Abstract

Walking rehabilitation processes include many repetitions of the same physical movements in order to replicate, as close as possible, the normal gait trajectories, and kinematics of all leg joints. In these conventional therapies, the therapist′s ability to discover patient′s limitations—and gradually reduce them—is key to the success of the therapy. Lower-limb robotic exoskeletons have strong deficiencies in this respect as compared to an experienced therapist. Most of the currently available robotic solutions are not able to properly adapt their trajectories to the biomechanical limitations of the patient. With this in mind, much research and development is still required in order to improve artificial human-like walking patterns sufficiently for valuable clinical use. The work herein reported develops and presents a method to acquire and saliently analyze subject-specific gait data while the subject dons a passive lower-limb exoskeleton. Furthermore, the method can generate adjustable, yet subject-specific, kinematic gait trajectories useful in programming controllers for future robotic rehabilitation protocols. A human-user study with ten healthy subjects provides the experimental setup to validate the proposed method. The experimental protocol consists in capturing kinematic data while subjects walk, with the donned H2 lower-limb exoskeleton, across three experimental conditions: walking with three different pre-determined step lengths marked on a lane. The captured ankle trajectories in the sagittal plane were found by normalizing all trials of each test from one heel strike to the next heel strike independent of the specific gait features of each individual. Prior literature suggests analyzing gait in phases. A preliminary data analysis, however, suggests that there exist six key events of the gait cycle, events that can adequately characterize gait for the purposes required of robotic rehabilitation including gait analysis and reference trajectory generation. Defining the ankle as an end effector and the hip as the origin of the coordinate frame and basing the linear regression calculations only on the six key events, i.e., Heel Strike, Toe Off, Pre-Swing, Initial Swing, Mid-Swing, and Terminal Swing, it is possible to generate a new calculated ankle trajectory with an arbitrary step length. The Leave-One-Out Cross Validation algorithm was used to estimate the fitting error of the calculated trajectory vs. the characteristic captured trajectory per subject, showing a fidelity average value of 95.2, 96.1, and 97.2%, respectively, for each step-length trial including all subjects. This research presents method to capture ankle trajectories from subjects and generate human-like ankle trajectories that could be scaled and computed on-line, could be adjusted to different gait scenarios, and could be used not only to generate reference trajectories for gait controllers, but also as an accurate and salient benchmark to test the human likeness of gait trajectories employed by existing robotic exoskeletal devices.

Highlights

  • Gait rehabilitation usually implies specific routines consisting in numerous repetitions of the same exercises

  • The method captures gait data, identifies the subjects′ key events and generates control trajectories through the following steps: 1. Gait data capture (including ankle joint position localization in the sagittal plane based on direct kinematics and data identification and segmentation based on the well-known Heel Strike (HS) and Toe Off (TO) events see Figure 2), 2

  • All six key events are identified in the captured trajectory, i.e., each gait cycle

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Summary

Introduction

Gait rehabilitation usually implies specific routines consisting in numerous repetitions of the same exercises. One or several physical therapists (PTs) may be needed to help the patient recreate, as close as possible, the movements of a normal gait trajectory, e.g., two PTs supporting the right and left legs and a third PT stabilizing the trunk. This kind of therapy is time consuming, resource intensive, and can be frustrating for the patient. Assistance robots are well known to be precise, regular, and deterministic in supporting or substituting humans during repetitive tasks Their safe and effective direct physical interaction with users is a critical factor, especially in rehabilitation scenarios.

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