Powered Ankle-foot Prostheses Research Articles

Biomechanical Design and Prototyping of a Powered Ankle-Foot Prosthesis

Powered ankle-foot prostheses for walking often have limitations in the range of motion and in push-off power, if compared to a lower limb of a healthy person. A new design of a powered ankle-foot prosthesis is proposed to obtain a wide range of motion and an adequate power for a push-off step. The design methodology for this prosthesis has three points. In the first one, a dimensionless kinematic model of the lower limb in the sagittal plane is built, through an experimental campaign with healthy subjects, to calculate the angles of lower limb during the gait. In the second point a multibody inverse dynamic model of the lower limb is constructed to calculate the foot-ground contact force, its point of application and the ankle torque too, entering as input data the calculated angles of the lower limb in the previous point. The third point requires, as input of the inverse dynamic model, the first dimensioning data of the ankle-foot prosthesis to obtain the load acting on the components of the prosthesis and the angle torque of the actuator during the gait cycle. Finally, an iteration cycle begins with the inverse dynamic model modifying the ankle torque and angle until these quantities during the gait are as close as possible to the physiological quantities. After the mechanical design and the construction of the prototype of the prosthesis, an experimental methodology was used for preliminary validation of the design. The preliminary tests in the laboratory on the prototype alone show that the range of motion of the ankle angle during the gait is close to a healthy person’s: 27.6° vs. 29°. The pushing force of the distal area of the prototype is 1.000 N, instead of 1.600 N, because a budget reduction forced us to choose components for the prototype with lower performance.

Design, Optimization and Energetic Evaluation of an Efficient Fully Powered Ankle-Foot Prosthesis With a Series Elastic Actuator

The use of powered ankle-foot prostheses for below-knee amputees leads to challenges like the peak power of the applied actuator and biomechanical features of the prosthesis foot. This paper proposes an efficient powered ankle-foot prosthesis with a series elastic actuator. By combining the geared five-bar spring (GFBS) mechanism and the traditional series elastic actuator (SEA), a series elastic with geared five-bar (SGFB) actuator is built. The new SGFB actuator has the benefits of both the GFBS and the SEA on mimicking biomechanics of the human ankle and reducing the peak power of the motor. The healthy walking gait in the experiment results indicates that the optimized SGFB prosthesis foot including a 150W Maxon DC motor can provide a 70kg subject enough net positive energy with an energy efficiency of 35.3% during normal speed walking in the treadmill trials. The experiment of the SGFB prosthesis foot in semi-active mode shows the advantage on closely mimicking the human biomechanics during the control dorsiflexion phase and the importance of injecting positive energy during the powered plantarflexion phase. The experiment results also show that the optimization of different parameters within the electromechanical model considering the efficiency of the whole drive train can effectively reduce the motor's peak power to 132 W by making the motor more effective in high-power conditions.

Advances in Powered Ankle-Foot Prostheses.

We present a review of recent developments in powered ankle-foot prostheses (PAFPs), with emphasis on actuation, high- and low-level control strategies, and pneumatic, hydraulic, and electromechanical actuators. A high-level control strategy based on finite-state machines, combined with low-level control that drives the ankle torque, is the most common control strategy. On the other hand, brushless direct-current motors along with an energy storage and release mechanism are commonly used to reduce the overall size of the actuators and increase PAFP autonomy. Most designs have been evaluated experimentally, showing acceptable results in walking velocity and gait symmetry. Future research must focus on reducing weight, increasing energy efficiency, improving gait phase classification and/or intent of motion-prediction algorithms, updating low-level control of torque and position, and developing the ability of the patient to walk on sloped surfaces and negotiate stairs.

Control of a Powered Ankle–Foot Prosthesis Based on a Neuromuscular Model

Control schemes for powered ankle-foot prostheses rely upon fixed torque-ankle state relationships obtained from measurements of intact humans walking at target speeds and across known terrains. Although effective at their intended gait speed and terrain, these controllers do not allow for adaptation to environmental disturbances such as speed transients and terrain variation. Here we present an adaptive muscle-reflex controller, based on simulation studies, that utilizes an ankle plantar flexor comprising a Hill-type muscle with a positive force feedback reflex. The model's parameters were fitted to match the human ankle's torque-angle profile as obtained from level-ground walking measurements of a weight and height-matched intact subject walking at 1 m/s. Using this single parameter set, clinical trials were conducted with a transtibial amputee walking on level ground, ramp ascent, and ramp descent conditions. During these trials, an adaptation of prosthetic ankle work was observed in response to ground slope variation, in a manner comparable to intact subjects, without the difficulties of explicit terrain sensing. Specifically, the energy provided by the prosthesis was directly correlated to the ground slope angle. This study highlights the importance of neuromuscular controllers for enhancing the adaptiveness of powered prosthetic devices across varied terrain surfaces.