Search Results (100)

Frontal plane ankle motion is important for balance in walking but is seldom controlled in robotic prostheses. This article describes the design, control and performance of a semi-active two-degree-of-freedom robotic prosthetic ankle. The mechanism uses a non-backdrivable wedge cam system based on rotating inclined planes, allowing actuation only during swing phases for low power, light weight and compactness. We present details of the mechanism and its kinematic and mechatronic control, and a benchtop investigation of the system’s speed and accuracy in ankle angle control. The two-axis ankle achieves angular reorientation movements spanning ±10 deg in any direction in less than 0.9 s. It achieves a plantarflexion/dorsiflexion error of 0.35 ± 0.27 deg and an inversion/eversion error of 0.29 ± 0.25 deg. Backdriven motion during walking tests is negligible. Strengths of the design include self-locking behavior for low power and simple kinematic control. Two-axis ankle angle control could enable applications such as balance augmentation, turning assistance, and wearable perturbation training. Full article

Conventional passive ankle foot orthoses (AFOs) have not seen substantial advances or functional improvements for decades, failing to meet the demands of many stakeholders, especially the pediatric population with neurological disorders. Our objective is to develop the first comfortable and unobtrusive powered AFO for children with cerebral palsy (CP), the DE-AFO. CP is the most diagnosed neuromotor disorder in the pediatric population. The standard of care for ankle control dysfunction associated with CP, however, is an unmechanized, bulky, and uncomfortable L-shaped conventional AFO. These passive orthoses constrain the ankle’s motion and often cause muscle disuse atrophy, skin damage, and adverse neural adaptations. While powered orthoses could enhance natural ankle motion, their reliance on bulky, noisy, and rigid actuators like DC motors limits their acceptability. Our innovation, the DE-AFO, emerged from insights gathered during customer discovery interviews with 185 stakeholders within the AFO ecosystem as part of the NSF I-Corps program. The DE-AFO is a biomimetic robot that employs artificial muscles made from an electro-active polymer called dielectric elastomers (DEs) to assist ankle movements in the sagittal planes. It incorporates a gait phase detection controller to synchronize the artificial muscles with natural gait cycles, mimicking the function of natural ankle muscles. This device is the first of its kind to utilize lightweight, compact, soft, and silent artificial muscles that contract longitudinally, addressing traditional actuated AFOs’ limitations by enhancing the orthosis’s natural feel, comfort, and acceptability. In this paper, we outline our design approach and describe the three main components of the DE-AFO: the artificial muscle technology, the finite state machine (the gait phase detection system), and its mechanical structure. To verify the feasibility of our design, we theoretically calculated if DE-AFO can provide the necessary ankle moment assistance for children with CP—aligning with moments observed in typically developing children. To this end, we calculated the ankle moment deficit in a child with CP when compared with the normative moment of seven typically developing children. Our results demonstrated that the DE-AFO can provide meaningful ankle moment assistance, providing up to 69% and 100% of the required assistive force during the pre-swing phase and swing period of gait, respectively. Full article

Active power-assist lower limb exoskeleton robots aim to enhance wearer assistance while ensuring wearer comfort and simplifying the exoskeleton’s design and control. This study proposes an active assistance method known as Equivalent Force on Connection (EFOC). The EFOC method effectively addresses the limitations encountered in conventional Joint Torque Proportional Compensation (JTPC) approaches. These limitations include the necessity for exoskeleton robot configurations to align with human limb structures for parallel assistance at each lower limb joint, as well as the exoskeleton’s inability to contribute a greater proportion of assistance due to the excessive load on specific skeletal and muscular structures, resulting in wearer discomfort. Furthermore, the effectiveness of the EFOC method is evaluated and validated for assistance during both the stance and swing phases of single-leg movements. Finally, the proposed EFOC method is implemented on a hydraulic-driven lower limb exoskeleton robot to assist wearers in squatting, stepping, and jumping locomotion. The experimental results demonstrate that the proposed EFOC method can effectively achieve the desired assistance effect. Full article

Background: The prevalence of falls among the older population underscores the imperative of comprehending human adaptations to gait perturbations. Dual-belt treadmills offer a controlled setting for such investigations. The purpose of this study was to examine the effect of the acceleration of one belt of the treadmill during three different phases of the gait cycle on kinematic and kinetic parameters and relate these changes to unperturbed gait. Methods: Twenty-one healthy young females walked on a treadmill in a virtual environment, in which five unexpected perturbations were applied to the left belt at the Initial Contact (IC), Mid Stance (MS), and Pre-Swing (PS) phase of the gait cycle. Data from the undisturbed gait and the first disturbance of each trial were extracted for analysis. Results: All perturbations significantly affected the gait pattern, mainly by decreasing the knee extension angle. The perturbation in the IC phase had the most significant effect, resulting in a 248.48% increase in knee flexion torque. The perturbation in the MS phase mainly affected plantar flexion torque, increasing it by 118.18%, while perturbation in the PS phase primarily increased the hip extension torque by 73.02%. Conclusions: The presence of perturbations in the IC and PS phases caused the most aggressive and significant changes in gait parameters. Full article

