Predictive Simulations with OpenSim Moco to Investigate the Interaction Between Human and Assistive Exoskeleton.

The purpose of this work was to investigate the interaction between human and lower limbs assistive exoskeleton under different levels of assistance, by using computational simulations. To this, a human-exoskeleton interaction model was used and three predictive simulations were carried out with the OpenSim Moco. The results proved that the increase in the level of robot assistance causes a reduction in human effort. In addition, it was possible to verify the RMS torque of both the robot and the human, as well as the muscle activations, for the different levels of assistance simulated. For future work, we intend to run predictive simulations with more complex movements, such as gait free and with obstacles, in addition to using models that can represent a human being with muscle weakness on one side of the body (hemiparesis).

Simulation of impedance control applied to lower limb exoskeletons: assessment of its effectiveness in assisting disabled people during gait swing phase.

In this work we are interested in to assess the effectiveness of a impedance control applied to a lower limb exoskeleton that assists a individual with weakness to perform the swing movement of gait. To this, we carried out simulations using a human-exoskeleton interaction model from OpenSim, a forward dynamics-based simulation algorithm from MATLAB and experimental data from a subject walking on a treadmill. The results proved that the control is efficient and capable of providing the necessary complementary torque so that the person can complete the movement with dexterity.

Identification of Gait Events in Healthy Subjects and With Parkinson's Disease Using Inertial Sensors: An Adaptive Unsupervised Learning Approach.

Automatic identification of gait events is an essential component of the control scheme of assistive robotic devices. Many available techniques suffer limitations for real-time implementations and in guaranteeing high performances when identifying events in subjects with gait impairments. Machine learning algorithms offer a solution by enabling the training of different models to represent the gait patterns of different subjects. Here our aim is twofold: to remove the need for training stages using unsupervised learning, and to modify the parameters according to the changes within a walking trial using adaptive procedures. We developed two adaptive unsupervised algorithms for real-time detection of four gait events, using only signals from two single-IMU foot-mounted wearable devices. We evaluated the algorithms using data collected from five healthy adults and seven subjects with Parkinson's disease (PD) walking overground and on a treadmill. Both algorithms obtained high performance in terms of accuracy ( F1 -score ≥ 0.95 for both groups), and timing agreement using a force-sensitive resistors as reference (mean absolute differences of 66 ± 53 msec for the healthy group, and 58 ± 63 msec for the PD group). The proposed algorithms demonstrated the potential to learn optimal parameters for a particular participant and for detecting gait events without additional sensors, external labeling, or long training stages.

Polymer Optical Fiber-Based Integrated Instrumentation in a Robot-Assisted Rehabilitation Smart Environment: A Proof of Concept.

Advances in robotic systems for rehabilitation purposes have led to the development of specialized robot-assisted rehabilitation clinics. In addition, advantageous features of polymer optical fiber (POF) sensors such as light weight, multiplexing capabilities, electromagnetic field immunity and flexibility have resulted in the widespread use of POF sensors in many areas. Considering this background, this paper presents an integrated POF intensity variation-based sensor system for the instrumentation of different devices. We consider different scenarios for physical rehabilitation, resembling a clinic for robot-assisted rehabilitation. Thus, a multiplexing technique for POF intensity variation-based sensors was applied in which an orthosis for flexion/extension movement, a modular exoskeleton for gait assistance and a treadmill were instrumented with POF angle and force sensors, where all the sensors were integrated in the same POF system. In addition, wearable sensors for gait analysis and physiological parameter monitoring were also proposed and applied in gait exercises. The results show the feasibility of the sensors and methods proposed, where, after the characterization of each sensor, the system was implemented with three volunteers: one for the orthosis on the flexion/extension movements, one for the exoskeleton for gait assistance and the other for the free gait analysis using the proposed wearable POF sensors. To the authors' best knowledge, this is the first time that optical fiber sensors have been used as a multiplexed and integrated solution for the simultaneous assessment of different robotic devices and rehabilitation protocols, where such an approach results in a compact, fully integrated and low-cost system, which can be readily employed in any clinical environment.

Evaluation of Motor Primitive-Based Adaptive Control for Lower Limb Exoskeletons.

In order to assist after-stroke individuals to rehabilitate their movements, research centers have developed lower limbs exoskeletons and control strategies for them. Robot-assisted therapy can help not only by providing support, accuracy, and precision while performing exercises, but also by being able to adapt to different patient needs, according to their impairments. As a consequence, different control strategies have been employed and evaluated, although with limited effectiveness. This work presents a bio-inspired controller, based on the concept of motor primitives. The proposed approach was evaluated on a lower limbs exoskeleton, in which the knee joint was driven by a series elastic actuator. First, to extract the motor primitives, the user torques were estimated by means of a generalized momentum-based disturbance observer combined with an extended Kalman filter. These data were provided to the control algorithm, which, at every swing phase, assisted the subject to perform the desired movement, based on the analysis of his previous step. Tests are performed in order to evaluate the controller performance for a subject walking actively, passively, and at a combination of these two conditions. Results suggest that the robot assistance is capable of compensating the motor primitive weight deficiency when the subject exerts less torque than expected. Furthermore, though only the knee joint was actuated, the motor primitive weights with respect to the hip joint were influenced by the robot torque applied at the knee. The robot also generated torque to compensate for eventual asynchronous movements of the subject, and adapted to a change in the gait characteristics within three to four steps.

