Controller design of a robotic orthosis using sinusoidal-input describing function model

Stroke is one of top leading causes of death in the world and it happens to more than 15 million people yearly. According to the National Stroke Association of Malaysia (NASAM), stroke is the third leading cause of death in Malaysia with around 40,000 cases reported annually. Forty percent of stroke survivors suffer from movement impairments after stroke. My grandfather was one of the victims and he was unable to attend any rehabilitation sessions due to several reasons. Hence, he lost the golden time to regain his movement and freedom. There are a lot of similar cases that happen daily in Malaysia. Besides, as the number of stroke patients increases yearly, the need for physiotherapists or rehabilitation machines equally increases. Hence, a low-cost clinical rehabilitation device is essential to provide assistance for an effective rehabilitation program and substitute the conventional method, as well as to reduce the burden of physiotherapists. In future, the proposed rehabilitation device would benefit not only stroke patients, but any patients who lost their normal walking ability including post-accident patients or those who suffer from spinal cord injury. The rehabilitation device aims to provide training assistance to patients not only in rehabilitation centres but also at home for daily training. The robotic orthosis is planned to be configured based on moving joint angles of human lower extremities. In the first stage of this research, angle-time characteristics for knee and hip swinging motion are utilised as a sagittal motion reference for the rehabilitation devices. The aim of following a proper gait cycle during rehabilitation training is to train patients to perform standing and swinging phases at proper timing and simultaneously provide the correct position reference to the patient during rehabilitation training. This can prevent patients from walking abnormally with an asymmetric gait cycle along or after the rehabilitation program. Besides, various limitations and the bulky structure of other rehabilitation devices lead to the design of the two-link lower limb rehabilitation device. This project aims to develop an assistive robotic rehabilitation device that generates a human gait trajectory for hemiplegic stroke patient gait rehabilitation in future. The shortcomings of other control applications due to environmental conditions and disturbances lead to the implementation of the describing function approach in the development of the devices. A sinusoidal-input describing function (SIDF) approach was implemented to linearize the nonlinear robotic orthosis with linear transfer function. The reason for utilising the SIDF approach is due to the nonlinear actual plant model with the present of load torque disturbances, discontinuous nonlinearities such as saturation and backlash, and also multivariable in the system. The nonlinear properties of the plant were proven in the preliminary stage of the research. A conventional controller, PID control combined with position and trajectory inputs were also applied to the system in the early stage of research. However, the experimental results were not satisfying. Finally, the SIDF approach was chosen to linearize the nonlinear system. Hence, generating a controller is much easier with a linear model of the nonlinear system. A SIDF approach was implemented to generate a controller for the multivariable, nonlinear closed loop system. Firstly, the SIDF approach enables the determination of the linear function of the nonlinear model known as the SIDF model. By utilising the linear model to mimic the behaviour of the nonlinear rehabilitation system, the controller for the nonlinear plant was able to be generated. In this research a controller based on linear control theory technique was used. The MATLAB library was used to design the lead-lag controller for the rehabilitation device. Various simulations such as step responses, tracking and decoupling of both links were performed on the generated controller with the nonlinear model to study the capability of the controller. Besides that, real life experiment testing was carried out to validate the feasibility of the controller designed via the SIDF approach. Simulation and experimental results were obtained, compared, and discussed. The highly accurate responses gained from experimental setup showed the robustness of the controller generated via SIDF approach. The implementation of the SIDF approach in a rehabilitation device (vertical two-link manipulator) is a first and hence, fulfils a novelty requirement for this research

Design and control of soft rehabilitation robots actuated by pneumatic muscles: State of the art

Robot-assisted rehabilitation has become a new mainstream trend for the treatment of stroke patients with movement disability. Pneumatic muscle (PM) is one of the most promising actuators for rehabilitation robots, due to its inherent compliance and safety features. In this paper, we conduct a systematic review on the soft rehabilitation robots driven by pneumatic muscles. This review discusses up to date mechanical structures and control strategies for PMs-actuated rehabilitation robots. A variety of state-of-the-art soft rehabilitation robots are classified and reviewed according to the actuation configurations. Special attentions are paid to control strategies under different mechanical designs, with advanced control approaches to overcome PM’s highly nonlinear and time-varying behaviors and to enhance the adaptability to different patients. Finally, we analyze and highlight the current research gaps and the future directions in this field, which is potential for providing a reliable guidance on the development of advanced soft rehabilitation robots

