Conceptual design of an energy efficient transfemoral prosthesis

In this study, we present the conceptual design of a fully-passive transfemoral prosthesis. The design is inspired by the power flow in human gait in order to have an energy efficient device. The working principle of the conceptual mechanism is based on three storage elements, which are responsible of the energetic coupling between the knee and the ankle joints. Design parameters of the prosthesis have been determined according to the energy absorption intervals of the human gait. Simulation results shows that the power flow of the system is comparable with human data. Finally, an initial prototype is presented as proof of concept

Conceptual Design of a Fully Passive Transfemoral Prosthesis to Facilitate Energy-Efficient Gait

In this study, we present the working principle and conceptual design towards the realization of a fully-passive transfemoral prosthesis that mimics the energetics of the natural human gait. The fundamental property of the conceptual design consists of realizing an energetic coupling between the knee and ankle joints of the mechanism. Simulation results show that the power flow of the working principle is comparable to that in human gait and a considerable amount of energy is delivered to the ankle joint for the push-off generation. An initial prototype in half scale is realized to validate the working principle. The construction of the prototype is explained together with the test setup that has been built for the evaluation. Finally, experimental results of the prosthesis prototype during walking on a treadmill show the validity of the working principle

Study of composite elastic elements for transfemoral prostheses: the MyLeg Project

In this thesis, the work on the design and realization of a semi-active foot prosthesis with variable stiffness system is presented. The final prosthesis was the result of a path started by the design of the elastic composite elements of an ESR prosthesis, a passive prosthetic device, generally prescribed to amputees with K3 and K4 of level of ambulation. The design of both the ESR prosthesis and the final variable stiffness prosthesis was carried out using a new systematic methodology of prosthesis design. This methodology has been developed and then presented in the same thesis by the author. Modelling and simulation techniques are illustrated step by step. With the variable stiffness prosthesis, the aim is to allow future users to perform more daily activities without being restricted by the conditions of the ground. It has been chosen to develop a semi-active prosthesis rather than a bionic foot for two main reasons: a bionic foot may be too expensive for most future users; and a bionic foot may be undesirable for too much weight; the much weight can be due to the motor and batteries, in addition to the structure that will certainly be much more complex than the structure of a semi-active prosthesis. To investigate the effectiveness of the variable stiffness, human subjects with amputees will be carried out

Mechatronic design & adaptive control of a lower limb prosthesis

Lower limb prostheses have undergone significant developments in the last decades. However, there are several areas that have a scope for improvement through simplifications in the mechatronic design as well as in the control architecture. This paper focuses on the mechatronic design of a powered transtibial prosthesis and on the implementation of a control architecture, which is based on an adaptive frequency oscillator method that makes use of one inertial measurement unit. The control is capable of providing a positive push-off power to the prosthesis during level-ground walking and of adapting the response of the prosthesis to different walking speeds. The control architecture has been implemented and validated on a 3D printed prototype of a transtibial prosthesis. The experimental results show that the ankle joint can mimic the angle of a healthy subject with a root mean square error of 2.9° and that the gait transitions are tracked within two gait cycles. </p

The effect of prefabricated wrist-hand orthoses on grip strength

Prefabricated wrist-hand orthoses (WHOs) are commonly prescribed to manage the functional deficit and compromised grip strength as a result of rheumatoid changes. It is thought that an orthosis which improves wrist extension, reduces synovitis and increases the mechanical advantage of the flexor muscles will improve hand function. Previous studies report an initial reduction in grip strength with WHO use which may increase following prolonged use. Using normal subjects, and thus in the absence of pain as a limiting factor, the impact of ten WHOs on grip strength was measured using a Jamar dynamometer. Tests were performed with and without WHOs by right-handed, female subjects, aged 20-50 years over a ten week period. During each test, a wrist goniometer and a forearm torsiometer were used to measure wrist joint position when maximum grip strength was achieved. The majority of participants achieved maximum grip strength with no orthosis at 30° extension. All the orthoses reduced initial grip strength but surprisingly the restriction of wrist extension did not appear to contribute in a significant way to this. Reduction in grip must therefore also be attributable to WHO design characteristics or the quality of fit. The authors recognize the need for research into the long term effect of WHOs on grip strength. However if grip is initially adversely affected, patients may be unlikely to persevere with treatment thereby negating all therapeutic benefits. In studies investigating patient opinions on WHO use, it was a stable wrist rather than a stronger grip reported to have facilitated task performance. This may explain why orthoses that interfere with maximum grip strength can improve functional task performance. Therefore while it is important to measure grip strength, it is only one factor to be considered when evaluating the efficacy of WHOs

