Above-knee amputation disrupts the natural coordination of biological legs, limiting the mobility of individuals with amputations. After above-knee amputation, the thigh muscles are severed from their attachment points below the knee. The knee and ankle joints are replaced by passive prosthetic joints that cannot perform the biomechanical functions of the missing biological leg joints. Individuals with amputations must rely on their intact leg and upper body to compensate for the limitations of the prosthesis, resulting in slower, less stable, and less efficient ambulation. Compensatory reliance by amputees on their intact leg and upper body often leads to secondary physical conditions such as back pain, osteoarthritis, and/or osteoporosis. The limited functional mobility provided by available prostheses severely affects the quality of life of millions of individuals world-wide.
Powered prostheses present a promising solution to this problem. In contrast to conventional devices, powered prostheses have battery-operated servomotors that can generate the torque and power necessary to imitate the biomechanical function of the missing biological leg. Appropriate controllers are used to synchronize the movements of the prosthesis with the user's neuromuscular system. A common approach to powered prosthesis control is to identify the user's intended activity, such as standing up or walking, and then impose a fixed, pre-planned prosthesis action that imitates the behavior of an intact biological leg during the intended activity. Using this approach, powered prostheses have shown the ability to assist individuals with above-knee amputations in structured laboratory environments. However, the real world is highly variable. Timely and accurate classification of all possible variations of each ambulation activity is both challenging and critical—any misclassification of the user's intended movement can cause the prosthesis to perform a different activity than the user expects, increasing the likelihood of falls and injuries. Moreover, every activity typically requires a dedicated controller to adapt to variations due to the subject preference or the variability of the environment.
Accordingly, there is an ongoing need for improved controller systems for powered prostheses.
The subject matter claimed herein is not limited to embodiments that solve any disadvantages or that operate only in environments such as those described above. Rather, this background is only provided to illustrate one exemplary technology area where some embodiments described herein may be practiced.
Disclosed embodiments include a powered joint system that is configured to provide volitional control of powered joint movement. The powered joint system includes a knee joint, ankle joint, one or more electromyography (EMG) sensors, and a controller. The one or more EMG sensors are adapted for placement on skin of a residual limb of a user to detect EMG signals from a posterior side of a limb (e.g., a residual limb). The controller is communicatively coupled to the knee joint, ankle joint, and the one or more EMG sensors. The controller comprises one or more processors and one or more hardware storage devices storing instructions that are executable by the one or more processors to configure the controller to perform various acts, including to receive an EMG signal from the one or more EMG sensors (the EMG signal being representative of muscle activation at the posterior side of the limb of the user) and determine a target knee and ankle behavior based on the EMG signal.
This summary is provided to introduce a selection of concepts in a simplified form that are further described below in the detailed description. This summary is not intended to identify key features or essential features of the claimed subject matter, nor is it intended to be used as an indication of the scope of the claimed subject matter.
In order to describe the manner in which the above-recited and other advantages and features can be obtained, a more particular description of the subject matter briefly described above will be rendered by reference to specific embodiments which are illustrated in the appended drawings. Understanding that these drawings depict only typical embodiments and are not therefore to be considered limiting in scope, embodiments will be described and explained with additional specificity and detail through the use of the accompanying drawings.
Standing up with conventional passive prostheses is challenging because of the inability of the passive prosthesis joints to provide positive assistive forces. A powered prosthesis can address this problem by actively generating torque as needed. However, proper synchronization of the powered prosthesis with the user's neuromuscular system is necessary to effectively assist the user. Synchronization is particularly challenging in the real world, due to the high variability of the environment.
Powered prosthesis controllers commonly aim to identify the user's intended activity and impose a fixed, pre-planned prosthesis action that imitates the movement of biological limbs during that activity. There are considerable limitations to the viability of this approach for real-world implementation. For example, the classification algorithms used to identify the subject's intended activity often must be trained using subject-specific, labelled data. Furthermore, the classification accuracy typically decreases over time, and retraining can be difficult and unsafe for the user to perform at home, requiring further intervention and participation by trained personnel.
