Personal Mobility With Synchronous Trunk-Knee Passive Exoskeleton: Optimizing Human-Robot Energy Transfer

We present a personal mobility device for lower-body impaired users through a light-weighted exoskeleton on wheels. On its core, a novel passive exoskeleton provides postural transition leveraging natural body postures with support to the trunk on sit-to-stand and stand-to-sit (STS) transitions by a single gas spring as an energy storage unit. We propose a direction-dependent coupling of knees and hip joints through a double-pulley wire system, transferring energy from the torso motion towards balancing the moment load at the knee joint actuator. Herewith, the exoskeleton maximizes energy transfer and the naturalness of the user's movement. We introduce an embodied user interface for hands-free navigation through a torso pressure sensing with minimal trunk rotations, resulting on average $19^{\circ} \pm 13^{\circ}$ on six unimpaired users. We evaluated the design for STS assistance on 11 unimpaired users observing motions and muscle activity during the transitions. Results comparing assisted and unassisted STS transitions validated a significant reduction (up to $68\%$ $p<0.01$) at the involved muscle groups. Moreover, we showed it feasible through natural torso leaning movements of $+12^{\circ}\pm 6.5^{\circ}$ and $- 13.7^{\circ} \pm 6.1^{\circ}$ for standing and sitting, respectively. Passive postural transition assistance warrants further work on increasing its applicability and broadening the user population.Comment: IEEE/ASME Transactions on Mechatronics. 2022. 11 pages. doi: 10.1109/TMECH.2021.313545

Control Interface for Hands-free Navigation of Standing Mobility Vehicles based on Upper-Body Natural Movements

In this paper, we propose and evaluate a novel human-machine interface (HMI) for controlling a standing mobility vehicle or person carrier robot, aiming for a hands-free control through upper-body natural postures derived from gaze tracking while walking. We target users with lower-body impairment with remaining upper-body motion capabilities. The developed HMI bases on a sensing array for capturing body postures; an intent recognition algorithm for continuous mapping of body motions to robot control space; and a personalizing system for multiple body sizes and shapes. We performed two user studies: first, an analysis of the required body muscles involved in navigating with the proposed control; and second, an assessment of the HMI compared with a standard joystick through quantitative and qualitative metrics in a narrow circuit task. We concluded that the main user control contribution comes from Rectus Abdominis and Erector Spinae muscle groups at different levels. Finally, the comparative study showed that a joystick still outperforms the proposed HMI in usability perceptions and controllability metrics, however, the smoothness of user control was similar in jerk and fluency. Moreover, users' perceptions showed that hands-free control made it more anthropomorphic, animated, and even safer.Comment: 2020 IEEE. Personal use of this material is permitted. Permission from IEEE must be obtained for all other use

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

Nursing care teaching system based on mixed reality for effective caregiver-patient interaction

In the nursing care tasks such as assistance for transferring and walking, it is necessary to provide appropriate nursing care movements depending on factors such as the patient's pose and the degree of disability. However, for novice caregivers to practice and learn appropriate nursing care, they must practice for a long time under the guidance of skilled caregivers. To solve this problem, we propose a novel framework for a system that teaches appropriate nursing care actions according to the current situation. The realization of such a teaching system requires technology to recognize the current situation and effectively teach the interaction between the caregiver and the patient. In this article, we propose a system that integrates depth camera-based pose estimation of the patient and Mixed Reality (MR) technology to present the target motion of the patient to a caregiver. To accurately present the patient's target pose to the novice caregivers, our system displays an avatar showing the patient's ideal animation overlaid on the actual patient. Experimental results show that our system can accurately instruct the caregiver about the patient's target pose in each movement procedure

Design and Evaluation of a Knee-Extension-Assist

Quadriceps muscle weakness is a condition that can result from a wide variety of causes, from diseases like polio and multiple sclerosis to injuries of the head and spine. Individuals with weakened quadriceps often have difficulty supplying the knee-extension moments required during common mobility tasks. Existing powered orthoses that provide an assistive knee-extension moment are large and heavy, with power supplies that generally last less than two hours. A new device that provides a knee-extension-assist moment was designed to aid an individual with quadriceps muscle weakness to stand up from a seated position, sit from a standing position, and walk up and down an inclined surface. The knee-extension-assist (KEA) was designed as a modular component to be incorporated into existing knee-ankle-foot-orthoses (KAFO). The KEA consists of three springs that are compressed, as the knee is flexed under bodyweight, by cables that wrap around a sheave at the knee. The KEA returns the stored energy from knee flexion as an extension moment during knee extension. During swing or other non-weight bearing activities, the device is disengaged from the KAFO by decoupling the sheave from the KAFO knee joint, allowing free knee joint motion. A prototype was built and mechanically tested to determine KEA behaviour during loading and extension and to ensure proper KEA function. For biomechanical evaluation, able-bodied subjects used the prototype KEA while performing sit-to-stand, stand-to-sit, ramp ascent, and ramp descent tasks. The KEA facilitated sitting and standing, providing an average of 53 % of the required extension moment for the two participants, which allowed one participant to reduce quadriceps usage by 38 % and the other to perform sit-to-stand in a slower and more controlled manner that was not possible without the KEA. KEA use during ramp gait caused an overall increase in quadriceps activation by 76 %, on average, with use. Future efforts will be made to modify the design to improve functionality, especially for ramp gait, and to reduce device size and weight