Wearable technologies最新文献

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Estimating ground reaction force with novel carbon nanotube-based textile insole pressure sensors. 基于碳纳米管的新型纺织鞋垫压力传感器估算地面反作用力。
Wearable technologies Pub Date : 2023-01-01 DOI: 10.1017/wtc.2023.2
Kaleb Burch, Sagar Doshi, Amit Chaudhari, Erik Thostenson, Jill Higginson
{"title":"Estimating ground reaction force with novel carbon nanotube-based textile insole pressure sensors.","authors":"Kaleb Burch,&nbsp;Sagar Doshi,&nbsp;Amit Chaudhari,&nbsp;Erik Thostenson,&nbsp;Jill Higginson","doi":"10.1017/wtc.2023.2","DOIUrl":"https://doi.org/10.1017/wtc.2023.2","url":null,"abstract":"<p><p>This study presents a new wearable insole pressure sensor (IPS), composed of fabric coated in a carbon nanotube-based composite thin film, and validates its use for quantifying ground reaction forces (GRFs) during human walking. Healthy young adults (<i>n</i> = 7) walked on a treadmill at three different speeds while data were recorded simultaneously from the IPS and a force plate (FP). The IPS was compared against the FP by evaluating differences between the two instruments under two different assessments: (1) comparing the two peak forces at weight acceptance and push-off (2PK) and (2) comparing the absolute maximum (MAX) of each gait cycle. Agreement between the two systems was evaluated using the Bland-Altman method. For the 2PK assessment, the group mean of differences (MoD) was -1.3 ± 4.3% body weight (BW) and the distance between the MoD and the limits of agreement (2S) was 25.4 ± 11.1% BW. For the MAX assessment, the average MoD across subjects was 1.9 ± 3.0% BW, and 2S was 15.8 ± 9.3% BW. The results of this study show that this sensor technology can be used to obtain accurate measurements of peak walking forces with a basic calibration and consequently open new opportunities to monitor GRF outside of the laboratory.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"4 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10062471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10138376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Series-elastic actuator with two degree-of-freedom PID control improves torque control in a powered knee exoskeleton 采用双自由度PID控制的系列弹性致动器改善了动力膝关节外骨骼的扭矩控制
Wearable technologies Pub Date : 2023-01-01 DOI: 10.1017/wtc.2023.20
Sergei V. Sarkisian, Lukas Gabert, Tommaso Lenzi
{"title":"Series-elastic actuator with two degree-of-freedom PID control improves torque control in a powered knee exoskeleton","authors":"Sergei V. Sarkisian, Lukas Gabert, Tommaso Lenzi","doi":"10.1017/wtc.2023.20","DOIUrl":"https://doi.org/10.1017/wtc.2023.20","url":null,"abstract":"Abstract Powered exoskeletons need actuators that are lightweight, compact, and efficient while allowing for accurate torque control. To satisfy these requirements, researchers have proposed using series elastic actuators (SEAs). SEAs use a spring in series with rotary or linear actuators. The spring compliance, in conjunction with an appropriate control scheme, improves torque control, efficiency, output impedance, and disturbance rejection. However, springs add weight to the actuator and complexity to the control, which may have negative effects on the performance of the powered exoskeleton. Therefore, there is an unmet need for new SEA designs that are lighter and more efficient than available systems, as well as for control strategies that push the performance of SEA-based exoskeletons without requiring complex modeling and tuning. This article presents the design, development, and testing of a novel SEA with high force density for powered exoskeletons, as well as the use of a two degree-of-freedom (2DOF) PID system to improve output impedance and disturbance rejection. Benchtop testing results show reduced output impedance and damping values when using a 2DOF PID controller as compared to a 1DOF PID controller. Human experiments with three able-bodied subjects ( N = 3) show improved torque tracking with reduced root-mean-square error by 45.2% and reduced peak error by 49.8% when using a 2DOF PID controller. Furthermore, EMG data shows a reduction in peak EMG value when using the exoskeleton in assistive mode compared to the exoskeleton operating in transparent mode.","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136367323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An algorithm to reduce human-robot interface compliance errors in posture estimation in wearable robots. 减少可穿戴机器人姿态估计中人机界面顺应性误差的算法。
Wearable technologies Pub Date : 2022-12-27 eCollection Date: 2022-01-01 DOI: 10.1017/wtc.2022.29
Gleb Koginov, Kanako Sternberg, Peter Wolf, Kai Schmidt, Jaime E Duarte, Robert Riener
