Design of a Passive Ankle Prosthesis with Powered Push-Off Using a Cam Timing Mechanism

This thesis presents the design and simulation results of the CamWalk, a novel passive prosthetic ankle that has mechanical behavior similar to that for a natural ankle. The CamWalk uses a compression spring network that allows coupling between two degrees of freedom; one for translation along the leg and another for rotation about the ankle joint. When walking, potential energy from the person\u27s weight is stored in the spring network in deflection along the leg. The energy is released by the network as rotation of the foot. The amount of translational work that is converted to rotational work about the ankle is proportional to the maximum allowed leg deflection, which was limited to 15 mm. A quasi-static model is used to assess the performance of the design and is used in the optimization of the design parameters. Optimizing the design parameters to match the natural ankle characteristics of published average kinetic and kinematic data from gait analyses, yields a design that provides 44.47% of the net rotational work of a natural ankle. Conventional compression springs, used for the spring network of the CamWalk, are interchangeable. These springs are optimized for the individual user, keeping the same prosthesis geometry determined by the optimization for the average walker. Simulation results for three individuals show that spring optimization is sufficient to produce 44.4% (or more) of the natural ankle work. The individual subject results also show that the CamWalk preforms reliably even with variation in the dynamics on the walker. A proof-of-concept prototype was fabricated and tested to verify the quasi-static model accuracy and validate the overall approach. The prototype was walked using an industrial robotic manipulator as a positioning source. The deflection and load profiles were measured using potentiometers and a 6-axis force/torque sensor. The prototype\u27s measured rotational work was 93.7% of the work predicted by the quasi-static model, verifying the model\u27s accuracy and demonstrating that energy generated in the deflection is converted into torque about the ankle

Design of a Passive Ankle Prosthesis with Energy Return That Increases with Increasing Walking Velocity

Patients who undergo a transtibial (below the knee) amputation are often met with a difficult decision: selection of a prosthesis. Limitations of currently available prostheses motivate work on a new solution, the EaSY Walk, a passive device that mimics two key aspects of the natural ankle: non-linear rotational stiffness through implementation of a stiffening flexure mechanism and rotational work output that varies as a function of walking velocity to propel the user forward. To achieve the latter, a strategy to convert the maximum available translational energy acquired from deflection along the leg into rotational energy about the ankle joint through coupling of these two degrees of freedom is used. This strategy utilizes maxima/minima of known ankle profiles to control timing of critical device functions as well as the quantity of energy input from leg deflection. In doing so, both consistent operation of the device and maximal energy output at a given walking velocity are theoretically obtained. Optimizing for both aforementioned ankle criteria, 25.1% of the work of the average natural ankle was achieved for 15 mm of leg deflection, less deflection than is exhibited by many shock absorbing pylon prostheses. After fabricating and testing the optimized design using a repeatable robot trajectory, the device was found to convert 26.6% of input translational work as rotational work, accounting for 63.1% of modeled rotational work. Through human subject testing, the device was found to function inconsistently due to the large impact loadings associated with human gait. In order to achieve proper functionality with human gait, design modifications to the energy storage and release devices are recommended

Advancements in Prosthetics and Joint Mechanisms

abstract: Robotic joints can be either powered or passive. This work will discuss the creation of a passive and a powered joint system as well as the combination system being both powered and passive along with its benefits. A novel approach of analysis and control of the combination system is presented. A passive and a powered ankle joint system is developed and fit to the field of prosthetics, specifically ankle joint replacement for able bodied gait. The general 1 DOF robotic joint designs are examined and the results from testing are discussed. Achievements in this area include the able bodied gait like behavior of passive systems for slow walking speeds. For higher walking speeds the powered ankle system is capable of adding the necessary energy to propel the user forward and remain similar to able bodied gait, effectively replacing the calf muscle. While running has not fully been achieved through past powered ankle devices the full power necessary is reached in this work for running and sprinting while achieving 4x’s power amplification through the powered ankle mechanism. A theoretical approach to robotic joints is then analyzed in order to combine the advantages of both passive and powered systems. Energy methods are shown to provide a correct behavioral analysis of any robotic joint system. Manipulation of the energy curves and mechanism coupler curves allows real time joint behavioral adjustment. Such a powered joint can be adjusted to passively achieve desired behavior for different speeds and environmental needs. The effects on joint moment and stiffness from adjusting one type of mechanism is presented.Dissertation/ThesisDoctoral Dissertation Mechanical Engineering 201

