Terrain adaptive powered joint orthosis
11419747 · 2022-08-23
Assignee
Inventors
- Zhixiu Han (Acton, MA)
- Christopher Williams (Pittsburgh, PA, US)
- Jeff Anthony Weber (San Francisco, CA, US)
- Christopher Eric Barnhart (Carlisle, MA)
- Hugh M. Herr (Somerville, MA)
- Richard James Casler, JR. (Lowell, MA, US)
Cpc classification
A61F5/0125
HUMAN NECESSITIES
International classification
A61F5/01
HUMAN NECESSITIES
A61H1/02
HUMAN NECESSITIES
Abstract
A powered device augments a joint function of a human during a gait cycle using a powered actuator that supplies an augmentation torque, an impedance, or both to a joint. A controller estimates terrain slope and modulates the augmentation torque and the impedance according to a phase of the gait cycle and the estimated terrain slope to provide at least a biomimetic response. The controller may also modulate a joint equilibrium. Accordingly, the device is capable of normalizing or augmenting human biomechanical function, responsive to a wearer's activity, regardless of speed and terrain, and can be used, for example, as a knee orthosis, prosthesis, or exoskeleton.
Claims
1. A method for assisting a person walking on a surface with a powered human augmentation device including a controller and a joint capable of exhibiting an impedance, the method comprising the steps of: determining a phase of a gait cycle; estimating within the gait cycle, that a slope of the surface is a negative slope; supplying to the joint a value for the impedance, the impedance comprising a linear spring component and a damping component; and modulating the impedance based on the phase of the gait cycle and the estimated slope to provide at least a biomimetic response, wherein the modulating comprises varying the damping component in accordance with an angle of the negative slope.
2. The method of claim 1, wherein the estimated slope is indicative of a walking mode such that level-ground walking mode corresponds to a substantially zero slope, downslope walking mode corresponds to a negative slope, and upslope walking mode corresponds to a positive slope.
3. The method of claim 2, wherein the downslope walking mode comprises descending stairs and the upslope walking mode comprises ascending stairs.
4. The method of claim 1, wherein the joint is a knee.
5. The method of claim 1 further comprising estimating walking speed, wherein at least one of the augmentation torque and the impedance is based on the estimated walking speed.
6. The method of claim 1, further comprising re-determining the phase of the gait cycle and re-estimating the slope wherein if the re-determined phase of the gait cycle is determined to be one of early stance and mid stance and the re-estimated slope is substantially zero, the impedance is modulated such that contribution of the linear spring component to the modulated impedance is greater than contribution of the damping component.
7. The method of claim 1, further comprising determining that the phase of the gait cycle is one of early stance and mid stance, wherein the impedance is modulated such that contribution of the damping component is increased substantially compared to a contribution thereof if the slope is estimated to be substantially zero.
8. The method of claim 1, further comprising re-determining the phase of the gait cycle and re-estimating the slope, wherein the augmentation torque comprises a non-conservative propulsive torque; and if the re-determined phase of the gait cycle is determined to be one of early stance and mid stance and the re-estimated slope is positive, providing the non-conservative propulsive torque such that the modulated augmentation torque is greater than the modulated augmentation torque applied if the slope is re-estimated to be substantially zero.
9. The method of claim 1, wherein if the phase of the gait cycle is determined to be late stance, the augmentation torque is modulated to correspond to a reflex torque that is related to the estimated slope.
10. The method of claim 1 further comprising the step of modeling, during a swing phase of the gait cycle, a joint equilibrium as a second-order response to a joint-position goal to be achieved prior to a next phase of the gait cycle.
11. The method of claim 10 further comprising the step of determining if the joint is substantially fully flexed, during a swing phase of the gait cycle, wherein modulating comprises adjusting both the augmentation torque and the impedance to be substantially zero, if the joint is determined to be substantially fully flexed.
12. The method of claim 10, wherein if the phase of the gait cycle is determined to be early swing, the augmentation torque is modulated according to the joint-equilibrium model such that a joint equilibrium corresponds to the joint-position goal.