When a conventional powered prosthesis controller is used, even a single misclassification can cause a misstep, which may result in a fall and/or injury. Moreover, every activity and every variation thereof typically requires a dedicated controller. Each of these controllers must be trained or manually tuned for each subject, which is costly, time consuming, and requires expertise not commonly available to clinicians.
Significant effort has been made to improve powered prosthesis controllers, primarily focusing on the problem of classification. Computer vision and range sensors also have the potential to improve classification accuracy. However, real-world implementation of computer vision and range sensors is associated with many challenges, such as camera placement, privacy, societal acceptance, etc.
Utilizing electromyography (EMG) from residual-limb muscles has the potential to improve classification accuracy, compared to using mechanical sensors alone. For example, neural control of a powered knee prosthesis has been combined with conventional state-determined knee impedances during stair ascent and walking. However, co-activation of the residual-limb muscles presents a key limitation to the viability of this antagonist approach for weight bearing activities. Classification-based EMG controllers can, at best, match the performance of non-neural controllers, while still requiring extensive controller training, subject-specific tuning, and intensive, multi-week, multi-session subject training. These obstacles reduce the clinical viability of classification-based EMG controllers.
Regardless of the specific sensors used, training classification algorithms of conventional powered prosthesis controllers requires the user to perform multiple repetitions of each activity as well as the transitions between activities, which can be taxing and even dangerous for the user without the supervision of trained personnel. Most importantly, even with perfect classification, every possible variation of each activity requires a separate, pre-tuned controller. Thus, powered prosthesis controllers based on any activity classification scheme have fundamental limitations that hamper their safety and usability in real-world implementations.
The present disclosure presents a fundamental departure from existing powered prosthesis controller paradigms. Rather than aiming to improve classification of the user's intended activity, disclosed embodiments can be implemented to give the user volitional control over the powered prosthesis using neural commands from the residual limb. For example, the present disclosure shows, among other things, that a shared neural controller that combines neural signals from a single hip extensor muscle with robot control enables standing up, squatting, lunging, and walking without explicit classification of the user's intended activity, controller tuning, or subject training.
In non-amputee individuals, knee extension torque is provided by the quadriceps muscle. Thus, it may seem logical to use the EMG signals produced by a quadricep muscle to drive the knee extension torque generated by a powered prosthesis. However, after above-knee amputation, the quadricep muscles lose their knee extension function. The vastus muscles atrophy and the rectus femoris becomes a monoarticular hip flexor. The present disclosure shows that the biceps femoris, a biarticular hamstring muscle in nonamputee individuals, provides a viable alternative to drive the knee extension torque generated by a powered prosthesis. After above-knee amputation, the biceps femoris loses its knee flexion function, but its hip extension function is retained. The biceps femoris is naturally active during standing up, when both hip extension torque and knee extension torque are required to counteract gravity. The biceps femoris is also naturally active during the stance phase of walking, when hip extension torque is necessary to propel the body forward and upward and knee extension torque is necessary to prevent the knee from collapsing. Because the biceps femoris naturally activates when knee extension torque is necessary, such as during standing up and during the stance phase of walking, users do not need to learn a new muscle activation pattern to use the disclosed shared neural controller. When flexion torque is required, as in the swing phase of walking, robot control may be utilized in the form of an indirect volitional control that automatically adapts the prosthesis trajectory based on the movements of the user's residual limb. Such functionality enables users to modulate the foot clearance while walking and crossing over obstacles without explicit classification of the environment. Thus, the EMG signal from the biceps femoris provides an intuitive input to provide direct volitional control of the powered prosthesis during movements that require knee extension torque, and the robot control provides indirect volitional control during movements that require flexion torque. Furthermore, EMG signal may be used to modify prosthesis behavior in existing controllers by multiplying or adding terms based on EMG signals. This allows the user to modify the behavior of the prosthesis when using existing controllers, in order to facilitate transitioning between activities such as walking and stairs. In this way, EMG contraction can be used to add or multiply existing prosthesis joint angle or torque or other prosthesis parameters during both weight-bearing and non-weight-bearing tasks.
