An official website of the United States government
Tibiofemoral compression forces present during locomotion can result in high stress and risk damage to the knee. Powered assistance using a knee exoskeleton may reduce the knee load by reducing the work required by the muscles. However, the exact effect of assistance on the tibiofemoral force is unknown. The goal of this study was to investigate the effect of knee extension assistance during the early stance phase on the tibiofemoral force. Nine able-bodied adults walked on an inclined treadmill with a bilateral knee exoskeleton with assistance and with no assistance. Using an EMG-informed neuromusculoskeletal model, muscle forces were estimated, then utilized to estimate the tibiofemoral contact force. Results showed a 28% reduction in the knee moment, which resulted in approximately a 15% decrease in knee extensor muscle activation and a 20% reduction in subsequent muscle force, leading to a significant 10% reduction in peak and 9% reduction in average tibiofemoral contact force during the early stance phase (p < 0.05). The results indicate the tibiofemoral force is highly dependent on the knee kinetics and quadricep muscle activation due to their influence on knee extensor muscle forces, the primary contributor to the knee load.
more »
« less
User and Environmental Context Adaptive Knee Exoskeleton Assistance using Electromyography
Proportional myoelectric controller (PMC) has been one of the most common assistance strategies for robotic exoskeletons due to its ability to modulate assistance level directly based on the user's muscle activation. However, existing PMC strategies (static or user-adaptive) scale torque linearly with muscle activation level and fail to address complex and non-linear mapping between muscle activation and joint torque. Furthermore, previously presented adaptive PMC strategies do not allow for environmental changes (such as changes in ground slopes) and modulate the system's assistance level over many steps. In this work, we designed a novel user- and environment-adaptive PMC for a knee exoskeleton that modulates the peak assistance level based on the slope level during locomotion. We recruited nine able-bodied adults to test and compare the effects of three different PMC strategies (static, user-adaptive, and user- and environment-adaptive) on the user's metabolic cost and the knee extensor muscle activation level during load-carriage walking (6.8 kg) in three inclination settings (0°, 4.5°, and 8.5°). The results showed that only the user- and environment-adaptive PMC was effective in significantly reducing user's metabolic cost (5.8% reduction) and the knee extensor muscle activation (19% reduction) during 8.5° incline walking compared to the unpowered condition while other PMCs did not have as large of an effect. This control framework highlights the viability of implementing an assistance paradigm that can dynamically adjust to the user's biological demand, allowing for a more personalized assistance paradigm.
more »
« less
- Award ID(s):
- 1830215
- PAR ID:
- 10473339
- Publisher / Repository:
- IEEE 2023 International Symposium on Medical Robotics (ISMR)
- Date Published:
- ISBN:
- 979-8-3503-0162-5
- Page Range / eLocation ID:
- 1 to 6
- Format(s):
- Medium: X
- Location:
- Atlanta, GA, USA
- Sponsoring Org:
- National Science Foundation
More Like this
-
-
null (Ed.)Powered ankle exoskeletons that apply assistive torques with optimized timing and magnitude can reduce metabolic cost by ∼10% compared to normal walking. However, finding individualized optimal control parameters is time consuming and must be done independently for different walking modes (e.g., speeds, slopes). Thus, there is a need for exoskeleton controllers that are capable of continuously adapting torque assistance in concert with changing locomotor demands. One option is to use a biologically inspired, model-based control scheme that can capture the adaptive behavior of the human plantarflexors during natural gait. Here, based on previously demonstrated success in a powered ankle-foot prosthesis, we developed an ankle exoskeleton controller that uses a neuromuscular model (NMM) comprised of a Hill type musculotendon driven by a simple positive force feedback reflex loop. To examine the effects of NMM reflex parameter settings on (i) ankle exoskeleton mechanical performance and (ii) users’ physiological response, we recruited nine healthy, young adults to walk on a treadmill at a fixed speed of 1.25 m/s while donning bilateral tethered robotic ankle exoskeletons. To quantify exoskeleton mechanics, we measured exoskeleton torque and power output across a range of NMM controller Gain (0.8–2.0) and Delay (10–40 ms) settings, as well as a High Gain/High Delay (2.0/40 ms) combination. To quantify users’ physiological response, we compared joint kinematics and kinetics, ankle muscle electromyography and metabolic rate between powered and unpowered/zero-torque conditions. Increasing NMM controller reflex Gain caused increases in average ankle exoskeleton torque and net power output, while increasing NMM controller reflex Delay caused a decrease in net ankle exoskeleton power output. Despite systematic reduction in users’ average biological ankle moment with exoskeleton mechanical assistance, we found no NMM controller Gain or Delay settings that yielded changes in metabolic rate. Post hoc analyses revealed weak association at best between exoskeleton and biological mechanics and changes in users’ metabolic rate. Instead, changes in users’ summed ankle joint muscle activity with powered assistance correlated with changes in their metabolic energy use, highlighting the potential to utilize muscle electromyography as a target for on-line optimization in next generation adaptive exoskeleton controllers.more » « less
