Abstract

With the help of wearable robotics, the lower limb exoskeleton becomes a promising solution for spinal cord injury (SCI) patients to recover lower body locomotion ability. However, fewer exoskeleton gait planning methods can meet the needs of patient in real time, e.g., stride length or step width, etc., which may lead to human-machine incoordination, limit comfort, and increase the risk of falling. This work presents a human-exoskeleton-crutch system with the center of pressure (CoP)-based gait planning method to enable the balance control during the exoskeleton-assisted walking with crutches. The CoP generated by crutches and human-machine feet makes it possible to obtain the overall stability conditions of the system in the process of exoskeleton-assisted quasi-static walking, and therefore, to determine the next stride length and ensure the balance of the next step. Thus, the exoskeleton gait is planned with the guidance of stride length. It is worth emphasizing that the nominal reference gait is adopted as a reference to ensure that the trajectory of the swing ankle mimics the reference one well. This gait planning method enables the patient to adaptively interact with the exoskeleton gait. The online gait planning walking tests with five healthy volunteers proved the method’s feasibility. Experimental results indicate that the algorithm can deal with the sensed signals and plan the landing point of the swing leg to ensure balanced and smooth walking. The results suggest that the method is an effective means to improve human–machine interaction. Additionally, it is meaningful for the further training of independent walking stability control in exoskeletons for SCI patients with less assistance of crutches.

Highlights

  • More than 250,000 individuals annually sustain spinal cord injuries worldwide, mainly due to traffic accidents and fall from heights [1]

  • The gait planning uses center of pressure (CoP) calculation based on crutch reaction force and human-machine plantar force, and stride length mapping determined by the calculated combined CoP

  • The mapping function determined the relationship between the combined CoP and stride length

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Summary

Introduction

More than 250,000 individuals annually sustain spinal cord injuries worldwide, mainly due to traffic accidents and fall from heights [1]. Fineberg et al, and Jung et al are more concerned about various functions of the exoskeleton to help SCI patients walk independently [5,6,7] The former series focused on topics, such as patient walking intention recognition and joint torque control, and the latter on issues, such as human-machine dynamic balance control, walking mode switch for various terrains, and gait trajectory planning. The center of pressure (CoP) of a human-machine system was investigated by Kim et al for walking balance validation [18] With measurements of both human gravity and exoskeleton support force, the CoP is calculated, and the stability condition is judged. The gait planning uses CoP calculation based on crutch reaction force and human-machine plantar force, and stride length mapping determined by the calculated combined CoP

Methods
Exoskeleton
Foot GRF
Crutch GRF Measurement
Customized crutch forGRF
Calibration
Combined and of Stride
Forward and Inverse Kinematic Modeling
Gait Planning Algorithm Simulation
Online Gait Planning Walking
Stride Length Mapping Function Verification Test
Results and Discussion
13. Experimental
Conclusions
Full Text
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