After above-knee amputation, all muscles that control the ankle joint are removed and EMG signals from the muscles of the residual limb do not provide an intuitive way to control the prosthetic ankle. Surgical interventions, such as targeted muscle reinnervation and peripheral nerve interfaces have the potential to provide signals for intuitive control of the prosthesis ankle joint. However, these techniques have not shown the ability to directly control a powered prosthesis during walking, standing up, or other activities. To address this limitation, techniques of the present disclosure combine neural signals and robot control.
In non-amputee individuals, the ankle and knee move in synchrony during standing-up movements, and knee extension is mirrored by ankle plantarflexion. Controller of the present disclosure capture this natural coordination with a linear relationship controlling the equilibrium angle of the prosthesis ankle joint as a function of the measured prosthesis knee angle. This control approach enables the prosthetic foot to lay flat on the ground and support users while they perform many different activities, including standing up, sitting down, squatting, and lunging. The virtual impedance of the ankle joint adds the flexibility necessary to walk in addition to performing standing up activities, without any tuning or calibration of the controller. Because the prosthesis knee position depends on the EMG-controlled prosthesis knee torque, this shared control strategy provides users with indirect volitional control of the prosthesis ankle joint.
By implementing a shared neural controller, as discussed in more detail hereinafter, a user can voluntarily change the torque or position generated by the powered knee prosthesis, or change a parameter within the controller, controlling the timing and amount of energy provided by the powered prosthesis. As a result, the powered prosthesis significantly reduces the amount of compensatory work done by the user's intact and residual limb. Compared to using a conventional passive prosthesis, the disclosed shared neural controller(s) may facilitate significantly reduced muscle effort in both the intact (e.g., 21%-51% decrease in an example implementation) and the residual limb (e.g., 38%-48% decrease in an example implementation). By implementing the disclosed systems, the weight liftable by the prosthesis side increases significantly while standing up with the powered prosthesis (e.g., 49%-68% increase in an example implementation), leading to better loading symmetry (e.g., 43%-46% of body weight on the prosthesis side in an example implementation). Decreased muscle effort is clinically meaningful because muscle fatigue has been linked to increased fall risk. Increased prosthesis loading is clinically meaningful because loading asymmetry is correlated with increased fall risk. In addition, the disclosed shared neural controller(s) may allow for substantial variations in torque, power, and timing, enabling users to stand up from different chairs (e.g., 38-54 cm in example implementations), stand up slower and faster (e.g., 0.5-2.2 sec in example implementations), stand up while carrying a load (e.g., 0-30 lbs. in example implementations), as well as squat, lunge, and walk. Users may also be able to seamlessly transition between activities, which is critical for ambulation in the real world. Additional details related to the foregoing findings are provided hereinafter.
The prosthesis knee joint 125 may have a knee angle position 130 associated therewith (e.g., while a torque is being applied at the prosthesis knee joint 125, and/or at other times). The knee angle position 130 may be accessed by the prosthesis controller 115 and used to generate an ankle equilibrium position 135 (e.g., in accordance with Equation (2), as described in more detail hereinafter). The ankle equilibrium position 135 may be used to operate a prosthesis ankle joint 140, such as by causing a motor to actuate into the ankle equilibrium position 135. Such an operational architecture may enable a prosthesis controller 115 to facilitate volitional control of a powered knee and ankle prosthesis (e.g., a prosthesis knee joint 125 and/or a prosthesis ankle joint 140 thereof) without explicit classification of user activity or user intent.
Although the examples discussed in the present disclosure focus, in at least some respects, on shared neural control of a powered joint system implemented as a powered prosthesis (e.g., for above-knee amputees), the principles disclosed herein related to shared neural control may be applied to controllers of other types of powered joint systems, such as powered exoskeleton systems (e.g., powered knee and/or powered ankle exoskeletons that include knee and/or ankle joints).
Having described some of the various high-level features and benefits of the disclosed embodiments, attention will now be directed to
Systems, methods, and techniques related to shared neural controllers, in accordance with the present disclosure, may be implemented utilizing various types of knee and ankle prostheses.
