Conventional knee and ankle prostheses cannot provide net-positive energy, which is necessary to propel the body forward and upward during ambulation. Additionally, they cannot actively control the joint movements, which can be critical, for example, to achieve toe clearance in swing. While walking, individuals with an above-knee amputation make up for the deficiencies in their passive prostheses by performing undesirable compensatory movements with their residual limb, intact leg, and upper body. Unfortunately, these compensatory movements are insufficient for most users to ascend stairs in a step-over-step manner. As a result, individuals with a conventional passive prosthesis commonly ascend stairs using a slower and less efficient step-by-step gait pattern, leading each step with their intact leg. With this step-by step pattern, the intact leg and upper body performs all the effort required to climb the step, which requires significant strength and endurance. Moreover, the residual limb hip joint needs to extend and circumduct unnaturally for the passive prothesis to clear the step during swing as the prosthetic knee joint cannot flex as the biological leg would. This residual limb extension is often difficult due to muscle contractures, further challenging the user's balance.
Accordingly, there is an ongoing need for improved prosthesis systems to enable individuals with above-knee amputations to ascend stairs more naturally.
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 prosthesis that is configured to adaptively control powered knee and ankle joint movements during climbing tasks. The powered prosthesis includes a knee joint and an ankle joint, one or more sensors, and a controller. The one or more sensors are configured to capture sensor data associated with a residual limb of a user. 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: obtain a thigh orientation term, a thigh angular velocity term, and a thigh vertical acceleration term based on the sensor data; determine target knee and ankle angles based on the thigh orientation term, the thigh angular velocity term, and the thigh vertical acceleration term; and output a signal configured to cause the knee and ankle joints to move toward the target knee and ankle joint angles.
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.
Many challenges exist for individuals with above-knee amputations, including the ascension of stairs. Because passive prostheses cannot actively control the joint movements, individuals with above-knee amputations who rely on a passive prosthesis typically perform compensatory movements with their residual limb and upper body to ascend stairs in a step-by-step pattern (rather than a step-over-step pattern).
Powered prostheses have the potential to imitate the biological leg biomechanics during stair ascent. A powered prosthesis can propel the body upward by injecting positive energy when the prosthetic foot is in contact with the step (i.e., during the stance phase, also referred to herein as the standing phase). Also, a powered prosthesis can ensure adequate clearance with the step and correctly place the prosthetic foot in preparation for the next step to be climbed by actively controlling the joint movements when the prosthetic foot is off the ground (i.e., during the swing phase, also referred to herein as the lifting phase). A powered prosthesis may thus improve stairs ambulation speed and/or reduced metabolic effort compared to conventional passive prostheses.
There are many challenges associated with implementing powered prostheses for stair ascension in real-world scenarios. For example, because climbing taller steps requires larger net-positive energy and higher joint torque than climbing smaller steps, the torque generated by the prosthesis in stance phase should be adapted to the step height in order to accommodate different step heights that users may encounter. In addition, different step heights or variations in gait patterns may require the prosthesis to change the swing movement trajectory so that proper clearance and foot placement on the step can be achieved. Thus, to be practical for real-world implementation, powered prosthesis controllers must be robust to variability in stair geometry, gait pattern, and gait cadence to enable stair ascension.
Although powered prostheses show promise for enabling above-knee amputee subjects to ascend stairs step-over-step, available stair ascent controllers are designed to produce a predefined, fixed action of the powered prothesis, which must be manually tuned for each subject and staircase. Thus, if a user attempts to climb a taller step than the one the stair controller was tuned for, the prosthesis may not provide enough clearance, which may cause the prosthetic foot to hit the step riser and may result in user injury. Conversely, if the user attempts to climb a shorter step than the one the stair controller was tuned for, the prosthesis may provide too much clearance, which may cause user imbalance upon landing on the step. Furthermore, even if the step is cleared by the user through hip circumduction and sound-side vaulting, the prosthetic foot may fail to lay flat on the step. Subsequently, the prosthetic knee may begin to generate torque (to climb a subsequent step) while the prosthetic foot fails to lay flat on the step, which may result in the subject being pushed backward rather than upward and may potentially cause the user to fall.
Thus, at least one aspect of the present disclosure is to provide powered prosthesis controllers that automatically adapt to the variability of different stair heights. Such controllers may be implemented in real-world environments, where users may encounter steps of different heights.
