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Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton
Published on: June 16, 2016
Muscular activity and physical interaction forces during lower limb exoskeleton use.
Matthew Wilcox1, Ashish Rathore1, Dafne Zuleima Morgado Ramirez2
1Aspire Centre for Rehabilitation Engineering and Assistive Technology , University College London , Royal National Orthopaedic Hospital, Stanmore, HA7 4LP , UK.
Robotic exoskeletons aid spinal cord injury (SCI) patients, but interaction forces are a concern. This study found forces mainly from exoskeleton movement, not muscle activity, aiding intuitive control development.
Area of Science:
- Robotics
- Neurorehabilitation
- Biomechanics
Background:
- Spinal cord injury (SCI) often results in lower limb sensorimotor deficits.
- Robotic exoskeletons offer a promising alternative to wheelchair reliance for SCI patients.
- Interaction forces between exoskeletons and users are a critical consideration.
Purpose of the Study:
- To investigate the origins of interaction forces in robotic exoskeletons for SCI patients.
- To differentiate between forces generated by exoskeleton movement and user muscular activity (EMG).
Main Methods:
- Utilized a similar experimental protocol to previous studies.
- Incorporated electromyography (EMG) analysis to measure muscle activity.
- Correlated force data with EMG signals during exoskeleton use.
Main Results:
- Peak interaction forces were observed primarily at the anterior right leg.
- Peak forces generally preceded peak EMG activity.
- A low correlation was found between overall EMG activity and force data, suggesting exoskeleton movement as the primary source of forces.
- Higher correlation coefficients were noted in muscle/force pairs at the anterior right leg, indicating a greater contribution from muscular activity in this specific region.
Conclusions:
- Interaction forces in robotic exoskeletons are largely attributable to the exoskeleton's movement.
- User muscular activity contributes more significantly to forces at the anterior right leg.
- Findings are crucial for developing intuitive control schemas for incomplete SCI patients using EMG feedback.
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