The example powered knee and ankle prosthesis 200 of
The example powered knee and ankle prosthesis 200 of
The example powered knee and ankle prosthesis 200 of
The AVT 220 of the example powered knee and ankle prosthesis 200 of
The primary actuator of the example powered knee and ankle prosthesis 200 represented in
Covers 240 (e.g., 3D printed covers) may be utilized to house the control unit and battery 225. The control unit and battery 225 may comprise a Li-Ion battery (e.g., 2500 mAh, 6S) and/or an onboard system-on-module (SOM) (e.g., myRIO 1900, National Instruments, 100 g without covers). The SOM can run all custom control algorithms in real time, interfacing with the sensors and servo drivers for the AVT 220 and the primary motor (e.g., Elmo, Gold Twitter G-TWI 30/60SE, 35 g). The SOM can be connected through wi-fi to a host computer, smartphone, and/or other device for data monitoring and/or to controller tuning.
Experimental results (discussed in more detail hereinafter) were obtained by implementing a shared neural controller with a powered knee and ankle prosthesis 200 that includes the features/components discussed with reference to
In accordance with the present disclosure, at a high-level, a shared neural control architecture for coordinating powered prosthesis movements with human neuromuscular systems may utilize a finite state-machine that comprises two different states—Stance and Swing. In some instances, the Stance state becomes active (or is entered) when it is determined that the prosthesis contacts the ground (e.g., based on detecting a ground reaction force that satisfies a threshold, such as exceeding 50 N). From Stance, the finite-state machine may transition to Swing (e.g., activating the Swing state) when it is determined that the shank position and shank velocity are below thresholds while the knee position is below a threshold. In some implementations, the parameters for the finite-state machine are fixed and do not need to be tuned for different users. In Swing, an indirect volitional controller that is suitable for individuals with above-knee amputation may be utilized, and may be modified by EMG signals. In Stance, shared neural control may be implemented (as discussed hereinabove), such as by utilizing a direct volitional controller based on EMG from the residual limb.
In embodiments, two different low-level controllers are used in Stance for the knee joint (e.g., of knee module 215) and the ankle joint (e.g., of ankle-foot module 205). The knee joint extension torque may be controlled using proportional EMG control, as set forth below in Equation (1).
In accordance with Equation (1), the EMG signal from the biceps femoris (EMG) is normalized using its average peak recorded during walking with passive prosthesis (EMGmax) and may be multiplied by a position-dependent gain (G) to obtain the target, or desired, knee torque (Tkneedes). The EMG signal may additionally or alternatively be multiplied by a non-position-dependent gain. The passive prosthesis may be achieved by operating a powered prosthesis in a passive mode.
The position-dependent (G) gain can be calculated using a linear curve with an offset (e.g., G0=30°, or another offset value), as shown in Equation (1). Equation (1) also shows a multiplication factor, G1, applied to a knee angle position (θknee). Various multiplication factors may be utilized, such as, by way of non-limiting example, G1=0.625. When the multiplication factor G1 is positive, the EMG gain (G) increases with the knee angle position (θknee), resulting in higher sensitivity of the target torque to the EMG signal for more flexed knee joint angles.
The ankle joint can be controlled using an impedance-based control strategy with fixed or variable stiffness and damping and variable ankle equilibrium position (θankleeq), as set forth below in Equation (2).
The target ankle equilibrium position (θankleeq) may be configured to change as a function of the measured knee position (θknee) following the linear relationship shown in Equation (2). The linear relationship between the knee angle position (θknee) and the target ankle equilibrium position may comprise a negative linear relationship, characterized by negative values of k (e.g., k=−0.133). According to Equation (2), when the knee is fully extended (θknee=0), the target ankle equilibrium position is set to a neutral standing position (θankleeq=0). When the knee flexes (θknee≥0), the ankle dorsiflexes (θankleeq<0). Following the Equation (2), and using the example of k=−0.133, the target equilibrium angle of the ankle (θankleeq) reaches a maximum of 12° when the knee joint is flexed at 90°. In the example of Equation (2), the ankle equilibrium position is never positive, so the ankle joint does not actively plantarflex in Stance.