In contrast with existing approaches, the present disclosure provides an alternative control strategy for a powered knee and ankle prosthesis to ascend stairs in a manner that accounts for varying step heights, cadences, and/or gait patterns. For example, embodiments of the present disclosure modulate the prosthesis knee and ankle position in swing as a continuous function of the user's thigh position, thigh velocity, and/or thigh vertical acceleration. In some instances, disclosed embodiments modulate energy injection in stance using a continuous adaption of knee joint torque-angle relationship as a function of the prothesis knee position when the prosthetic foot contacts the step.
By implementing the disclosed principles, stance energy and/or swing trajectory may be continuously changed or modulated during stair ambulation (in contrast with existing approaches, which have relied on the residual limb orientation as a proxy for gait phase to produce a fixed prosthesis trajectory in level-ground walking). Disclosed embodiments may enable individuals with above-knee amputations to climb stairs of different heights at different cadences and to seamlessly transition between different stair climbing strategies (e.g., step-by-step, step-over-step, two-step, etc.). Disclosed embodiments may thus facilitate the implementation of powered prostheses for stair ascension in real-world environments.
By way of overview, the sensor data 104 may be utilized to dynamically determine a state within which to operate/actuate the powered prosthesis. For example, based on the ground reaction force 118, a lifting state 124, a standing state 128, or a transition state 126 (e.g., a transition from the lifting state to the standing state 128) may be detected or selected. When in the lifting state 124, various sensor data 104 (e.g., the thigh orientation 106, the thigh angular velocity 108, and/or the thigh vertical acceleration 110) may be used to determine a target knee angle 130 and/or a target ankle angle 132. The target knee angle 130 may be used to control actuation of the knee joint 114 of the powered prosthesis, and the target ankle angle 132 may be utilized to control actuation of the ankle joint 116 of the powered prosthesis.
When in the transition state 126, various sensor data 104 may be used to determine a peak torque 134, a peak torque angle 136, and/or an ankle equilibrium angle 138. The peak torque 134 and the peak torque angle 136 may be used to control actuation of the knee joint 114 during the standing state, and the ankle equilibrium angle 138 may be used to control actuation of the ankle joint 116 during the standing state.
When in the standing state 128, various sensor data 104 may be used to determine a target knee torque 140 and/or a target ankle equilibrium angle 142, which may be used to control actuation of the knee joint 114 and the ankle joint 116, respectively.
Updated sensor data may be continuously obtained to facilitate adaptive modification of the values generated/determined to control actuation of the knee joint 114 and the ankle joint 116 (e.g., the target knee angle 130, the target ankle angle 132, the peak torque 134, the peak torque angle 136, the ankle equilibrium angle 138, the target knee torque 140, the target ankle equilibrium angle 142, etc.). In this way, powered prosthesis controllers may adapt to variable stair height, user cadences, and/or user gait patterns.
Although the examples discussed in the present disclosure focus, in at least some respects, on adaptive control of a powered joint system implemented as a powered prosthesis (e.g., for above-knee amputees), the principles disclosed herein related to adaptive 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). Furthermore, although examples discussed herein focus, in at least some respects, on stair climbing, one will appreciate, in view of the present disclosure, that the disclosed principles may be utilized for other movement tasks, such as squatting, lunging, sit-to-stand transferring, and/or others.
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 adaptive stair controllers for knee and ankle prostheses, 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 controller tuning.
Experimental results (discussed in more detail hereinafter) were obtained by implementing an adaptive stair 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, an adaptive stair controller utilizes a finite-state machine with two states: Standing and Lifting. The Lifting state may be configured to become active (or entered) in response to various triggering conditions. For example, in some instances, the adaptive stair controller may be in the Lifting state when the ground reaction force (GRF) is lower than a predefined threshold (GRFTHS) In Lifting, the desired angle of the knee joint (θkneedes) (or target knee angle) and the desired angle of the ankle joint (θankledes) (or target ankle angle) can be continuously adapted based on the movements of the user's thigh (i.e., the thigh of the user's residual limb). To this end, in some embodiments, the target knee angle (θkneedes) is defined as the sum of three terms: (θknee
The second term (θknee
The third term (θknee
In view of the foregoing, k4 operates as a linear gain that decreases as the thigh orientation angle increases after a certain threshold has been achieved. With the disclosed methodology, the knee flexion position increases with the hip flexion angle, with faster hip flexion movement resulting in higher knee flexion angles. Moreover, in some instances, the prosthetic knee flexes whenever the foot is lifted from the floor even if the residual hip joint does not flex.