Gait training to intentionally lengthen the nonparetic step length can increase the propulsive force of the paretic leg but may also induce overactivity of the knee extensor muscles that might limit knee flexion during the swing phase. Herein, we investigated the effects of lengthening the nonparetic step length during gait on the joint motion and muscle activity of the paretic lower limb. Fifteen chronic stroke patients (stroke group) and 15 healthy participants (control group) were evaluated for lower limb joint movements, electromyography, and spatiotemporal gait parameters during walking. Walking conditions were Normal (comfortable walking) and NP-Long/Contralateral-Long (walking with a lengthened step length of the nonmeasured limb). The trailing limb angle, a surrogate for propulsive forces, was increased in both groups by changing the step length, with no significant change in the peak knee flexion angle during the swing phase. However, the stroke group did not increase ankle plantar flexor activity in the stance phase or ankle dorsiflexion angle in the swing phase. Intentionally lengthening the nonparetic step length did not limit knee flexion. However, the effect of increased propulsive force during the stance phase was insufficient, with the possibility of decreased foot clearance. Full article

Hiking offers both recreational enjoyment and physical challenges, requiring speed adjustments when traversing uphill and downhill slopes. These adjustments prompt compensatory responses in kinematics and kinetics to mitigate fatigue and musculoskeletal strains. The study aimed to explore the impact of slope-specific walking speeds on spatiotemporal gait parameters, vertical ground reaction forces (vGRFs), and position of the center of pressure (COP) during uphill and downhill walking. Thirty-two healthy individuals completed five 4-min walks on an instrumented treadmill set to 0% (level), +10%, and +20% (uphill), and −10% and −20% (downhill), slopes, at 5.0, 3.5, 2.5, 5.0 and 3.5 km h⁻¹, respectively. Uphill walking led to reduced stride length and cadence, increased foot rotation, step time, and durations of stance, swing, and double-stance phases. Conversely, downhill walking exhibited decreased step length, step time, and durations of stance, swing, and double-stance phases but increased step width and cadence compared to level walking. Speed adjustments to accommodate slope led to reduced vGRFs for uphill and downhill walking. Additionally, the COP shifted forward during uphill and backward during downhill walking and displaced laterally as walking became more demanding. The observed responses indicate adaptations aimed at maintaining postural control, reducing excessive load application, and optimizing energy expenditure on sloping terrain. Full article

This study’s aim is to examine the effect of a combined balance and multidirectional plyometric training intervention on postural balance ability and lower limb explosive performance in U-13 male and female soccer athletes. Twenty pre-adolescent (age: 12.6 ± 1.6 years) soccer athletes followed a 6-week training intervention combining balance exercises, dynamic stabilization tasks and multidirectional plyometric exercises at a frequency of twice/week for 20–25 min, based on a progressive increase in exercise difficulty from phase A (week 1–3) to phase B (week 4–6). Pre- and post-training measurements were carried out to assess the following: (a) static balance performance in single (left, right)-legged and two-legged quiet stance trials with eyes open and eyes closed (two trials per stance and vision condition of 30 s duration) and (b) lower limb explosive performance in countermovement and squat jumps without arm swing (three trials/jump). The vertical GRF was recorded by a customized force plate (Wii, 1.000 Hz, Biovision) and offline, CoP and explosive performance parameters were calculated. The overall results showed that the static balance ability of athletes remained unaffected, while restricting their vision deteriorated their postural control. The lower limb explosive performance showed a trend for improvement; however, inter-individual variations in athletes’ responses might have obscured any effect. Full article

Background: Gait is the manner or style of walking, involving motor control and coordination to adapt to the surrounding environment. Knowing the kinesthetic markers of normal gait is essential for the diagnosis of certain pathologies or the generation of intelligent ortho-prostheses for the treatment or prevention of gait disorders. The aim of the present study was to identify the key features of normal human gait using inertial unit (IMU) recordings in a walking test. Methods: Gait analysis was conducted on 32 healthy participants (age range 19–29 years) at speeds of 2 km/h and 4 km/h using a treadmill. Dynamic data were obtained using a microcontroller (Arduino Nano 33 BLE Sense Rev2) with IMU sensors (BMI270). The collected data were processed and analyzed using a custom script (MATLAB 2022b), including the labeling of the four relevant gait phases and events (Stance, Toe-Off, Swing, and Heel Strike), computation of statistical features (64 features), and application of machine learning techniques for classification (8 classifiers). Results: Spider plot analysis revealed significant differences in the four events created by the most relevant statistical features. Among the different classifiers tested, the Support Vector Machine (SVM) model using a Cubic kernel achieved an accuracy rate of 92.4% when differentiating between gait events using the computed statistical features. Conclusions: This study identifies the optimal features of acceleration and gyroscope data during normal gait. The findings suggest potential applications for injury prevention and performance optimization in individuals engaged in activities involving normal gait. The creation of spider plots is proposed to obtain a personalised fingerprint of each patient’s gait fingerprint that could be used as a diagnostic tool. A deviation from a normal gait pattern can be used to identify human gait disorders. Moving forward, this information has potential for use in clinical applications in the diagnosis of gait-related disorders and developing novel orthoses and prosthetics to prevent falls and ankle sprains. Full article

