Design of actuation system and minimization of sensor configuration for gait event detection for Gen 3.0 Portable Powered Ankle-Foot Orthosis (PPAFO)

Powered ankle-foot orthoses (AFOs), which are capable of providing assistive torque at the ankle joint, have significant potential as both assistance and rehabilitation devices. Technology advancements have led to great progression in the development of powered AFOs. Our group had developed the Portable Powered Ankle-Foot Orthosis (PPAFO) that was capable of providing bidirectional assistive torque at the ankle joint. Two generations of the PPAFO were previously developed. Both designs used two different off-the-shelf rotary actuators. This thesis consists of two studies focusing on the development of a new compact higher torque actuation system and the identification of a minimum sensor configuration for gait event detection for a powered AFO. Study 1 presents the design and evaluation of a new actuation system for the PPAFO (Generation 3.0). The actuation system utilized two dual-action linear actuators and a customized gear train. Compared with the previous designs, it generated higher torque and power while providing a thinner lateral profile. The new design had a total weight of (680g) and was capable of generating 32 Nm torque and 110 W power. While running under the same torque and power level as the previous designs, the new design offered better longevity (42.9% and 81.4% increases in normalized run time for test bench emulation and treadmill walking). Although the overall weight of the new actuation system had a 20% increase compared with previous design, it could generate 166.7% more torque and 120% more power, which will enable us to test the system at various torque and power settings. Study 2 investigated the minimum sensor configuration for detecting gait events. Knowledge of the expected orientation and behavior of a limb as related to specific events during the gait cycle (or state timing as a function of the percentage of the gait cycle, % GC) is essential to allow appropriate control of a powered AFO. A total of five sensors were selected (two force sensitive sensors, one ankle angle sensor, and two inertial measurement units (IMU)). The performances of selected sensor configurations were quantified and compared through state-based and event-based approaches in terms of gait state estimation and gait event detection timing, respectively. Gait data were collected from five healthy subjects while walking on a treadmill wearing the Gen 3.0 PPAFO. Results indicated that, while single IMU configurations (located on the shank or foot) both outperformed all other configurations (mean state estimation error: < 2% GC; mean event detection timing error: < 23 ms), the shank IMU was able to detect more gait events than the foot IMU. Since more detectable events could improve the system's robustness (i.e., adjusting to variable speeds) by updating estimation more frequently, a single shank IMU configuration was recommended for powered AFO applications

An adaptive and flexible brain energized full body exoskeleton with IoT edge for assisting the paralyzed patients

The paralyzed population is increasing worldwide due to stroke, spinal code injury, post-polio, and other related diseases. Different assistive technologies are used to improve the physical and mental health of the affected patients. Exoskeletons have emerged as one of the most promising technology to provide movement and rehabilitation for the paralyzed. But exoskeletons are limited by the constraints of weight, flexibility, and adaptability. To resolve these issues, we propose an adaptive and flexible Brain Energized Full Body Exoskeleton (BFBE) for assisting the paralyzed people. This paper describes the design, control, and testing of BFBE with 15 degrees of freedom (DoF) for assisting the users in their daily activities. The flexibility is incorporated into the system by a modular design approach. The brain signals captured by the Electroencephalogram (EEG) sensors are used for controlling the movements of BFBE. The processing happens at the edge, reducing delay in decision making and the system is further integrated with an IoT module that helps to send an alert message to multiple caregivers in case of an emergency. The potential energy harvesting is used in the system to solve the power issues related to the exoskeleton. The stability in the gait cycle is ensured by using adaptive sensory feedback. The system validation is done by using six natural movements on ten different paralyzed persons. The system recognizes human intensions with an accuracy of 85%. The result shows that BFBE can be an efficient method for providing assistance and rehabilitation for paralyzed patients. © 2013 IEEE. **Please note that there are multiple authors for this article therefore only the name of the first 5 including Federation University Australia affiliate “Venki Balasubramanian” is provided in this record*

On improving control and efficiency of a portable pneumatically powered ankle-foot orthosis

