ANTHROPOMORPHIC ROBOTIC ANKLE-FOOT PROSTHESIS WITH ACTIVE DORSIFLEXION- PLANTARFLEXION AND INVERSION-EVERSION

The main goal of the research presented in this paper is the development of a powered ankle-foot prosthesis with anthropomorphic characteristics to facilitate turning, walking on irregular grounds, and reducing secondary injuries on bellow knee amputees. The research includes the study of the gait in unimpaired human subjects that includes the kinetics and kinematics of the ankle during different types of gait, in different gait speeds at different turning maneuvers. The development of a robotic ankle-foot prosthesis with two active degrees of freedom (DOF) controlled using admittance and impedance controllers is presented. Also, a novel testing apparatus for estimation of the ankle mechanical impedance in two DOF is presented. The testing apparatus allows the estimation of the time-varying impedance of the human ankle in stance phase during walking in arbitrary directions. The presented work gives insight on the turning mechanisms of the human ankle and how they can be mimicked by the prosthesis to improve the gait and agility of below-knee amputees

ESTIMATION OF MULTI-DIRECTIONAL ANKLE IMPEDANCE AS A FUNCTION OF LOWER EXTREMITY MUSCLE ACTIVATION

The purpose of this research is to investigate the relationship between the mechanical impedance of the human ankle and the corresponding lower extremity muscle activity. Three experimental studies were performed to measure the ankle impedance about multiple degrees of freedom (DOF), while the ankle was subjected to different loading conditions and different levels of muscle activity. The first study determined the non-loaded ankle impedance in the sagittal, frontal, and transverse anatomical planes while the ankle was suspended above the ground. The subjects actively co-contracted their agonist and antagonistic muscles to various levels, measured using electromyography (EMG). An Artificial Neural Network (ANN) was implemented to characterize the relationship between the EMG and non-loaded ankle impedance in 3-DOF. The next two studies determined the ankle impedance and muscle activity during standing, while the foot and ankle were subjected to ground perturbations in the sagittal and frontal planes. These studies investigate the performance of subject-dependent models, aggregated models, and the feasibility of a generic, subject-independent model to predict ankle impedance based on the muscle activity of any person. Several regression models, including Least Square, Support Vector Machine, Gaussian Process Regression, and ANN, and EMG feature extraction techniques were explored. The resulting subject-dependent and aggregated models were able to predict ankle impedance with reasonable accuracy. Furthermore, preliminary efforts toward a subject-independent model showed promising results for the design of an EMG-impedance model that can predict ankle impedance using new subjects. This work contributes to understanding the relationship between the lower extremity muscles and the mechanical impedance of the ankle in multiple DOF. Applications of this work could be used to improve user intent recognition for the control of active ankle-foot prostheses

ESTIMATION AND PREDICTION OF THE HUMAN GAIT DYNAMICS FOR THE CONTROL OF AN ANKLE-FOOT PROSTHESIS

With the growing population of amputees, powered prostheses can be a solution to improve the quality of life for many people. Powered ankle-foot prostheses can be made to behave similar to the lost limb via controllers that emulate the mechanical impedance of the human ankle. Therefore, the understanding of human ankle dynamics is of major significance. First, this work reports the modulation of the mechanical impedance via two mechanisms: the co-contraction of the calf muscles and a change of mean ankle torque and angle. Then, the mechanical impedance of the ankle was determined, for the first time, as a multivariable and time-varying system. These findings reveal the importance of recognizing the state of the user during the gait when the user interacts with the environment. In addition to studying the ankle impedance, a wearable device was designed and evaluated to further the studies on robotic perception for ankle-foot prostheses. This device is capable of characterizing the ground environment and estimating the gait state using visual-inertial sensors. Finally, this study contributes to the field of ankle-foot prostheses by identifying the mechanical behavior of the human ankle and developing a platform to test perception algorithms for the control of robotic prostheses

Abnormal synergistic gait mitigation in acute stroke using an innovative ankle–knee–hip interlimb humanoid robot: A preliminary randomized controlled trial

Abnormal spasticity and associated synergistic patterns are the most common neuromuscular impairments affecting ankle–knee–hip interlimb coordinated gait kinematics and kinetics in patients with hemiparetic stroke. Although patients with hemiparetic stroke undergo various treatments to improve gait and movement, it remains unknown how spasticity and associated synergistic patterns change after robot-assisted and conventional treatment. We developed an innovative ankle–knee–hip interlimb coordinated humanoid robot (ICT) to mitigate abnormal spasticity and synergistic patterns. The objective of the preliminary clinical trial was to compare the effects of ICT combined with conventional physical therapy (ICT-C) and conventional physical therapy and gait training (CPT-G) on abnormal spasticity and synergistic gait patterns in 20 patients with acute hemiparesis. We performed secondary analyses aimed at elucidating the biomechanical effects of Walkbot ICT on kinematic (spatiotemporal parameters and angles) and kinetic (active force, resistive force, and stiffness) gait parameters before and after ICT in the ICT-C group. The intervention for this group comprised 60-min conventional physical therapy plus 30-min robot-assisted training, 7 days/week, for 2 weeks. Significant biomechanical effects in knee joint kinematics; hip, knee, and ankle active forces; hip, knee, and ankle resistive forces; and hip, knee, and ankle stiffness were associated with ICT-C. Our novel findings provide promising evidence for conventional therapy supplemented by robot-assisted therapy for abnormal spasticity, synergistic, and altered biomechanical gait impairments in patients in the acute post-stroke recovery phase. Trial Registration: Clinical Trials.gov identifier NCT03554642 (14/01/2020)