ReHand - a portable assistive rehabilitation hand exoskeleton

This dissertation presents a synthesis of a novel underactuated exoskeleton (namely ReHand2) thought and designed for a task-oriented rehabilitation and/or for empower the human hand. The first part of this dissertation shows the current context about the robotic rehabilitation with a focus on hand pathologies, which influence the hand capability. The chapter is concluded with the presentation of ReHand2. The second chapter describes the human hand biomechanics. Starting from the definition of human hand anatomy, passing through anthropometric data, to taxonomy on hand grasps and finger constraints, both from static and dynamic point of view. In addition, some information about the hand capability are given. The third chapter analyze the current state of the art in hand exoskeleton for rehabilitation and empower tasks. In particular, the chapter presents exoskeleton technologies, from mechanisms to sensors, passing though transmission and actuators. Finally, the current state of the art in terms of prototype and commercial products is presented. The fourth chapter introduces the concepts of underactuation with the basic explanation and the classical notation used typically in the prosthetic field. In addition, the chapter describe also the most used differential elements in the prosthetic, follow by a statical analysis. Moreover typical transmission tree at inter-finger level as well as the intra- finger underactuation are explained . The fifth chapter presents the prototype called ReHand summarizing the device description and explanation of the working principle. It describes also the kinetostatic analysis for both, inter- and the intra-finger modules. in the last section preliminary results obtained with the exoskeleton are shown and discussed, attention is pointed out on prototype’s problems that have carry out at the second version of the device. The sixth chapter describes the evolution of ReHand, describing the kinematics and dynamics behaviors. In particular, for the mathematical description is introduced the notation used in order to analyze and optimize the geometry of the entire device. The introduced model is also implemented in Matlab Simulink environment. Finally, the chapter presents the new features. The seventh chapter describes the test bench and the methodologies used to evaluate the device statical, and dynamical performances. The chapter presents and discuss the experimental results and compare them with simulated one. Finally in the last chapter the conclusion about the ReHand project are proposed as well as the future development. In particular, the idea to test de device in relevant environments. In addition some preliminary considerations about the thumb and the wrist are introduced, exploiting the possibility to modify the entire layout of the device, for instance changing the actuator location

A virtual environment for the modelling, simulation and manufacturing of orthopaedic devices

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.The objective of this work is to investigate whether the game physics based modelling is accurate enough to be used in modelling the motion of the human body, in particular musculoskeletal motion. Hitherto, the implementation of game physics in the medical field focused only on anatomical representation for education and training purposes. Introducing gaming platforms and physics engines into orthopaedics applications will help to overcome several difficulties encountered in the modelling of articular joints. Implementing a physics engine (PhysX), which is mainly designed for video games, handles intensive computations in optimized ways at an interactive speed. In this study, the capabilities of the physics engine (PhysX) and gaming platform for modelling and simulating articular joints are evaluated. First, a preliminary validation is carried out for mechanical systems with analytical solutions, before constructing the musculoskeletal model to evaluate the consistency of gaming platforms. The developed musculoskeletal model deals with the human joint as an unconstrained system with 6 DOF which is not available with other joint modeller. The model articulation is driven by contact surfaces and the stiffness of surrounding tissues. A number of contributions, such as contact modelling and muscle wrapping, have been made in this research to overcome some existing challenges in joint modelling. Using muscle segmentation, the proposed technique effectively handles the problem of muscle wrapping, a major concern for many; thus the shortest path and line of action are no longer problematic. Collision behaviour has also shown a stable response for colliding as well as resting objects, provided that it is based on the principles of surface properties and the conservation of linear and angular momentums. The precision of collision detection and response are within an acceptable tolerance controllable by varying the mesh density. An image based analysis system is developed in this thesis, mainly in order to validate the proposed physics based modelling solution. This minimally invasive method is based on the analysis of marker positions located at bony positions with minimal skin movement. The image based system overcomes several challenges associated with the currently existing methods, such as inaccuracy, complication, impracticability and cost. The analysis part of this research has considered the elbow joint as a case study to investigate and validate the proposed physics based model. Beside the interactive 3D simulation, the obtained results are validated by comparing them with the image based system developed within the current research to investigate joint kinematics and laxity and also with published material, MJM and results from experiments performed at the Brunel Orthopaedic Research and Learning Centre. The proposed modelling shows the advantageous speed, reliability and flexibility of the proposed model. It is shown that the gaming platform and physics engine provide a viable solution to human musculoskeletal modelling. Finally, this thesis considers an extended implementation of the proposed platform for testing and assessing the design of custom-made implants, to enhance joint performance. The developed simulation software is expected to give indicative results as well as testing different types of prosthetic implant. Design parameterization and sensitivity analysis for geometrical features are discussed. Thus, an integrated environment is proposed to link the real-time simulation software with a manufacturing environment so as to assist the production of patient specific implants by rapid manufacturing

