Jezernik Saso, Wassink Ruben G V, Keller Thierry
Spinal Cord Injury Center ParaCare, University Hospital Balgrist, Zürich, Switzerland.
IEEE Trans Biomed Eng. 2004 Feb;51(2):263-72. doi: 10.1109/TBME.2003.820393.
Functional electrical stimulation (FES) enables restoration of movement in individuals with spinal cord injury. FES-based devices use electric current pulses to stimulate and excite the intact peripheral nerves. They produce muscle contractions, generate joint torques, and thus, joint movements. Since the underlying neuromuscular-skeletal system is highly nonlinear and time-varying, feedback control is necessary for accurate control of the generated movement. However, classical feedback/closed-loop control algorithms have so far failed to provide satisfactory performance and were not able to guarantee stability of the closed-loop system. Because of this, only open-loop controlled FES devices are in clinical use in spite of their limitations. The purpose of the reported research was to design a novel closed-loop FES controller that achieves good tracking performance and guarantees closed-loop stability. Such a controller was designed based on a mathematical neuromuscular-skeletal model and is founded on a sliding mode control theory. The controller was used to control shank movement and was tested in computer simulations as well as in actual experiments on healthy and spinal cord injured subjects. It demonstrated good robustness, stability, and tracking performance properties.
功能性电刺激(FES)能够使脊髓损伤患者恢复运动能力。基于FES的设备利用电流脉冲来刺激和激发完整的外周神经。它们引起肌肉收缩,产生关节扭矩,进而产生关节运动。由于潜在的神经肌肉骨骼系统具有高度非线性和时变性,因此需要反馈控制来精确控制所产生的运动。然而,经典的反馈/闭环控制算法至今未能提供令人满意的性能,也无法保证闭环系统的稳定性。因此,尽管存在局限性,但目前临床上仅使用开环控制的FES设备。本研究报告的目的是设计一种新型的闭环FES控制器,该控制器能实现良好的跟踪性能并保证闭环稳定性。这种控制器是基于数学神经肌肉骨骼模型设计的,并建立在滑模控制理论基础之上。该控制器用于控制小腿运动,并在计算机模拟以及对健康受试者和脊髓损伤受试者的实际实验中进行了测试。它表现出良好的鲁棒性、稳定性和跟踪性能。