Giannattasio Raffaele, Boccardo Nicolò, Vaccaro Riccardo, Bhatt Heeral, Maludrottu Stefano, De Momi Elena, Laffranchi Matteo
Rehab Technologies Lab, Italian Institute of Technology, Genoa, Italy.
Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.
Front Robot AI. 2025 Aug 18;12:1647989. doi: 10.3389/frobt.2025.1647989. eCollection 2025.
This study's primary objective was to develop an Active Ankle-Foot Orthosis (AAFO) specifically designed for integration into lower-limb exoskeletons. An analysis of human ankle motion is conducted to inform the development process, guiding the creation of an AAFO that aligns with specifics extrapolated by real data. The AAFO incorporates an electric motor with a non-backdrivable transmission system, engineered to reduce distal mass, minimize power consumption, and enable high-precision position control. Capable of generating up to 50 Nm of peak torque, the AAFO is designed to provide support throughout the walking cycle, targeting pathological conditions such as foot drop and toe drag. Performance was first validated through benchtop experiments under unloaded conditions. The AAFO was then integrated into the TWIN lower-limb exoskeleton, employing an optimal trajectory planning method to generate compatible reference trajectories. These trajectories are designed to help the user maintain ground contact during the support phase while ensuring safe toe clearance and minimizing jerk during the swing phase. Finally, the AAFO's performance was assessed in real-world application conditions, with four healthy participants walking with the TWIN lower limb exoskeleton. The results suggest that the proposed AAFO efficiently reduces toe clearance, ensures stable control, and maintains low power consumption, highlighting its suitability for clinical applications.
本研究的主要目标是开发一种专门设计用于集成到下肢外骨骼中的主动踝足矫形器(AAFO)。对人体踝关节运动进行分析,为开发过程提供信息,指导创建与实际数据推断出的细节相匹配的AAFO。该AAFO集成了一个带有不可反向驱动传动系统的电动马达,其设计目的是减少远端质量、降低功耗并实现高精度位置控制。AAFO能够产生高达50牛米的峰值扭矩,旨在在整个步行周期提供支撑,针对诸如足下垂和拖趾等病理状况。首先在空载条件下通过台式实验验证性能。然后将AAFO集成到TWIN下肢外骨骼中,采用最优轨迹规划方法生成兼容的参考轨迹。这些轨迹旨在帮助使用者在支撑阶段保持与地面接触,同时确保在摆动阶段有安全的脚趾间隙并使急动最小化。最后,在实际应用条件下评估AAFO的性能,四名健康参与者穿着TWIN下肢外骨骼行走。结果表明,所提出的AAFO有效减少了脚趾间隙,确保了稳定控制并保持低功耗,突出了其在临床应用中的适用性。