The Stance state may become active in various contexts, such as for standing up, sitting down, squatting, lunging, quiet standing, as well as for the Stance phase of walking, approximately from prosthesis heel-strike to sound side heel-strike, at which point the finite-state machine transitions to Swing, which can operate based on an indirect volitional controller. This indirect volitional controller may be further modified using EMG signals, in order to adjust the prosthesis behavior during transitions between activities, or as desired by the user, according to the following equation:
θknee=θknee1+θkneeEMG
Or
θknee=θknee1*θkneeEMG (3)
In this manner, existing controllers for powered prosthesis controller behaviors (θknee1) may be modified by adding or multiplying with terms that are proportionally derived from EMG signals (θkneeEMG) θ, in Equation (3), can be a joint position, joint torque, or even a parameter within the controller, which is modified by the EMG signal. This allows the user to modify the existing behavior of the powered prosthesis according to their needs.
The shared neural control architecture discussed hereinabove may be implemented utilizing a controller (e.g., of control unit and battery 225) of a powered knee and ankle prosthesis (e.g., powered knee and ankle prosthesis 200 of
The controller may be operatively and/or communicatively coupled to motors and/or other actuators of a powered knee and ankle prosthesis to control operation of the powered knee and ankle prosthesis in accordance with target values determined by the controller. For example, responsive to determining a target knee torque Tkneedes as discussed above in accordance with Equation (1), the controller may generate one or more output signals that may cause a motor of a powered knee and ankle prosthesis to apply a torque at a knee joint (e.g., of knee module 215) in accordance with the calculated target knee torque. Similarly, responsive to determining a target ankle equilibrium position θankleeq as discussed above in accordance with Equation (2), the controller may generate one or more output signals that may cause a motor of a powered knee and ankle prosthesis to apply a torque that causes the ankle joint (e.g., of ankle-foot module 205) to assume the target ankle equilibrium position.
The controller may be further configured to detect triggering conditions for determining whether to operate in the Stance state or the Swing state, as discussed above.
The following discussion now refers to a number of methods and method acts that may be performed in accordance with the present disclosure. Although the method acts are discussed in a certain order and illustrated in a flow chart as occurring in a particular order, no particular ordering is required unless specifically stated, or required because an act is dependent on another act being completed prior to the act being performed. One will appreciate that certain embodiments of the present disclosure may omit one or more of the acts described herein.
Act 305 of flow diagram 300 includes activating a stance state in response to detecting a ground reaction force that satisfies a threshold. In some instances, act 305 is performed utilizing a pyramid adapter for detecting ground reaction force and/or torque. In some implementations, the stance state is activated based on detecting a ground reaction force that exceeds a threshold of 50 N.
Act 310 of flow diagram 300 includes receiving an EMG signal from one or more EMG sensors, the EMG signal being representative of muscle activation at the posterior side of the residual limb of the user. In some instances, the one or more EMG sensors are adapted for placement on skin of a residual limb of a user to detect EMG signals from the posterior side of the residual limb (see
Act 315 of flow diagram 300 includes determining a target knee torque based on the EMG signal representative of the muscle activation at the posterior side of the residual limb of the user. Such functionality may be facilitated utilizing one or more processors of a controller executing stored instructions. In accordance with the present disclosure, the desired knee extension torque can advantageously be determined without explicit classification of user movement or user activity.
In some implementations, determining the target knee torque (e.g., Tkneedes of Equation (1)) includes normalizing the EMG signal (e.g., EMG of Equation (1)) based on an average peak EMG value (e.g., EMGmax of Equation (1)). The average peak EMG value can be determined based on measurements associated with the user walking with a passive prosthesis. The passive prosthesis may be one prescribed to a particular user.