Controller design of a robotic orthosis using sinusoidal-input describing function model

Stroke is one of top leading causes of death in the world and it happens to more than 15 million people yearly. According to the National Stroke Association of Malaysia (NASAM), stroke is the third leading cause of death in Malaysia with around 40,000 cases reported annually. Forty percent of stroke survivors suffer from movement impairments after stroke. My grandfather was one of the victims and he was unable to attend any rehabilitation sessions due to several reasons. Hence, he lost the golden time to regain his movement and freedom. There are a lot of similar cases that happen daily in Malaysia. Besides, as the number of stroke patients increases yearly, the need for physiotherapists or rehabilitation machines equally increases. Hence, a low-cost clinical rehabilitation device is essential to provide assistance for an effective rehabilitation program and substitute the conventional method, as well as to reduce the burden of physiotherapists. In future, the proposed rehabilitation device would benefit not only stroke patients, but any patients who lost their normal walking ability including post-accident patients or those who suffer from spinal cord injury. The rehabilitation device aims to provide training assistance to patients not only in rehabilitation centres but also at home for daily training. The robotic orthosis is planned to be configured based on moving joint angles of human lower extremities. In the first stage of this research, angle-time characteristics for knee and hip swinging motion are utilised as a sagittal motion reference for the rehabilitation devices. The aim of following a proper gait cycle during rehabilitation training is to train patients to perform standing and swinging phases at proper timing and simultaneously provide the correct position reference to the patient during rehabilitation training. This can prevent patients from walking abnormally with an asymmetric gait cycle along or after the rehabilitation program. Besides, various limitations and the bulky structure of other rehabilitation devices lead to the design of the two-link lower limb rehabilitation device. This project aims to develop an assistive robotic rehabilitation device that generates a human gait trajectory for hemiplegic stroke patient gait rehabilitation in future. The shortcomings of other control applications due to environmental conditions and disturbances lead to the implementation of the describing function approach in the development of the devices. A sinusoidal-input describing function (SIDF) approach was implemented to linearize the nonlinear robotic orthosis with linear transfer function. The reason for utilising the SIDF approach is due to the nonlinear actual plant model with the present of load torque disturbances, discontinuous nonlinearities such as saturation and backlash, and also multivariable in the system. The nonlinear properties of the plant were proven in the preliminary stage of the research. A conventional controller, PID control combined with position and trajectory inputs were also applied to the system in the early stage of research. However, the experimental results were not satisfying. Finally, the SIDF approach was chosen to linearize the nonlinear system. Hence, generating a controller is much easier with a linear model of the nonlinear system. A SIDF approach was implemented to generate a controller for the multivariable, nonlinear closed loop system. Firstly, the SIDF approach enables the determination of the linear function of the nonlinear model known as the SIDF model. By utilising the linear model to mimic the behaviour of the nonlinear rehabilitation system, the controller for the nonlinear plant was able to be generated. In this research a controller based on linear control theory technique was used. The MATLAB library was used to design the lead-lag controller for the rehabilitation device. Various simulations such as step responses, tracking and decoupling of both links were performed on the generated controller with the nonlinear model to study the capability of the controller. Besides that, real life experiment testing was carried out to validate the feasibility of the controller designed via the SIDF approach. Simulation and experimental results were obtained, compared, and discussed. The highly accurate responses gained from experimental setup showed the robustness of the controller generated via SIDF approach. The implementation of the SIDF approach in a rehabilitation device (vertical two-link manipulator) is a first and hence, fulfils a novelty requirement for this research

Design and Evaluation of AIRGAIT Exoskeleton\u27s Leg Orthosis: Development of a Control Scheme and Strategy for a Noble Control of Antagonistic Mono- and Bi-Articular Actuators

芝浦工業大学201

Hierarchical Compliance Control of a Soft Ankle Rehabilitation Robot Actuated by Pneumatic Muscles