The desired angular position of the ankle joint (θankledes) (or target ankle angle) is the sum of two terms. The first term (θankle
The second term of the desired ankle angle (θankle
The target knee angle (θkneedes) and the target ankle angle (θankledes) discussed above may be determined/utilized while the controller is in the Lifting state, as noted above (e.g., when the ground reaction force GRF is lower than a predefined threshold). In some implementations, when the ground reaction force (GRF) is higher than a fixed threshold (GRFTHS) the prosthesis controller transitions from the Lifting state to the Standing state. In some instances, the desired knee torque (or target knee torque) is defined in Standing as a continuous function of the knee position, imitating the quasi-stiffness shape of the intact biological leg. However, in some instances, the desired or target torque-angle relationship is not fixed, but changes as a function of the of the knee position when the controller switches from Lifting to Standing (θknee0) (e.g., the knee position measured at the transition from Lifting to Standing). Such torque modulation can be based on a heuristic algorithm inspired by non-amputee biomechanics.
The desired torque may then (e.g., during Standing) be encoded in the controller using a bi-dimensional look-up table, which may improve computational efficiency.
Thus, in some implementations, with the disclosed adaptive controller, larger knee extension torque can be produced when the powered prosthesis transitions between Lifting and Standing at a larger knee flexion angle, ultimately injecting higher mechanical energy into the stair-climbing cycle. Moreover, if the powered prosthesis transitions between Lifting and Standing with the knee fully extended, for example when the user shuffles around with no intention to climb a step, the desired torque can be defined solely by the impedance component, which may stabilize the knee joint and prevent it from collapsing under the user's body weight. Thus, the disclosed Standing controller may adapt the desired knee torque and energy injection with the step height while providing the user with the freedom to take the step at their preferred cadence.
In some implementations, the ankle behavior during Standing is defined using an impedance controller with an adaptive virtual equilibrium angle (θankleEQ). Due to the adaptive nature of the Lifting controller discussed above, the angle of the powered ankle joint at the transition between Lifting and Standing is not fixed, but changes as a function of the user's residual limb orientation and acceleration (e.g., as defined by Equation (6) and Equation (7)). Thus, at the transition between Standing and Lifting, the equilibrium angle of the ankle (θankleEQ) may be set to the measured ankle angle. Then (e.g., during Standing), the equilibrium angle of the ankle may change linearly with the knee position as defined by Equation (8).
Accordingly, with the disclosed Standing controller, the powered ankle joint may move from whatever its initial angle is when the prosthetic foot contacts the step to a neutral position (i.e., 0°) when the powered knee joint is fully extended. Thus, the powered ankle can contribute positive power to the Standing movement. At the same time, if the subject shuffles around without taking a step, the ankle may stay in a neutral position while providing compliant support to help the user balance while standing.
The desired torque(s) and/or angle(s) defined by the Standing and Lifting controllers as discussed above (e.g., the target knee angle, the target ankle angle, the target knee torque, the target ankle equilibrium angle, etc.) may be enforced by one or more dedicated low-level controllers using a hybrid feedforward/feedback approach. By way of non-limiting example, during Lifting, closed-loop position controllers (as shown in
In Standing, the ankle joint uses a virtual impedance controller (as shown in
Although the present disclosure touches on functions that may be associated with a Lifting controller and functions that may be associated with a Standing controller, one will appreciate, in view of the present disclosure, that the functions associated with the different states discussed herein may be performed by the same controller and/or otherwise logically divided among any number of processing/computing devices/components.
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 1602 of flow diagram 1600 includes detecting presence of a lifting state, a standing state, or a transition state. The state determined to be present may be based on a detected ground reaction force (GRF). For example, when the GRF is below a predefined GRF threshold, the lifting state may be determined to be present. In contrast, when the GRF is above the predefined GRF threshold, the standing state may be determined to be present. The transition state may comprise a transition between the lifting state and the standing state.
Flow diagram 1600 illustrates various acts performed in response to determining that the lifting state is present, including acts 1604, 1606, 1608, 1610, 1612, and 1614.
