Numerous prosthetic feet are currently on the market for individuals with a transtibial amputation, each device aimed at raising the 3C-level (control, comfort and cosmetics) with slightly different characteristics. In general, prosthetic feet can be classified into three categories. These are, following the time line: conventional feet (CF), energy-storing-and-returning (ESR) feet and the recent so-called 'bionic' feet. Researchers have shown enhanced performance properties of ESR feet compared with early CF. However, even with the advanced technology, none of the ESR feet is capable of significantly reducing energy cost of walking or enhancing prosthetic gait (Nielsen et al. J Prosthet Orthotics 1989;1:24-31; Waters et al. J Bone Joint Surg Am 1976;58:42-46; Torburn et al. J Rehabil Res Dev 1990;27:369-384). From the 1990s, gradually more attention has been paid to the incorporation of active elements in prosthetic feet as the passive devices are not capable of providing the individual with sufficient ankle power during gait. Most part of the 'bionic' devices are still on the research level nowadays but one can expect that they will become available on the market soon. In this article, the evolution of prosthetic feet over the last two decades is reflected. The importance of mimicking human ankle-foot biomechanics with prosthetic feet is briefly discussed. Prior work in both objective and subjective evaluation of prosthetic gait is reported.
Exploiting natural dynamics for bipedal locomotion, or passive walking, is gaining interest because of its energy efficiency. However, the natural trajectories of a passive walker are fixed during the design, thus limiting its mobility. A possible solution to this problem is creating a "semi-passive walker" equipped with actuators with adaptable compliance, which allows the natural dynamics to be changed according to the situation. This paper proposes a compliance controller, a strategy for continuously changing the compliance in such a way as to adapt the natural motion of the system to a desired trajectory. This opens up the possibility of following a range of different trajectories with a relatively low energy consumption. The idea is to fit the controllable actuator compliance to the "natural" compliance of the desired trajectory, and combine that with trajectory tracking control. This strategy was implemented and tested on a 1-DOF pendulum setup actuated by an antagonistic pair of pleated pneumatic artificial muscles. Both simulations and measurements show that the proposed strategy for choosing actuator compliance can significantly reduce the amount of control activity and energy consumption without harming tracking precision.
In the research field of robot-assisted gait rehabilitation there is increased focus on the improvement of physical human-robot interaction by means of high-performance actuator technologies and dedicated control strategies. In this context we propose a combination of lightweight, intrinsically compliant, high-torque actuators (pleated pneumatic artificial muscles) with safe and adaptable guidance along a target trajectory by means of proxy-based sliding mode control. We developed a powered knee exoskeleton (KNEXO) to evaluate these concepts. In addition to the trajectory-based controller a torque controller was implemented with a view to minimizing the interaction during unassisted walking. First, various treadmill walking experiments were performed with unimpaired subjects wearing KNEXO to evaluate the performance of the proposed controllers. Test results confirm the ability of KNEXO to display low actuator torques in unassisted mode and to provide safe, adaptable guidance in assisted mode. Subsequently, a multiple sclerosis patient participated in a series of pilot experiments. Provided there was some patient-specific controller tuning KNEXO was found to effectively support and compliantly guide the subject's knee.
Until today it is not entirely clear how humans interact with automated gait rehabilitation devices and how we can, based on that interaction, maximize the effectiveness of these exoskeletons. The goal of this study was to gain knowledge on the human-robot interaction, in terms of kinematics and muscle activity, between a healthy human motor system and a powered knee exoskeleton (i.e., KNEXO). Therefore, temporal and spatial gait parameters, human joint kinematics, exoskeleton kinetics and muscle activity during four different walking trials in 10 healthy male subjects were studied. Healthy subjects can walk with KNEXO in patient-in-charge mode with some slight constraints in kinematics and muscle activity primarily due to inertia of the device. Yet, during robot-in-charge walking the muscular constraints are reversed by adding positive power to the leg swing, compensating in part this inertia. Next to that, KNEXO accurately records and replays the right knee kinematics meaning that subject-specific trajectories can be implemented as a target trajectory during assisted walking. No significant differences in the human response to the interaction with KNEXO in low and high compliant assistance could be pointed out. This is in contradiction with our hypothesis that muscle activity would decrease with increasing assistance. It seems that the differences between the parameter settings of low and high compliant control might not be sufficient to observe clear effects in healthy subjects. Moreover, we should take into account that KNEXO is a unilateral, 1 degree-of-freedom device.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.