-
Wearable robotics has shown to be effective for assisting in activities of daily living and restoring motor functions. The objective of this research is to develop a soft robotic exosuit for knee flexion assistance during normal walking and validate its ability to reduce the efforts of the knee flexor muscles: biceps femoris (BF) and semitendinosus (SM). The exosuit is powered by an inflatable curved fabric actuator with the capability to generate flexion torques at the knee joint. An analytical model to characterize the torque of the proposed actuator is derived and validated experimentally. It is found that the analytical torque model precisely matches the experimental results such that the highest root mean square error (RMSE) obtained is 1.237 Nm while the lowest is 0.188 Nm. In addition, the derived model outperformed a benchmark torque model such that its minimum and maximum RMSEs are approximately 90% and 70% less than the benchmark model respectively. A prototype of the knee exosuit is fabricated and tested on one healthy subject with different operating conditions to assist knee flexion during normal walking. The results show that by choosing the appropriate timing of inflation, the exosuit can reduce the electromyography activity of the BF and the SM by 32% and 23%, respectively, without impeding the knee extensor muscle or reducing the knee's range of motion.more » « less
-
Objective: Semi-active exoskeletons combining lightweight, low powered actuators and passive-elastic elements are a promising approach to portable robotic assistance during locomotion. Here, we introduce a novel semi-active hip exoskeleton concept and evaluate human walking performance across a range of parameters using a tethered robotic testbed. Methods : We emulated semi-active hip exoskeleton (exo) assistance by applying a virtual torsional spring with a fixed rotational stiffness and an equilibrium angle established in terminal swing phase (i.e., via pre-tension into stance). We performed a 2-D sweep of spring stiffness x equilibrium position parameters (30 combinations) across walking speed (1.0, 1.3, and 1.6 m/s) and measured metabolic rate to identify device parameters for optimal metabolic benefit. Results : At each speed, optimal exoskeleton spring settings provided a ∼10% metabolic benefit compared to zero-impedance (ZI). Higher walking speeds required higher exoskeleton stiffness and lower equilibrium angle for maximal metabolic benefit. Optimal parameters tuned to each individual (user-dependent) provided significantly larger metabolic benefit than the average-best settings (user-independent) at all speeds except the fastest (p = 0.021, p = 0.001, and p = 0.098 at 1.0, 1.3, and 1.6 m/s, respectively). We found significant correlation between changes in user's muscle activity and changes in metabolic rate due to exoskeleton assistance, especially for muscles crossing the hip joint. Conclusion : A semi-active hip exoskeleton with spring-parameters personalized to each user could provide metabolic benefit across functional walking speeds. Minimizing muscle activity local to the exoskeleton is a promising approach for tuning assistance on-line on a user-dependent basis.more » « less
-
The field of wearable robotics has made significant progress toward augmenting human functions from multimodal ambulation to manual lifting tasks. However, most of these systems are designed to be task-specific and only focus on a single type of movement (e.g., ambulation). In this work, we design, fabricate, and characterize a versatile hip exoskeleton testbed for lifting and ambulation tasks. The exoskeleton testbed is actuated with custom-built quasidirect drive actuators. We produce an orthotic interface to transmit high torques and assemble a custom mechatronic control system for the exoskeleton testbed. We also detail controllers for level ground walking, incline walking, and symmetric knee to waist lifting. We quantify the actuator torque tracking performance quantified through benchtop and human experiments. During knee-to-waist cyclic lifting, the powered condition exhibited a 16.7% reduction in net metabolic cost compared to the no exoskeleton condition (three subjects). For additional tasks (inclined walking, level-walking), the device provided metabolic reductions when compared with the unpowered case (single subject). These testbed results illustrate the potential for versatile hip assistance and can be used to design future optimized devices.more » « less
- Free Publicly Accessible Full Text
-
Accepted Manuscript1.0
- Conference Paper:
- https://doi.org/10.1109/ISMR57123.2023.10130260