Act 1604 includes, in response to determining that the lifting state is present, obtaining a thigh orientation term, a thigh angular velocity term, and a thigh vertical acceleration term based on sensor data. The sensor data may be obtained utilizing one or more sensors configured to sense attributes of a residual limb of an above-knee amputee. In some instances, the thigh orientation term is proportional to an orientation of a user thigh with respect to gravity when a first thigh orientation threshold is satisfied, and the thigh orientation term may be set to zero when the first thigh orientation threshold is not satisfied (e.g., according to Equation (1) discussed above).
In some instances, the thigh angular velocity term is proportional to a positive angular velocity of a user thigh (e.g., the thigh vertical acceleration term may depend upon a vertical acceleration of a user thigh with respect to gravity) (e.g., according to Equation (2)).
In some implementations, the thigh vertical acceleration term is determined by determining a double integral of a first quantity and multiplying the double integral by a non-constant factor (e.g., according to Equation (3) and Equation (4)). For example, the first quantity may comprise a first factor subtracted from the vertical acceleration of the user thigh with respect to gravity, and the non-constant factor may change as a function of thigh orientation. The non-constant factor may be constant for thigh orientations below a second thigh orientation threshold, and, for thigh orientations that exceed the second thigh orientation threshold, the non-constant factor may be defined by a decreasing linear relationship that decreases linearly until reaching zero at a predetermined offset from the second thigh orientation threshold. In some instances, the second thigh orientation threshold associated with the thigh vertical acceleration term is the same as the thigh orientation threshold associated with the thigh orientation term.
Act 1606 includes determining a target knee angle based on the thigh orientation term, the thigh angular velocity term, and the thigh vertical acceleration term. The target knee angle may comprise a summation of the thigh orientation term, the thigh angular velocity term, and the thigh vertical acceleration term.
Act 1608 includes outputting a signal configured to cause a knee joint to move toward the target knee angle. In some instances, the target knee angle is enforced utilizing one or more dedicated low-level controllers that utilize a hybrid feedforward/feedback approach (e.g., as shown and described with reference to
Act 1610 includes obtaining a second thigh orientation term and a second thigh vertical acceleration term based on the sensor data. The second thigh orientation term may be determined in accordance with Equation (5), as discussed hereinabove. For example, in some implementations, the second thigh orientation term is zero for user thigh orientation angles lower than zero. Furthermore, in some instances, the second thigh orientation term is proportional to thigh orientation angle when the thigh orientation angle is within a first range of thigh orientation angles. Still furthermore, in some instances, the second thigh orientation term is defined by a decreasing linear relationship to approach a shank angle when the thigh orientation angle is within a second range of thigh orientation angles. The second range of thigh orientation angles is greater than the first range of thigh orientation angles. Furthermore, in some instances, the second thigh orientation term is equal to the shank angle when the thigh orientation angle is greater than the second range of thigh orientation angles.
The second thigh vertical acceleration term may be determined in accordance with Equation (6) and Equation (7), as discussed hereinabove. For example, the second thigh vertical acceleration term may depend upon a vertical acceleration of a user thigh with respect to gravity. The second thigh vertical acceleration term may be determined by determining a second double integral of a second quantity and multiplying the double integral by a second non-constant factor. The second quantity may comprise a second factor subtracted from the vertical acceleration of the user thigh with respect to gravity. The second non-constant factor may change as a function of thigh orientation. For example, the second non-constant factor may be constant for thigh orientations below a third thigh orientation threshold, and, for thigh orientations that exceed the third thigh orientation threshold, the second non-constant factor may be defined by a decreasing linear relationship that decreases linearly until reaching zero at a second predetermined offset from the third thigh orientation threshold. In some instances, the third thigh orientation threshold is the same as the thigh orientation threshold and/or the second thigh orientation threshold discussed hereinabove with reference to the thigh orientation term and/or the thigh vertical acceleration term, respectively. Furthermore, in some instances, the second predetermined offset may be the same as the predetermined offset referred to above in association with the thigh vertical acceleration term.
Act 1612 includes determining a target ankle angle based on the second thigh orientation term and the second thigh vertical acceleration term. In some instances, the target ankle angle comprises a summation of the second thigh orientation term and the second thigh vertical acceleration term.