{"title":"An algorithm to reduce human-robot interface compliance errors in posture estimation in wearable robots.","authors":"Gleb Koginov, Kanako Sternberg, Peter Wolf, Kai Schmidt, Jaime E Duarte, Robert Riener","doi":"10.1017/wtc.2022.29","DOIUrl":"10.1017/wtc.2022.29","url":null,"abstract":"<p><p>Assistive forces transmitted from wearable robots to the robot's users are often defined by controllers that rely on the accurate estimation of the human posture. The compliant nature of the human-robot interface can negatively affect the robot's ability to estimate the posture. In this article, we present a novel algorithm that uses machine learning to correct these errors in posture estimation. For that, we recorded motion capture data and robot performance data from a group of participants (<i>n</i> = 8; 4 females) who walked on a treadmill while wearing a wearable robot, the Myosuit. Participants walked on level ground at various gait speeds and levels of support from the Myosuit. We used optical motion capture data to measure the relative displacement between the person and the Myosuit. We then combined this data with data derived from the robot to train a model, using a grading boosting algorithm (XGBoost), that corrected for the mechanical compliance errors in posture estimation. For the Myosuit controller, we were particularly interested in the angle of the thigh segment. Using our algorithm, the estimated thigh segment's angle RMS error was reduced from 6.3° (2.3°) to 2.5° (1.0°), mean (standard deviation). The average maximum error was reduced from 13.1° (4.9°) to 5.9° (2.1°). These improvements in posture estimation were observed for all of the considered assistance force levels and walking speeds. This suggests that ML-based algorithms provide a promising opportunity to be used in combination with wearable-robot sensors for an accurate user posture estimation.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"1 1","pages":"e30"},"PeriodicalIF":0.0,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57585850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Feasibility evaluation of a dual-mode ankle exoskeleton to assist and restore community ambulation in older adults. 双模式踝关节外骨骼辅助和恢复老年人社区行走的可行性评估。
Wearable technologies Pub Date : 2022-01-01 Epub Date: 2022-07-01 DOI: 10.1017/wtc.2022.12
Ying Fang, Karl Harshe, Jason R Franz, Zachary F Lerner
{"title":"Feasibility evaluation of a dual-mode ankle exoskeleton to assist and restore community ambulation in older adults.","authors":"Ying Fang, Karl Harshe, Jason R Franz, Zachary F Lerner","doi":"10.1017/wtc.2022.12","DOIUrl":"10.1017/wtc.2022.12","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Age-related deficits in plantar flexor muscle function during the push-off phase of walking likely contribute to the decline in mobility that affects many older adults. Isolated strengthening of the plantar flexor muscles has failed to improve push-off power or walking economy in this population. New mobility aids and/or functional training interventions may help slow or prevent ambulatory decline in the elderly.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The overarching objective of this study was to explore the feasibility of using an untethered, dual-mode ankle exoskeleton for treating walking disability in the elderly; testing the device in assistance mode as a mobility aid to reduce energy consumption, and as a resistive gait training tool to facilitate functional recruitment of the plantar flexor muscles.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We recruited 6 older adults between the ages of 68 to 83 years to evaluate the feasibility of the dual-mode exoskeleton across two visits. On the first visit, we quantified acute metabolic and neuromuscular adaption to ankle exoskeleton assistance during walking in older adults, and subsequently determined if higher baseline energy cost was related to an individual's potential to benefit from untethered assistance. On the second visit, we validated the potential for push-off phase ankle resistance combined with plantar pressure biofeedback to facilitate functional utilization of the ankle plantar flexors during walking. We also conducted a twelve-session ankle resistance training protocol with one pilot participant to explore the effects of gait training with wearable ankle resistance on mobility and plantar flexor strength.