A Review of Lower Limb Exoskeletons

In general, exoskeletons are defined as wearable robotic mechanisms for providing mobility. In the last six decades, many research work have been achieved to enhance the performance of exoskeletons thus developing them to nearly commercialized products. In this paper, a review is made for the lower limb exoskeleton concerning history, classification, selection and development, also a discussion for the most important aspects of comparison between different designs is presented. Further, some concluding remarks are withdrawn which could be useful for future work. Keywords: Exoskeletons, Lower extremity exoskeleton, Wearable robot

Design and Analysis of Novel Actuation Mechanism with Controllable Stiffness

Actuators intended for human–machine interaction systems are usually designed to be mechanically compliant. Conventional actuators are not suitable for this purpose due to typically high stiffness. Advanced powered prosthetic and orthotic devices can vary their stiffness during a motion cycle and are power-efficient. This paper proposes a novel actuator design that modulates stiffness by means of a flexible beam. A motorized drive system varies the active length of the cantilever beam, thus achieving stiffness modulation. New large deflection formulation for cantilever beams with rolling contact constraints is used to determine the moment produced by the actuator. To validate the proposed solution method, an experiment was performed to measure large static deformations of a cantilever beam with the same boundary conditions as in the actuator design. The experiments indicate excellent agreement between measured and calculated contact forces between beam and roller, from which the actuator moment is determined

Robotic Rehabilitation Devices of Human Extremities: Design Concepts and Functional Particularities

International audienceAll over the world, several dozen million people suffer from the effects of post-polio, multiple sclerosis, spinal cord injury, cerebral palsy, etc. and could benefit from the advances in robotic devices for rehabilitation. Thus, for modern society, an important and vital problem of designing systems for rehabilitation of human physical working ability appears. The temporary or permanent loss of human motor functions can be compensated by means of various rehabilitation devices. They can be simple mechanical systems for orthoses, which duplicate the functions of human extremities supplying with rigidity and bearing capacity or more complex mechatronic rehabilitation devices with higher level of control. We attempt to cover all of the major developments in these areas, focusing particularly on the development of the different concepts and their functional characteristics. The robotic devices with several structures are classified, taking into account the actuation systems, the neuromuscular stimulations, and the structural schemes. It is showed that the problems concerning the design of rehabilitation devices are complex and involve many questions in the sphere of biomedicine, mechanics, robot technology, electromechanics and optimal control. This paper provides a design overview of hardware, actuation, sensory, and control systems for most of the devices that have been described in the literature, and it ends with a discussion of the major advances that have been made and should be yet overcome

Design of a wearable active ankle-foot orthosis for both sides

Dissertação de mestrado integrado em Engenharia Biomédica (área de especialização em Biomateriais, Reabilitação e Biomecânica)Portugal is the west European country with the highest rate of stroke-related mortality, being that, of those who suffer cerebrovascular accidents, 40% feature an impairment which can manifest itself through motor sequelae, namely drop foot. An ankle-foot orthosis is often recommended to passively accommodate these motor problems; however, active/powered exoskeletons are also a suitable solution for post-stroke patients. Due to the high complexity of the human ankle joint, one of the problems regarding these active devices is the misalignment occurring between the rehabilitation device and the human joint, which is a cause of parasitic forces, discomfort, and pain. The present master dissertation proposes the development of an adjustable wearable active ankle-foot orthosis that is able to tackle this misalignment issue concerning commercially available lower limb orthotic devices. This work is integrated on the SmartOs – Smart, Stand-alone Active Orthotic System – project that proposes an innovative robotic technology (a wearable mobile lab) oriented to gait rehabilitation. The conceptual design of a standard version of the SmartOs wearable active orthosis was initiated with the analysis of another ankle-foot orthosis – Exo-H2 (Technaid) – from which the necessary design changes were implemented, aiming at the improvement of the established device. In order to achieve a conceptual solution, both the practical knowledge of the Orthos XXI design team and several design methods were used to ensure the accomplishment of the defined requirements. The detailed design process of the standard SmartOs wearable active orthosis prototype is disclosed. With the purpose of validating the design, the critical components were simulated with the resources available in SolidWorks®, and the necessary CAD model’s adaptations were implemented to guarantee a reliable and safe design. The presented design is currently set for further production in Orthos XXI, followed by the mandatory mechanical tests.Portugal é o país da Europa ocidental com maior taxa de mortalidade por acidente vascular cerebral (AVC), sendo que, dos que sofrem acidentes vasculares cerebrais, 40% apresentam uma deficiência que pode manifestar-se por sequelas motoras, nomeadamente o pé pendente. Uma ortótese do tornozelo é recomendada frequentemente para acomodar passivamente esses problemas motores; no entanto, exoesqueletos ativos são também uma solução adequada para pacientes pós-AVC. Devido à alta complexidade da articulação do tornozelo humano, um dos problemas associados a esses dispositivos ativos é o desalinhamento que ocorre entre o dispositivo de reabilitação e a articulação humana, que é uma causa de forças parasitas, desconforto e dor. A presente dissertação de mestrado propõe o desenvolvimento de uma ortótese ativa do tornozelo ajustável e vestível, que seja capaz de resolver esse problema de desalinhamento relativo aos dispositivos ortóticos de membros inferiores disponíveis comercialmente. Este trabalho está integrado no projeto SmartOs - Smart, Stand-alone Active Orthotic System - projeto que propõe uma tecnologia robótica inovadora (wearable mobile lab) direcionada para a reabilitação da marcha. O projeto conceptual de uma versão padrão da ortótese ativa vestível do projeto SmartOs foi iniciado com a análise de outra ortótese do tornozelo – Exo-H2 (Technaid) - a partir da qual foram implementadas as alterações de projeto necessárias, visando o aprimoramento do dispositivo estabelecido. Para se chegar a uma solução conceptual, tanto o conhecimento prático da equipa de projeto da Orthos XXI como os diversos métodos de projeto foram utilizados para garantir o cumprimento dos requisitos definidos. O processo do desenho detalhado da versão padrão da ortótese ativa SmartOs será também divulgado. Com o objetivo de validar o projeto, os componentes críticos foram simulados com os recursos disponíveis no SolidWorks® e as adaptações necessárias do modelo CAD foram implementadas para garantir um projeto fidedigno e seguro. O projeto apresentado está atualmente em preparação para produção na empresa Orthos XXI, depois do qual se seguem os ensaios mecânicos obrigatórios