Fiber Bragg grating-based sensor for torque and angle measurement in a series elastic actuator's spring.

Conventional technologies to monitor torque feedback and angle in exoskeleton actuators are bulky and sensitive to misalignments, and do not allow for multiplexed operation. Fiber Bragg grating (FBG)-based sensors are a robust sensing approach that are desirable for multi-parametric monitoring. Temperature, strain, torque, and angle are widely studied in human-robot interaction. In order to acquire the torque and angle of deflection in the torsional spring of a series elastic actuator, an experimental setup with the spring and an array of three FBGs is submitted to repeated torques and angles. This paper presents the characterization and validation of the FBG-based sensor for measuring by torque and angle variations. Temperature cross-sensitivity is derived by the use of a non-strain FBG. The developed sensor presented high linearity and small error for torque and angle measurements.

Impedance Control for Robotic Rehabilitation: A Robust Markovian Approach.

The human-robot interaction has played an important role in rehabilitation robotics and impedance control has been used in the regulation of interaction forces between the robot actuator and human limbs. Series elastic actuators (SEAs) have been an efficient solution in the design of this kind of robotic application. Standard implementations of impedance control with SEAs require an internal force control loop for guaranteeing the desired impedance output. However, nonlinearities and uncertainties hamper such a guarantee of an accurate force level in this human-robot interaction. This paper addresses the dependence of the impedance control performance on the force control and proposes a control approach that improves the force control robustness. A unified model of the human-robot system that considers the ankle impedance by a second-order dynamics subject to uncertainties in the stiffness, damping, and inertia parameters has been developed. Fixed, resistive, and passive operation modes of the robotics system were defined, where transition probabilities among the modes were modeled through a Markov chain. A robust regulator for Markovian jump linear systems was used in the design of the force control. Experimental results show the approach improves the impedance control performance. For comparison purposes, a standard [Formula: see text] force controller based on the fixed operation mode has also been designed. The Markovian control approach outperformed the [Formula: see text] control when all operation modes were taken into account.

Design and evaluation of a modular lower limb exoskeleton for rehabilitation.

This paper deals with the evaluation of an exoskeleton designed for assisting individuals to rehabilitate compromised lower limb movements resulting from stroke or incomplete spinal cord injury. The exoskeleton is composed of lightweight tubular structures and six free joints that provide a modular feature to the system. This feature allows the exoskeleton to be adapted to assist the movement of one or more patient joints. The actuation of the exoskeleton is also modular, and can be performed passively, by means of springs and dampers, or actively through actuators. In addition, its telescopic tubular links, developed to adjust the size of the links in order to align the joints of the exoskeleton with patient joints, allows the exoskeleton to be adjustable to fit different patients. Experiments considering the interaction between a healthy subject and the exoskeleton are performed to evaluate the influence of the exoskeleton structure on kinematic and muscular activity profiles during walking.

Comparison of kinematic and EMG parameters between unassisted, fixed- and adaptive-stiffness robotic-assisted ankle movements in post-stroke subjects.

In this paper, we present an assist-as-needed scheme that effectively adapted the assistance provided by an ankle rehabilitation robot according to patient's participation and performance during therapeutic movements. We performed an error-based estimation of the ankle impedance as a valid measure of the patient participation. Then, we computed the amount of robotic assistance by three steps: normalization of the combined patient-robot stiffness, optimization of patientrobot interaction, and finally, adaptation of the level of the robotic assistance according to patient's performance while playing a serious game. Four post-stroke patients evaluated our methodology using an impedance controlled robotic system to assist alternated open-ended dorsi/plantarflexion movements in sitting position. Experimental results indicated that the proposed adaptive-stiffness method improves patient participation and performance compared to a fixed-stiffness assistive method and to an unassisted baseline. We also found that adaptive assistance could optimize the patient's muscular activity during movements. Our strategy effectively assisted with a lower stiffness allowing more kinematic variability in motions leaded by patient, decreasing the total amount of provided assistance without compromising the overall performance during therapy.

Compensating for telecommunication delays during robotic telerehabilitation.

Rehabilitation robotic systems may afford better care and telerehabilitation may extend the use and benefits of robotic therapy to the home. Data transmissions over distance are bound by intrinsic communication delays which can be significant enough to deem the activity unfeasible. Here we describe an approach that combines unilateral robotic telerehabilitation and serious games. This approach has a modular and distributed design that permits different types of robots to interact without substantial code changes. We demonstrate the approach through an online multiplayer game. Two users can remotely interact with each other with no force exchanges, while a smoothing and prediction algorithm compensates motions for the delay in the Internet connection. We demonstrate that this approach can successfully compensate for data transmission delays, even when testing between the United States and Brazil. This paper presents the initial experimental results, which highlight the performance degradation with increasing delays as well as improvements provided by the proposed algorithm, and discusses planned future developments.

