Preliminary evaluation of a controlled-brake orthosis for FES-aided gait.
A hybrid functional-electrical stimulation (FES) gait system that incorporates a computer-controlled orthosis system has been developed to address the problems of rapid muscle fatigue and poor movement control that are characteristic of FES-aided gait. The orthosis is a long-leg brace that contains controllable friction brakes at both hip and knee joints. The system achieves desirable limb trajectories by utilizing the stimulated muscles as a source of unregulated power and regulating the power at each joint by computer control of the friction brakes. Muscle fatigue is reduced by locking the controllable brakes to provide the isometric joint torques necessary during stance. The hybrid gait system was evaluated and compared to conventional four channel FES-aided gait using four subjects with paraplegia. The results demonstrated significant reduction in muscle fatigue and improvement in trajectory control when using the orthosis combined with FES compared to using FES alone. Results for distance and speed improvements varied across subjects. Considerable work remains in the design of the hardware before the system is feasible for use outside the laboratory.
D000328:Adult; D001794:Blood Pressure; D001915:Braces; D004599:Electric Stimulation Therapy / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D019544:Equipment Failure Analysis / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005684:Gait; D020233:Gait Disorders, Neurologic / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D006339:Heart Rate; D006621:Hip Joint / Q000503:physiopathology; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D018763:Muscle Fatigue; D010101:Oxygen Consumption; D010264:Paraplegia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D010865:Pilot Projects; D013119:Spinal Cord Injuries / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000534:rehabilitation; D019415:Torque; D016896:Treatment Outcome