MUSME 2011 4 th International Symposium on Multibody Systems and Mechatronics

El libro de actas recoge las aportaciones de los autores a través de los correspondientes artículos a la Dinámica de Sistemas Multicuerpo y la Mecatrónica (Musme). Estas disciplinas se han convertido en una importante herramienta para diseñar máquinas, analizar prototipos virtuales y realizar análisis CAD sobre complejos sistemas mecánicos articulados multicuerpo. La dinámica de sistemas multicuerpo comprende un gran número de aspectos que incluyen la mecánica, dinámica estructural, matemáticas aplicadas, métodos de control, ciencia de los ordenadores y mecatrónica. Los artículos recogidos en el libro de actas están relacionados con alguno de los siguientes tópicos del congreso: Análisis y síntesis de mecanismos ; Diseño de algoritmos para sistemas mecatrónicos ; Procedimientos de simulación y resultados ; Prototipos y rendimiento ; Robots y micromáquinas ; Validaciones experimentales ; Teoría de simulación mecatrónica ; Sistemas mecatrónicos ; Control de sistemas mecatrónicosUniversitat Politècnica de València (2011). MUSME 2011 4 th International Symposium on Multibody Systems and Mechatronics. Editorial Universitat Politècnica de València. http://hdl.handle.net/10251/13224Archivo delegad

Design And Development of A Powered Pediatric Lower-limb Orthosis

Gait impairments from disorders such as cerebral palsy are important to address early in life. A powered lower-limb orthosis can offer therapists a rehabilitation option using robot-assisted gait training. Although there are many devices already available for the adult population, there are few powered orthoses for the pediatric population. The aim of this dissertation is to embark on the first stages of development of a powered lower-limb orthosis for gait rehabilitation and assistance of children ages 6 to 11 years with walking impairments from cerebral palsy. This dissertation presents the design requirements of the orthosis, the design and fabrication of the joint actuators, and the design and manufacturing of a provisional version of the pediatric orthosis. Preliminary results demonstrate the capabilities of the joint actuators, confirm gait tracking capabilities of the actuators in the provisional orthosis, and evaluate a standing balance control strategy on the under-actuated provisional orthosis in simulation and experiment. In addition, this dissertation presents the design methodology for an anthropometrically parametrized orthosis, the fabrication of the prototype powered orthosis using this design methodology, and experimental application of orthosis hardware in providing walking assistance with a healthy adult. The presented results suggest the developed orthosis hardware is satisfactorily capable of operation and functional with a human subject. The first stages of development in this dissertation show encouraging results and will act as a foundation for further iv development of the device for rehabilitation and assistance of children with walking impairments

