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Voloshina, A. S.

Publications and source records attributed to Voloshina, A. S..

4 recordsLinked to original sources

Effects of Ankle Stiffness on Total Leg Kinematics, Mechanics, and Muscle Activation during Walking

PurposeAnkle stiffness can be altered by normal aging, bone and joint pathology, and treatments such as orthoses or surgical joint fusion. The effects of ankle stiffness on gait are not yet well understood but may be crucial for understanding how these pathologies and treatments influence body mechanics. The objective of this work was to investigate how isolated changes in stiffness applied in parallel with the ankle impact lower-limb kinematics, kinetics, joint work, and muscle activation during walking in individuals without lower-limb pathology. MethodsNine young adults without lower-limb pathology wore an adjustable-stiffness ankle exoskeleton and walked at 31 different conditions of ankle spring stiffness, neutral angle, and treadmill incline. We recorded motion capture data, ground reaction forces, and muscle activation, and analyzed the resultant data for trends as a function of ankle stiffness. ResultsExoskeleton-side ankle range of motion decreased and asymmetry increased across all joints as ankle stiffness increased, primarily due to decreased plantarflexion at toe-off. The 30 Nm/rad spring stiffness condition led to a minimum in mean exoskeleton-side muscle activation and hip joint work, but increased kinematic asymmetry. ConclusionOur results suggest that there may exist a range of stiffnesses at the lower end of typically-studied values that can reduce muscle activation and joint work during walking, though at the cost of kinematic symmetry. These findings provide a deeper understanding of how ankle stiffness influences gait mechanics, with potential applications in wearable devices, clinical rehabilitation, and assistive technology.

bioengineering↗

Optimized hip-knee-ankle exoskeleton assistance at a range of walking speeds

BackgroundEffective autonomous exoskeletons will need to be useful at a variety of walking speeds, but we do not know how optimal exoskeleton assistance should change with speed. Optimal exoskeleton assistance may increase with speed similar to biological torque changes or a well-tuned assistance profile may be effective at a variety of speeds. MethodsWe optimized hip-knee-ankle exoskeleton assistance to reduce metabolic cost for three participants walking at 1.0 m/s, 1.25 m/s and 1.5 m/s. We measured metabolic cost, muscle activity, exoskeleton assistance and kinematics. We performed two tailed paired t-tests to determine significance. ResultsExoskeleton assistance reduced the metabolic cost of walking compared to wearing the exoskeleton with no torque applied by 26%, 47% and 50% at 1.0, 1.25 and 1.5 m/s, respectively. For all three participants, optimized exoskeleton ankle torque was the smallest for slow walking, while hip and knee torque changed slightly with speed in ways that varied across participants. Total applied positive power increased with speed for all three participants, largely due to increased joint velocities, which consistently increased with speed. ConclusionsExoskeleton assistance is effective at a range of speeds and is most effective at medium and fast walking speeds. Exoskeleton assistance was less effective for slow walking, which may explain the limited success in reducing metabolic cost for patient populations through exoskeleton assistance. Exoskeleton designers may have more success when targeting activities and groups with faster walking speeds. Speed-related changes in optimized exoskeleton assistance varied by participant, indicating either the benefit of participant-specific tuning or that a wide variety of torque profiles are similarly effective.

bioengineering↗

Shortcomings of human-in-the-loop optimization for an ankle-foot prosthesis: a case series

Human-in-the-loop optimization allows for individualized device control based on measured human performance. This technique has been used to produce large reductions in energy expenditure during walking with exoskeletons but has not yet been applied to prosthetic devices. In this series of case studies, we applied human-in-the-loop optimization to the control of an active ankle-foot prosthesis used by participants with unilateral transtibial amputation. We optimized the parameters of five control architectures that captured aspects of successful exoskeletons and commercial prostheses, but none resulted in significantly lower metabolic rate than generic control. In one control architecture, we increased the exposure time per condition by a factor of five, but the optimized controller still resulted in higher metabolic rate. Finally, we optimized for self-reported comfort instead of metabolic rate, but the resulting controller was not preferred. There are several reasons why human-in-the-loop optimization may have failed for people with amputation. Control architecture is an unlikely cause given the variety of controllers tested. The lack of effect likely relates to adaptation protocol or differences in the learning mechanisms or objectives of people with amputation. Future work should investigate these causes to determine whether human-in-the-loop optimization for prostheses could be successful.

bioengineering↗

Teleoperation of an ankle-foot prosthesis with a wrist exoskeleton

ObjectiveWe aimed to develop a system for people with amputation that non-invasively restores missing control and sensory information for an ankle-foot prosthesis. MethodsIn our approach, a wrist exoskeleton allows people with amputation to control and receive feedback from their prosthetic ankle via teleoperation. We implemented two control schemes: position control with haptic feedback of ankle torque at the wrist; and torque control that allows the user to modify a baseline torque profile by moving their wrist against a virtual spring. We measured tracking error and frequency response for the ankle-foot prosthesis and the wrist exoskeleton. To demonstrate feasibility and evaluate system performance, we conducted an experiment in which one participant with a transtibial amputation tracked desired wrist trajectories during walking, while we measured wrist and ankle response. ResultsBenchtop testing demonstrated that for relevant walking frequencies, system error was below human perceptual error. During the walking experiment, the participant was able to voluntarily follow different wrist trajectories with an average RMS error of 1.55{degrees} after training. The ankle was also able to track desired trajectories below human perceptual error for both position control (RMSE = 0.8{degrees}) and torque control (RMSE = 8.4%). ConclusionWe present a system that allows a user with amputation to control an ankle-foot prosthesis and receive feedback about its state using a wrist exoskeleton, with accuracy comparable to biological neuromotor control. SignificanceThis bilateral teleoperation system enables novel prosthesis control and feedback strategies that could improve prosthesis control and aid motor learning.

bioengineering↗