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Participants reached the lowest net metabolic power, soleus variance ratio, and soleus iEMG at 6.6 ± 1.6, 19.8 ± 1.6, and 5.8 ± 4.9 minutes, respectively, during the 30-minute exoskeleton assistance adaptation trial. Four of five participants exhibited a reduction (up to 19%) in metabolic power during walking with assistance relative to baseline, but there was no group-level change. Participants who had greater baseline metabolic power exhibited a greater reduction during walking with assistance. Walking with resistance increased stance-phase soleus iEMG by 18 - 186% and stance-phase average positive ankle power by 9 - 88% compared to baseline. Following ankle resistance gait training, the participant exhibited a 5% increase in self-selected walking speed, a 15% increase in fast walking speed, a 36% increase in 6-min-walk-test distance, and a 31% increase in plantar flexor strength compared to pre-intervention measurements.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Our results suggest that dual-mode ankle exoskeletons appear highly applicable to treating plantar flexor dysfunction in the elderly, with assistance holding potential as a mobility aid and resistance holding potential as a functional gait training tool. We used an untethered de","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"3 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673997/pdf/nihms-1824633.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10807869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Seamless and intuitive control of a powered prosthetic leg using deep neural network for transfemoral amputees. 利用深度神经网络为经股截肢者提供无缝、直观的动力假肢控制。
IF 3.4
Wearable technologies Pub Date : 2022-01-01 Epub Date: 2022-09-28 DOI: 10.1017/wtc.2022.19
Minjae Kim, Ann M Simon, Levi J Hargrove
{"title":"Seamless and intuitive control of a powered prosthetic leg using deep neural network for transfemoral amputees.","authors":"Minjae Kim, Ann M Simon, Levi J Hargrove","doi":"10.1017/wtc.2022.19","DOIUrl":"10.1017/wtc.2022.19","url":null,"abstract":"<p><p>Powered prosthetic legs are becoming a promising option for amputee patients. However, developing safe, robust, and intuitive control strategies for powered legs remains one of the greatest challenges. Although a variety of control strategies have been proposed, creating and fine-tuning the system parameters is time-intensive and complicated when more activities need to be restored. In this study, we developed a deep neural network (DNN) model that facilitates seamless and intuitive gait generation and transitions across five ambulation modes: level-ground walking, ascending/descending ramps, and ascending/descending stairs. The combination of latent and time sequence features generated the desired impedance parameters within the ambulation modes and allowed seamless transitions between ambulation modes. The model was applied to the open-source bionic leg and tested on unilateral transfemoral users. It achieved the overall coefficient of determination of 0.72 with the state machine-based impedance parameters in the offline testing session. In addition, users were able to perform in-laboratory ambulation modes with an overall success rate of 96% during the online testing session. The results indicate that the DNN model is a promising candidate for subject-independent and tuning-free prosthetic leg control for transfemoral amputees.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"3 ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10085575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9301090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multi-degrees-of-freedom soft robotic ankle-foot orthosis for gait assistance and variable ankle support. 用于步态辅助和可变踝关节支撑的多自由度软机器人踝足矫形器。
IF 3.4
Wearable technologies Pub Date : 2022-01-01 Epub Date: 2022-08-01 DOI: 10.1017/wtc.2022.14
Carly M Thalman, Tiffany Hertzell, Marielle Debeurre, Hyunglae Lee
{"title":"Multi-degrees-of-freedom soft robotic ankle-foot orthosis for gait assistance and variable ankle support.","authors":"Carly M Thalman, Tiffany Hertzell, Marielle Debeurre, Hyunglae Lee","doi":"10.1017/wtc.2022.14","DOIUrl":"10.1017/wtc.2022.14","url":null,"abstract":"<p><p>This paper presents the design, modeling, analysis, fabrication, and experimental characterization of the Soft Robotic Ankle-Foot Orthosis (SR-AFO), which is a wearable soft robot designed for ankle assistance, and a pilot human study of its use. Using two novel pneumatically-powered soft actuators, the SR-AFO is designed to assist the ankle in multiple degrees-of-freedom during standing and walking tasks. The flat fabric pneumatic artificial muscle (ff-PAM) contracts upon pressurization and assists ankle plantarflexion in the sagittal plane. The Multi-material Actuator for Variable Stiffness (MAVS) aids in supporting ankle inversion/eversion in the frontal plane. Analytical models of the ff-PAM and MAVS were created to understand how the changing of the design parameters affects