IEEE Trans Neural Syst Rehabil Eng. 2022;30:2906-2915. doi: 10.1109/TNSRE.2022.3213810. Epub 2022 Oct 20.
Gait asymmetry is an important clinical characteristic of the hemiplegic gait most stroke survivors suffered, leading to restricted functional mobility and long-term negative impact on their quality of life. In recent years, robot assistance has been proven able to improve stroke patients' functional walking, but few studies have been conducted to specifically correct gait asymmetry of stroke patients during the whole gait cycle. In this work, an adaptive oscillator-based assistive torque control was developed and implemented on a unilateral hip exoskeleton driven by a novel nonlinear series elastic actuator (nSEA), aiming at correcting gait asymmetry at hip joints during the whole gait cycle. The adaptive oscillator-based gait asymmetry detection method extracted continuous gait phase and gait asymmetry seamlessly, and then the proposed assistive control attempted to correct gait asymmetry by delivering precise assistive torques synchronized with the continuous gait phase of the patients' gait. An initial experimental study was conducted to evaluate the proposed assistive control on seven healthy subjects with artificial impairment. The participants walked on a treadmill with assistance from the hip exoskeleton, while artificial impairment was added to mimic the hemiplegic gait with both spacial and temporal asymmetry (such as reduced hip flexion in the impaired side and reduced hip extension in the healthy side). Experimental results suggested the effectiveness of the proposed assistive control in restoring gait symmetry to levels comparable to a normal gait of the participants ( ).
步态不对称是大多数脑卒中幸存者偏瘫步态的一个重要临床特征,导致其功能移动受限,并对其生活质量产生长期负面影响。近年来,机器人辅助已被证明能够改善脑卒中患者的功能性行走,但很少有研究专门针对脑卒中患者在整个步态周期中步态不对称的问题进行研究。在这项工作中,我们开发了一种基于自适应振荡器的辅助扭矩控制,并在由新型非线性串联弹性执行器(nSEA)驱动的单侧髋关节外骨骼上进行了实现,旨在纠正髋关节在整个步态周期中的步态不对称。基于自适应振荡器的步态不对称检测方法能够无缝地提取连续的步态相位和步态不对称,然后提出的辅助控制通过提供与患者步态连续步态相位同步的精确辅助扭矩来尝试纠正步态不对称。进行了初步的实验研究,以评估在 7 名具有人工损伤的健康受试者上的辅助控制。参与者在跑步机上行走,同时髋关节外骨骼提供辅助,同时添加人工损伤以模拟具有空间和时间不对称的偏瘫步态(例如,损伤侧的髋关节屈曲减少,健康侧的髋关节伸展减少)。实验结果表明,该辅助控制在恢复步态对称方面是有效的,使其恢复到与参与者正常步态相当的水平()。