13. The method of claim 10, wherein if the phase of the gait cycle is determined to be early swing, the impedance is modulated according to the joint-equilibrium model such that a joint equilibrium corresponds to the joint-position goal.
14. The method of claim 1, wherein estimating the slope comprises kinematically reconstructing a path of the joint within the gait cycle.
15. The method of claim 14 further comprising the steps of: kinematically reconstructing a path of another joint within the gait cycle; and associating the path of the other joint with the path of the joint to estimate the slope.
16. The method of claim 14, wherein the kinematic reconstruction comprises computing a pose and an origin of a co-ordinate frame associated with a link connected to at least one of the joint and another joint proximal to the joint.
17. The method of claim 16, wherein computing the pose comprises creating a homogeneous transformation of the co-ordinate frame.
18. The method of claim 17, wherein the homogeneous transformation comprises: a 3×1 vector defining an origin of the co-ordinate frame; and a 3×3 matrix comprising unit vectors of the co-ordinate frame.
19. The method of claim 16, wherein at least one point within the co-ordinate frame corresponds to a link connected to at least one of the joint and another joint proximal to the joint.
20. The method of claim 16, wherein at least one point in the coordinate frame corresponds to a link connected to an ankle joint proximal to the joint and the at least one point is at least one of a distal end and a proximal end of a tibia connected to the ankle.
21. The method of claim 1, wherein the augmentation torque is modulated according to a positive-force feedback.
22. The method of claim 21, wherein the augmentation torque modulated according to the positive-force feedback, in combination with a natural joint torque supplied by the human, approximates at least a normal joint torque.
23. The method of claim 21, wherein the positive-force feedback comprises a gain and an exponent.
24. The method of claim 23, wherein modulating comprises adjusting at least one of the gain and the exponent according to at least one of the estimated slope and walking speed.
25. The method of claim 1, wherein the augmentation torque is modulated according to a scaling factor.
26. The method of claim 1 further comprising the step of attenuating the augmentation torque to be applied according to a protocol.
27. The method of claim 1, wherein the augmentation torque is supplied in addition to natural joint torque supplied by the person to achieve at least a pre-determined total joint torque response.
28. The method of claim 1, wherein modulating comprises applying a closed-loop torque control at the joint.
29. The method of claim 28 further comprising: modeling the joint torque; and determining the phase of the gait cycle based on the joint torque model.
30. The method of claim 1, wherein the augmentation torque, the impedance, and a joint equilibrium are modulated in order to achieve at least a target walking speed.
31. The method of claim 1, wherein the augmentation torque, the impedance, and a joint equilibrium are modulated in order to substantially achieve a metabolic economy in accordance with a normative reference across at least one of walking speed and terrain.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) In the drawings, like reference characters generally refer to the same parts throughout the different views. Also, the drawings are not necessarily to scale, emphasis instead generally being placed upon illustrating the principles of the invention. In the following description, various embodiments of the present invention are described with reference to the following drawings, in which:
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DESCRIPTION
(16) The entire contents of each of U.S. patent application Ser. No. 12/157,727 “Powered Ankle-Foot Prosthesis” filed on Jun. 12, 2008 (Publication No. US2011/0257764 A1); U.S. patent application Ser. No. 12/552,013 “Hybrid Terrain-Adaptive Lower-Extremity Systems” filed on Sep. 1, 2009 (Publication No. US2010/0179668 A1); U.S. patent application Ser. No. 13/079,564 “Controlling Power in a Prosthesis or Orthosis Based on Predicted Walking Speed or Surrogate for Same” filed on Apr. 4, 2011; and U.S. patent application Ser. No. 13/079,571 “Controlling Torque in a Prosthesis or Orthosis Based on a Deflection of Series Elastic Element” filed on Apr. 4, 2011 are incorporated herein by reference.
(17)
(18) Typically, the human gait adapts to terrain modality, e.g., ground slope and whether the human is ascending or descending stairs, and to walking speed so as to maintain balance and to achieve a metabolically economical movement pattern.
