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Welker, C. G.

Publications and source records attributed to Welker, C. G..

3 recordsLinked to original sources

Modeling the Biomechanical Features Affecting the Metabolic Rate of Walking with a Powered Ankle-Foot Prosthesis

For individuals with unilateral transtibial amputation, powered ankle-foot prostheses have the potential to reduce the metabolic rate of walking, which could contribute to improvements in mobility and quality of life; however, physiological improvements have not been consistently demonstrated in experimental studies. To improve our understanding of the biomechanical mechanisms that drive metabolic rate outcomes, we used a machine learning approach to model the relationship between multimodal biomechanical factors and the metabolic rate of walking with a powered ankle-foot prosthesis. Our model included 50 features describing spatiotemporal parameters, step-to-step transition work, joint kinematics, muscle activity, ground reaction forces, prosthesis settings, and subject characteristics, and resulted in a pseudo-R2 of 0.986. The features with the largest effect on metabolic rate were peak unaffected side ankle inversion angle, leading affected leg positive work during the step-to-step transition, and peak affected knee extension angle. Accumulated local effects plots were used to visualize the direction and magnitude of the relationship between each feature and the metabolic rate of walking. This work furthers our knowledge about the biomechanical and physiological response to powered ankle-foot prosthesis use and could assist in developing new strategies to drive reductions in metabolic rate.

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↗