Traditional compliance control of a rehabilitation robot is implemented in task space by using impedance or admittance control algorithms. The soft robot actuated by pneumatic muscle actuators (PMAs) is becoming prominent for patients as it enables the compliance being adjusted in each active link, which, however, has not been reported in the literature. This paper proposes a new compliance control method of a soft ankle rehabilitation robot that is driven by four PMAs configured in parallel to enable three degrees of freedom movement of the ankle joint. A new hierarchical compliance control structure, including a low-level compliance adjustment controller in joint space and a high-level admittance controller in task space, is designed. An adaptive compliance control paradigm is further developed by taking into account patient’s active contribution and movement ability during a previous period of time, in order to provide robot assistance only when it is necessarily required. Experiments on healthy and impaired human subjects were conducted to verify the adaptive hierarchical compliance control scheme. The results show that the robot hierarchical compliance can be online adjusted according to the participant’s assessment. The robot reduces its assistance output when participants contribute more and vice versa, thus providing a potentially feasible solution to the patient-in-loop cooperative training strateg

Advancements in Sensor Technologies and Control Strategies for Lower-Limb Rehabilitation Exoskeletons: A Comprehensive Review

Lower-limb rehabilitation exoskeletons offer a transformative approach to enhancing recovery in patients with movement disorders affecting the lower extremities. This comprehensive systematic review delves into the literature on sensor technologies and the control strategies integrated into these exoskeletons, evaluating their capacity to address user needs and scrutinizing their structural designs regarding sensor distribution as well as control algorithms. The review examines various sensing modalities, including electromyography (EMG), force, displacement, and other innovative sensor types, employed in these devices to facilitate accurate and responsive motion control. Furthermore, the review explores the strengths and limitations of a diverse array of lower-limb rehabilitation-exoskeleton designs, highlighting areas of improvement and potential avenues for further development. In addition, the review investigates the latest control algorithms and analysis methods that have been utilized in conjunction with these sensor systems to optimize exoskeleton performance and ensure safe and effective user interactions. By building a deeper understanding of the diverse sensor technologies and monitoring systems, this review aims to contribute to the ongoing advancement of lower-limb rehabilitation exoskeletons, ultimately improving the quality of life for patients with mobility impairments

Design of an Elastic Actuation System for a Gait-Assistive Active Orthosis for Incomplete Spinal Cord Injured Subjects

A spinal cord injury severely reduces the quality of life of affected people. Following the injury, limitations of the ability to move may occur due to the disruption of the motor and sensory functions of the nervous system depending on the severity of the lesion. An active stance-control knee-ankle-foot orthosis was developed and tested in earlier works to aid incomplete SCI subjects by increasing their mobility and independence. This thesis aims at the incorporation of elastic actuation into the active orthosis to utilise advantages of the compliant system regarding efficiency and human-robot interaction as well as the reproduction of the phyisological compliance of the human joints. Therefore, a model-based procedure is adapted to the design of an elastic actuation system for a gait-assisitve active orthosis. A determination of the optimal structure and parameters is undertaken via optimisation of models representing compliant actuators with increasing level of detail. The minimisation of the energy calculated from the positive amount of power or from the absolute power of the actuator generating one human-like gait cycle yields an optimal series stiffness, which is similar to the physiological stiffness of the human knee during the stance phase. Including efficiency factors for components, especially the consideration of the electric model of an electric motor yields additional information. A human-like gait cycle contains high torque and low velocities in the stance phase and lower torque combined with high velocities during the swing. Hence, the efficiency of an electric motor with a gear unit is only high in one of the phases. This yields a conceptual design of a series elastic actuator with locking of the actuator position during the stance phase. The locked position combined with the series compliance allows a reproduction of the characteristics of the human gait cycle during the stance phase. Unlocking the actuator position for the swing phase enables the selection of an optimal gear ratio to maximise the recuperable energy. To evaluate the developed concept, a laboratory specimen based on an electric motor, a harmonic drive gearbox, a torsional series spring and an electromagnetic brake is designed and appropriate components are selected. A control strategy, based on impedance control, is investigated and extended with a finite state machine to activate the locking mechanism. The control scheme and the laboratory specimen are implemented at a test bench, modelling the foot and shank as a pendulum articulated at the knee. An identification of parameters yields high and nonlinear friction as a problem of the system, which reduces the energy efficiency of the system and requires appropriate compensation. A comparison between direct and elastic actuation shows similar results for both systems at the test bench, showing that the increased complexity due to the second degree of freedom and the elastic behaviour of the actuator is treated properly. The final proof of concept requires the implementation at the active orthosis to emulate uncertainties and variations occurring during the human gait