Ankle foot orthoses (AFOs) are widely used as assistive and/or rehabilitation devices to correct gait of people with lower leg neuromuscular dysfunction and muscle weakness. An AFO is an external device worn on the lower leg and foot that provides mechanical assistance at the ankle joint. Active AFOs are powered devices that provide assistive torque at the ankle joint. We have previously developed the Portable Powered Ankle-Foot Orthosis (PPAFO), which uses pneumatic power via compressed CO2 to provide untethered ankle torque assistance. My dissertation work focused on the development of control strategies for the PPAFO that are robust, applicable to different gait patterns, functional in different gait modes, and energy efficient. Three studies addressing these topics are presented in this dissertation: (1) estimation of the system state during the gait cycle for actuation control; (2) gait mode recognition and control (e.g., stair and ramp descent/ascent); and (3) system analysis and improvement of pneumatic energy efficiency. Study 1 presents the work on estimating the gait state for powered AFO control. The proposed scheme is a state estimator that reliably detects gait events while using only a limited array of sensor data (ankle angle and contact forces at the toe and heel). Our approach uses cross-correlation between a window of past measurements and a learned model to estimate the configuration of the human walker, and detects gait events based on this estimate. The proposed state estimator was experimentally validated on five healthy subjects and with one subject that had neuromuscular impairment. The results highlight that this new approach reduced the root-mean-square error by up to 40% for the impaired subject and up to 49% for the healthy subjects compared to a simplistic direct event controller. Moreover, this approach was robust to perturbations due to changes in walking speed and control actuation. Study 2 proposed a gait mode recognition and control solution to identify a change in walking environment such as stair and ramp ascent/descent. Since portability is a key to the success of the PPAFO as a gait assist device, it is critical to recognize and control for multiple gait modes (i.e., level walking, stair ascent/descent and ramp ascent/descent). While manual mode switching is implemented on most devices, we propose an automatic gait mode recognition scheme by tracking the 3D position of the PPAFO from an inertial measurement unit (IMU). Experimental results indicate that the controller was able to identify the position, orientation and gait mode in real time, and properly control the actuation. The overall recognition success rate was over 97%. Study 3 addressed improving operational runtime by analyzing the system efficiency and proposing an energy harvesting and recycling scheme to save fuel. Through a systematic analysis, the overall system efficiency was determined by deriving both the system operational efficiency and the system component efficiency. An improved pneumatic operation utilized an accumulator to harvest and then recycle the exhaust energy from a previous actuation to power the subsequent actuation. The overall system efficiency was improved from 20.5% to 29.7%, a fuel savings of 31%. Work losses across pneumatic components and solutions to improve them were quantified and discussed. Future work including reducing delay in recognition, exploring faulty recognition, additional options for harvesting human energy, and learning control were proposed

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

Engineering for a changing world: 60th Ilmenau Scientific Colloquium, Technische Universität Ilmenau, September 04-08, 2023 : programme

In 2023, the Ilmenau Scientific Colloquium is once more organised by the Department of Mechanical Engineering. The title of this year’s conference “Engineering for a Changing World” refers to limited natural resources of our planet, to massive changes in cooperation between continents, countries, institutions and people – enabled by the increased implementation of information technology as the probably most dominant driver in many fields. The Colloquium, supplemented by workshops, is characterised but not limited to the following topics: – Precision engineering and measurement technology Nanofabrication – Industry 4.0 and digitalisation in mechanical engineering – Mechatronics, biomechatronics and mechanism technology – Systems engineering – Productive teaming - Human-machine collaboration in the production environment The topics are oriented on key strategic aspects of research and teaching in Mechanical Engineering at our university

Technology Efficacy in Active Prosthetic Knees for Transfemoral Amputees: A Quantitative Evaluation

Several studies have presented technological ensembles of active knee systems for transfemoral prosthesis. Other studies have examined the amputees’ gait performance while wearing a specific active prosthesis. This paper combined both insights, that is, a technical examination of the components used, with an evaluation of how these improved the gait of respective users. This study aims to offer a quantitative understanding of the potential enhancement derived from strategic integration of core elements in developing an effective device. The study systematically discussed the current technology in active transfemoral prosthesis with respect to its functional walking performance amongst above-knee amputee users, to evaluate the system’s efficacy in producing close-to-normal user performance. The performances of its actuator, sensory system, and control technique that are incorporated in each reported system were evaluated separately and numerical comparisons were conducted based on the percentage of amputees’ gait deviation from normal gait profile points. The results identified particular components that contributed closest to normal gait parameters. However, the conclusion is limitedly extendable due to the small number of studies. Thus, more clinical validation of the active prosthetic knee technology is needed to better understand the extent of contribution of each component to the most functional development

Technology efficacy in active prosthetic knees for transfemoral amputees: A quantitative evaluation

Several studies have presented technological ensembles of active knee systems for transfemoral prosthesis. Other studies have examined the amputees&apos; gait performance while wearing a specific active prosthesis. This paper combined both insights, that is, a technical examination of the components used, with an evaluation of how these improved the gait of respective users. This study aims to offer a quantitative understanding of the potential enhancement derived from strategic integration of core elements in developing an effective device. The study systematically discussed the current technology in active transfemoral prosthesis with respect to its functional walking performance amongst above-knee amputee users, to evaluate the system&apos;s efficacy in producing close-to-normal user performance. The performances of its actuator, sensory system, and control technique that are incorporated in each reported system were evaluated separately and numerical comparisons were conducted based on the percentage of amputees&apos; gait deviation from normal gait profile points. The results identified particular components that contributed closest to normal gait parameters. However, the conclusion is limitedly extendable due to the small number of studies. Thus, more clinical validation of the active prosthetic knee technology is needed to better understand the extent of contribution of each component to the most functional development