(19) Flexion angle in the swing phase also shows terrain dependence. In slope ascent, the flexion angle just prior to foot-strike, i.e., late swing 222 of the curve 232 increases with the slope of ascent, whereas the knee flexion is invariant with the slope of descent, as depicted by the curve 234. To achieve sufficient toe clearance on descent, the knee flexion angle increases in early swing 224 as the descent becomes steeper. Though the data presented in
(20) PKO platforms 500, 800 described with reference to
(21)
(22) When worn by a wearer with weakened quadriceps extensors, the PKO platforms 500, 800 deliver an augmentation torque, Γ.sub.augment, to normalize the response, i.e., to produce a response that may be produced by a joint (e.g., knee) of average humans not having weakened muscle tissue (e.g., quadriceps extensors) and not wearing any powered prosthetic/orthotic devices. With reference to
(23) Once the foot strikes the ground in early stance 312, the PKO platforms 500, 800 apply appropriate knee extensor torque, τ.sub.extensor, to achieve an impedance relation of the form:
τ.sub.extensor=Γ.sub.0(ϕ,{dot over (s)})−k.sub.ϕ,{dot over (s)}(θ−θ.sub.0)−b.sub.ϕ,{dot over (s)}{dot over (θ)}
in accordance with the computed terrain slope and speed. In late stance 314, the PKO platforms 500, 800 apply additional torque and reflex in accordance with the terrain slope and the instantaneous gait speed inferred by femur and tibia pitch rates. In late stance 314, the knee extensor torque corresponds to a biologically-conceived, non-linear, positive torque feedback relation of the form:
(24)
where the gain, P.sub.ff .sub.
(25) With reference to
(26) With reference to
(27) With reference to
(28) Optionally, the Platform 500 may employ one or two embedded wireless interfaces 506. A Bluetooth® interface may be used as the pathway for PDA-based tuning by clinicians and researchers to normalize the torque response, e.g., by specifically programming the PKO platform 500 to deliver augmentation torque Γ.sub.augment as required in each phase of the gait cycle as described below with reference to
(29) The actuator 502 of the PKO platform 500 can be a series-elastic actuator (SEA) to drive the powered orthosis. See, for example, U.S. Pat. No. 5,650,704 “Elastic Actuator for Precise Force Control” the disclosure of which is incorporated herein by reference. A multi-processor control system (State and Actuator Controller) 508 uses feedback from the SEA to deliver the appropriate response in accordance with the phase of the gait cycle, the terrain, and the walking speed. A three-phase brushless motor driver (Motor Driver) 522 interfaces to the State and Actuator Controller 508 to accomplish closed-loop torque control of the SEA 502. An Inertial Measurement Unit (IMU) 510, employing a three-axis rate gyro and a three-axis accelerometer, provides feedback to sense transitions between phases of the gait cycle, to measure gait speed, and to discriminate terrain modality. The WiFi/Bluetooth® communication module 506 is employed to interface directly to the State Controller and Actuator Controller 508 to facilitate data acquisition and PDA-based clinician tuning.
(30) The SEA 502 may employ a robust ball-screw mechanism 524 driven by the high-rpm brushless motor 522 through a redundant aramid fiber twin belt transmission 526. The ball-nut 524 of the SEA 502 drives the knee 540 through a bilateral spring assembly 528 and a redundant aramid fiber cable drive 530. The bilateral spring assembly 528 can exhibit a weak stiffness in flexion and a stiffer spring in extension as would be applied in locking the knee joint. Thus in this embodiment, the bilateral spring 528 is used (i) to store energy in late stance for later release in the reflex response and (ii) to serve as a sensing means for achieving closed-loop torque control of the actuator 502. By storing energy for later release, the peak power and, hence, size and weight of the motor 522 are reduced by over 40% compared to an actuator without the spring storage, in this embodiment. Displacement of the spring 528 can be used to estimate and thereby control drive torque in a way that attenuates the effect of friction, enabling a backdrivable means of actuation that replicates biological knee operation.
(31) A knee sensor 532, a motor-position sensor 534, and a ball-screw position sensor 536 embedded in the actuator 502 are employed to determine a state of the actuator 502 and to provide a basis for brushless motor control and for modulation of impedance, torque, and position in accordance with the phase of the gait cycle and gait speed. To this end, the State Controller and Actuator Controller 508 implements a state machine.