Global Kalman filter approaches to estimate absolute angles of lower limb segments.

BACKGROUND: In this paper we propose the use of global Kalman filters (KFs) to estimate absolute angles of lower limb segments. Standard approaches adopt KFs to improve the performance of inertial sensors based on individual link configurations. In consequence, for a multi-body system like a lower limb exoskeleton, the inertial measurements of one link (e.g., the shank) are not taken into account in other link angle estimations (e.g., foot). Global KF approaches, on the other hand, correlate the collective contribution of all signals from lower limb segments observed in the state-space model through the filtering process. We present a novel global KF (matricial global KF) relying only on inertial sensor data, and validate both this KF and a previously presented global KF (Markov Jump Linear Systems, MJLS-based KF), which fuses data from inertial sensors and encoders from an exoskeleton. We furthermore compare both methods to the commonly used local KF. RESULTS: The results indicate that the global KFs performed significantly better than the local KF, with an average root mean square error (RMSE) of respectively 0.942° for the MJLS-based KF, 1.167° for the matrical global KF, and 1.202° for the local KFs. Including the data from the exoskeleton encoders also resulted in a significant increase in performance. CONCLUSION: The results indicate that the current practice of using KFs based on local models is suboptimal. Both the presented KF based on inertial sensor data, as well our previously presented global approach fusing inertial sensor data with data from exoskeleton encoders, were superior to local KFs. We therefore recommend to use global KFs for gait analysis and exoskeleton control.

Inertial Sensor Error Reduction through Calibration and Sensor Fusion.

This paper presents the comparison between cooperative and local Kalman Filters (KF) for estimating the absolute segment angle, under two calibration conditions. A simplified calibration, that can be replicated in most laboratories; and a complex calibration, similar to that applied by commercial vendors. The cooperative filters use information from either all inertial sensors attached to the body, Matricial KF; or use information from the inertial sensors and the potentiometers of an exoskeleton, Markovian KF. A one minute walking trial of a subject walking with a 6-DoF exoskeleton was used to assess the absolute segment angle of the trunk, thigh, shank, and foot. The results indicate that regardless of the segment and filter applied, the more complex calibration always results in a significantly better performance compared to the simplified calibration. The interaction between filter and calibration suggests that when the quality of the calibration is unknown the Markovian KF is recommended. Applying the complex calibration, the Matricial and Markovian KF perform similarly, with average RMSE below 1.22 degrees. Cooperative KFs perform better or at least equally good as Local KF, we therefore recommend to use cooperative KFs instead of local KFs for control or analysis of walking.

Markov jump linear systems-based position estimation for lower limb exoskeletons.

In this paper, we deal with Markov Jump Linear Systems-based filtering applied to robotic rehabilitation. The angular positions of an impedance-controlled exoskeleton, designed to help stroke and spinal cord injured patients during walking rehabilitation, are estimated. Standard position estimate approaches adopt Kalman filters (KF) to improve the performance of inertial measurement units (IMUs) based on individual link configurations. Consequently, for a multi-body system, like a lower limb exoskeleton, the inertial measurements of one link (e.g., the shank) are not taken into account in other link position estimation (e.g., the foot). In this paper, we propose a collective modeling of all inertial sensors attached to the exoskeleton, combining them in a Markovian estimation model in order to get the best information from each sensor. In order to demonstrate the effectiveness of our approach, simulation results regarding a set of human footsteps, with four IMUs and three encoders attached to the lower limb exoskeleton, are presented. A comparative study between the Markovian estimation system and the standard one is performed considering a wide range of parametric uncertainties.

Experimental investigation on adaptive robust controller designs applied to constrained manipulators.

In this paper, two interlaced studies are presented. The first is directed to the design and construction of a dynamic 3D force/moment sensor. The device is applied to provide a feedback signal of forces and moments exerted by the robotic end-effector. This development has become an alternative solution to the existing multi-axis load cell based on static force and moment sensors. The second one shows an experimental investigation on the performance of four different adaptive nonlinear H∞ control methods applied to a constrained manipulator subject to uncertainties in the model and external disturbances. Coordinated position and force control is evaluated. Adaptive procedures are based on neural networks and fuzzy systems applied in two different modeling strategies. The first modeling strategy requires a well-known nominal model for the robot, so that the intelligent systems are applied only to estimate the effects of uncertainties, unmodeled dynamics and external disturbances. The second strategy considers that the robot model is completely unknown and, therefore, intelligent systems are used to estimate these dynamics. A comparative study is conducted based on experimental implementations performed with an actual planar manipulator and with the dynamic force sensor developed for this purpose.

Adaptive strategy for multi-user robotic rehabilitation games.

In this paper, we discuss a strategy for the adaptation of the "difficulty level" in games intended to include motor planning during robotic rehabilitation. We consider concurrently the motivation of the user and his/her performance in a Pong game. User motivation is classified in three levels (not motivated, well motivated and overloaded). User performance is measured as a combination of knowledge of results--achieved goals and score points in the game--and knowledge of performance--joint displacement, speed, aiming, user work, etc. Initial results of a pilot test with unimpaired healthy young volunteers are also presented showing a tendency for individualization of the parameter values.