotiation, paving type and shoe sole geometry on toe clearance in young adults.

The use of hydrogel as an electrode-skin interface for electrode array FES applications (2011)
Journal Article
Cooper, G., Barker, A., Heller, B., Good, T., Kenney, L., & Howard, D. (2011). The use of hydrogel as an electrode-skin interface for electrode array FES applications. Medical Engineering and Physics, 33(8), 967-982. https://doi.org/10.1016/j.medengphy.2011.03.008

Functional electrical stimulation is commonly used to restore function in post-stroke patients in upper and lower limb applications. Location of the electrodes can be a problem hence some research groups have begun to experiment with electrode arrays... Read More about The use of hydrogel as an electrode-skin interface for electrode array FES applications.