(32) With reference to
τ.sub.extensor=Γ.sub.0(ϕ,{dot over (s)})−k.sub.ϕ,{dot over (s)}(θ−θ.sub.0)−b.sub.ϕ,{dot over (s)}{dot over (θ)}
k.sub.cp=k.sub.cp(ϕ,{dot over (s)});b.sub.cp=b.sub.cp(ϕ,{dot over (s)})
Where
(33) τ.sub.extensor is the commanded SEA motor torque
(34) θ is the ankle angle,
(35) ϕ is the terrain angle, and
(36) {dot over (s)} is the estimated gait speed at foot-strike estimated by the IMU
(37) Transition into the early stance state 602 is accomplished by sensing by the IMU 510 the distinctive vibration that occurs when the foot strikes the ground. The impedance is configured and scaled so as to prevent buckling of the knee in accordance with walking speed and the response needed to at least normalize the augmented response of the wearer.
(38) Transition into the late stance state 604 generally occurs when the detected knee extension angle velocity changes from negative to positive. In this state 604, a reflex response can be achieved through non-linear positive feedback as described by the relation:
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In this, the reflex gain, P.sub.ff(ϕ,{dot over (s)}) and the exponent (non-linear spring), N(ϕ,{dot over (s)}) are each a function of the terrain angle, ϕ, and the estimated gait speed, {dot over (s)}={dot over (s)}({dot over (Ψ)}.sub.femur,{dot over (Ψ)}.sub.tibia), which is a function of the instantaneous angular rate of the tibia and femur at the time of entry in to the late stance state 604. A hard stop spring model for extreme knee extension, Γ.sub.knee (θ), is used to model the wearer torque response at extremes of extension (θ>0) while the knee is locked so that at least a biomimetic response is achieved.
(40) Transition into early swing state 606 occurs when the detected SEA 502 torque, Γ.sub.SEA, approaches a programmable percentage of peak torque. In this state 606, position control is employed to brake the knee flexion velocity, to achieve proper ground clearance and heel rise during the early to mid swing phase through use of an organically-derived trajectory, θ.sub.0(t) that smoothly decelerates to a goal position in a nearly ballistic trajectory (i.e., small torque corresponding to a lightly damped pendulum), θ.sub.goal=θ.sub.goal.sub.
τ.sub.extensor=−k.sub.esw(θ−θ.sub.0)−b.sub.esw({dot over (β)}.sub.motor−{dot over (β)}.sub.motor.sub.
τ.sub.trajectory.sup.2{umlaut over (θ)}.sub.0+2τ.sub.trajectory{dot over (θ)}.sub.0+θ.sub.0=θ.sub.goal.sub.
θ.sub.goal.sub.
where β.sub.motor is the motor angle corresponding to a knee angle with zero SEA spring displacement. and
(41) {circumflex over (ϕ)}|.sub.ls is estimated terrain angle as estimated at the end of late stance using the inertial tibia and femur angular velocities.
(42) Also in the early swing state 606, the inertial ankle and knee trajectories are computed and used to discriminate between the three modalities, i.e., slope/stair ascent, slope/stair descent, and walking on substantially level ground. This early discrimination may be used to adjust the control parameters of the State Controller and Actuator Controller 508 in advance of foot strike to achieve seamless response across the swing-stance transition.
(43) Transition into late swing state 608 occurs when the IMU 510 detects a negative, vertical Cartesian (world-frame referenced) ankle pivot velocity, .sup.WV.sub.ankle pivot.sub.
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(45) Battery conservation is important in wearable PKO devices. In the absence of battery energy, or when the walking state machine (e.g., the state machine 600, illustrated with reference to
(46)
In transverse-flux and other high-torque motor actuators, the τ.sub.sl may be on the order of about 500 msec or more. For time intervals, e.g., less than ⅓ of the time constant, the actuator 502 in “shorted leads” mimics a static clutch, taking no energy from the battery. By matching the series-stiffness with that required in early stance flexion, the motor clutch is engaged at the desired joint equilibrium so as to approximate the biomimetic linear spring response without requiring any battery energy. This affords significant advantage in system design, response, and economy of operation.