Ekonomicky dostupný aktivní exoskeleton pro dolní končetiny pro paraplegiky

After a broad introduction to the medical and biomechanical background and detailed review of orthotic devices, two newly developed lower limbs exoskeletons for paraplegics are presented in this study. There was found out the main challenges of designing devices for paraplegic walking can be summarized into three groups, stability and comfort, high efficiency or low energy consumption, dimensions and weight. These all attributes have to be moreover considered and maintained during manufacturing of affordable device while setting a reasonable price of the final product. A new economical device for people with paraplegia which tackles all problems of the three groups is introduced in this work. The main idea of this device is based on HALO mechanism. HALO is a compact passive medial hip joint orthosis with contralateral hip and ankle linkage, which keeps the feet always parallel to the ground and assists swinging the leg. The medial hip joint is equipped with one actuator in the new design and the new active exoskeleton is called @halo. Due to this update, we can achieve more stable and smoother walking patterns with decreased energy consumption of the users, yet maintain its compact and lightweight features. It was proven by the results from preliminary experiments with able-bodied subjects during which the same device with and without actuator was evaluated. Waddling and excessive vertical elevation of the centre of gravity were decreased by 40% with significantly smaller standard deviations in case of the powered exoskeleton. There was 52% less energy spent by the user wearing @halo which was calculated from the vertical excursion difference. There was measured 38.5% bigger impulse in crutches while using passive orthosis, which produced bigger loads in upper extremities musculature. The inverse dynamics approach was chosen to calculate and investigate the loads applied to the upper extremities. The result of this calculation has proven that all main muscle groups are engaged more aggressively and indicate more energy consumption during passive walking. The new @halo device is the first powered exoskeleton for lower limbs with just one actuated degree of freedom for users with paraplegia.První část práce je věnována obsáhlému úvodu do zdravotnické a biomechanické terminologie a detailnímu souhrnnému představení ortopedických pomůcek. Následně jsou představeny dva nově vyvinuté exoskelety aplikovatelné na dolní končetiny paraplegiků. Bylo zjištěno, že hlavní úskalí konstrukčního návrhu asistenčních zařízení pro paraplegiky lze shrnout do tří hlavních skupin, jako první je stabilita a komfort, druhá je vysoká účinnost a nízká energetická náročnost uživatele a do třetí lze zahrnout rozměry a hmotnost zařízení. Toto všechno je navíc podmíněno přijatelnou výslednou cenou produktu. Nový ekonomicky dostupný exoskelet pro paraplegiky, který řeší problematiku všech tří zmíněných skupin je představen v této práci. Hlavní myšlenka tohoto zařízení je postavena na mechanismu HALO ortézy. HALO je kompaktní pasivní ortéza s mediálním kyčelním kloubem umístěným uprostřed mezi dolními končetinami. Speciální mediální kyčelní kloub je kontralaterálně propojen s kotníkem soustavou ocelových lanek což zajištuje paralelní polohu chodidla se zemí v každém okamžiku chůze a navíc asistuje zhoupnutí končetiny. Tento mediální kyčelní kloub je redesignován a v novém provedení je vybaven jedním aktuátorem, nové řešení aktivního exoskeletu dostalo název @halo. Díky tomuto vylepšení lze dosáhnout stabilnější a plynulejší chůze s výrazně redukovanou energetickou náročností uživatele přičemž dochází k zachování nízké hmotnosti a kompaktnosti zařízení. Toto bylo dokázáno během předběžných experimentů se zdravými subjekty, během kterých byla testována aktivní chůze se zařízením vybaveným odnímatelnou pohonnou jednotkou a pasivní chůze se stejným zařízením bez této aktivní jednotky. Nadměrné naklánění se během chůze ze strany na stranu a nadměrná výchylka pohybu těžiště těla ve vertikálním směru byly sníženy o necelých 40% s velmi významně menšími standardními odchylkami v případě chůze s pohonem. Z rozdílu výchylky pohybu těžiště těla ve vertikální poloze bylo vypočítáno snížení energetické náročnosti uživatele o 52% při chůzi s aktivní konfiguraci @halo. Při pohybu s pasivní ortézou byl naměřen o 38,5% větší reakční silový impuls v berlích, což znamená nárůst zátěže pro svalový aparát horních končetin. Pro podrobné vyšetření zátěže ramenních kloubů byl aplikován model inverzní dynamiky. Výsledek tohoto výpočtu jednoznačně indikuje agresivnější a hlubší zapojení všech svalových skupin ramenního kloubu a tím vyšší spotřebu energie uživatelem během pasivní chůze. Nové asistenční zařízení @halo je prvním exoskeletem svého druhu pro paraplegiky s jediným poháněným stupněm volnosti.354 - Katedra robotikyvyhově