Motor Electrical Damping for Back-Drivable Prosthetic Knee

The paper presents a model and analysis of a backdrivable knee prosthesis. In this context, the investigation into the design, modelling and analysis of a back-drivable semiactive prosthetic knee is presented. A mathematical model has been developed for evaluating the electrical damping characteristics of the DC motor in passive mode. The analysis shows that a single actuator could be suitable to work in active mode to provide mechanical power and in passive mode as a damper dissipating energy

Computational Tools and Experimental Methods for the Development of Passive Prosthetic Feet

Modern prosthetic foot designs are incredibly diverse in comparison to what was o↵ered to amputees at the turn of the millennium. Powered ankles can supply natural levels of joint torque, whilst passive feet continue to optimise for kinematic goals. However, most passive feet still do not solve the issue of unhealthy loads, and an argument can be made that optimisation methods have neglected the less active and elderly amputee. This thesis creates a framework for a novel approach to prosthetic foot optimisation by focusing on the transitionary motor tasks of gait initiation and termination.An advanced FEA model has been created in ANSYS® using boundary con-ditions derived from an ISO testing standard that replicates stance phase loading. This model can output standard results found in the literature and goes beyond by parameterising the roll-over shape within the software using custom APDL code. Extensive contact exploration and an experimental study have ensured the robustness of the model. Subject force and kinematic data can be used for specific boundary conditions, which would allow for easy adaptation to the transitionary motor tasks.This FEA model has been used in the development of prosthetic experiment tool, which can exchange helical springs to assess e↵ects of small changes in sti↵-ness on gait metrics. A rigorous design methodology was employed for all compo-nents, including parametric design studies, response surface optimisation, and ISO level calculations. The design has been manufactured into a working prototype and is ready for clinical trials to determine its efficacy.The conclusion of this framework is in the development of an experimental method to collect subject data for use in the models. A pilot study uncovered reliable protocols, which were then verified with ANOVA statistics. Proportional ratios were defined as additions to metric peak analyses already found in the liter-ature. These tools are ready for deployment in full clinical trials with amputees, so that a new prosthetic optimisation pathway can be discovered for the benefit of less active or elderly amputees

A Lower Limb Prosthesis with Active Alignment for Reduced Limb Loading

Over the past decade, the growing field of robotics has created new possibilities in lower limb prostheses. The focus of these new prostheses has been replicating the dynamics of the lost limb in order to restore gait of individuals with lower limb amputations to healthy norms. This places demanding loads on the residual limb. Compensation by the rest of body is high, causes overloading of intact joints and can lead to deterioration of mobility and overall health. Abnormalities remain present in the person’s gait, stemming from the loading of soft tissue and the altered anatomy of the affected limb. In this dissertation, an experimental prosthesis is developed with systematic, simulation based techniques. Kinematics and kinetics of the prosthesis design are altered in order to actively realign the limb in relation to the center of pressure during stance, allowing positive power to be generated by the prosthesis while actively reducing the magnitude of the sagittal moment transferred to the residual limb. Initial findings show that during walking with the experimental device compared to a daily use prosthesis, peak pressures on the residual limb are lowered by over 10% while maintaining walking speed

