Human-activity-centered measurement system:challenges from laboratory to the real environment in assistive gait wearable robotics

Assistive gait wearable robots (AGWR) have shown a great advancement in developing intelligent devices to assist human in their activities of daily living (ADLs). The rapid technological advancement in sensory technology, actuators, materials and computational intelligence has sped up this development process towards more practical and smart AGWR. However, most assistive gait wearable robots are still confined to be controlled, assessed indoor and within laboratory environments, limiting any potential to provide a real assistance and rehabilitation required to humans in the real environments. The gait assessment parameters play an important role not only in evaluating the patient progress and assistive device performance but also in controlling smart self-adaptable AGWR in real-time. The self-adaptable wearable robots must interactively conform to the changing environments and between users to provide optimal functionality and comfort. This paper discusses the performance parameters, such as comfortability, safety, adaptability, and energy consumption, which are required for the development of an intelligent AGWR for outdoor environments. The challenges to measuring the parameters using current systems for data collection and analysis using vision capture and wearable sensors are presented and discussed

Human Activity Recognition and Control of Wearable Robots

abstract: Wearable robotics has gained huge popularity in recent years due to its wide applications in rehabilitation, military, and industrial fields. The weakness of the skeletal muscles in the aging population and neurological injuries such as stroke and spinal cord injuries seriously limit the abilities of these individuals to perform daily activities. Therefore, there is an increasing attention in the development of wearable robots to assist the elderly and patients with disabilities for motion assistance and rehabilitation. In military and industrial sectors, wearable robots can increase the productivity of workers and soldiers. It is important for the wearable robots to maintain smooth interaction with the user while evolving in complex environments with minimum effort from the user. Therefore, the recognition of the user's activities such as walking or jogging in real time becomes essential to provide appropriate assistance based on the activity. This dissertation proposes two real-time human activity recognition algorithms intelligent fuzzy inference (IFI) algorithm and Amplitude omega ($A \omega$) algorithm to identify the human activities, i.e., stationary and locomotion activities. The IFI algorithm uses knee angle and ground contact forces (GCFs) measurements from four inertial measurement units (IMUs) and a pair of smart shoes. Whereas, the $A \omega$ algorithm is based on thigh angle measurements from a single IMU. This dissertation also attempts to address the problem of online tuning of virtual impedance for an assistive robot based on real-time gait and activity measurement data to personalize the assistance for different users. An automatic impedance tuning (AIT) approach is presented for a knee assistive device (KAD) in which the IFI algorithm is used for real-time activity measurements. This dissertation also proposes an adaptive oscillator method known as amplitude omega adaptive oscillator ($A\omega AO$) method for HeSA (hip exoskeleton for superior augmentation) to provide bilateral hip assistance during human locomotion activities. The $A \omega$ algorithm is integrated into the adaptive oscillator method to make the approach robust for different locomotion activities. Experiments are performed on healthy subjects to validate the efficacy of the human activities recognition algorithms and control strategies proposed in this dissertation. Both the activity recognition algorithms exhibited higher classification accuracy with less update time. The results of AIT demonstrated that the KAD assistive torque was smoother and EMG signal of Vastus Medialis is reduced, compared to constant impedance and finite state machine approaches. The $A\omega AO$ method showed real-time learning of the locomotion activities signals for three healthy subjects while wearing HeSA. To understand the influence of the assistive devices on the inherent dynamic gait stability of the human, stability analysis is performed. For this, the stability metrics derived from dynamical systems theory are used to evaluate unilateral knee assistance applied to the healthy participants.Dissertation/ThesisDoctoral Dissertation Aerospace Engineering 201

Maximizing Performance with Minimal Resources for Real-Time Transition Detection

Assistive devices, such as exoskeletons and prostheses, have revolutionized the field of rehabilitation and mobility assistance. Efficiently detecting transitions between different activities, such as walking, stair ascending and descending, and sitting, is crucial for ensuring adaptive control and enhancing user experience. We here present an approach for real-time transition detection, aimed at optimizing the processing-time performance. By establishing activity-specific threshold values through trained machine learning models, we effectively distinguish motion patterns and we identify transition moments between locomotion modes. This threshold-based method improves real-time embedded processing time performance by up to 11 times compared to machine learning approaches. The efficacy of the developed finite-state machine is validated using data collected from three different measurement systems. Moreover, experiments with healthy participants were conducted on an active pelvis orthosis to validate the robustness and reliability of our approach. The proposed algorithm achieved high accuracy in detecting transitions between activities. These promising results show the robustness and reliability of the method, reinforcing its potential for integration into practical applications.Comment: Submitted for a conference. 7 pages including references, 8 figures, 3 table

