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
Evaluation of controllers for augmentative hip exoskeletons and their effects on metabolic cost of walking: explicit versus implicit synchronization.
作者信息
Manzoori Ali Reza, Malatesta Davide, Primavesi Julia, Ijspeert Auke, Bouri Mohamed
机构信息
Biorobotics Laboratory, EPFL, Lausanne, Switzerland.
Institute of Sport Sciences, University of Lausanne (UNIL), Lausanne, Switzerland.
出版信息
Front Bioeng Biotechnol. 2024 Mar 12;12:1324587. doi: 10.3389/fbioe.2024.1324587. eCollection 2024.
Efficient gait assistance by augmentative exoskeletons depends on reliable control strategies. While numerous control methods and their effects on the metabolic cost of walking have been explored in the literature, the use of different exoskeletons and dissimilar protocols limit direct comparisons. In this article, we present and compare two controllers for hip exoskeletons with different synchronization paradigms. The implicit-synchronization-based approach, termed the Simple Reflex Controller (SRC), determines the assistance as a function of the relative loading of the feet, resulting in an emerging torque profile continuously assisting extension during stance and flexion during swing. On the other hand, the Hip-Phase-based Torque profile controller (HPT) uses explicit synchronization and estimates the gait cycle percentage based on the hip angle, applying a predefined torque profile consisting of two shorter bursts of assistance during stance and swing. We tested the controllers with 23 naïve healthy participants walking on a treadmill at 4 km ⋅ h, without any substantial familiarization. Both controllers significantly reduced the metabolic rate compared to walking with the exoskeleton in passive mode, by 18.0% (SRC, < 0.001) and 11.6% (HPT, < 0.001). However, only the SRC led to a significant reduction compared to walking without the exoskeleton (8.8%, = 0.004). The SRC also provided more mechanical power and led to bigger changes in the hip joint kinematics and walking cadence. Our analysis of mechanical powers based on a whole-body analysis suggested a reduce in ankle push-off under this controller. There was a strong correlation (Pearson's = 0.778, < 0.001) between the metabolic savings achieved by each participant with the two controllers. The extended assistance duration provided by the implicitly synchronized SRC enabled greater metabolic reductions compared to the more targeted assistance of the explicitly synchronized HPT. Despite the different assistance profiles and metabolic outcomes, the correlation between the metabolic reductions with the two controllers suggests a difference in individual responsiveness to assistance, prompting more investigations to explore the person-specific factors affecting assistance receptivity.
增强型外骨骼实现有效的步态辅助依赖于可靠的控制策略。虽然文献中已经探索了众多控制方法及其对步行代谢成本的影响,但不同外骨骼的使用以及不同的实验方案限制了直接比较。在本文中,我们展示并比较了两种用于髋关节外骨骼的具有不同同步范式的控制器。基于隐式同步的方法,称为简单反射控制器(SRC),根据双脚的相对负荷来确定辅助量,从而产生一种在站立期持续辅助伸展、在摆动期辅助屈曲的新兴扭矩曲线。另一方面,基于髋关节相位的扭矩曲线控制器(HPT)使用显式同步,并根据髋关节角度估计步态周期百分比,在站立期和摆动期应用由两个较短辅助脉冲组成的预定义扭矩曲线。我们让23名未经过训练的健康参与者在跑步机上以4公里/小时的速度行走,对这两种控制器进行测试,且没有进行任何实质性的熟悉过程。与外骨骼处于被动模式下行走相比,两种控制器均显著降低了代谢率,SRC降低了18.0%(P < 0.001),HPT降低了11.6%(P < 0.001)。然而,与不使用外骨骼行走相比,只有SRC导致了显著降低(8.8%,P = 0.004)。SRC还提供了更多的机械功率,并导致髋关节运动学和步行节奏发生更大变化。我们基于全身分析对机械功率的分析表明,在该控制器下踝关节蹬地力量减小。使用两种控制器时,每位参与者实现的代谢节省之间存在很强的相关性(皮尔逊相关系数r = 0.778,P < 0.001)。与显式同步的HPT更具针对性的辅助相比,隐式同步的SRC提供的更长辅助持续时间实现了更大的代谢降低。尽管辅助曲线和代谢结果不同,但两种控制器代谢降低之间的相关性表明个体对辅助的反应存在差异,这促使我们进行更多研究以探索影响辅助接受度的个体特异性因素。