A novel musculoskeletal joint modelling for orthopaedic applications

This thesis was submitted for the degree of Docter of Philosophy and awarded by Brunel University.The objective of the work carried out in this thesis was to develop analytical and computational tools to model and investigate musculoskeletal human joints. It was recognised that the FEA was used by many researchers in modelling human musculoskeletal motion, loading and stresses. However the continuum mechanics played only a minor role in determining the articular joint motion, and its value was questionable. This is firstly due to the computational cost and secondly due to its impracticality for this application. On the other hand, there isn’t any suitable software for precise articular joint motion analysis to deal with the local joint stresses or non standard joints. The main requirement in orthopaedics field is to develop a modeller software (and its associated theories) to model anatomic joint as it is, without any simplification with respect to joint surface morphology and material properties of surrounding tissues. So that the proposed modeller can be used for evaluating and diagnosing different joint abnormalities but furthermore form the basis for performing implant insertion and analysis of the artificial joints. The work which is presented in this thesis is a new frame work and has been developed for human anatomic joint analysis which describes the joint in terms of its surface geometry and surrounding musculoskeletal tissues. In achieving such a framework several contributions were made to the 6DOF linear and nonlinear joint modelling, the mathematical definition of joint stiffness, tissue path finding and wrapping and the contact with collision analysis. In 6DOF linear joint modelling, the contribution is the development of joint stiffness and damping matrices. This modelling approach is suitable for the linear range of tissue stiffness and damping properties. This is the first of its kind and it gives a firm analytical basis for investigating joints with surrounding tissue and the cartilage. The 6DOF nonlinear joint modelling is a new scheme which is described for modelling the motion of multi bodies joined by non-linear stiffness and contact elements. The proposed method requires no matrix assembly for the stiffness and damping elements or mass elements. The novelty in the nonlinear modelling, relates to the overall algorithmic approach and handling local non-linearity by procedural means. The mathematical definition of joint stiffness is also a new proposal which is based on the mathematical definition of stiffness between two bodies. Based on the joint stiffness matrix properties, number of joint stiffness invariants was obtained analytically such as the centre of stiffness, the principal translational stiffnesses, and the principal rotational stiffnesses. In corresponding to these principal stiffnesses, their principal axes have been also obtained. Altogether, a joint is assessed by six principal axes and six principal stiffnesses and its centre of stiffness. These formulations are new and show that a joint can be described in terms of inherent stiffness properties. It is expected that these will be better in characterising a joint in comparison to laxity based characterisation. The development of tissue path finding and wrapping algorithms are also introduced as new approaches. The musculoskeletal tissue wrapping involves calculating the shortest distance between two points on a meshed surface. A new heuristic algorithm was proposed. The heuristic is based on minimising the accumulative divergence from the straight line between two points on the surface and the direction of travel on the surface (i.e. bone). In contact and collision based development, the novel algorithm has been proposed that detects possible colliding points on the motion trajectory by redefining the distance as a two dimensional measure along the velocity approach vector and perpendicular to this vector. The perpendicular distance determines if there are potentially colliding points, and the distance along the velocity determines how close they are. The closest pair among the potentially colliding points gives the “time to collision”. The algorithm can eliminate the “fly pass” situation where very close points may not collide because of the direction of their relative velocity. All these developed algorithms and modelling theories, have been encompassed in the developed prototype software in order to simulate the anatomic joint articulations through modelling formulations developed. The software platform provides a capability for analysing joints as 6DOF joints based on anatomic joint surfaces. The software is highly interactive and driven by well structured database, designed to be highly flexible for the future developments. Particularly, two case studies are carried out in this thesis in order to generate results relating to all the proposed elements of the study. The results obtained from the case studies show good agreement with previously published results or model based results obtained from Lifemod software, whenever comparison was possible. In some cases the comparison was not possible because there were no equivalent results; the results were supported by other indicators. The modelling based results were also supported by experiments performed in the Brunel Orthopaedic Research and Learning Centre