Quantifying age-related differences of ankle mechanical properties using a robotic device

A deep analysis of ankle mechanical properties is a fundamental step in the design of an exoskeleton, especially if it is to be suitable for both adults and children. This study aims at assessing age-related differences of ankle properties using pediAnklebot. To achieve this aim, we enrolled 16 young adults and 10 children in an experimental protocol that consisted of the evaluation of ankle mechanical impedance and kinematic performance. Ankle impedance was measured by imposing stochastic torque perturbations in dorsi-plantarflexion and inversion-eversion directions. Kinematic performance was assessed by asking participants to perform a goal-directed task. Magnitude and anisotropy of impedance were computed using a multiple-input multiple-output system. Kinematic performance was quantified by computing indices of accuracy, smoothness, and timing. Adults showed greater magnitude of ankle impedance in both directions and for all frequencies, while the anisotropy was higher in children. By analyzing kinematics, children performed movements with lower accuracy and higher smoothness, while no differences were found for the duration of the movement. In addition, adults showed a greater ability to stop the movement when hitting the target. These findings can be useful to a proper development of robotic devices, as well as for implementation of specific training programs

Otimização muscle-in-the-loop em tempo real para reabilitação física com um exosqueleto ativo: uma mudança de paradigma

Assisting human locomotion with a wearable robotic orthosis is still quite challenging, largely due to the complexity of the neuromusculoskeletal system, the time-varying dynamics that accompany motor adaptation, and the uniqueness of every individual’s response to the assistance given by the robot. To this day, these devices have not met their well-known promise yet, mostly due to the fact that they are not perfectly suitable for the rehabilitation of neuropathologic patients. One of the main challenges hampering this goal still relies on the interface and co-dependency between the human and the machine. Nowadays, most commercial exoskeletons replay pre-defined gait patterns, whereas research exoskeletons are switching to controllers based on optimized torque profiles. In most cases, the dynamics of the human musculoskeletal system are still ignored and do not take into account the optimal conditions for inducing a positive modulation of neuromuscular activity. This is because both rehabilitation strategies are still emphasized on the macro level of the whole joint instead of focusing on the muscles’ dynamics and activity, which are the actual anatomical elements that may need to be rehabilitated. Strategies to keep the human in the loop of the exoskeleton’s control laws in real-time may help to overcome these challenges. The main purpose of the present dissertation is to make a paradigm shift in the approach on how the assistance that is given to a subject by an exoskeleton is modelled and controlled during physical rehabilitation. Therefore, in the scope of the present work, it was intended to design, concede, implement, and validate a real-time muscle-in-the-loop optimization model to find the best assistive support ratio that would induce optimal rehabilitation conditions to a specific group of impaired muscles while having a minimum impact on the other healthy muscles. The developed optimization model was implemented in the form of a plugin and was integrated on a neuromechanical model-based interface for driving a bilateral ankle exoskeleton. Experimental pilot tests evaluated the feasibility and effectiveness of the model. Results of the most significant pilots achieved EMG reductions up to 61 ± 3 % in Soleus and 41 ± 10 % in Gastrocnemius Lateralis. Moreover, results also demonstrated the efficiency of the optimization’s specific reduction on rehabilitation by looking into the muscular fatigue after each experiment. Finally, two parallel preliminary studies emerged from the pilots, which looked at muscle adaptation, after a new assistive condition had been applied, over time and at the effect of the lateral positioning of the exoskeleton’s actuators on the leg muscles.Auxiliar a locomoção humana com uma ortose robótica ainda é bastante desafiante, em grande parte devido à complexidade do sistema neuromusculoesquelético, à dinâmica variável no tempo que acompanha a adaptação motora e à singularidade da resposta de cada indivíduo à assistência dada pelo robô. Até hoje, está por cumprir a promessa inicial destes dispositivos, principalmente devido ao facto de não serem perfeitamente adequados para a reabilitação de pacientes neuropatológicos. Um dos principais desafios que dificultam esse objetivo foca-se ainda na interface e na co-dependência entre o ser humano e a máquina. Hoje em dia, a maioria dos exoesqueletos comerciais reproduz padrões de marcha predefinidos, enquanto que os exoesqueletos em investigação estão só agora a mudar para controladores com base em perfis de binário otimizados. Na maioria dos casos, a dinâmica do sistema musculoesquelético humano ainda é ignorada e não tem em consideração as condições ideais para induzir uma modulação positiva da atividade neuromuscular. Isso ocorre porque ambas as estratégias de reabilitação ainda são enfatizadas no nível macro de toda a articulação, em vez de se concentrar na dinâmica e atividade dos músculos, que são os elementos anatómicos que realmente precisam de ser reabilitados. Estratégias para manter o ser humano em loop nos comandos que controlam o exoesqueleto em tempo real podem ajudar a superar estes desafios. O principal objetivo desta dissertação é fazer uma mudança de paradigma na abordagem em como a assistência que é dada a um sujeito por um exosqueleto é modelada e controlada durante a reabilitação física. Portanto, no contexto do presente trabalho, pretendeu-se projetar, conceder, implementar e validar um modelo de otimização muscle-in-the-loop em tempo real para encontrar a melhor relação de suporte capaz de induzir as condições ideais de reabilitação para um grupo específico de músculos fragilizados, tendo um impacto mínimo nos outros músculos saudáveis. O modelo de otimização desenvolvido foi implementado na forma de um plugin e foi integrado numa interface baseada num modelo neuromecânico para o controlo de um exoesqueleto bilateral de tornozelo. Testes experimentais piloto avaliaram a viabilidade e a eficácia do modelo. Os resultados dos testes mais significativos demonstraram reduções de EMG de até 61 ± 3 % no Soleus e 41 ± 10 % no Gastrocnemius Lateral. Adicionalmente, os resultados demonstraram também a eficiência em reabilitação da redução específica no EMG devido à otimização tendo em conta a fadiga muscular após cada teste. Finalmente, dois estudos preliminares paralelos emergiram dos testes piloto, que analisaram a adaptação muscular após uma nova condição assistiva ter sido definida ao longo do tempo e o efeito do posicionamento lateral dos atuadores do exoesqueleto nos músculos da perna.Mestrado em Engenharia Biomédic