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(48) The motor 814 is coupled to the buckled beam via a flexural coupling 818 to protect the ball-screw mechanism 816 from moment load, a reverse-cam linkage 820, and sealed needle bearings 824. The needle bearings 824 typically have L1 design life of over five million cycles (i.e., a design whereby 99% of a population survive longer than the reported design life with 95% statistical confidence). The PKO 800 also includes an integral pivot scaffold SEA support 826, coupled to the motor 814, and a foot support 828 (e.g., a custom nylon foot support), coupled to the buckled beam 812. The reverse-cam linkage 820 includes an encoder 830 that may be used to determine the SEA torque based on a torque-angular displacement model. The encoder 830 can be a 13-bit absolute encoder having a torque resolution of about 8 bits.
(49) In one embodiment, the motor 814 is controlled in a closed loop.
(50) The difference in the commanded and applied torque, δΓ.sub.joint, is scaled by the nominal stiffness of the buckling beam 812 (generally, the SEA) and is passed through a proportional-integral-derivative (PID) compensator 856, G.sub.1(z.sup.−1), to compute a commanded value of deflection, β−θ, where θ is the joint angle and β is the joint angle specified by the actuator for approximately zero buckled beam (SEA) deflection. G.sub.1 is designed with at least integral compensation with saturation error limits to force substantially zero steady-state torque error and may typically include proportional and derivative terms. The sensed joint angle, θ.sub.sense, is added by an adder 858 to the deflection command to compute a commanded actuator angle, β.sub.commanded.
(51) The estimated actuator displacement is derived by actuator kinematics 860 by sensing the motor angle, p, which is used in a computational model, β(p), of the actuator kinematics 860. The actuator error is supplied to a second PID compensator 862 with actuator range of motion limits to deliver a motor torque, τ.sub.motor, to drive the actuator 802. A brushless, permanent magnet motor, either radial, transverse flux, or stepping motor, is commutated electronically using a multiphase motor driver that delivers a torque-producing current component, i.sub.q, to achieve the desired motor torque via the relation τ.sub.motor=k.sub.ti.sub.q, where k.sub.t is the motor torque constant in Nm/A. If a stepping motor is used, the motor can be stepped in a closed-loop fashion to align with the position command.
(52) In another embodiment illustrated with reference to
(53) Seamless integration of the PKO platform 500 onto a wearer is desirable to ensure that the torque supplied by the PKO platform 500 is coupled efficiently to the joint (knee, ankle, etc.). With reference to
(54) In some embodiments, the State and Actuator Controller 508 is adapted to kinematically reconstruct a joint path. Such reconstruction can be used to determine the terrain (e.g., whether the terrain is level ground, sloping ground, or stairs), and activity (i.e., whether the wearer is walking on level ground, upslope, or downslope, or walking up or down the stairs). The modulation of the toque, impedance, and joint equilibrium may be based on the terrain and activity as determined via the kinematic reconstruction.
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(56) In some embodiments, the lower leg member 1020 pose is used to compute the instantaneous location of the knee joint. By using knowledge of the ankle joint 1000 angle (θ) the instantaneous pose of the bottom of the foot 1008 can be computed, including location of the heel 1012 and toe 1016. This information in turn can be used when the foot member 1008 is flat to measure the terrain angle in the plane defined by the rotational axis of the ankle joint/foot member. Mounting the inertial measurement unit on the lower leg member 1020 has advantages over other potential locations. Unlike if it were mounted on the foot member 1008, the lower leg member 1020 mounting protects against physical abuse and keeps it away from water exposure. Further, it eliminates the cable tether that would otherwise be needed if it were on the foot member 1008—thereby ensuring mechanical and electrical integrity. Finally, the lower leg member 1020 is centrally located within the kinematic chain of a hybrid system facilitating the computation of the thigh and torso pose with a minimum of additional sensors.
