Abstract

Restoring and improving the ability to walk is a top priority for individuals with movement impairments due to neurological injuries. Powered exoskeletons coupled with functional electrical stimulation (FES), called hybrid exoskeletons, exploit the benefits of activating muscles and robotic assistance for locomotion. In this paper, a cable-driven lower-limb exoskeleton is integrated with FES for treadmill walking at a constant speed. A nonlinear robust controller is used to activate the quadriceps and hamstrings muscle groups via FES to achieve kinematic tracking about the knee joint. Moreover, electric motors adjust the knee joint stiffness throughout the gait cycle using an integral torque feedback controller. For the hip joint, a robust sliding-mode controller is developed to achieve kinematic tracking using electric motors. The human-exoskeleton dynamic model is derived using Lagrangian dynamics and incorporates phase-dependent switching to capture the effects of transitioning from the stance to the swing phase, and vice versa. Moreover, low-level control input switching is used to activate individual muscles and motors to achieve flexion and extension about the hip and knee joints. A Lyapunov-based stability analysis is developed to ensure exponential tracking of the kinematic and torque closed-loop error systems, while guaranteeing that the control input signals remain bounded. The developed controllers were tested in real-time walking experiments on a treadmill in three able-bodied individuals at two gait speeds. The experimental results demonstrate the feasibility of coupling a cable-driven exoskeleton with FES for treadmill walking using a switching-based control strategy and exploiting both kinematic and force feedback.

Highlights

  • The loss of motor and sensory function associated with spinal cord injury (SCI) results in limited mobility, lack of independence, and diminished quality of life (Kirshblum and Lin, 2018; Hornby et al, 2020)

  • Restoring and improving the ability to walk is a top priority for individuals with paralysis, whose locomotion is affected by muscle weakness, impaired postural stability and reduced leg coordination Anderson (2004)

  • Written informed consent was obtained from each participant, as approved by the Institutional Review Board at Syracuse University

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Summary

Introduction

The loss of motor and sensory function associated with spinal cord injury (SCI) results in limited mobility, lack of independence, and diminished quality of life (Kirshblum and Lin, 2018; Hornby et al, 2020). Hybrid Exoskeleton Control for Walking walking in isolation faces challenges in improving muscle capacity and reinforcing the activation of paralyzed muscles during locomotion (Edgerton et al, 2001; Field-Fote and Roach, 2011). A neuromuscular control approach such as functional electrical stimulation (FES) evokes muscle contractions to replace or assist human volition (Reed, 1997; Peckham and Knutson, 2005). Isolated control of FES for walking without robotic assistance is challenging due to the nonlinear muscle activation rate and accelerated onset of muscle fatigue (Lynch and Popovic, 2008; Bickel et al, 2011; Downey et al, 2017). Innovations for the control design and analysis are needed to achieve an effective integration of FES with robotic exoskeletons that interface the human body with different actuation mechanisms

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