Assessment of motion of a swing leg and gait rehabilitation with a gravity balancing exoskeleton.
The gravity balancing exoskeleton, designed at University of Delaware, Newark, consists of rigid links, joints and springs, which are adjustable to the geometry and inertia of the leg of a human subject wearing it. This passive exoskeleton does not use any motors but is designed to unload the human leg joints from the gravity load over its range-of-motion. The underlying principle of gravity balancing is to make the potential energy of the combined leg-machine system invariant with configuration of the leg. Additionally, parameters of the exoskeleton can be changed to achieve a prescribed level of gravity assistance, from 0% to 100%. The goal of the results reported in this paper is to provide preliminary quantitative assessment of the changes in kinematics and kinetics of the walking gait when a human subject wears such an exoskeleton. The data on kinematics and kinetics were collected on four healthy and three stroke patients who wore this exoskeleton. These data were computed from the joint encoders and interface torque sensors mounted on the exoskeleton. This exoskeleton was also recently used for a six-week training of a chronic stroke patient, where the gravity assistance was progressively reduced from 100% to 0%. The results show a significant improvement in gait of the stroke patient in terms of range-of-motion of the hip and knee, weight bearing on the hemiparetic leg, and speed of walking. Currently, training studies are underway to assess the long-term effects of such a device on gait rehabilitation of hemiparetic stroke patients.
Agrawal
Sunil K
SK
Mechanical Systems Laboratory, Department of Mechanical Engineering, University of Delaware, Newark, DE 19716, USA. agrawal@udel.edu
Banala
Sai K
SK
Fattah
Abbas
A
Sangwan
Vivek
V
Krishnamoorthy
Vijaya
V
Scholz
John P
JP
Hsu
Wei-Li
WL
D000465:Algorithms; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D020233:Gait Disorders, Neurologic / Q000175:diagnosis* / Q000503:physiopathology / Q000534:rehabilitation*; D006112:Gravitation; D006801:Humans; D007866:Leg / Q000503:physiopathology; D008297:Male; D008328:Man-Machine Systems; D012371:Robotics / Q000295:instrumentation* / Q000379:methods; D013813:Therapy, Computer-Assisted / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome