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一种用于患有神经步态障碍的人的辅助下肢外骨骼。

An assistive lower limb exoskeleton for people with neurological gait disorders.

作者信息

Ortlieb A, Bouri M, Baud R, Bleuler H

出版信息

IEEE Int Conf Rehabil Robot. 2017 Jul;2017:441-446. doi: 10.1109/ICORR.2017.8009287.

DOI:10.1109/ICORR.2017.8009287
PMID:28813859
Abstract

Lower limb exoskeletons have already proven the capability to give back mobility to people suffering from spinal cord injury (SCI). Other important populations such as people with multiple sclerosis or muscular dystrophy, frail elderly and stroke victims, suffer from severe gait impairments and could benefit from similar technology. The work presented in the current paper describes a novel design of a 6-actuated degrees of freedom (DOFs) assistive lower limb exoskeleton for people with moderate mobility impairments. The electrical actuators are all remotely located on the back of the user for a more compact design with high dynamics. Cable driven solutions are used to transmit the flexion/extension of the hip and knee joints, while a powerful ballscrew carries out the hip adduction/abduction. The design of this exoskeleton, named AUTONOMYO, follows the key specifications of being highly back-drivable and able to perform dynamic motions at low energy consumption. AUTONOMYO is capable to assist the user's balance by providing complementary torques at the hip and the knee. Results show that the projected level of assistance for sit-to-stand transition varies from 50% to 100% in function of the user's bodyweight and height while higher level of assistance are reached for walking and stairs climbing activities.

摘要

下肢外骨骼已被证明有能力为脊髓损伤(SCI)患者恢复行动能力。其他重要人群,如多发性硬化症或肌肉萎缩症患者、体弱的老年人和中风患者,都患有严重的步态障碍,可能会从类似技术中受益。本文介绍了一种新型的六自由度(DOF)辅助下肢外骨骼设计,用于行动能力中度受损的人群。电动执行器全部远程安装在用户背部,以实现更紧凑的设计和高动态性能。采用电缆驱动解决方案来传递髋关节和膝关节的屈伸运动,而一个强大的滚珠丝杠则用于实现髋关节的内收/外展运动。这种名为AUTONOMYO的外骨骼设计遵循了高反向驱动能力和能够以低能耗进行动态运动的关键规格。AUTONOMYO能够通过在髋关节和膝关节提供互补扭矩来协助用户保持平衡。结果表明,根据用户的体重和身高,坐立转换的预计辅助水平在50%至100%之间变化,而在行走和爬楼梯活动中则能达到更高的辅助水平。

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引用本文的文献

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Multimodal closed-loop strategies for gait recovery after spinal cord injury and stroke via the integration of robotics and neuromodulation.通过整合机器人技术和神经调节实现脊髓损伤和中风后步态恢复的多模态闭环策略。
Front Neurosci. 2025 Jul 17;19:1569148. doi: 10.3389/fnins.2025.1569148. eCollection 2025.
2
Evaluation of controllers for augmentative hip exoskeletons and their effects on metabolic cost of walking: explicit versus implicit synchronization.用于增强型髋关节外骨骼的控制器评估及其对步行代谢成本的影响:显式同步与隐式同步
Front Bioeng Biotechnol. 2024 Mar 12;12:1324587. doi: 10.3389/fbioe.2024.1324587. eCollection 2024.
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A Systematic Review of Low-Cost Actuator Implementations for Lower-Limb Exoskeletons: a Technical and Financial Perspective.
从技术和财务角度对下肢外骨骼低成本执行器实现的系统评价
J Intell Robot Syst. 2022;106(1):3. doi: 10.1007/s10846-022-01695-0. Epub 2022 Aug 16.
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Preliminary Study on a Novel Protocol for Improving Familiarity with a Lower-Limb Robotic Exoskeleton in Able-Bodied, First-Time Users.针对健全的首次使用下肢机器人外骨骼的用户,提高其对该设备熟悉程度的新方案的初步研究。
Front Robot AI. 2022 Jan 10;8:785251. doi: 10.3389/frobt.2021.785251. eCollection 2021.