In midstance, positive knee joint work decreased, negative knee joint work increased and vasti metabolic power decreased, while hamstrings metabolic power did not show a clear trend with increasing AFO stiffness.
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Minimization of metabolic cost of transport predicts changes in gait mechanics over a range of ankle-foot orthosis stiffnesses in individuals with bilateral plantar flexor weakness.
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Peak total ankle moment was approximately constant in the experiments but showed an increasing trend in the predictive gait simulations ( Figure 2 ; Figure 3 , Supplementary Table S1, S5 ). 3.2 Simulated AFO effects on mCoT and muscle metabolic consumption The mCoT showed a clear minimum with increasing stiffness in both the simulated and individual experimental results ( Figure 4 ).