ASSISTIVE DEVICE FOR LOWER EXTREMITY GAIT TRAINING AND ASSISTANCE

Ph.DDOCTOR OF PHILOSOPH

Adaptive control for wearable robots in human-centered rehabilitation tasks

Robotic rehabilitation therapies have been improving by providing the needed assistance to the patient, in a human-centered environment, and also helping the therapist to choose the necessary procedure. This thesis presents an adaptive "Assistance-as-needed" strategy which adheres to the specific needs of the patient and with the inputs from the therapist, whenever needed. The exertion of assistive and responsive behavior of the lower limb wearable robot is dedicated for the rehabilitation of incomplete spinal cord injury (SCI) patients. The main objective is to propose and evaluate an adaptive control model on a wearable robot, assisting the user and adhering to their needs, with no or less combination of external devices. The adaptation must be more interactive to understand the user needs and their volitional orders. Similarly, by using the existing muscular strength, in incomplete SCI patients, as a motivation to pursue the movement and assist them, only when needed. The adaptive behavior of the wearable robot is proposed by monitoring the interaction and movement of the user. This adaptation is achieved by modulating the stiffness of the exoskeleton in function of joint parameters, such as positions and interaction torques. These joint parameters are measured from the user independently and then used to update the new stiffness value. The adaptive algorithm performs with no need of external sensors, making it simple in terms of usage. In terms of rehabilitation, it is also desirable to be compatible with combination of assistive devices such as muscle stimulation, neural activity (BMI) and body balance (Wii), to deliver a user friendly and effective therapy. Combination of two control approaches has been employed, to improve the efficiency of the adaptive control model and was evaluated using a wearable lower limb exoskeleton device, H1. The control approaches, Hierarchical and Task based approach have been used to assist the patient as needed and simultaneously motivate the patient to pursue the therapy. Hierarchical approach facilitates combination of multiple devices to deliver an effective therapy by categorizing the control architecture in two layers, Low level and High level control. Task-based approaches engage in each task individually and allow the possibility to combine them at any point of time. It is also necessary to provide an interaction based approach to ensure the complete involvement of the user and for an effective therapy. By means of this dissertation, a task based adaptive control is proposed, in function of human-orthosis interaction, which is applied on a hierarchical control scheme. This control scheme is employed in a wearable robot, with the intention to be applied or accommodated to different pathologies, with its adaptive capabilities. The adaptive control model for gait assistance provides a comprehensive solution through a single implementation: Adaptation inside a gait cycle, continuous support through gait training and in real time. The performance of this control model has been evaluated with healthy subjects, as a preliminary study, and with paraplegic patients. Results of the healthy subjects showed a significant change in the pattern of the interaction torques, elucidating a change in the effort and adaptation to the user movement. In case of patients, the adaptation showed a significant improvement in the joint performance (flexion/extension range) and change in interaction torques. The change in interaction torques (positive to negative) reflects the active participation of the patient, which also explained the adaptive performance. The patients also reported that the movement of the exoskeleton is flexible and the walking patterns were similar to their own distinct patterns. The presented work is performed as part of the project HYPER, funded by Ministerio de Ciencia y Innovación, Spain. (CSD2009 - 00067 CONSOLIDER INGENIOLas terapias de rehabilitación robóticas han sido mejoradas gracias a la inclusión de la asistencia bajo demanda, adaptada a las variaciones de las necesidades del paciente, así como a la inclusión de la ayuda al terapeuta en la elección del procedimiento necesario. Esta tesis presenta una estrategia adaptativa de asistencia bajo demanda, la cual se ajusta a las necesidades específicas del paciente junto a las aportaciones del terapeuta siempre que sea necesario. El esfuerzo del comportamiento asistencial y receptivo del robot personal portátil para extremidades inferiores está dedicado a la rehabilitación de pacientes con