2020 · 25 citations · 19 references
MedicineOrthopedic SurgeryRobotics EngineeringAmputee RehabilitationProstheticsRoboticsAnkle BiomechanicsGait BiomechanicsLower-limb ProstheticsProsthetic BiomechanicsProsthetic Control SystemsRehabilitation RoboticsAssistanceBayesian OptimizationBelow-knee AmputationEnergetic Cost ReductionMetabolic Cost Of WalkingParameter ControlStiffnessStiffness Optimization
Evidence suggests that the metabolic cost associated with the locomotive activity of walking is dependent upon ankle stiffness. This stiffness can be a control parameter in an ankle-foot prosthesis. Considering unique physical interaction between each individual with below-knee amputation and robotic ankle-foot prosthesis, individually tuned stiffness in a robotic ankle-foot prosthesis may improve assistance benefits. This personalization can be accomplished through human-in-the-loop (HIL) Bayesian optimization (BO). Here, we conducted a pilot study to identify personalized ankle- foot prosthesis stiffness using the HIL BO to minimize the cost of walking, shown by metabolic cost. We used an improved versatile ankle-foot prosthesis emulator, which enabled to test controllers with a wide range of stiffness conditions. Two participants with simulated amputation reduced their cost of walking under the condition of personalized (optimized) stiffness by 6% and 5%, respectively. This result suggests that personalized stiffness may improve assistance benefit.
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Human-in-the-loop optimization of exoskeleton assistance during walking
Juanjuan Zhang, Pieter Fiers, Kirby Ann Witte et al. · Science · 2017 · 1K citations