A bio-inspired robotic test bench for repeatable and safe testing of rehabilitation robots

The development of new algorithms for controlling rehabilitation robots requires iterative testing prior experimentation with humans. Experiments in humans - especially in humans with physical impairments - pose several challenges regarding safety and repeatability of the testing conditions. To address this problem we propose the use of a test bench that uses a bio-inspired model of a human leg implemented on the leg orthosis of a robotic gait trainer. The model consists of a feedback controller, used to simulate muscle-tendon visco-elastic properties and spinal reflexes, and a feedforward stage simulating motor commands from higher brain centers. Abnormal limb neuro-mechanics, such as weakness or spastic-like behavior can then be simulated and tested against newly developed robotic algorithms. In this study, such bio-inspired robotic test bench was used to evaluate the performance of an algorithm for the assessment of the walking function (RAGA, Robot-Aided Gait Assessment). We hypothesized that the RAGA software is able to identify the level of simulated impairment and to localize in which phase of the gait cycle the impairment is more evident. Therefore, we simulated different levels and types of impairments at three walking speeds and evaluated the outcome measures of the RAGA algorithm. We could confirm that the RAGA was able to identify different levels of simulated impairment correctly and to provide useful insights into gait dynamics. Moreover, we determined how increasing walking speeds can cause a positive offset in the outcome measures. We believe that this test bench represents a very useful and versatile tool that can be applied for testing novel training and assessment strategies implemented in rehabilitation robots.

[1]  Marc Bolliger,et al.  Robotic and Wearable Sensor Technologies for Measurements/Clinical Assessments , 2016 .

[2]  V. Dietz,et al.  Treadmill training of paraplegic patients using a robotic orthosis. , 2000, Journal of rehabilitation research and development.

[3]  D. Newham,et al.  Knee muscle isometric strength, voluntary activation and antagonist co-contraction in the first six months after stroke , 2001, Disability and rehabilitation.

[4]  R. Kearney,et al.  Intrinsic and reflex stiffness in normal and spastic, spinal cord injured subjects , 2001, Experimental Brain Research.

[5]  Robert Riener,et al.  Robot-aided assessment of walking function based on an adaptive algorithm , 2015, 2015 IEEE International Conference on Rehabilitation Robotics (ICORR).

[6]  Etienne Burdet,et al.  Adaptive control of the Hexaglide, a 6 dof parallel manipulator , 1997, Proceedings of International Conference on Robotics and Automation.

[7]  T. Sinkjaer,et al.  Spastic movement disorder: impaired reflex function and altered muscle mechanics , 2007, The Lancet Neurology.

[8]  V. Dietz,et al.  Contribution of feedback and feedforward strategies to locomotor adaptations. , 2006, Journal of neurophysiology.

[9]  Frans C. T. van der Helm,et al.  How to keep from falling forward: elementary swing leg action for passive dynamic walkers , 2005, IEEE Transactions on Robotics.

[10]  R. Brand,et al.  The biomechanics and motor control of human gait: Normal, elderly, and pathological , 1992 .

[11]  F A Mussa-Ivaldi,et al.  Adaptive representation of dynamics during learning of a motor task , 1994, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[12]  Hanz Richter,et al.  Dynamic Modeling, Parameter Estimation and Control of a Leg Prosthesis Test Robot , 2015 .

[13]  Richard A. Brand,et al.  The biomechanics and motor control of human gait: Normal, elderly, and pathological , 1992 .

[14]  W. Rymer,et al.  In vivo human knee joint dynamic properties as functions of muscle contraction and joint position. , 1997, Journal of biomechanics.

[15]  Yasuhiro Akiyama,et al.  Assessment of Robotic Patient Simulators for Training in Manual Physical Therapy Examination Techniques , 2015, PloS one.

[16]  S. Olney,et al.  Hemiparetic gait following stroke. Part I: Characteristics , 1996 .

[17]  Karsten P. Ulland,et al.  Vii. References , 2022 .

[18]  Scott L Delp,et al.  The importance of swing-phase initial conditions in stiff-knee gait. , 2003, Journal of biomechanics.

[19]  Robert Riener,et al.  Towards more efficient robotic gait training: A novel controller to modulate movement errors , 2016, 2016 6th IEEE International Conference on Biomedical Robotics and Biomechatronics (BioRob).

[20]  Jinghui Cao,et al.  Control strategies for effective robot assisted gait rehabilitation: the state of art and future prospects. , 2014, Medical engineering & physics.

[21]  J. Hidler,et al.  Journal of Neuroengineering and Rehabilitation Quantification of Functional Weakness and Abnormal Synergy Patterns in the Lower Limb of Individuals with Chronic Stroke , 2006 .

[22]  V. Sanguineti,et al.  Robotic Assessment of Upper Limb Motor Function After Stroke , 2012, American journal of physical medicine & rehabilitation.

[23]  James L Patton,et al.  Enhanced assessment of limb neuro-mechanics via a haptic display , 2014, ROBIO 2014.

[24]  Hyung-Soon Park,et al.  Development of a Haptic Elbow Spasticity Simulator (HESS) for Improving Accuracy and Reliability of Clinical Assessment of Spasticity , 2012, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[25]  David J. Reinkensmeyer,et al.  Feasibility of Manual Teach-and-Replay and Continuous Impedance Shaping for Robotic Locomotor Training Following Spinal Cord Injury , 2008, IEEE Transactions on Biomedical Engineering.