Background: The risk for an unexpected fall can be due to increasing age, health conditions, and loss of cognitive, sensory, or musculoskeletal functions. Falls have personal and economic consequences in many countries. Different disturbances can occur during gait, such as tripping, slipping, or other unexpected circumstances that can generate a loss of balance. The strategies used to recover balance depend on many factors, but selecting a correct response strategy influences the success of balance recovery. Objectives: (1) To collect and clarify the definitions of compensatory protective step strategies to recover balance in older adults; (2) to identify the most used methods to induce loss of balance; and (3) to identify the most used spatiotemporal variables in analyzing these actions. Methods: The present review has followed the PRISMA guideline extension for Scoping Review (PRISMA-ScR) and the phases proposed by Askery and O’Malley. The search was conducted in three databases: PubMed, Web of Science, and Scopus. Results: A total of 525 articles were identified, and 53 studies were included. Forty-five articles were quasi-experimental studies, six articles were randomized controlled trials, and two studies had an observational design. In total, 12 compensatory protective step strategies have been identified. Conclusions: There are 12 compensatory protective step strategies: lowering and elevating strategy, short- and long-step strategy, backward and forward stepping for slip, single step, multiple steps, lateral sidesteps or loaded leg sidestep unloaded leg sidestep, crossover step (behind and front), and medial sidestep. To standardize the terminology applied in future studies, we recommend collecting these strategies under the term of compensatory protective step strategies. The most used methods to induce loss of balance are the tether-release, trip, waist-pull, and slip methods. The variables analyzed by articles are the number of steps, the acceleration phase and deceleration phase, COM displacement, the step initiation or step duration, stance phase time, swing phase time and double-stance duration, stride length, step length, speed step, speed gait and the type of step. Full article

This paper presents control design and implementation for a power-assisted mobile trainer that employs neuro-developmental treatment (NDT) principles. NDT is a gait rehabilitation technique for stroke patients that provides minimum intervention at critical gait events. Traditional NDT rehabilitation is an effective post-stroke treatment but is also time consuming and labor intensive for therapists. Therefore, we designed a mobile NDT trainer to automatically repeat therapists’ intervention patterns, allowing patients to receive sufficient training without increasing therapists’ workloads. Because the trainer was self-propelled, it could cause burdens to stroke patients with limited muscle strength, thereby potentially degrading the rehabilitation effects. Hence, this paper proposes a power-assisted device that can let the mobile trainer follow the user, allowing the subject to focus on the rehabilitation training. We conducted system identification and control design for the power-assisted NDT trainer. We then implemented the designed controllers and tested the trainer. Finally, we invited 10 healthy subjects and 12 stroke patients to conduct clinical experiments. After using the power-assisted NDT trainer, most participants exhibited improvements in swing-phase symmetry, pelvic rotation, and walking speed. Based on the results, the power-assisted device was deemed effective in facilitating stroke rehabilitation. Full article

Accurate knowledge of oscillation parameters (i.e., frequency, amplitude, phase, and damping factor) is crucial for control strategies of power systems under power swing. This paper presents a method for the parameter estimation of power system oscillation signals under power swing based on Clarke–DFT. The proposed method provides accurate parameter estimation of damped sinusoidal signals for both balanced and unbalanced systems, which performs well even in the presence of harmonics. In the meantime, the negative frequency components in the spectra of the damped sinusoidal signals, which are caused by system imbalance, are calculated accurately using complex-valued interpolated DFT. To verify the performance of the proposed method, simulations are performed under balanced and unbalanced conditions. The results of the simulations confirm the effectiveness of the proposed method either in unbalanced or harmonic conditions. Full article