Active interaction control applied to a lower limb rehabilitation robot by using EMG recognition and impedance model

Purpose – The purpose of this paper is to propose a seamless active interaction control method integrating electromyography (EMG)-triggered assistance and the adaptive impedance control scheme for parallel robot-assisted lower limb rehabilitation and training. Design/methodology/approach – An active interaction control strategy based on EMG motion recognition and adaptive impedance model is implemented on a six-degrees of freedom parallel robot for lower limb rehabilitation. The autoregressive coefficients of EMG signals integrating with a support vector machine classifier are utilized to predict the movement intention and trigger the robot assistance. An adaptive impedance controller is adopted to influence the robot velocity during the exercise, and in the meantime, the user’s muscle activity level is evaluated online and the robot impedance is adapted in accordance with the recovery conditions. Findings – Experiments on healthy subjects demonstrated that the proposed method was able to drive the robot according to the user’s intention, and the robot impedance can be updated with the muscle conditions. Within the movement sessions, there was a distinct increase in the muscle activity levels for all subjects with the active mode in comparison to the EMG-triggered mode. Originality/value – Both users’ movement intention and voluntary participation are considered, not only triggering the robot when people attempt to move but also changing the robot movement in accordance with user’s efforts. The impedance model here responds directly to velocity changes, and thus allows the exercise along a physiological trajectory. Moreover, the muscle activity level depends on both the normalized EMG signals and the weight coefficients of involved muscles

Pneumatic Artificial Muscle Driven Trailing Edge Flaps For Active Rotors

This research focuses on the development of an active rotor system capable of primary control and vibration reduction for rotorcraft. The objective is to investigate the feasibility of a novel Trailing Edge Flap (TEF) actuation system driven by Pneumatic Artificial Muscles (PAMs). A significant design effort led to a series of experimental apparatuses which tested various aspects of the performance of the actuators themselves and of TEF systems driven by them. Analytical models were developed in parallel to predict the quasistatic and dynamic behavior of these systems. Initial testing of a prototype blade section with an integrated PAM driven TEF proved the viability of the concept through successful benchtop testing under simulated M = 0.3 loading and open jet wind tunnel tests under airspeeds up to M = 0.13. This prototype showed the ability of PAM actuators to generate significant flap deflections over the bandwidth of interest for primary control and vibration reduction on a rotorcraft. It also identified the importance of high pneumatic system mass flow rate for maintaining performance at higher operating frequencies. Research into the development and improvement of PAM actuators centered around a new manufacturing technique which was invented to directly address the weaknesses of previous designs. Detailed finite element model (FEM) analysis of the design allowed for the mitigation of stress concentrations, leading to increased strength. Tensile testing of the swaged actuators showed a factor of safety over 5, and burst pressure testing showed a factor of safety of 3. Over 120,000,000 load cycles were applied to the actuators without failure. Characterization testing before, during, and after the fatigue tests showed no reduction in PAM performance. Wind tunnel testing of a full scale Bell 407 blade retrofitted with a PAM TEF system showed excellent control authority. At the maximum wind tunnel test speed of M = 0.3 and a derated PAM operating pressure of 28 psi, 18.8° half-peak-to-peak flap deflections were achieved at 1/rev (7 Hz), and 17.1° of half-peak-to-peak flap deflection was still available at 5/rev (35 Hz). A quasistatic system model was developed which combined PAM forces, kinematics and flap aerodynamics to predict flap deflection amplitudes. This model agreed well with experimental data. Whirl testing of a sub-span whirl rig under full scale loading conditions showed the ability of PAM TEF systems to operate under full scale levels of centrifugal (CF), aerodynamic, and inertia loading. A commercial pneumatic rotary union was used to provide air in the rotating frame. Extrapolation of the results to 100% of CF acceleration predicts 15.4° of half-peak-to-peak flap deflection at 1/rev (7 Hz), and 7.7° of half-peak-to-peak flap deflection at 5/rev (35 Hz). A dynamic model was developed which successfully predicted the time domain behavior of the PAM actuators and PAM TEF system. This model includes control valve dynamics, frictional tubing losses, pressure dynamics, PAM forces, mechanism kinematics, aerodynamic hinge moments, system stiffness, damping, and inertia to solve for the rotational dynamics of the flap. Control system development led to a closed loop control system for PAM TEF systems capable of tracking complex, multi-sinusoid flap deflections representative of a combined primary control and vibration reduction flap actuation scheme. This research shows the promise that PAM actuators have as drivers for trailing edge flaps on active helicopter rotors. The robustness, ease of integration, control authority and tracking accuracy of these actuators have been established, thereby motivating further research