Act 1614 includes outputting a second signal configured to cause the ankle joint to move toward the target ankle angle. In some instances, the target ankle angle is enforced utilizing one or more dedicated low-level controllers that utilize a hybrid feedforward/feedback approach (e.g., as shown and described with reference to
Flow diagram 1600 illustrates various acts performed in response to determining that the standing state is present, including acts 1616 and 1618.
Act 1616 includes, in response to determining that the standing state is present, outputting a third signal configured to cause application of a target knee torque at the knee joint, the target knee torque being determined based on a continuous function of knee position. For example, the target knee torque may be determined as a function of (i) a measured knee angle at a transition between a Lifting state and a Standing state and (ii) a currently measured knee angle (e.g., as shown and described hereinabove with reference to
Act 1618 includes outputting a fourth signal configured to cause the ankle joint to move toward a target ankle equilibrium angle, the target ankle equilibrium angle being defined based on a linear relationship with knee position. The target ankle equilibrium angle may be determined in accordance with Equation (8) discussed hereinabove.
Flow diagram 1600 illustrates various acts performed in response to determining that the lifting state is present, including acts 1620, 1622.
Act 1620 includes, in response to determining that the transition state is present, defining a peak torque and an angle at which to apply the peak torque, the peak torque and the angle at which to apply the peak torque being defined based on a measured knee angle at the transition from the lifting state to the standing state. For example, the peak torque and the angle at which to apply the peak torque may be determined based on linear relationships with the measured knee angle at the transition from the lifting state to the standing state (e.g., as shown and described hereinabove with reference to
Act 1622 includes setting an ankle equilibrium angle as a measured ankle angle at the transition from the lifting state to the standing state.
In some implementations, by implementing one or more of the acts associated with flow diagram 1600, a powered knee and ankle prosthesis controller may adaptively update a target knee angle, a target ankle angle, a target knee torque, and/or a target ankle equilibrium angle based on updated sensor data, thereby enabling the controller to adapt to variable stair height, user cadences, and/or user gait patterns that may be encountered in real-world scenarios.
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. 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
One subject with above-knee amputation participated in these experiments. The subject was 27 years old, weighed 65 kg, was a 1.7 m tall male, and had an above knee amputation for 6 years at the time of the experiments. The subject had experience with the powered prosthesis used in the experiments (i.e., the Utah Lightweight Leg, which corresponds to the powered knee and ankle prosthesis 200 discussed hereinabove with reference to
Experimental Protocol
The experiment preparation took place before data collection. The subject donned the Utah Lightweight Leg (e.g., the powered knee and ankle prosthesis 200 discussed above). A certified prosthetist adjusted the build height of the prosthesis using the standard pylon and ensured proper alignment of the knee and ankle joints. After the prosthesis fitting was completed, the subject donned an IMU-based motion capture system (e.g., MTw Awinda, Xsens). Eight sensors were placed on the subject. Two sensors were placed on the top of each foot, two on each shank just below the knee joint, two on the outside of each thigh, one in the center of the lower back, and one sensor on the sternum. Then, the motion capture system was calibrated to the subject. The calibration protocol consisted of having the subject stand still for 5 seconds, take 3 strides forward, turn around, take another 3 strides, and return the original standing position. After the system calibration, the subject practiced climbing stairs with the disclosed controller for about 15 minutes on both the 4 inch and 7 inch staircases. During practice, the controller parameters were fine-tuned by the experimenter based on the subject's preference. The whole experiment preparation lasted about 30 minutes.
Although the disclosed controller relies, in some implementations, on a series of bioinspired curves (
After the experiment preparation was completed, the subject performed the experimental protocol for data collection. The subject ascended two staircases of 4 steps, each with 3 different gait patterns. The first staircase is the maximum ADA compliant step height of 7 inches (18 cm), the second staircase is the minimum ADA compliant step height of 4 inches (10 cm). First, the subject used the step-over-step gait pattern, which is the most common way to climb stairs for non-amputee individuals. When climbing stairs step-over-step, each foot is placed one step above the other foot. Then, the subject used a step-by-step gait pattern, which is the most common stair ascent method for above-knee amputees using conventional prostheses. When climbing stairs step-by-step, the leading foot is placed one step above, and the following foot is brought to match on the step of the leading foot. Finally, the subject used a two-steps gait pattern, which is less common and mostly used when in a hurry. When climbing stairs with the two-steps gait pattern, the leading leg is taking two-steps at a time and the following leg is brought to match that step. The subject performed 5 ascents for each gait pattern and staircase. The subject climbed the staircase at their preferred cadence. Thus, the protocol tested several combinations of gait patterns and stair heights, while leaving the gait cadence up to the user's preference.
