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      A Human Lower Limb Mechanical Phantom for the Testing of Knee Exoskeletons

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          Abstract

          The development of assistive lower-limb exoskeletons can be time-consuming. Testing prototype medical devices on vulnerable populations such as children also has safety concerns. Mechanical phantoms replicating the lower-limb kinematics provide an alternative for the fast validation and iteration of exoskeletons. However, most phantoms treat the limbs as rigid bodies and fail to capture soft tissue deformation at the human/exoskeleton interface. Human soft tissue can absorb and dissipate energy when compressed, leading to a mismatch between simulated and human exoskeleton testing outcomes. We have developed a methodology for quickly testing and validating the performance of knee exoskeletons using a mechanical phantom capable of emulating knee kinematics soft-tissue deformation of the lower-limb. Our phantom consisted of 3D-printed bones surrounded by ballistic gel. A motorized hexapod moved the knee to follow a walking trajectory. A custom inverse dynamics model estimated the knee assistance moment from marker and load cell data. We applied this methodology to quantify the effects of soft-tissue deformation on exoskeleton assistance by loading the phantom knee with a torsional spring exoskeleton interfacing and bypassing the ballistic gel. We found that including soft-tissue deformation led to a lower knee assistance moment and stiffness. Some but not all of this difference could be explained by the deflection of the exoskeleton relative to the knee angle, suggesting energy absorption within soft tissue. The direct measurements of exoskeleton assistance provide insight into increasing the assistive moment transmission efficacy. The phantom provided a relatively accurate framework for knee exoskeleton testing, aiding future exoskeleton design.

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          Technology-assisted training of arm-hand skills in stroke: concepts on reacquisition of motor control and therapist guidelines for rehabilitation technology design

          Background It is the purpose of this article to identify and review criteria that rehabilitation technology should meet in order to offer arm-hand training to stroke patients, based on recent principles of motor learning. Methods A literature search was conducted in PubMed, MEDLINE, CINAHL, and EMBASE (1997–2007). Results One hundred and eighty seven scientific papers/book references were identified as being relevant. Rehabilitation approaches for upper limb training after stroke show to have shifted in the last decade from being analytical towards being focussed on environmentally contextual skill training (task-oriented training). Training programmes for enhancing motor skills use patient and goal-tailored exercise schedules and individual feedback on exercise performance. Therapist criteria for upper limb rehabilitation technology are suggested which are used to evaluate the strengths and weaknesses of a number of current technological systems. Conclusion This review shows that technology for supporting upper limb training after stroke needs to align with the evolution in rehabilitation training approaches of the last decade. A major challenge for related technological developments is to provide engaging patient-tailored task oriented arm-hand training in natural environments with patient-tailored feedback to support (re) learning of motor skills.
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            Closed-form solution of absolute orientation using unit quaternions

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              Bimanual coordination during a physically coupled task in unilateral spastic cerebral palsy children

              Background Single object bimanual manipulation, or physically-coupled bimanual tasks, are ubiquitous in daily lives. However, the predominant focus of previous studies has been on uncoupled bimanual actions, where the two hands act independently to manipulate two disconnected objects. In this paper, we explore interlimb coordination among children with unilateral spastic cerebral palsy (USCP), by investigating upper limb motor control during a single object bimanual lifting task. Methods 15 children with USCP and 17 typically developing (TD) children performed a simple single-object bimanual lifting task. The object was an instrumented cube that can record the contact force on each of its faces alongside estimating its trajectory during a prescribed two-handed lifting motion. The subject’s performance was measured in terms of the duration of individual phases, linearity and monotonicity of the grasp-to-load force synergy, interlimb force asymmetry, and movement smoothness. Results Similar to their TD counterparts, USCP subjects were able to produce a linear grasp-to-load force synergy. However, they demonstrated difficulties in producing monotonic forces and generating smooth movements. No impairment of anticipatory control was observed within the USCP subjects. However, our analysis showed that the USCP subjects shifted the weight of the cube onto their more-abled side, potentially to minimise the load on the impaired side, which suggests a developed strategy of compensating for inter-limb asymmetries, such as muscle strength. Conclusion Bimanual interaction with a single mutual object has the potential to facilitate anticipation and sequencing of force control in USCP children unlike previous studies which showed deficits during uncoupled bimanual actions. We suggest that this difference could be partly due to the provision of adequate cutaneous and kinaesthetic information gathered from the dynamic exchange of forces between the two hands, mediated through the physical coupling.
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                Author and article information

                Contributors
                Role: Senior Member, IEEE
                Journal
                101097023
                22433
                IEEE Trans Neural Syst Rehabil Eng
                IEEE Trans Neural Syst Rehabil Eng
                IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society
                1534-4320
                1558-0210
                17 June 2023
                2023
                01 June 2023
                30 June 2023
                : 31
                : 2497-2506
                Affiliations
                Human Neuromechanics Laboratory, J. Crayton Pruitt Family Department of Biomedical Engineering, Herbert Wertheim College of Engineering, University of Florida, Gainesville, FL 32608 USA
                Author notes
                Corresponding author: Daniel P. Ferris, dferris@ 123456bme.ufl.edu
                Author information
                http://orcid.org/0000-0001-7057-7161
                http://orcid.org/0009-0009-6354-7971
                http://orcid.org/0000-0001-6373-6021
                Article
                NIHMS1905998
                10.1109/TNSRE.2023.3276424
                10311455
                37186529
                e5a3b849-e468-4714-bc92-dfca371d370e

                This work is licensed under a Creative Commons Attribution 4.0 License. For more information, see https://creativecommons.org/licenses/by/4.0/

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                Categories
                Article

                ballistic gel,knee exoskeleton,lower limb,mechanical phantom,soft tissue deformation,stiffness

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