Design, control, and pilot study of a lightweight and modular robotic exoskeleton for walking assistance after spinal cord injury

Walking rehabilitation using exoskeletons is of high importance to maximize independence and improve the general well-being of spinal cord injured subjects. We present the design and control of a lightweight and modular robotic exoskeleton to assist walking in spinal cord injured subjects who can co...

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Detalles Bibliográficos
Autores: Font Llagunes, Josep Maria|||0000-0002-7192-2980, Lugrís Armesto, Urbano, Clos Costa, Daniel|||0000-0001-7530-930X, Alonso Sánchez, Francisco Javier, Cuadrado Aranda, Javier
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:upcommons.upc.edu:2117/177824
Acceso en línea:https://hdl.handle.net/2117/177824
https://dx.doi.org/10.1115/1.4045510
Access Level:acceso abierto
Palabra clave:Biomechanics
Medical robotics
Multi-body dynamics and exoskeletons
Wearable robots
Rehabilitation engineering
Gait analysis
Spinal cord injury
Biomecànica
Àrees temàtiques de la UPC::Enginyeria biomèdica::Biomecànica
Àrees temàtiques de la UPC::Enginyeria biomèdica::Robòtica mèdica
Descripción
Sumario:Walking rehabilitation using exoskeletons is of high importance to maximize independence and improve the general well-being of spinal cord injured subjects. We present the design and control of a lightweight and modular robotic exoskeleton to assist walking in spinal cord injured subjects who can control hip flexion, but lack control of knee and ankle muscles. The developed prototype consists of two robotic orthoses, which are powered by a motor-harmonic drive actuation system that controls knee flexion–extension. This actuation module is assembled on standard passive orthoses. Regarding the control, the stance-to-swing transition is detected using two inertial measurement units mounted on the tibial supports, and then the corresponding motor performs a predefined flexion–extension cycle that is personalized to the specific patient’s motor function. The system is portable by means of a backpack that contains an embedded computer board, the motor drivers, and the battery. A preliminary biomechanical evaluation of the gait-assistive device used by a female patient with incomplete spinal cord injury at T11 is presented. Results show an increase of gait speed (+24.11%), stride length (+7.41%), and cadence (+15.56%) when wearing the robotic orthoses compared with the case with passive orthoses. Conversely, a decrease of lateral displacement of the center of mass (-19.31%) and step width (-13.37% right step, -8.81% left step) are also observed, indicating gain of balance. The biomechanical assessment also reports an overall increase of gait symmetry when wearing the developed assistive device.