Simulation And Control At the Boundaries Between Humans And Assistive Robots

Human-machine interaction has become an important area of research as progress is made in the fields of rehabilitation robotics, powered prostheses, and advanced exercise machines. Adding to the advances in this area, a novel controller for a powered transfemoral prosthesis is introduced that requires limited tuning and explicitly considers energy regeneration. Results from a trial conducted with an individual with an amputation show self-powering operation for the prosthesis while concurrently attaining basic gait fidelity across varied walking speeds. Experience in prosthesis development revealed that, though every effort is made to ensure the safety of the human subject, limited testing of such devices prior to human trials can be completed in the current research environment. Two complementary alternatives are developed to fill that gap. First, the feasibility of implementing impulse-momentum sliding mode control on a robot that can physically replace a human with a transfemoral amputation to emulate weight-bearing for initial prototype walking tests is established. Second, a more general human simulation approach is proposed that can be used in any of the aforementioned human-machine interaction fields. Seeking this general human simulation method, a unique pair of solutions for simulating a Hill muscle-actuated linkage system is formulated. These include using the Lyapunov-based backstepping control method to generate a closed-loop tracking simulation and, motivated by limitations observed in backstepping, an optimal control solver based on differential flatness and sum of squares polynomials in support of receding horizon controlled (e.g. model predictive control) or open-loop simulations. v The backstepping framework provides insight into muscle redundancy resolution. The optimal control framework uses this insight to produce a computationally efficient approach to musculoskeletal system modeling. A simulation of a human arm is evaluated in both structures. Strong tracking performance is achieved in the backstepping case. An exercise optimization application using the optimal control solver showcases the computational benefits of the solver and reveals the feasibility of finding trajectories for human-exercise machine interaction that can isolate a muscle of interest for strengthening

Use of stance control knee-ankle-foot orthoses : a review of the literature

The use of stance control orthotic knee joints are becoming increasingly popular as unlike locked knee-ankle-foot orthoses, these joints allow the limb to swing freely in swing phase while providing stance phase stability, thus aiming to promote a more physiological and energy efficient gait. It is of paramount importance that all aspects of this technology is monitored and evaluated as the demand for evidence based practice and cost effective rehabilitation increases. A robust and thorough literature review was conducted to retrieve all articles which evaluated the use of stance control orthotic knee joints. All relevant databases were searched, including The Knowledge Network, ProQuest, Web of Knowledge, RECAL Legacy, PubMed and Engineering Village. Papers were selected for review if they addressed the use and effectiveness of commercially available stance control orthotic knee joints and included participant(s) trialling the SCKAFO. A total of 11 publications were reviewed and the following questions were developed and answered according to the best available evidence: 1. The effect SCKAFO (stance control knee-ankle-foot orthoses) systems have on kinetic and kinematic gait parameters 2. The effect SCKAFO systems have on the temporal and spatial parameters of gait 3. The effect SCKAFO systems have on the cardiopulmonary and metabolic cost of walking. 4. The effect SCKAFO systems have on muscle power/generation 5. Patient’s perceptions/ compliance of SCKAFO systems Although current research is limited and lacks in methodological quality the evidence available does, on a whole, indicate a positive benefit in the use of SCKAFOs. This is with respect to increased knee flexion during swing phase resulting in sufficient ground clearance, decreased compensatory movements to facilitate swing phase clearance and improved temporal and spatial gait parameters. With the right methodological approach, the benefits of using a SCKAFO system can be evidenced and the research more effectively converted into clinical practice

The effect of prefabricated wrist-hand orthoses on performing activities of daily living

Wrist-hand orthoses (WHOs) are commonly prescribed to manage the functional deficit associated with the wrist as a result of rheumatoid changes. The common presentation of the wrist is one of flexion and radial deviation with ulnar deviation of the fingers. This wrist position Results in altered biomechanics compromising hand function during activities of daily living (ADL). A paucity of evidence exists which suggests that improvements in ADL with WHO use are very task specific. Using normal subjects, and thus in the absence of pain as a limiting factor, the impact of ten WHOs on performing five ADLs tasks was investigated. The tasks were selected to represent common grip patterns and tests were performed with and without WHOs by right-handed, females, aged 20-50 years over a ten week period. The time taken to complete each task was recorded and a wrist goniometer, elbow goniometer and a forearm torsiometer were used to measure joint motion. Results show that, although orthoses may restrict the motion required to perform a task, participants do not use the full range of motion which the orthoses permit. The altered wrist position measured may be attributable to a modified method of performing the task or to a necessary change in grip pattern, resulting in an increased time in task performance. The effect of WHO use on ADL is task specific and may initially impede function. This could have an effect on WHO compliance if there appears to be no immediate benefits. This orthotic effect may be related to restriction of wrist motion or an inability to achieve the necessary grip patterns due to the designs of the orthoses

Biologically inspired deadbeat control of robotic leg prostheses

Recent advances in robotics technology provide great support for robotic leg prostheses to realize full biomechanical functionalities of the contralateral leg. In order to reproduce the biomechanical behaviors of the contralateral leg, this article addresses biologically inspired deadbeat control of robotic leg prostheses under different terrain conditions including level ground, stairs ascent, and descent. The proposed control method is based on the ground reactive force of the contralateral leg during walking. The trajectories of center-of-mass are encoded by the corresponding polynomial splines. Then, the control of the robotic leg prosthesis is designed by replicating the motion of the user's contralateral leg. Compared to most existing results, our approach does not require any preknowledge of the exact physical parameters. Finally, experiments are conducted to show that the prosthesis can help the user walk smoothly under various terrain conditions