Avoiding obstacles poses a significant challenge for amputees using mechanically-passive transfemoral prosthetic limbs due to their lack of direct knee control. In contrast, powered prostheses can potentially improve obstacle avoidance via their ability to add energy to the system. In past work, researchers have proposed stumble recovery systems for powered prosthetic limbs that provide assistance in the event of a trip. However, these systems only aid recovery after an obstacle has disrupted the user's gait and do not proactively help the amputee avoid obstacles. To address this problem, we designed an adaptive system that learns online to use kinematic data from the prosthetic limb to detect the user's obstacle avoidance intent in early swing. When the system detects an obstacle, it alters the planned swing trajectory to help avoid trips. Additionally, the system uses a regression model to predict the required knee flexion angle for the trip response. We validated the system by comparing obstacle avoidance success rates with and without the obstacle avoidance system. For a non-amputee subject wearing the prosthesis through an adapter, the trip avoidance system improved the obstacle negotiation success rate from 37% to 89%, while an amputee subject improved his success rate from 35% to 71% when compared to utilizing minimum jerk trajectories for the knee and ankle joints.
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Effects of a Powered Knee-Ankle Prosthesis on Amputee Hip Compensations: A Case Series
Transfemoral amputee gait often exhibits compensations due to the lack of ankle push-off power and control over swing foot position using passive prostheses. Powered prostheses can restore this functionality, but their effects on compensatory behaviors, specifically at the residual hip, are not well understood. This paper investigates residual hip compensations through walking experiments with three transfemoral amputees using a low-impedance powered knee-ankle prosthesis compared to their day-to-day passive prosthesis. The powered prosthesis used impedance control during stance for compliant interaction with the ground, a time-based push-off controller to deliver high torque and power, and phase-based trajectory tracking during swing to provide user control over foot placement. Experiments show that when subjects utilized the powered ankle push-off, less mechanical pull-off power was required from the residual hip to progress the limb forward. Overall positive work at the residual hip was reduced for 2 of 3 subjects, and negative work was reduced for all subjects. Moreover, all subjects displayed increased step length, increased propulsive impulses on the prosthetic side, and improved impulse symmetries. Hip circumduction improved for subjects who had previously exhibited this compensation on their passive prosthesis. These improvements in gait, especially reduced residual hip power and work, have the potential to reduce fatigue and overuse injuries in persons with transfemoral amputation.
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- NSF-PAR ID:
- 10203183
- Date Published:
- Journal Name:
- IEEE Transactions on Neural Systems and Rehabilitation Engineering
- ISSN:
- 1534-4320
- Page Range / eLocation ID:
- 1 to 1
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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- Free Publicly Accessible Full Text
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1109/TNSRE.2020.3040260
