Preliminary study of a robotic foot-ankle prosthesis with active alignment

Dynamic optimization of Gait with a Generalized Lower-Limb Prosthesis Model

Predictive simulation of gait is a promising tool for robotic lower limb prosthesis design, but has been limited in its application to models of existing design types. We propose a modeling approach to find optimal prosthesis dynamics in gait simulations without constraining the prosthesis to follow kinematics allowed by a specific joint mechanism. To accomplish this, we render a transtibial prosthetic device as the composition of its resultant forces and moments as they act upon the prosthetic foot and socket and allow3 degree-of-freedom planar motion. The model is implemented into a human musculoskeletal model and used to solve dynamic optimizations of muscle and prosthesis controls to minimize muscle effort and loading on the residual limb during walking. The emphasis on muscle effort vs. limb loading is varied in the minimization objective and the resulting optimal prosthesis dynamics are compared. We found that muscle effort and socket loading measures were reduced for our prosthesis model compared to a revolute joint prosthesis model. We interpret large displacements in the linear axes to transfer energy to the plantarflexion action before toe-off and reduce loading at the socket-limb interface. Our results suggest this approach could assist in the design of non-biomimetic prostheses but requires experimental validation to assess our modeling assumptions, as well as progress toward increased fidelity of predictive simulation approaches more generally.

Design Optimization in Lower Limb Prostheses: A Review

This paper aims to develop a knowledge base and identify the promising research pathways toward designing lower limb prostheses for optimal biomechanical and clinical outcomes. It is based on the literature search representing the state of the art in the lower limb prosthesis joint design and biomechanical analysis. Current design solutions are organized in terms of fulfilling four key functional roles: body support, propulsion, task flexibility, and loading relief. Biomechanical analyses of these designs reveal that the hypothesized outcomes are not consistently observed. We suggest that these outcomes may be improved by incorporating tools that can predict user performance metrics to optimize the device during the initial design process. We also note that the scope of the solution space of most current designs is limited by focusing on the anthropomorphic design approaches that do not account for the person's altered anatomy post-amputation. The effects of the prosthetic joint behavior on whole-body gait biomechanics and user experience are likewise under-explored. Two research paths to support the goal of better predicting the user outcomes are proposed: experimental parameterization of designs and model-based simulations. However, while work in these areas has introduced promising new possibilities, connecting both to improve real-world performance remains a challenge.

An Ankle-Foot Prosthesis Emulator Capable of Modulating Center of Pressure

OBJECTIVE

Several powered ankle-foot prostheses have demonstrated moderate reductions in energy expenditure by restoring pushoff work in late stance or by assisting with balance. However, it is possible that center of pressure trajectory modulation could provide even further improvements in user performance. Here, we describe the design of a prosthesis emulator with two torque-controlled forefoot digits and a torque-controlled heel digit. Independent actuation of these three digits can modulate the origin and magnitude of the total ground reaction force vector.

METHODS

The emulator was designed to be compact and lightweight while exceeding the range of motion and torque requirements of the biological ankle during walking. We ran a series of tests to determine torque-measurement accuracy, closed-loop torque control bandwidth, torque-tracking error, and center of pressure control accuracy.

RESULTS

Each of the three digits demonstrated less than 2 Nm of RMS torque measurement error, a 90% rise time of 19 ms, and a bandwidth of 33 Hz. The untethered end-effector has a mass of 1.2 kg. During walking trials, the emulator demonstrated less than 2 Nm of RMS torque-tracking error and was able to maintain full digit ground contact for 56% of stance. In fixed, standing, and walking conditions, the emulator was able to control center of pressure along a prescribed pattern with RMS errors of about 10% the length of the pattern.

CONCLUSION

The proposed emulator system meets all design criteria and can effectively modulate center of pressure and ground reaction force magnitude.

SIGNIFICANCE

This emulator system will enable rapid development of controllers designed to enhance user balance and reduce user energy expenditure. Experiments conducted using this emulator could identify beneficial control behaviors that can be implemented on autonomous devices, thus improving mobility and quality of life of individuals with amputation.