The effects of ankle foot orthoses and stance width in people with diabetic peripheral neuropthy

Abstract

This paper deals with the control of an active ankle foot orthosis (AAFO) to assist the gait of paretic patients. The AAFO system is driven by both, the residual human torque delivered by the muscles spanning the ankle joint and the AAFO’s actuator’s torque. A model reference adaptive control is proposed to assist dorsiflexion and plantar-flexion movements of the ankle joint during level walking. Unlike most classical model-based controllers, the proposed one does not require any prior estimation of the system’s (AAFO-wearer) parameters. The ankle reference trajectory is updated online based on the main gait cycle events and is adapted with respect to the self-selected speed of the wearer. The adaptive desired ankle trajectory is estimated using cubic spline interpolations between the different key events of the gait cycle. The closed-loop input-to-state stability of the AAFO-wearer system with respect to a bounded human muscular torque is proved by a Lyapunov analysis. Experimental results obtained from three healthy subjects and one paretic patient, show satisfactory results in terms of tracking performance and ankle assistance throughout the full gait cycle. The experiments also show good performance at different walking speeds and with different gait sub-phase duration proportions.