tensile force generation and stiffness support, respectively. The models were validated by both finite element analysis and experimental characterization using a universal testing machine. A set of human experiments was performed with able-bodied participants to evaluate: 1) lateral ankle support during quiet standing, 2) lateral ankle support during walking over compliant surfaces, and 3) plantarflexion assistance during push-off in treadmill walking. Group results revealed increased lateral ankle stiffness during quiet standing with the MAVS active, reduced lateral ankle deflection while walking over compliant surfaces with the MAVS active, and reduced muscle effort in ankle platarflexors during 40-60% of the gait cycle with the dual ff-PAM active. The SR-AFO shows promising results in providing lateral ankle support and plantarflexion assistance with able-bodied participants, which suggests a potential to help restore the gait of impaired users in future trials.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"3 ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9886237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Performance of the CYBERLEGs motorized lower limb prosthetic device during simulated daily activities. CYBERLEGs电动下肢假肢装置在模拟日常活动中的表现
Wearable technologies Pub Date : 2021-11-22 eCollection Date: 2021-01-01 DOI: 10.1017/wtc.2021.15
Jo Ghillebert, Joost Geeroms, Louis Flynn, Sander De Bock, Renée Govaerts, Elke Lathouwers, Simona Crea, Nicola Vitiello, Dirk Lefeber, Romain Meeusen, Kevin De Pauw
{"title":"Performance of the CYBERLEGs motorized lower limb prosthetic device during simulated daily activities.","authors":"Jo Ghillebert, Joost Geeroms, Louis Flynn, Sander De Bock, Renée Govaerts, Elke Lathouwers, Simona Crea, Nicola Vitiello, Dirk Lefeber, Romain Meeusen, Kevin De Pauw","doi":"10.1017/wtc.2021.15","DOIUrl":"10.1017/wtc.2021.15","url":null,"abstract":"<p><strong>Background: </strong>The CYBERLEGs-gamma (CLs-ɣ) prosthesis has been developed to investigate the possibilities of powerful active prosthetics in restoring human gait capabilities after lower limb amputation.</p><p><strong>Objective: </strong>The objective of this study was to determine the performance of the CLs-ɣ prosthesis during simulated daily activities.</p><p><strong>Methods: </strong>Eight participants with a transfemoral amputation (age: 55 ± 15 years, <i>K</i>-level 3, registered under: NCT03376919) performed a familiarization session, an experimental session with their current prosthesis, three training sessions with the CLs-ɣ prosthesis and another experimental session with the CLs-ɣ prosthesis. Participants completed a stair-climbing-test, a timed-up-and-go-test, a sit-to stand-test, a 2-min dual-task and a 6-min treadmill walk test.</p><p><strong>Results: </strong>Comparisons between the two experimental sessions showed that stride length significantly increased during walking with the CLs-ɣ prosthesis (<i>p</i> = .012) due to a greater step length of the amputated leg (<i>p</i> = .035). Although a training period with the prototype was included, preferred walking speed was significantly slower (<i>p</i> = .018), the metabolic cost of transport was significantly higher (<i>p</i> = .028) and reaction times significantly worsened (<i>p</i> = .012) when walking with the CLs-ɣ compared to the current prosthesis.</p><p><strong>Conclusions: </strong>It can be stated that a higher physical and cognitive effort were required when wearing the CLs-ɣ prosthesis. Positive outcomes were observed regarding stride length and stair ambulation. Future prosthetics development should minimize the weight of the device and integrate customized control systems. A recommendation for future research is to include several shorter training periods or a prolonged adaptation period.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"2 1","pages":"e15"},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41455429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of an acceleration-based assistive strategy to control a back-support exoskeleton for manual material handling. 基于加速的辅助策略的评估,以控制背部支撑外骨骼的手动材料处理
IF 3.4
Wearable technologies Pub Date : 2021-01-11 eCollection Date: 2020-01-01 DOI: 10.1017/wtc.2020.8
Maria Lazzaroni, Ali Tabasi, Stefano Toxiri, Darwin G Caldwell, Elena De Momi, Wietse van Dijk, Michiel P de Looze, Idsart Kingma, Jaap H van Dieën, Jesús Ortiz
