Wang Daoyu, Li Jicai, Jian Zhuo, Su Hao, Wang Hongbo, Fang Fanfu
Academy for Engineering and Technology, Fudan University, Shanghai, China.
Shanghai ZD Medical Technology Co., Ltd., Shanghai, China.
Front Bioeng Biotechnol. 2023 Nov 23;11:1321905. doi: 10.3389/fbioe.2023.1321905. eCollection 2023.
Individuals with acute neurological or limb-related disorders may be temporarily bedridden and unable to go to the physical therapy departments. The rehabilitation training of these patients in the ward can only be performed manually by therapists because the space in inpatient wards is limited. This paper proposes a bedside cable-driven lower-limb rehabilitation robot based on the sling exercise therapy theory. The robot can actively drive the hip and knee motions at the bedside using flexible cables linking the knee and ankle joints. A human-cable coupling controller was designed to improve the stability of the human-machine coupling system. The controller dynamically adjusts the impedance coefficient of the cable driving force based on the impedance identification of the human lower-limb joints, thus realizing the stable motion of the human body. The experiments with five participants showed that the cable-driven rehabilitation robot effectively improved the maximum flexion of the hip and knee joints, reaching 85° and 90°, respectively. The mean annulus width of the knee joint trajectory was reduced by 63.84%, and the mean oscillation of the ankle joint was decreased by 56.47%, which demonstrated that human joint impedance identification for cable-driven control can effectively stabilize the motion of the human-cable coupling system.
患有急性神经或肢体相关疾病的个体可能会暂时卧床不起,无法前往物理治疗科室。由于住院病房空间有限,这些患者在病房内的康复训练只能由治疗师手动进行。本文提出了一种基于悬吊运动疗法理论的床边缆索驱动下肢康复机器人。该机器人可通过连接膝关节和踝关节的柔性缆索在床边主动驱动髋关节和膝关节运动。设计了一种人机缆索耦合控制器,以提高人机耦合系统的稳定性。该控制器根据人体下肢关节的阻抗识别动态调整缆索驱动力的阻抗系数,从而实现人体的稳定运动。对五名参与者进行的实验表明,缆索驱动康复机器人有效提高了髋关节和膝关节的最大屈曲度,分别达到85°和90°。膝关节轨迹的平均环宽减少了63.84%,踝关节的平均摆动减少了56.47%,这表明用于缆索驱动控制的人体关节阻抗识别可以有效稳定人机缆索耦合系统的运动。