Knee Exoskeletons Design Approaches to Boost Strength Capability: A Review

Exoesqueleto para incrementar la fuerza en las rodillasThere are different devices to increase the strength capacity of people with walking problems. These devices can be classified into exoskeletons, orthotics, and braces. This review aims to identify the state of the art in the design of these medical devices, based on an analysis of patents and literature. However, there are some difficulties in processing the records due to the lack of filters and standardization in the names, generating discrepancies between the search engines, among others. Concerning the patents, 74 patents were analyzed using search engines such as Google Patents, Derwent, The Lens, Patentscope, and Espacenet over the past ten years. A bibliometric analysis was performed using 63 scientific reports from Web of Science and The Lens in the same period for scientific communications. The results show a trend to use the mechanical design of exoskeletons based on articulated rigid structures and elements that provide force to move the structure. These are generally two types: (a) elastic elements and (b) electromechanical elements. The United States accounts for 32% of the technological patents reviewed. The results suggest that the use of exoskeletons or orthoses customized to the users’ needs will continue to increase over the years due to the worldwide growth in disability, particularly related to mobility difficulties and technologies related to the combined use of springs and actuators

Master of Science

thesisFor those who have suffered stroke or spinal cord injury, rehabilitation is often the answer for improving gait function. Rehabilitative exercises, which often focus on the legs and deemphasize the role of the upper limbs, are done to help stimulate muscles and exploit neuroplasticity for the diminished functions. However, it has been shown that upper limb muscle activity can induce lower limb muscle activity. It has also been shown that proper arm swing is necessary during gait for balance. This thesis presents the design concept and fabricated prototype of a device that swings the arms during gait rehabilitation. The device is low-powered, lightweight, wearable, and capable of assisting the user's arm swing in the sagittal plane and has unhindered kinematics in the remaining unactuated degrees of freedom. The design comprises three key subassemblies: a backpack frame, an underactuated arm-swing mechanism, and a power train to transfer and amplify motor torques to the arm-swing mechanism. Tests are performed to validate the shoulder-angle prediction equations based on the noncollocated motor-angle sensor measurements, to validate the device's ability to provide adequate torque to generate arm-swing in a passive user, and to investigate whether or not the user's active involvement can be observed by examining motor torque or shoulder angles. The results show that the device does provide sufficient torque to move the arms with a factor of safety, but that the model-based shoulder-angle estimates obtained from the motor measurements have nonnegligible error with the current prototype. It is recommended that a Proportional-Derivative (PD) controller with high PD gains be used with the device because of its low root mean square (RMS) tracking error, shoulder-angle amplitude creation, and ability to diagnose user-assistance level (i.e., is the user passive or actively assisting arm swing) online by observing shoulder-angle amplitudes and peak motor torques

HyExo:A Novel Quasi-Passive Hydraulic Exoskeleton for Load-Carrying Augmentation

The development of assistive lower-limb exoskeletons gains prominence for human load-carrying augmentation. Hydraulic transmission has attractive hydrostatic features and lower inertia at the end of human limbs. However, few hydraulic lower-limb exoskeletons were developed with low energy consumption and light weight. In this article, we introduce HyExo, a quasi-passive hydraulic exoskeleton that is built on a lightweight rotary cage valve (RCV) block with a fast response and low energy consumption of 1.55&amp;#x00A0;W. Based on the RCV block, we propose an optimization-based regulator for joint energy distribution to harvest and release the hydraulic energy among joints during the stance phase. The interaction force model and control of the novel nonanthropomorphic structure are presented and evaluated. The load-supporting effect was investigated and validated through human subject experiments. The results show that with an assisting fluid pressure of 2.5&amp;#x00A0;MPa, HyExo can transfer a mean force of 237&amp;#x00A0;N to the ground. Meanwhile, the impact of wearing HyExo on gait is analyzed. The metabolic expenditure test shows that HyExo can slow the increasing rate in metabolic cost as load increases. Compared with a regular backpack, walking with HyExo to carry 30&amp;#x00A0;kg of weight reduces wearers&amp;#x0027; metabolic energy expenditure by 7.8&amp;#x0025;.</p

System Identification of Bipedal Locomotion in Robots and Humans

The ability to perform a healthy walking gait can be altered in numerous cases due to gait disorder related pathologies. The latter could lead to partial or complete mobility loss, which affects the patients’ quality of life. Wearable exoskeletons and active prosthetics have been considered as a key component to remedy this mobility loss. The control of such devices knows numerous challenges that are yet to be addressed. As opposed to fixed trajectories control, real-time adaptive reference generation control is likely to provide the wearer with more intent control over the powered device. We propose a novel gait pattern generator for the control of such devices, taking advantage of the inter-joint coordination in the human gait. Our proposed method puts the user in the control loop as it maps the motion of healthy limbs to that of the affected one. To design such control strategy, it is critical to understand the dynamics behind bipedal walking. We begin by studying the simple compass gait walker. We examine the well-known Virtual Constraints method of controlling bipedal robots in the image of the compass gait. In addition, we provide both the mechanical and control design of an affordable research platform for bipedal dynamic walking. We then extend the concept of virtual constraints to human locomotion, where we investigate the accuracy of predicting lower limb joints angular position and velocity from the motion of the other limbs. Data from nine healthy subjects performing specific locomotion tasks were collected and are made available online. A successful prediction of the hip, knee, and ankle joints was achieved in different scenarios. It was also found that the motion of the cane alone has sufficient information to help predict good trajectories for the lower limb in stairs ascent. Better estimates were obtained using additional information from arm joints. We also explored the prediction of knee and ankle trajectories from the motion of the hip joints