(57) The inertial measurement unit can be used to calculate the orientation, .sub.ankle.sup.wO, position, .sub.ankle.sup.wP, and velocity, .sub.ankle.sup.wv, of the PKO platform in a ground-referenced world frame. .sub.ankle.sup.w O may be represented by a quaternion or by a 3×3 matrix of unit vectors that define the orientation of the x, y and z axes of the ankle joint in relation to the world frame. The ankle joint 1000 coordinate frame is defined to be positioned at the center of the ankle joint axis of rotation with its orientation tied to the lower leg member 1020. From this central point, the position, velocity and acceleration can be computed. For points of interest in, for example, the foot (e.g., the heel 1012 or toe 1016), a foot member-to-ankle joint orientation transformation, .sub.foot.sup.ankleO(θ) is used to derive the position using the following relation:
.sub.point-of-interest.sup.wP=.sub.ankle.sup.wP+.sub.ankle.sup.wO(γ).sub.foot.sup.ankleO(θ)(.sup.footr.sub.point-of-interest)
where
(58)
where γ is the inertial lower leg member angle, and
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where θ is the ankle joint angle.
(60) In this embodiment, the inertial measurement unit, including the three-axis accelerometer and three-axis rate gyro, is located on the forward face at the top of the lower leg member 1020. It is advantageous to remove the effect of scale, drift and cross-coupling on the world-frame orientation, velocity and position estimates introduced by numerical integrations of the accelerometer and rate gyro signals
(61) Inertial navigation systems typically employ a zero-velocity update (ZVUP) periodically by averaging over an extended period of time, usually seconds to minutes. This placement of the inertial measurement unit is almost never stationary in the lower-extremity devices such as a PKO. However, the bottom of the foot is the only stationary location, and then only during the controlled dorsiflexion state of the gait cycle. An exemplary zero-velocity update method, which is not impacted by this limitation, for use with various embodiments of the invention is described further below.
(62) To solve this problem, orientation, velocity and position integration of ankle joint is performed. After digitizing the inertial measurement unit acceleration, .sup.IMUa, the ankle joint acceleration (.sup.IMU a.sub.ankle) is derived with the following rigid body dynamic equation:
.sup.IMUa.sub.ankle=.sup.IMUa+.sup.IMU{right arrow over (ω)}X.sup.IMU{right arrow over (ω)}X.sub.ankle.sup.IMU{right arrow over (r)}+{right arrow over ({dot over (ω)})}X.sub.ankle.sup.IMU{right arrow over (r)},
where .sup.IMU {right arrow over (ω)} and .sup.IMU{dot over ({right arrow over (ω)})} are the vectors of angular rate and angular acceleration, respectively, in the inertial measurement unit frame and X denotes the cross-product.
(63) The relationship is solved .sub.ankle.sup.wO=.sub.IMU.sup.wO similarly as in the equations above using standard strapdown inertial measurement unit integration methods, in accordance with the following relationships known to one skilled in the art:
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(65) In the equations above, the matrix, {circumflex over (Φ)}, will be used interchangeably with the orientation matrix, .sub.IMU.sup.wO. The world frame-referenced ankle joint velocity and position are then derived at a point in time after the time of the previous zero-velocity update (i-th zero-velocity update) based on the following:
.sup.wv.sub.ankle(t)=∫.sub.ZVUP(i).sup.t(.sub.IMU.sup.wO).sup.IMUa.sub.ankledt
.sup.wp.sub.ankle(t)=∫.sub.ZVUP(i).sup.t wv.sub.ankledt
where .sup.wp.sub.ankle(t=ZVUP(i)) is reset to zero for all i.
(66) The six-degree-of-freedom inertial measurement unit (IMU) 510 of the PKO platform 500 or the IMU of the PKO device 800 is capable of computing the path of the ankle joint and the distal-end of the femur (knee) from which the IMU can discriminate and discern terrain modality—including stairs and slopes. With reference to
{circumflex over (ϕ)}=tan.sup.−1(.sup.wp.sub.ankle joint.sub.
(67) With reference to
(68) While the invention has been particularly shown and described with reference to specific embodiments, it will be understood by those skilled in the art that various changes in form and detail may be made therein without departing from the spirit and scope of the invention as defined by the appended claims. The scope of the invention is thus indicated by the appended claims and all changes that come within the meaning and range of equivalency of the claims are therefore intended to be embraced.