Data acquired from the motion capture systems and the sensors embedded in the powered prosthesis were processed offline. The motion capture system provided the kinematics of the ankle, knee, and hip joint, the orientation of the leg segments and the Cartesian-space position of the toe, ankle, knee, and hip joints, for both the prosthesis side and the sound side. The powered prosthesis provided the kinetics and kinematics of the prosthetic ankle and knee joints. Data recorded from the motion capture system and the powered prosthesis were synchronized online through Wi-Fi. The synchronized raw data was filtered offline using a zero-lag low-pass Butterworth filter with a cutoff frequency of 8 Hz. Joint angular velocities, accelerations, and power were calculated post filtering. Segmentation indexes for stance and swing phase during stair ascent were determined using the gait state parameters defined online by the powered prosthesis controller. Full strides started and ended at toe off on the prosthesis side. After segmentation, each stride was resampled to 1000 samples, and the time was normalized as percent of stride accomplishment. Energy injection was calculated as the integral of the joint torque-angle curve, which is theoretically equivalent to integrating mechanical power over time but does not require offline calculation of the joint velocity by numerical differentiation, which is typically noisy and involves filtering. Moreover, energy injection was calculated for stance phase only to isolate the ability of the disclosed Stance controller to adapt the energy injection to both the step height (i.e., 4 inch vs. 7 inch) and the gait pattern (e.g., Two-Steps vs. Step-over-Step).
Experimental Results
The swing trajectories for different stair heights and gait patterns were visibly different, as is evident in
The swing duration was calculated from the moment the prosthetic foot left the ground to the moment the prosthetic foot touched the ground, as determined by the finite-state machine. Because the powered prosthesis continuously follows the residual-limb movements, the swing duration reflects the user's self-selected cadence. The swing duration ranged from 0.76 s for the 4-in stairs with step-over-step gait pattern and 1.80 s for the 7-in stairs with the two-steps gait pattern. The step-over-step gait pattern on the 7-in stairs had the highest deviation in swing duration, with a minimum of 1.1 seconds and a maximum of 1.4 seconds (see
The prosthesis angle at the start of stance varied for different stair heights and gait patterns (see
The peak of the prosthesis knee torque changed with different stair heights and gait patterns (see
The timing of the prosthesis knee torque peak varied for different stair heights and gait patterns (see
Joint power and energy injection for different stair heights and gait patterns were assessed (see
A kinematic analysis was performed between the sound side and the prosthesis side for the thigh orientation, knee angle and ankle angle, as shown in
Ascending stairs in the real world requires controllers that synchronize the movements of the powered prosthetic joints with the movements of the user's residual limb. If the controller moves too fast or too slow with respect to the user's residual limb, then the prosthesis will hit the stairs, causing the user to trip and fall. Available stair controllers for powered prostheses cannot synchronize with the user. Therefore, users must learn how to time their residual limb movements with the prosthesis to ensure that the step is cleared. Because the swing time is fixed, changing cadence is not possible with available stair ascent controllers. In contrast, the disclosed adaptive Swing controller (see
Adaptation to different staircases or gait patterns requires the position of the prosthetic foot at the end of swing to match the stair height. If the prosthetic knee is too flexed, then the prosthetic foot hovers above the step. If the prosthetic knee is not flexed enough, the prosthetic foot does not clear the last step. Moreover, the angle of the prosthetic joints at the start of stance is important. The knee joint should be flexed to an extent that ensures the prosthesis shank orientation is past the vertical line defined by gravity so that the user's center of mass is above the prosthesis. The ankle should be dorsiflexed to ensure the prosthetic foot stays flat on the step. Available stair controllers are tuned for a specific staircase and gait pattern so that proper foot placement is achieved. Outside of the specific tuning conditions, these controllers cannot provide proper toe clearance and foot placement. In contrast, the disclosed adaptive Swing controller can achieve a suitable prosthesis orientation for all tested stair heights and gait patterns by changing the knee flexion continuously with the thigh angle (see
To facilitate sufficient toe clearance, in the disclosed controller, the prosthesis joint angles depend on both the thigh angle, velocity and vertical acceleration as defined by Equations (1) through (7). In general, the velocity dependency, Equation (2), appears to help clearing the intermediate step, whereas the vertical acceleration term, Equation (3) and Equation (4), appears to have a major impact in clearing the first step, when the residual limb is not rotating (
