Evaluation of a Soft Robotic Knee Exosuit for Assistance in Stair Ascent

abstract: Muscular weakness is a common manifestation for Stroke survivors and for patients with Anterior Cruciate Ligament reconstruction leading to reduced functional independence, especially mobility. Several rigid orthotic devices are being designed to assist mobility. However, limitations in majority of these devices are: 1) that they are constrained only to level walking applications, 2) are mostly bulky and rigid lacking user comfort. For these reasons, rehabilitation using soft-robotics can serve as a powerful modality in gait assistance and potentially accelerate functional recovery. The characteristics of soft robotic exosuit is that it’s more flexible, delivers high power to weight ratio, and conforms with the user’s body structure making it a suitable choice. This work explores the implementation of an existing soft robotic exosuit in assisting knee joint mechanism during stair ascent for patients with muscular weakness. The exosuit assists by compensating the lack of joint moment and minimizing the load on the affected limb. It consists of two I-cross-section soft pneumatic actuators encased within a sleeve along with insole sensor shoes and control electronics. The exosuit actuators were mechanically characterized at different angles, in accordance to knee flexion in stair gait, to enable the generation of the desired joint moments. A linear relation between the actuator stiffness and internal pressure as a function of the knee angle was obtained. Results from this characterization along with the insole sensor outputs were used to provide assistance to the knee joint. Analysis of stair gait with and without the exosuit ‘active’ was performed, using surface electromyography (sEMG) sensors, for two healthy participants at a slow walking speed. Preliminary user testing with the exosuit presented a promising 16% reduction in average muscular activity of Vastus Lateralis muscle and a 3.6% reduction on Gluteus Maximus muscle during the stance phase and unrestrained motion during the swing phase of ascent thereby demonstrating the applicability of the soft-inflatable exosuit in rehabilitation.Dissertation/ThesisMasters Thesis Biomedical Engineering 201

Myoelectric model-based control of a bi-lateral robotic ankle exoskeleton during even ground locomotion ^∗

Individuals with neuromuscular injuries may fully benefit from wearable robots if a new class of wearable technologies is devised to assist complex movements seamlessly in everyday tasks. Among the most important tasks are locomotion activities. Current human-machine interfaces (HMI) are challenged in enabling assistance across wide ranges of locomoting tasks. Electromyography (EMG) and computational modelling can be used to establish an interface with the neuromuscular system. We propose an HMI based on EMG-driven musculoskeletal modelling that estimates biological joint torques in real-time and uses a percentage of these to dynamically control exoskeleton-generated torques in a task-independent manner, i.e. no need to classify locomotion modes. Proof of principle results on one subject showed that this approach could reduce EMGs during exoskeleton-assisted even ground locomotion compared to transparent mode (i.e. zero impedance). Importantly, results showed that a substantial portion of the biological ankle joint torque needed to walk was transferred from the human to the exoskeleton. That is, while the total human-exoskeleton ankle joint was always similar between assisted and zero-impedance modes, the ratio between exoskeleton-generated and human-generated torque varied substantially, with human-generated torques being dynamically compensated by the exoskeleton during assisted mode. This is a first step towards natural, continuous assistance in a large variety of movements

CRUX: a Compliant Robotic Upper-Extremity eXosuit for Lightweight, Portable, Multi-DoF Muscular Augmentation

Wearable robots can potentially offer their users enhanced stability and strength. These augmentations are ideally designed to actuate harmoniously with the users movements and provide extra force as needed. The creation of such robots, however, is particularly challenging due to the complexity of the underlying human body. In this paper, we present a compliant, robotic exosuit for upper-extremities called CRUX. This exosuit, inspired by tensegrity models of the human arm, features a lightweight (1.3 kg), flexible design for portability. We also show how CRUX maintains full flexibility of the upper-extremities for its users while providing multi- DoF augmentative strength to the major muscles of the arm, as evident by tracking the heart rate of an individual exercising said arm. Exosuits such as CRUX may be useful in physical therapy and in extreme environments where users are expected to exert their bodies to the fullest extent

Estimation of Individual Muscular Forces of the Lower Limb during Walking Using a Wearable Sensor System

Although various kinds of methodologies have been suggested to estimate individual muscular forces, many of them require a costly measurement system accompanied by complex preprocessing and postprocessing procedures. In this research, a simple wearable sensor system was developed, combined with the inverse dynamics-based static optimization method. The suggested method can be set up easily and can immediately convert motion information into muscular forces. The proposed sensor system consisted of the four inertial measurement units (IMUs) and manually developed ground reaction force sensor to measure the joint angles and ground reaction forces, respectively. To verify performance, the measured data was compared with that of the camera-based motion capture system and a force plate. Based on the motion data, muscular efforts were estimated in the nine muscle groups in the lower extremity using the inverse dynamics-based static optimization. The estimated muscular forces were qualitatively analyzed in the perspective of gait functions and compared with the electromyography signal

Design and development of the sEMG-based exoskeleton strength enhancer for the legs

This paper reviews the different exoskeleton designs and presents a working prototype of a surface electromyography (EMG) controlled exoskeleton to enhance the strength of the lower leg. The Computer Aided Design (CAD) model of the exoskeleton is designed,3D printed with respect to the golden ratio of human anthropometry, and tested structurally. The exoskeleton control system is designed on the LabVIEW National Instrument platform and embedded in myRIO. Surface EMG sensors (sEMG) and flex sensors are usedcoherently to create different state filters for the EMG, human body posture and control for the mechanical exoskeleton actuation. The myRIO is used to process sEMG signals and send control signals to the exoskeleton. Thus,the complete exoskeleton system consists of sEMG as primary sensor and flex sensor as a secondary sensor while the whole control system is designed in LabVIEW. FEA simulation and tests show that the exoskeleton is suitable for an average human weight of 62 kg plus excess force with different reactive spring forces. However, due to the mechanical properties of the exoskeleton actuator, it will require an additional liftto provide the rapid reactive impulse force needed to increase biomechanical movement such as squatting up. Finally, with the increasing availability of such assistive devices on the market, the important aspect of ethical, social and legal issues have also emerged and discussed in this paper