{"title":"Evaluation of an acceleration-based assistive strategy to control a back-support exoskeleton for manual material handling.","authors":"Maria Lazzaroni, Ali Tabasi, Stefano Toxiri, Darwin G Caldwell, Elena De Momi, Wietse van Dijk, Michiel P de Looze, Idsart Kingma, Jaap H van Dieën, Jesús Ortiz","doi":"10.1017/wtc.2020.8","DOIUrl":"10.1017/wtc.2020.8","url":null,"abstract":"<p><p>To reduce the incidence of occupational musculoskeletal disorders, back-support exoskeletons are being introduced to assist manual material handling activities. Using a device of this type, this study investigates the effects of a new control strategy that uses the angular acceleration of the user's trunk to assist during lifting tasks. To validate this new strategy, its effectiveness was experimentally evaluated relative to the condition without the exoskeleton as well as against existing strategies for comparison. Using the exoskeleton during lifting tasks reduced the peak compression force on the L5S1 disc by up to 16%, with all the control strategies. Substantial differences between the control strategies in the reductions of compression force, lumbar moment and back muscle activation were not observed. However, the new control strategy reduced the movement speed less with respect to the existing strategies. Thanks to improved timing in the assistance in relation to the typical dynamics of the target task, the hindrance to typical movements appeared reduced, thereby promoting intuitiveness and comfort.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"1 1","pages":"e9"},"PeriodicalIF":3.4,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11265403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43108046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Direct continuous electromyographic control of a powered prosthetic ankle for improved postural control after guided physical training: A case study. 直接连续肌电图控制的动力假肢踝关节改善姿势控制后的指导体育训练:一个案例研究。
Wearable technologies Pub Date : 2021-01-01 Epub Date: 2021-04-12 DOI: 10.1017/wtc.2021.2
Aaron Fleming, Stephanie Huang, Elizabeth Buxton, Frank Hodges, He Helen Huang
{"title":"Direct continuous electromyographic control of a powered prosthetic ankle for improved postural control after guided physical training: A case study.","authors":"Aaron Fleming,&nbsp;Stephanie Huang,&nbsp;Elizabeth Buxton,&nbsp;Frank Hodges,&nbsp;He Helen Huang","doi":"10.1017/wtc.2021.2","DOIUrl":"https://doi.org/10.1017/wtc.2021.2","url":null,"abstract":"<p><p>Despite the promise of powered lower limb prostheses, existing controllers do not assist many daily activities that require continuous control of prosthetic joints according to human states and environments. The objective of this case study was to investigate the feasibility of direct, continuous electromyographic (dEMG) control of a powered ankle prosthesis, combined with physical therapist-guided training, for improved standing postural control in an individual with transtibial amputation. Specifically, EMG signals of the residual antagonistic muscles (i.e. <i>lateral gastrocnemius</i> and <i>tibialis anterior)</i> were used to proportionally drive pneumatical artificial muscles to move a prosthetic ankle. Clinical-based activities were used in the training and evaluation protocol of the control paradigm. We quantified the EMG signals in the bilateral shank muscles as well as measures of postural control and stability. Compared to the participant's daily passive prosthesis, the dEMG-controlled ankle, combined with the training, yielded improved clinical balance scores and reduced compensation from intact joints. Cross-correlation coefficient of bilateral center of pressure excursions, a metric for quantifying standing postural control, increased to .83(±.07) when using dEMG ankle control (<i>passive device:</i> .39(±.29)). We observed synchronized activation of homologous muscles, rapid improvement in performance on the first day of the training for load transfer tasks, and further improvement in performance across training days <i>(p</i> = <i>.006).</i> This case study showed the feasibility of this dEMG control paradigm of a powered prosthetic ankle to assist postural control. This study lays the foundation for future study to extend these results through the inclusion of more participants and activities.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"2 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/wtc.2021.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39425926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 16
Real-time gait metric estimation for everyday gait training with wearable devices in people poststroke. 脑卒中后可穿戴设备日常步态训练的实时步态度量估计。
Wearable technologies Pub Date : 2021-01-01 Epub Date: 2021-03-25 DOI: 10.1017/wtc.2020.11
Philipp Arens, Christopher Siviy, Jaehyun Bae, Dabin K Choe, Nikos Karavas, Teresa Baker, Terry D Ellis, Louis N Awad, Conor J Walsh
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引用次数: 13
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