Although good results have already been achieved in reciprocal walking
for paraplegic patients using mechanical orthoses (e.g. ORLAU ParaWal
ker), improvements in lateral stiffness of walking devices could incre
ase significantly the efficiency of ambulation. For this reason a meth
od for monitoring the structural properties of an orthosis during loco
motion has been studied. A motion analysis system (ELITE system) able
to detect automatically and accurately the positions of small retroref
lective markers in a television field was used. Starting from marker p
ositions, the angular variations between adjacent structural segments
in the orthosis were computed and the areas in which maximum deformati
ons occurred were identified. Experiments were performed on two parapl
egic patients using their ORLAU ParaWalker orthosis and two different
kinds of movements were analysed: lateral tilting and walking. The res
ults show that this approach is able to detect the small deformations
occurring in the orthotic structure and therefore to provide valuable
information for orthotic design optimization.