A comparison of knee muscle activation and knee joint stiffness between female dancers and basketball players during drop jumps

"This dissertation compared knee muscle activation of the lateral gastrocnemius, medial and lateral hamstrings, and lateral quadriceps (LG, MH, LH, and LQ) and knee joint stiffness(KJS) between female dancers(D) and basketball players(B) during the initial landing of a double-leg drop jump. The purpose was to examine possible neuromechanical strategies dancers employ that might protect them from Anterior Cruciate Ligament (ACL) injuries during a potentially high ACL-injury risk activity. Fifty-five females (D=35, 20.7+2.3yrs, 164.3+6.7cm,62.2+1.9kg, B=20,20.1+2.0yrs, 170.5+6.1cm,72.6+11.4kg) performed 5 double-leg drop jumps from a 45cm box. Muscle activity was recorded via surface electromyography (sEMG). A force plate and three-dimensional electromagnetic tracking system were used to record kinetic and kinematic data and calculate KJS (ratio of change in sagittal knee moment to sagittal knee flexion angle from ground contact to maximum knee flexion). sEMG data were normalized to maximum volitional isometric contractions(%MVIC), and joint moments to body weight (Nm/kg). Separate 2x4 ANOVAs compared D and B on muscle onsets (ms) and mean RMS amplitudes (%MVIC) before (PRE=150 ms) and after (POST=50 ms) ground contact. A one-way ANOVA examined group differences in KJS (Nm/kg°), with a stepwise regression model examining prediction of KJS. No significant group differences were observed in muscle onsets (D=133.4+53.2ms, B=121.6+50.2ms;P=.22), activation amplitudes (PRE: D=28.1+8.7%MVIC, B=27.7+10.5%MVIC;P=.60; POST: D=51+17.3%MVIC, B=49.6+21.4%MVIC;P=.78), or KJS (D=.0163+.009Nm/kg°, B=.0185+.011Nm/kg°;P=.44). Due to recruitment challenges the proposed full complement of participants (N=70;D=35,B=35) was not achieved. Moderate effect sizes (ES) between-groups indicated a trend towards higher muscle activation levels in dancers in MH both pre (34vs.26%MVIC;ES=.55) and post (38vs.25%MVIC;ES=.41) contact, and in LG post contact (45vs.35%MVIC;ES=.33). The exception was LQPOST (90vs.109%MVIC;ES=.30) where dancers had a tendency for lower muscle activation levels. Prelanding muscle activation amplitudes and group membership were not able to predict changes in KJS. These results suggest that the lack of findings may in-part be due to low statistical power. Further, although KJS did not differ between groups, between-group effect sizes noted in LGPOST, MHPRE, POST, and LQPOST suggest possible differences in neuromechanical strategies over other lower extremity joints. Additional research is necessary to determine possible ACL-injury protective mechanisms employed by dancers during other high ACL-injury risk activities."--Abstract from author supplied metadata

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