Martinez Andres, Lawson Brian, Goldfarb Michael
IEEE Int Conf Rehabil Robot. 2017 Jul;2017:375-380. doi: 10.1109/ICORR.2017.8009276.
This paper describes the design, implementation, and preliminary validation of a controller for a powered lower-limb exoskeleton that reshapes a user's leg movement during over-ground walking. The intended application of the controller is to facilitate gait training for individuals suffering from post-stroke hemiparesis. The controller mimics a kinematic constraint between the knee and hip joints during the swing phase of gait, such that movement is not dependent on time (i.e., step time is determined entirely by the user). The controller additionally incorporates real-time path planning adjustment that allows step length to be adjusted by the user. As such, the controller provides movement coordination, but still enables a user to retain the step-to-step variability required to maintain balance during walking. As a preliminary assessment of efficacy, the controller was implemented on a lower limb exoskeleton and tested on a healthy subject, who walked at varying speeds without the use of a stability aid, with and without the proposed controller. The data indicates that the exoskeleton with controller provided the intended extent of movement coordination, while still allowing the subject to maintain walking balance.
本文描述了一种用于动力下肢外骨骼的控制器的设计、实现和初步验证,该控制器可在地面行走过程中重塑使用者的腿部运动。该控制器的预期应用是为中风后偏瘫患者提供步态训练。该控制器在步态摆动阶段模拟膝关节和髋关节之间的运动学约束,使运动不依赖于时间(即步长完全由使用者决定)。该控制器还集成了实时路径规划调整功能,允许使用者调整步长。因此,该控制器提供运动协调,但仍能让使用者保持行走时维持平衡所需的步间变异性。作为疗效的初步评估,该控制器在下肢外骨骼上实现,并在一名健康受试者身上进行测试,该受试者在不使用稳定辅助装置的情况下,以不同速度行走,分别使用和不使用所提出的控制器。数据表明,带有控制器的外骨骼提供了预期的运动协调程度,同时仍允许受试者保持行走平衡。