Robotic legs, such as for lower-limb exoskeletons and prostheses, have bimodal operation: (1) within a task, like for walking (high speed and low force for the swing phase and low speed and higher force when the leg bears the weight of the system); (2) between tasks, like between walking and sit–stand motions. Sizing a traditional single-ratio actuation system for such extremum operations leads to oversized heavy electric motor and poor energy efficiency at low speeds. This paper explores a bimodal actuation concept where a hydrostatic transmission is dynamically reconfigured using custom motorized ball valves to suit the requirements of a robotic leg with a smaller and more efficient actuation system. First, this paper presents an analysis of the mass and efficiency advantages of the bimodal solution over a baseline solution, for three operating points: high-speed, high-force, and braking modes. Second, an experimental demonstration with a custom-built actuation system and a robotic leg test bench is presented. Control challenges regarding dynamic transition between modes are discussed and a control scheme solution is proposed and tested. The results show the following findings: (1) The actuator prototype can meet the requirements of a leg bimodal operation in terms of force, speed, and compliance while using smaller motors than a baseline solution. (2) The proposed operating principle and control schemes allow for smooth and fast mode transitions. (3) Motorized ball valves exhibit a good trade-off between size, speed, and flow restriction. (4) Motorized ball valves are a promising way to dynamically reconfigure a hydrostatic transmission while allowing energy to be dissipated. Full article

This paper aims to introduce robot technology to carry out the safety inspection of transmission towers in long-distance power transmission, so as to improve the safety and efficiency of inspection. However, aiming at the problem that the existing climbing robots are mainly used for large load applications, which leads to the large size and lack of flexibility of the robot, we propose an innovative solution. Firstly, a lightweight quadruped climbing robot is designed to improve portability and operational flexibility. Then, a one-dimensional force sensor is added at the end of each leg of the robot, and a special swing phase trajectory is designed. The robot can judge whether the electromagnetic adsorption is effective and avoid potential safety hazards. Finally, based on the principle of virtual model control (VMC), a foot-end force balancing algorithm is proposed to achieve uniform distribution and continuous change in force, and improve safety and load capacity. The experiments show that the scheme has a stable climbing ability in the environments of angle steel, vertical ferromagnetic plane and transmission tower. Full article

Gait variability (GV) is a crucial measure of inconsistency of muscular activities or body segmental movements during repeated tasks. Hence, GV might serve as a relevant and sensitive measure to quantify adjustments of walking control. However, it has not been clarified whether GV is associated with walking speed, a clarification needed to exploit effective better bilateral coordination level. For this aim, fourteen male students (age 22.4 ± 2.7 years, body mass 74.9 ± 6.8 kg, and body height 1.78 ± 0.05 m) took part in this study. After three days of walking 1 km each day at a self-selected speed (SS) on asphalt with an Apple Watch S. 7 (Apple^TM, Cupertino, CA, USA), the participants were randomly evaluated on a treadmill at three different walking speed intensities for 10 min at each one, SS − 20%/SS + 20%/ SS, with 5 min of passive recovery in-between. Heart rate (HR) was monitored and normalized as %HR_max, while the rate of perceived exertion (RPE) (CR-10 scale) was asked after each trial. Kinematic analysis was performed, assessing the Contact Time (CT), Swing Time (ST), Stride Length (SL), Stride Cycle (SC), and Gait Variability as Phase Coordination Index (PCI). RPE and HR increased as the walking speed increased (p = 0.005 and p = 0.035, respectively). CT and SC decreased as the speed increased (p = 0.0001 and p = 0.013, respectively), while ST remained unchanged (p = 0.277). SL increased with higher walking speed (p = 0.0001). Conversely, PCI was 3.81 ± 0.88% (high variability) at 3.96 ± 0.47 km·h⁻¹, 2.64 ± 0.75% (low variability) at SS (4.94 ± 0.58 km·h⁻¹), and 3.36 ± 1.09% (high variability) at 5.94 ± 0.70 km·h⁻¹ (p = 0.001). These results indicate that while the metabolic demand and kinematics variables change linearly with increasing speed, the most effective GV was observed at SS. Therefore, SS could be a new methodological approach to choose the individual walking speed, normalize the speed intensity, and avoid a gait pattern alteration. Full article

Cueing and feedback training can be effective in maintaining or improving gait in individuals with Parkinson’s disease. We previously designed a rehabilitation assist device that can detect and classify a user’s gait at only the swing phase of the gait cycle, for the ease of data processing. In this study, we analyzed the impact of various factors in a gait detection algorithm on the gait detection and classification rate (GDCR). We collected acceleration and angular velocity data from 25 participants (1 male and 24 females with an average age of 62 ± 6 years) using our device and analyzed the data using statistical methods. Based on these results, we developed an adaptive GDCR control algorithm using several equations and functions. We tested the algorithm under various virtual exercise scenarios using two control methods, based on acceleration and angular velocity, and found that the acceleration threshold was more effective in controlling the GDCR (average Spearman correlation −0.9996, p < 0.001) than the gyroscopic threshold. Our adaptive control algorithm was more effective in maintaining the target GDCR than the other algorithms (p < 0.001) with an average error of 0.10, while other tested methods showed average errors of 0.16 and 0.28. This algorithm has good scalability and can be adapted for future gait detection and classification applications. Full article