Climbing stairs with different stair heights or gait patterns requires different torque generation and mechanical energy injection. However, available stair ascent controllers use either a fixed, pre-programmed stance torque profile or joint impedance. Therefore, they cannot change torque generation or energy injection. To address this limitation, the disclosed Stance controller automatically increases the maximum knee torque proportionally to the knee flexion angle at the beginning of stance (
Inspired by biological knee behavior, the disclosed controller sets the knee angle at which the peak knee torque is provided proportional to the knee range of motion (
In the disclosed Stance controller, the ankle movements are synchronized to the knee movements, using a dedicated adaptive function (Equation 8). The experimental results show that different ankle angles are achieved at the beginning of stance for different stair heights and gait patterns (
In some embodiments, the disclosed controller advantageously uses a finite-state machine (
Embodiments of the present disclosure may include, but are not necessarily limited to, features recited in the following clauses:
Clause 1: a powered prosthesis configured to adaptively control powered joint movement during climbing tasks, the prosthesis comprising: a knee joint; one or more sensors configured to capture sensor data associated with a residual limb of a user; a controller comprising 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: obtain a thigh orientation term, a thigh angular velocity term, and a thigh vertical acceleration term based on the sensor data; determine a target knee angle based on the thigh orientation term, the thigh angular velocity term, and the thigh vertical acceleration term; and output a signal configured to cause the knee joint to move toward the target knee angle.
Clause 2: the powered prosthesis of Clause 1, wherein the instructions are executable by the one or more processors to configure the controller to adaptively update the target knee angle based on updated sensor data, thereby enabling the controller to adapt to variable stair height, user cadences, and/or user gait patterns.
Clause 3: the powered prosthesis of Clause 1 or Clause 2, wherein the thigh orientation term is proportional to an orientation of a user thigh with respect to gravity when a first thigh orientation threshold is satisfied.
Clause 4: the powered prosthesis of Clause 3, wherein the thigh orientation term is set to zero when the first thigh orientation threshold is not satisfied.
Clause 5: the powered prosthesis of any one of Clauses 1 through 4, wherein the thigh angular velocity term is proportional to a positive angular velocity of a user thigh.
Clause 6: the powered prosthesis of any one of Clauses 1 through 5, wherein the thigh vertical acceleration term depends upon a vertical acceleration of a user thigh with respect to gravity.
Clause 7: the powered prosthesis of Clause 6, wherein the thigh vertical acceleration term is determined by: determining a double integral of a first quantity, the first quantity comprising a first factor subtracted from the vertical acceleration of the user thigh with respect to gravity; and multiplying the double integral by a non-constant factor.
Clause 8: the powered prosthesis of Clause 7, wherein the non-constant factor changes as a function of thigh orientation.
Clause 9: the powered prosthesis of Clause 8, wherein the non-constant factor is constant for thigh orientations below a second thigh orientation threshold, and wherein, for thigh orientations that exceed the second thigh orientation threshold, the non-constant factor is defined by a decreasing linear relationship that decreases linearly until reaching zero at a predetermined offset from the second thigh orientation threshold.
Clause 10: the powered prosthesis of any one of Clauses 1 through 9, further comprising an ankle joint.
Clause 11: the powered prosthesis of Clause 10, wherein the instructions are executable by the one or more processors to configure the controller to: obtain a second thigh orientation term and a second thigh vertical acceleration term based on the sensor data; determine a target ankle angle based on the second thigh orientation term and the second thigh vertical acceleration term; and output a second signal configured to cause the ankle joint to move toward the target ankle angle.
Clause 12: the powered prosthesis of Clause 11, wherein: the second thigh orientation term is zero for user thigh orientation angles lower than zero, the second thigh orientation term is proportional to thigh orientation angle when the thigh orientation angle is within a first range of thigh orientation angles, the second thigh orientation term is defined by a decreasing linear relationship to approach a shank angle when the thigh orientation angle is within a second range of thigh orientation angles, the second range of thigh orientation angles being greater than the first range of thigh orientation angles, and the second thigh orientation term is equal to the shank angle when the thigh orientation angle is greater than the second range of thigh orientation angles.