Integral admittance shaping: A unified framework for active exoskeleton control

© 2015 Elsevier B.V. Current strategies for lower-limb exoskeleton control include motion intent estimation, which is subject to inaccuracies in muscle torque estimation as well as modeling error. Approaches that rely on the phases of a uniform gait cycle have proven effective, but lack flexibility to aid other kinds of movement. This research aims at developing a more versatile control that can assist the lower limbs independently of the movement attempted. Our control strategy is based on modifying the dynamic response of the human limbs, specifically their mechanical admittance. Increasing the admittance makes the lower limbs more responsive to any muscle torque generated by the human user. We present Integral Admittance Shaping, a unified mathematical framework for: (a) determining the desired dynamic response of the coupled system formed by the human limb and the exoskeleton, and (b) synthesizing an exoskeleton controller capable of achieving said response. The present control formulation focuses on single degree-of-freedom exoskeleton devices providing performance augmentation. The algorithm generates a desired shape for the frequency response magnitude of the integral admittance (torque-to-angle relationship) of the coupled system. Simultaneously, it generates an optimal feedback controller capable of achieving the desired response while guaranteeing coupled stability and passivity. The potential effects of the exoskeleton's assistance are motion amplification for the same joint torque, and torque reduction for the same joint motion. The robustness of the derived exoskeleton controllers to parameter uncertainties is analyzed and discussed. Results from initial trials using the controller on an experimental exoskeleton are presented as well

Design and control methodology of a lower extremity assistive device

Ph.DDOCTOR OF PHILOSOPH

Steering natural dynamics to yield energy efficient, stable, and agile legged locomotion

We investigate how natural dynamics can yield stable, agile, and energy efficient robotic systems. Firstly, we cover a design with a single passive rolling element to stabilize frontal plane dynamics for a 3D biped walking across a range of forward velocities and/or step lengths. We examine aspects of the non-linear dynamics that contribute to the energy efficiency and stability of the system through simulations. Secondly, we examine switching controllers that allow for agile foothold selection in 5-link walkers. We leverage dynamic programming and discretization of the reachable space to walk across intermittent footholds. We utilize our meshing techniques to quantify stability and agility of these switching controllers. Finally, we provide experimental data on the effect of extra mass and power on humans at a variety of locations and forward velocities. This allows robot and exoskeleton designers to optimize for energy performance by understanding mass placements and power densities required for high performing legged locomotion. Finally, we present experimental data for an exoskeleton capable of assisting across running and walking speed

Design and Control of a Knee Exoskeleton for Assistance and Power Augmentation

Thanks to the technological advancements, assistive lower limb exoskeletons are moving from laboratory settings to daily life scenarios. This dissertation makes a contribution toward the development of assistive/power augmentation knee exoskeletons with an improved wearability, ergonomics and intuitive use. In particular, the design and the control of a novel knee exoskeleton system, the iT-Knee Bipedal System, is presented. It is composed by: a novel mechanism to transmit the assistance generated by the exoskeleton to the knee joint in a more ergonomic manner; a novel method that requires limited information to estimate online the torques experienced by the ankles, knees and hips of a person wearing the exoskeleton; a novel sensor system for shoes able to track the feet orientation and monitor their full contact wrench with the ground. In particular, the iT-Knee exoskeleton, the main component of the aforementioned system, is introduced. It is a novel six degree of freedom knee exoskeleton module with under-actuated kinematics, able to assist the flexion/extension motion of the knee while all the other joint\u2019s movements are accommodated. Thanks to its mechanism, the system: solves the problem of the alignment between the joint of the user and the exoskeleton; it automatically adjusts to different users\u2019 size; reduces the undesired forces and torques exchanged between the attachment points of its structure and the user\u2019s skin. From a control point of view, a novel approach to address difficulties arising in real life scenarios (i.e. noncyclic locomotion activity, unexpected terrain or unpredicted interactions with the surroundings) is presented. It is based on a method that estimates online the torques experienced by a person at his ankles, knees and hips with the major advantage that does not rely on any information of the user\u2019s upper body (i.e. pose, weight and center of mass location) or on any interaction of the user\u2019s upper body with the environment (i.e. payload handling or pushing and pulling task). This is achieved v by monitoring the full contact wrench of the subject with the ground and applying an inverse dynamic approach to the lower body segments. To track the full contact wrench between the subject\u2019s feet and the ground, a novel add on system for shoes has been developed. The iT-Shoe is adjustable to different user\u2019s size and accommodates the plantar flexion of the foot. It tracks the interactions and the orientation of the foot thanks to two 6axis Force/Torque sensors, developed in-house, with dedicated embedded MEMS IMUs placed at the toe and heel area. Different tasks and ground conditions were tested to validate and highlight the potentiality of the proposed knee exoskeleton system. The experimental results obtained and the feedback collected confirm the validity of the research conducted toward the design of more ergonomic and intuitive to use exoskeletons