The target knee torque can be determined based on a knee angle position such that higher knee target torque is obtained at higher knee angle positions for a same EMG signal. For example, determining the target knee torque may include multiplying the EMG signal by a position-dependent gain (e.g., G of Equation (1)), where the position-dependent gain is based on a knee angle position (e.g., θknee of Equation (1)) detected by one or more knee angle position sensors. In some instances, the position-dependent gain comprises a product of the knee angle position (e.g., θknee of Equation (1)) and a multiplication factor (e.g., G1 of Equation (1)). The product can be further modified by an offset value (e.g., G0 of Equation (1)).
Act 320 of flow diagram 300 includes determining a target ankle equilibrium position based on the knee angle position. The target ankle equilibrium position may correspond to θankleeq, as discussed hereinabove with reference to Equation (2). In some instances, in response to determining that the knee angle position is greater than or equal to zero, the ankle equilibrium position is defined following a negative linear relationship (e.g., θankleeq=kθknee, where k is negative) between the knee angle position (e.g., θknee) and the ankle equilibrium position (θankleeq). In some instances, in response to determining that the knee angle position is less than zero, the ankle equilibrium position is defined as zero.
Act 325 of flow diagram 300 includes outputting a signal configured to cause application of torque at an ankle joint to configure the ankle joint according to the target ankle equilibrium position. The ankle joint may be part of an ankle module (e.g., ankle-foot module 205) of a powered knee and ankle prosthesis (e.g., powered knee and ankle prosthesis 200 of
Act 330 of flow diagram 300 includes outputting a signal configured to cause application of torque at the knee joint in accordance with the target knee torque. The knee joint may be part of a knee module (e.g., knee module 215) of a powered knee and ankle prosthesis (e.g., powered knee and ankle prosthesis 200 of
It shall be noted that these experiments and results are provided by way of illustration and were performed under specific conditions using a specific embodiment or embodiments. Aspects of the experimental protocol(s) discussed below may be applied in real-world and/or end-use contexts (e.g., experimental apparatus(es)/device(s), placement of EMG sensor(s), ambulation activities, and/or others). However, neither these experiments (including the specific experimental conditions or embodiment(s)) nor their results shall be used to limit the scope of the present disclosure.
Participant Information
Two individuals with unilateral above-knee amputation participated in these experiments. Table 1 included below provides demographics related to the participants.
Experimental Protocol
A series of tests were performed by the subjects using a prescribed passive (e.g., their own prescribed passive prosthesis) and a powered knee and ankle prosthesis in under shared neural control (according to the present disclosure). Both subjects performed the tests with their respective prescribed passive prosthesis first. Table 2 provides an overview of activities performed in the experiments.
Walking: subjects walked on level ground at their preferred speed and cadence. A 24-foot walkway allowed for 4-5 consecutive strides. Subjects walked back and forth until at least 20 steady-state strides were recorded (excluding first, last, and turning steps). Subjects performed this walking test with their prescribed passive prosthesis and then a powered prosthesis with the a shared neural controller, as discussed hereinabove.
Sit to stand: subjects stood up and sat down from an armless, adjustable-height chair, with each foot placed on a separate force plate (see
Subjects also performed partial sit-to-stand transfers using the armless chair set at standard height (50 cm). Specifically, they stood up partway and immediately sat down again, as if they had begun standing up but changed their mind and returned to a seated position. Finally, subjects stood up and sat down from a standard-height chair (50 cm) as quickly as possible and as slowly as possible.
Squat: subjects squatted with the powered prosthesis while holding onto a handrail for safety. Subjects were encouraged to squat as deep as they felt confident and safe. Subjects performed 10-12 repetitions, and the last 6 were used to determine experimental results.
Lunge: subjects lunged with the powered prosthesis in front, while holding onto a side handrail for safety. Subjects placed the prosthesis in front of them and bent both knees to lunge as deep as they felt comfortable, and then stepped through the lunge and took a step before performing another lunge. Subjects performed 10-12 repetitions, and the last 6 were used to determine experimental results.
