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Development of a novel body weight support system for gait rehabilitation

Published online by Cambridge University Press:  07 December 2022

Lucas A. O. Rodrigues
Affiliation:
Federal University of Uberlandia, Uberlandia, MG, Brazil
Rogério S. Gonçalves*
Affiliation:
Federal University of Uberlandia, Uberlandia, MG, Brazil
*
*Corresponding author. E-mail: rsgoncalves@ufu.br
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Abstract

Modern rehabilitation processes for neurological patients have been widely assisted by robotic structures, with continuous research and improvements. The use of robotic assistance in rehabilitation is a consolidated technique for upper limb training sessions. However, human gait robotic rehabilitation still needs further research and development. Based on that, this paper deals with the development of a novel active body weight support (BWS) system integrated with a serious game for poststroke patients. This paper starts with a brief review of the state of the art of applied technologies for gait rehabilitation. Next, it presents the obtained mathematical model followed by multibody synthesis techniques and meta-heuristic optimization to the proposed device. The control of the structure is designed using proportional integral derivative (PID) controllers tuned with meta-heuristic optimization and associated with a suppression function to perform assist-as-needed actions. Then, the prototype is integrated with a serious game designed specifically for this application. Finally, a pilot study is conducted with the structure and healthy volunteers. The results obtained show that the mobility of the novel BWS is as expected and the proposed system potentially offers a novel tool for gait training.

Information

Type
Research Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press
Figure 0

Figure 1. Pelvis movements associated with the gait.

Figure 1

Figure 2. (a) Schematic drawing for the structure of the active support of the pelvis, based on the “pentapteron” (4-PRRU + PRRS); and (b) position of the point of interest P in relation to the vertices of the mobile platform.

Figure 2

Figure 3. Analysis of the position of point A in relation to the inertial frame and leg 1.

Figure 3

Figure 4. Angles between the unit vectors and the position vectors of the ends in relation to point P: (a) angles of rotation around X0; and (b) rotation around Z0.

Figure 4

Figure 5. (a) Prototype of the motor module and (b) schematic drawing of the mechanism.

Figure 5

Figure 6. (a) CAD version and (b) the built prototype.

Figure 6

Figure 7. Free body diagram of the connecting crank-rod mechanism of the actuators.

Figure 7

Table I. Optimal dimensions calculated for each module bar.

Figure 8

Table II. Specifications for the module’s DC motors.

Figure 9

Figure 8. The sequence of the image shows the patient donning process. (a) Removing the patient from the wheelchair; (b) donning the patient to the device; and (c) overground rehabilitation exercises.

Figure 10

Figure 9. (a) Connect joints to the mobile platform and (b) details of leg 3.

Figure 11

Table III. Actuation components specification.

Figure 12

Figure 10. Control scheme applied to the active weight support prototype.

Figure 13

Table IV. Actuation components specification.

Figure 14

Figure 11. Control loop applied to actuators, including a PID controller and an AAN function.

Figure 15

Figure 12. (a) Screenshot of Space Walker showing the main character walking in the infinite platform and (b) bonus cube (green) in the scene.

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Figure 13. Interface diagram of the platform rotation.

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Figure 14. Movement tests of the mobile platform of the novel BWSS prototype. (a) Rotation in the transverse plane (about the OZ axis); (b) rotation in the frontal plane (around the OX axis); (c) translation on the OX axis; (d) translation on the OY axis; and (e) translation on the OZ axis.

Figure 18

Table V. The amplitude of the mobile platform measured experimentally.

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Figure 15. Comparison between the experimental data measured in one of the prototype actuators and the data simulated in CAD.

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Figure 16. Histogram representing the distribution of the results obtained in the 11 repetitions of the control requirements validation experiment. From top to bottom, Settling Time Analysis Results, Percent Stationary Error, and Overshoot.

Figure 21

Figure 17. Boxplot graph of the resolution calculated for each actuator, in pulses/mm.

Figure 22

Figure 18. Test session with the healthy participant.