Clause 13: the powered prosthesis of Clause 11 or Clause 12, wherein: the second thigh vertical acceleration term depends on a vertical acceleration of a user thigh with respect to gravity
Clause 14: the powered prosthesis of Clause 13, wherein the second thigh vertical acceleration term is determined by: determining a second double integral of a second quantity, the second quantity comprising a second factor subtracted from the vertical acceleration of the user thigh with respect to gravity; and multiplying the double integral by a second non-constant factor.
Clause 15: the powered prosthesis of Clause 14, wherein the second non-constant factor changes as a function of thigh orientation.
Clause 16: the powered prosthesis of Clause 15, wherein the second non-constant factor is constant for thigh orientations below a third thigh orientation threshold, and wherein, for thigh orientations that exceed the third thigh orientation threshold, the second non-constant factor is defined by a decreasing linear relationship that decreases linearly until reaching zero at a second predetermined offset from the third thigh orientation threshold.
Clause 17: the powered prosthesis of any one of Clauses 11 through 16, wherein the controller is configured to operate in a standing state or in a lifting state, and wherein the controller is configured to output the second signal configured to cause the ankle joint to move toward the target ankle angle when the lifting state is determined to be active.
Clause 18: the powered prosthesis of Clause 17, wherein the controller is configured to output the signal configured to cause the knee joint to move toward the target knee angle when the lifting state is determined to be active.
Clause 19: the powered prosthesis of Clause 17 or Clause 18, wherein the controller is configured to operate in the lifting state in response to detecting that a ground reaction force is below a threshold.
Clause 20: the powered prosthesis of Clause 19, wherein the controller is configured to operate in the standing state in response to detecting that the ground reaction force is above the threshold.
Clause 21: the powered prosthesis of Clause 20, wherein, when operating in the standing state, the controller is configured to output a third signal configured to cause application of a target knee torque at the knee joint, the target knee torque being determined based on a continuous function of knee position.
Clause 22: the powered prosthesis of Clause 20 or Clause 21, wherein, when operating in the standing state, the controller is configured to output a fourth signal configured to cause the ankle joint to move toward a target ankle equilibrium angle, the target ankle equilibrium angle being defined based on a linear relationship with knee position.
Clause 23: the powered prosthesis of any one of Clauses 20 through 22, wherein, at a transition from the lifting state to the standing state, the controller is configured to define a peak torque and an angle at which to apply the peak torque, the peak torque and the angle at which to apply the peak torque being defined based on a measured knee angle at the transition from the lifting state to the standing state.
Clause 24: the powered prosthesis of Clause 23, wherein, at the transition from the lifting state to the standing state, the controller is configured to set an ankle equilibrium angle as a measured ankle angle at the transition from the lifting state to the standing state.
Clause 25: a method for providing adaptive control of powered joint movement during climbing tasks, comprising: obtaining a thigh orientation term, a thigh angular velocity term, and a thigh vertical acceleration term based on sensor data, the sensor data being associated with a residual limb of a user; determining a target knee angle based on the thigh orientation term, the thigh angular velocity term, and the thigh vertical acceleration term; and outputting a signal configured to cause a knee joint to move toward the target knee angle.
Clause 26: one or more hardware storage devices storing instructions that are executable by one or more processors of a controller to configure the controller to: obtain a thigh orientation term, a thigh angular velocity term, and a thigh vertical acceleration term based on sensor data, the sensor data being associated with a residual limb of a user; determine a target knee angle based on the thigh orientation term, the thigh angular velocity term, and the thigh vertical acceleration term; and output a signal configured to cause a knee joint to move toward the target knee angle.
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. 63/094,220, filed Oct. 20, 2020 and titled “Powered Knee and Ankle Prosthesis With Adaptive Control”, the entirety of which is incorporated herein by this reference.
This invention was made with government support under grant no. R01HD098154 awarded by the National Institutes of Health. The government has certain rights in this invention.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/055894 | 10/20/2021 | WO |
Number | Date | Country | |
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63094220 | Oct 2020 | US |