Ambulation circuit: subjects completed an ambulation circuit with different activities connected by walking. The circuit proceeded as follows: to stand up from a chair, take two steps, squat/lunge, take two steps, turn, take two steps, lunge/squat, take another two steps, turn, and sit down into a chair. 51 subject performed the lunge first and the squat second, and S2 performed the squat first and the lunge second. The entire circuit was performed next to a handrail, and the subjects were told to hold onto it if they felt it was necessary. A chair with arms was used, and subjects were not given specific instructions about whether to use their hands to stand up and sit down.
Experimental Instrumentation and Systems
Motion Analysis System: the subject wore an IMU-based motion tracking system (e.g., MTw Awinda, Xsens, Netherlands) to record kinematic data. Motion trackers were placed on the subject's sternum and lumbar spine, as well as both feet, calves, and thighs. On the amputation side, the thigh motion tracker was attached to the socket (see motion tracker 415 of
Example Electromyography Sensors
Two surface electromyography sensors (e.g., 13E202=60, Otto Bock, Germany) were placed on the subjects' skin. The first electrode was placed on the subject's intact limb, superficial to a quadricep muscle, the vastus lateralis (as shown in
Force Plates: during sit-to-stand trials, ground reaction forces (GRF) from each foot were recorded using two force plates (e.g., Wii Balance Nintendo; force plates 420 of
Powered Knee and Ankle Prosthesis: the Utah Lightweight Leg was used for the experimentation. The powered knee and ankle prosthesis 200 shown and described with reference to
Setup and calibration: a certified prosthetist adjusted the height of the powered prosthesis (e.g., powered knee and ankle prosthesis 200, powered prosthesis 410), fit the powered prosthesis to the subject, and ensured proper alignment. The EMG electrodes (e.g., 13E202=60, Ottobock, Germany) were placed on the subject's intact vastus lateralis and residual biceps femoris (see
As noted above, a single surface EMG electrode (e.g., 13E202=60, Ottobock) was placed on the posterior side of the subjects' residual limbs to measure the activation of a residual hamstring muscle—the biceps femoris (
Subjects performed sit-to-stand with the powered prosthesis using the disclosed shared neural controller and with their prescribed passive prostheses while the EMG activations of the residual limb biceps femoris and intact limb vastus lateralis muscles, as well as ground reaction forces, were measured. For both subjects (S1 and S2) and both muscles, the EMG activations were significantly lower with the powered prosthesis than the passive prosthesis, as represented in
With the powered prosthesis, the peak of the residual biceps femoris EMG was reduced by 38% for S1 and by 48% for S2, and the RMS was reduced by 45% for S1 and 50% for S2. Peak intact vastus lateralis EMG was reduced by 21% for S1 and 51% for S2, and the RMS was reduced by 23% for S1 and 51% for S2. The EMG activations of both the residual biceps femoris and intact vastus lateralis muscle during passive and powered stand-up had different magnitudes but similar patterns, with no significant difference in the timing of the peak activation between conditions (p=0.83 for S1 and p=0.94 for S2). The powered prosthesis lifted significantly more of the subjects' weight during stand-up compared to the passive prostheses (p<0.01). With the powered prosthesis, the peak of the load lifted by the prosthesis increased by 49% for S1 and 63% for S2, whereas the RMS of the load on the prosthesis side increased 68% for S1 and 73% for S2. The resulting peak loading on the prosthesis side was 46.1±4.29% of body weight for S1 and 42.7±6.98% of body weight for S2 during powered stand-up. Thus, the powered prosthesis with the disclosed shared neural controller significantly reduced muscle effort and improved symmetry during standing up, compared to standing up with conventional passive prostheses.
Subjects performed sit-to-stand, squat, and lunge with the powered prosthesis using the disclosed shared neural controller.
Subjects performed a series of sit-to-stands under different conditions that could be encountered in real life with the powered prosthesis under shared neural control.
