小儿下肢矫形器中非自然运动阻尼的步态引导控制

Curt A. Laubscher, J. Sawicki
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引用次数: 5

摘要

每个人的名义步态都是独一无二的,并随着人的行走速度而变化。这对动力康复矫形器提出了一个难题,因为控制策略通常需要参考轨迹,并且对患者的控制很少。本文描述了一种简单的控制方法,该方法将扭矩抵抗应用于健康个体在步态摇摆阶段的髋关节和膝关节的关节运动中。控制器使用配置相关的标准正交基来表示向量,这些向量是连续步态速度的健康步态模式的正切和正交分量。控制器抑制正常方向上的运动,从而抵抗对健康个体来说不自然的运动。使用该控制律,受试者不受特定参考轨迹的限制,并且对时空步态参数(例如步幅、摇摆时间和节奏)具有很大程度的自主性。通过实验验证了该控制律在儿童临时动力下肢矫形器中的可行性。步态引导控制器与代表步态障碍个体的人类控制器一起使用。主要结果比较了步态引导控制器启用和禁用时的步态形状质量,并展示了步态引导控制器如何能够在各种节奏下重塑步态,使其更接近健康个体的步态。
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Gait Guidance Control for Damping of Unnatural Motion in a Powered Pediatric Lower-Limb Orthosis
The nominal gait of each individual is unique and varies with the walking speed of the person. This poses a difficult problem for powered rehabilitative orthoses since control strategies often require a reference trajectory and give little control to the patient. This paper describes a simple control approach which applies torque resistive to joint movement that is unnatural for healthy individuals in the hip and knee joints during the swing phase of gait. The controller uses a configuration-dependent orthonormal basis to represent vectors in terms of components which are tangent and normal to healthy gait patterns for a continuum of gait speeds. The controller damps motion in the normal direction, thereby resisting movement which is unnatural for healthy individuals. With this control law, subjects are not restricted to a particular reference trajectory and have a large degree of volition over spatiotemporal gait parameters (e.g., stride length, swing time, and cadence). Experiments are conducted to check the feasibility of the control law in a provisional powered pediatric lower-limb orthosis. The gait guidance controller is used in conjunction with a human controller representing an individual with gait impairment. The main results compare gait shape quality when the gait guidance controller is enabled versus disabled, and show how the gait guidance controller is able to reshape gait to more closely resemble that of a healthy individual for various cadences.
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