lesión de la médula espinal (LME) incompleta. El objetivo principal es proponer y evaluar un modelo de control adaptativo en un robot portátil, ayudando al usuario y cumpliendo con sus necesidades, en ausencia o con reducción de dispositivos externos. La adaptación debe ser más interactiva para entender las necesidades del usuario y sus intenciones u órdenes volitivas. De modo similar, usando la fuerza muscular existente (en pacientes con LME incompleta) como motivación para lograr el movimiento y asistirles solo cuando sea necesario. El comportamiento adaptativo del robot portátil se propone mediante la monitorización de la interacción y movimiento del usuario. Esta adaptación conjunta se consigue modulando la rigidez en función de los parámetros de la articulación, tales como posiciones y pares de torsión. Dichos parámetros se miden del usuario de forma independiente y posteriormente se usan para actualizar el nuevo valor de la rigidez. El desempeño del algoritmo adaptativo no requiere de sensores externos, lo que favorece la simplicidad de su uso. Para una adecuada rehabilitación, efectiva y accesible para el usuario, es necesaria la compatibilidad con diversos mecanismos de asistencia tales como estimulación muscular, actividad neuronal y equilibrio corporal. Para mejorar la eficiencia del modelo de control adaptativo se ha empleado una combinación de dos enfoques de control, y para su evaluación se ha utilizado un exoesqueleto robótico H1. Los enfoques de control Jerárquico y de Tarea se han utilizado para ayudar al usuario según sea necesario, y al mismo tiempo motivarle para continuar el tratamiento. Enfoque jerárquico facilita la combinación de múltiples dispositivos para ofrecer un tratamiento eficaz mediante la categorización de la arquitectura de control en dos niveles : el control de bajo nivel y de alto nivel. Los enfoques basados en tareas involucran a la persona en cada tarea individual, y ofrecen la posibilidad de combinarlas en cualquier momento. También es necesario proporcionar un enfoque basado en la interacción con el usuario, para asegurar su participación y lograr así una terapia eficaz. Mediante esta tesis, proponemos un control adaptativo basado en tareas y en función de la interacción persona-ortesis, que se aplica en un esquema de control jerárquico. Este esquema de control se emplea en un robot portátil, con la intención de ser aplicado o acomodado a diferentes patologías, con sus capacidades de adaptación. El modelo de control adaptativo propuesto proporciona una solución integral a través de una única aplicación: adaptación dentro de la marcha y apoyo continúo a través de ejercicios de movilidad en tiempo real. El rendimiento del modelo se ha evaluado en sujetos sanos según un estudio preliminar, y posteriormente también en pacientes parapléjicos. Los resultados en sujetos sanos mostraron un cambio significativo en el patrón de los pares de interacción, elucidando un cambio en la energía y la adaptación al movimiento del usuario. En el caso de los pacientes, la adaptación mostró una mejora significativa en la actuación conjunta (rango de flexión / extensión) y el cambio en pares de interacción. El cambio activo en pares de interacción (positivo a negativo) refleja la participación activa del paciente, lo que también explica el comportamiento adaptativo

Application of wearable sensors in actuation and control of powered ankle exoskeletons: a Comprehensive Review

Powered ankle exoskeletons (PAEs) are robotic devices developed for gait assistance, rehabilitation, and augmentation. To fulfil their purposes, PAEs vastly rely heavily on their sensor systems. Human–machine interface sensors collect the biomechanical signals from the human user to inform the higher level of the control hierarchy about the user’s locomotion intention and requirement, whereas machine–machine interface sensors monitor the output of the actuation unit to ensure precise tracking of the high-level control commands via the low-level control scheme. The current article aims to provide a comprehensive review of how wearable sensor technology has contributed to the actuation and control of the PAEs developed over the past two decades. The control schemes and actuation principles employed in the reviewed PAEs, as well as their interaction with the integrated sensor systems, are investigated in this review. Further, the role of wearable sensors in overcoming the main challenges in developing fully autonomous portable PAEs is discussed. Finally, a brief discussion on how the recent technology advancements in wearable sensors, including environment—machine interface sensors, could promote the future generation of fully autonomous portable PAEs is provided