Abstract

Exoskeletons are increasingly used in rehabilitation and daily life in patients with motor disorders after neurological injuries. In this paper, a realistic human knee exoskeleton model based on a physical system was generated, a human–machine system was created in a musculoskeletal modeling software, and human–machine interactions based on different assistive strategies were simulated. The developed human–machine system makes it possible to compute torques, muscle impulse, contact forces, and interactive forces involved in simulated movements. Assistive strategies modeled as a rotational actuator, a simple pendulum model, and a damped pendulum model were applied to the knee exoskeleton during simulated normal and fast gait. We found that the rotational actuator–based assistive controller could reduce the user's required physiological knee extensor torque and muscle impulse by a small amount, which suggests that joint rotational direction should be considered when developing an assistive strategy. Compared to the simple pendulum model, the damped pendulum model based controller made little difference during swing, but further decreased the user's required knee flexor torque during late stance. The trade-off that we identified between interaction forces and physiological torque, of which muscle impulse is the main contributor, should be considered when designing controllers for a physical exoskeleton system. Detailed information at joint and muscle levels provided in this human–machine system can contribute to the controller design optimization of assistive exoskeletons for rehabilitation and movement assistance.

Highlights

  • Exoskeletons have attracted increasing research interest in rehabilitation in patients with neurologic disorders, such as stroke, spinal cord injury, cerebral palsy, and Parkinson’s disease (Ye et al, 2017; Fournier et al, 2018)

  • In damped pendulum model (DPM) mode, muscle impulse was slightly lower in knee flexors and vasti muscles than that of the simple pendulum model (SPM) mode but slightly higher in rectus femoris (RF)

  • To illustrate the potential use of the developed virtual human–machine system (HMS), we focused on the knee in normal gait, and adapted three common but conceptually different assistive strategies at the knee joint, namely rotational actuator (RA), SPM, and DPM strategies, to determine whether any potential benefit to the user could be identified

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Summary

Introduction

Exoskeletons have attracted increasing research interest in rehabilitation in patients with neurologic disorders, such as stroke, spinal cord injury, cerebral palsy, and Parkinson’s disease (Ye et al, 2017; Fournier et al, 2018). Robotic exoskeletons are promising assistive/rehabilitative devices that can complement torque generation in people with strength deficits or assist recovery of patients with motor disorders (Yao et al, 2018; Zhang et al, 2019). Li et al (2014) evaluated an upper extremity exoskeleton with an adaptive back-stepping controller to provide assistance for the user to track predefined trajectories. Their experimental results demonstrated that the proposed adaptive controller could provide effective assistance when tracking repeated trajectories. While experimental evaluation of exoskeleton prototypes is important, biomechanical predictive simulations early in the design process can minimize prototype iterations and evaluate some parameters that are otherwise difficult to measure experimentally

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