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体重支持跑步机训练的质心估计和控制策略。

A Center of Mass Estimation and Control Strategy for Body-Weight-Support Treadmill Training.

出版信息

IEEE Trans Neural Syst Rehabil Eng. 2021;29:2388-2398. doi: 10.1109/TNSRE.2021.3126104. Epub 2021 Nov 17.

Abstract

Walking disorders are common in post-stroke. Body weight support (BWS) systems have been proposed and proven to enhance gait training systems for recovering in individuals with hemiplegia. However, the fixed weight support and walking speed increase the risk of falling and decrease the active participation of the subjects. This paper proposes a strategy to enhance the efficiency of BWS treadmill training. It consists in regulating the height of the BWS system to track the height of the subject's center of mass (CoM), whereby the CoM is estimated through a long-short term memory (LSTM) network and a locomotion recognition system. The LSTM network takes the walking speed, body-height to leg-length ratio, hip and knee joint angles of the hemiplegic subjects' non-paretic side from the locomotion recognition system as input signals and outputs the CoM height to a BWS treadmill training robot. Besides, the hip and knee joints' ranges of motion are increased by 34.54% and 25.64% under the CoM height regulation compared to the constant weight support, respectively. With the CoM height regulation strategy, the stance phase duration of the paretic side is significantly increased by 14.6% of the gait cycle, and the symmetry of the gait is also promoted. The CoM height kinematics by adjustment strategy is in good agreement with the mean values of the 14 non-disabled subjects, which demonstrated that the adjustment strategy improves the stability of CoM height during the training.

摘要

步行障碍在中风后很常见。已经提出并证明了体重支撑(BWS)系统可以增强偏瘫患者的步态训练系统的恢复。然而,固定的体重支撑和行走速度增加了跌倒的风险,并降低了受试者的主动参与度。本文提出了一种增强 BWS 跑步机训练效率的策略。它包括调节 BWS 系统的高度以跟踪受试者质心(CoM)的高度,通过长短期记忆(LSTM)网络和运动识别系统来估计 CoM。LSTM 网络将偏瘫受试者非瘫痪侧的行走速度、身高与腿长比、髋关节和膝关节角度作为输入信号从运动识别系统中获取,并将 CoM 高度输出到 BWS 跑步机训练机器人。此外,与恒定的体重支撑相比,CoM 高度调节下髋关节和膝关节的运动范围分别增加了 34.54%和 25.64%。与恒定的体重支撑相比,CoM 高度调节下髋关节和膝关节的运动范围分别增加了 34.54%和 25.64%。与恒定的体重支撑相比,CoM 高度调节下髋关节和膝关节的运动范围分别增加了 34.54%和 25.64%。与恒定的体重支撑相比,CoM 高度调节下髋关节和膝关节的运动范围分别增加了 34.54%和 25.64%。此外,通过 CoM 高度调节策略,患侧的支撑阶段持续时间显著增加了步态周期的 14.6%,并且步态的对称性也得到了促进。调整策略的 CoM 高度运动学与 14 名非残疾受试者的平均值非常吻合,这表明调整策略提高了训练过程中 CoM 高度的稳定性。

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