Subjects were able to change their stand-up duration from 0.5 to 2.2 seconds—a 340% difference. Subjects were able to stand up from chairs of different heights, ranging from a minimum of 38 cm (the height of a standard toilet) to a maximum of 54 cm (the height of a tall chair). When subjects stood up from a shorter chair, their EMG activations were significantly higher. Subjects were also able to stand up while wearing a backpack, which resulted in significantly larger prosthesis knee torques and EMG activations compared to standing up without the backpack (p<0.01). Subjects were also able to stand-up partially, as if they had begun standing up and then changed their mind. Compared to normal stand-up, both subjects' knee range of motion decreased significantly during partial stand-up, from 94° to 44° for S1 and from 92° to 49° for S2 (p<0.01). Thus, the disclosed shared neural controller enabled the subjects to change the prosthesis movement as necessary to stand up with different timing, geometry, and loading conditions.
Subjects walked on level ground with both their prescribed passive prosthesis and the powered prosthesis using the disclosed shared neural controller.
Referring again to
Powered prostheses promise to improve the ambulation ability of millions of individuals with lower-limb amputations. Effective, intuitive, and safe controllers are essential to achieve this goal. Compared to conventional passive prostheses, the standard of care, powered prostheses utilizing the disclosed shared neural controller exhibited a reduction of the compensatory movements necessary to stand up. By putting the user in control of the powered prosthesis, the disclosed shared neural controller enables standing up under a variety of conditions, squatting, lunging, walking, and seamlessly transitioning between activities—none of which are possible with conventional passive prostheses or other powered prosthesis controllers. In the experiments discussed, subjects were able to perform all activities without training, specific instruction, failed attempts, or visual feedback, in contrast with other studies. No subject-specific tuning of the controller was necessary other than adjusting the gain of the EMG sensor as recommended by the manufacturer. Subjects reported that the shared neural controller was easy to use and did not require mental strain or attention.
Embodiments of the present disclosure may include, but are not necessarily limited to, features recited in the following clauses:
While certain embodiments of the present disclosure have been described in detail, with reference to specific configurations, parameters, components, elements, etcetera, the descriptions are illustrative and are not to be construed as limiting the scope of the claimed invention.
Furthermore, it should be understood that for any given element of component of a described embodiment, any of the possible alternatives listed for that element or component may generally be used individually or in combination with one another, unless implicitly or explicitly stated otherwise.
In addition, unless otherwise indicated, numbers expressing quantities, constituents, distances, or other measurements used in the specification and claims are to be understood as optionally being modified by the term “about” or its synonyms. When the terms “about,” “approximately,” “substantially,” or the like are used in conjunction with a stated amount, value, or condition, it may be taken to mean an amount, value or condition that deviates by less than 20%, less than 10%, less than 5%, or less than 1% of the stated amount, value, or condition. At the very least, and not as an attempt to limit the application of the doctrine of equivalents to the scope of the claims, each numerical parameter should be construed in light of the number of reported significant digits and by applying ordinary rounding techniques.
Any headings and subheadings used herein are for organizational purposes only and are not meant to be used to limit the scope of the description or the claims.
It will also be noted that, as used in this specification and the appended claims, the singular forms “a,” “an” and “the” do not exclude plural referents unless the context clearly dictates otherwise. Thus, for example, an embodiment referencing a singular referent (e.g., “widget”) may also include two or more such referents.
It will also be appreciated that embodiments described herein may include properties, features (e.g., ingredients, components, members, elements, parts, and/or portions) described in other embodiments described herein. Accordingly, the various features of a given embodiment can be combined with and/or incorporated into other embodiments of the present disclosure. Thus, disclosure of certain features relative to a specific embodiment of the present disclosure should not be construed as limiting application or inclusion of said features to the specific embodiment. Rather, it will be appreciated that other embodiments can also include such features.
This application claims priority to U.S. Provisional Patent Application Ser. No. 63/094,222, filed Oct. 20, 2020 and titled “Powered Prosthesis with Enhanced Neural-Based Controller”, the entirety of which is incorporated herein by this reference.
This invention was made with government support under grant no. HD098154 awarded by the National Institutes of Health and grant no. 1925371 awarded by the National Science Foundation. The government has certain rights in this invention.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/055893 | 10/20/2021 | WO |
Number | Date | Country | |
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63094222 | Oct 2020 | US |