Analysis of Human Gait Cycle with Body Equilibrium based on leg Orientation

Gait analysis identifies the posture during movement in order to provide the correct actions for a normal gait. A person\u27s gait may differ from others and can be recognized by specific patterns. Healthy individuals exhibit normal gait patterns, while lower limb amputees exhibit abnormal gait patterns. To better understand the pitfalls of gait, it is imperative to develop systems capable of capturing the gait patterns of healthy individuals. The main objective of this research was to introduce a new concept in gait analysis by computing the static and dynamic equilibrium in a real-world environment. A relationship was also presented among the parameters stated as static \& dynamic equilibrium, speed, and body states. A sensing unit was installed on the designed metal-based leg mounting assembly on the lateral side of the leg. An algorithm was proposed based on two variables: the position of the leg in space and the angle of the knee joint measured by an IMU sensor and a rotary encoder. It was acceptable to satisfy the static conditions when the body was in a fixed position and orientation, whether lying down or standing. While walking and running, the orientation is determined by the position and knee angle variables, which fulfill the dynamic condition. High speed reveals a rapid change in orientation, while slow speed reveals a slow change in orientation. The proposed encoder-based feedback system successfully determined the flexion at 47$^\circ$, extension at 153$^\circ$, and all seven gait cycle phases were recognized within this range of motion. Body equilibrium facilitates individuals when they are at risk of falling or slipping

Rehabilitative devices for a top-down approach

In recent years, neurorehabilitation has moved from a "bottom-up" to a "top down" approach. This change has also involved the technological devices developed for motor and cognitive rehabilitation. It implies that during a task or during therapeutic exercises, new "top-down" approaches are being used to stimulate the brain in a more direct way to elicit plasticity-mediated motor re-learning. This is opposed to "Bottom up" approaches, which act at the physical level and attempt to bring about changes at the level of the central neural system. Areas covered: In the present unsystematic review, we present the most promising innovative technological devices that can effectively support rehabilitation based on a top-down approach, according to the most recent neuroscientific and neurocognitive findings. In particular, we explore if and how the use of new technological devices comprising serious exergames, virtual reality, robots, brain computer interfaces, rhythmic music and biofeedback devices might provide a top-down based approach. Expert commentary: Motor and cognitive systems are strongly harnessed in humans and thus cannot be separated in neurorehabilitation. Recently developed technologies in motor-cognitive rehabilitation might have a greater positive effect than conventional therapies

Wearable Movement Sensors for Rehabilitation: From Technology to Clinical Practice

This Special Issue shows a range of potential opportunities for the application of wearable movement sensors in motor rehabilitation. However, the papers surely do not cover the whole field of physical behavior monitoring in motor rehabilitation. Most studies in this Special Issue focused on the technical validation of wearable sensors and the development of algorithms. Clinical validation studies, studies applying wearable sensors for the monitoring of physical behavior in daily life conditions, and papers about the implementation of wearable sensors in motor rehabilitation are under-represented in this Special Issue. Studies investigating the usability and feasibility of wearable movement sensors in clinical populations were lacking. We encourage researchers to investigate the usability, acceptance, feasibility, reliability, and clinical validity of wearable sensors in clinical populations to facilitate the application of wearable movement sensors in motor rehabilitation

Simultaneous Bayesian recognition of locomotion and gait phases with wearable sensors

Recognition of movement is a crucial process to assist humans in activities of daily living, such as walking. In this work, a high-level method for the simultaneous recognition of locomotion and gait phases using wearable sensors is presented. A Bayesian formulation is employed to iteratively accumulate evidence to reduce uncertainty, and to improve the recognition accuracy. This process uses a sequential analysis method to autonomously make decisions, whenever the recognition system perceives that there is enough evidence accumulated. We use data from three wearable sensors, attached to the thigh, shank, and foot of healthy humans. Level-ground walking, ramp ascent and descent activities are used for data collection and recognition. In addition, an approach for segmentation of the gait cycle for recognition of stance and swing phases is presented. Validation results show that the simultaneous Bayesian recognition method is capable to recognize walking activities and gait phases with mean accuracies of 99.87% and 99.20%. This process requires a mean of 25 and 13 sensor samples to make a decision for locomotion mode and gait phases, respectively. The recognition process is analyzed using different levels of confidence to show that our method is highly accurate, fast, and adaptable to specific requirements of accuracy and speed. Overall, the simultaneous Bayesian recognition method demonstrates its benefits for recognition using wearable sensors, which can be employed to provide reliable assistance to humans in their walking activities