arXiv:2503.18051cs.RO2025-03被引 3

通过人机协同优化,实现中风患者步态不对称的按需辅助矫正。

Assist-as-needed Hip Exoskeleton Control for Gait Asymmetry Correction via Human-in-the-loop Optimization

  • 基于人体参与度与步态表现设计实时评估目标函数,动态调节控制参数。
  • 实验验证了按需辅助能显著提升用户主动参与度,改善步态对称性。
  • 适合康复机器人研发、中风步态矫正及人机协同控制研究者参考。

步态不对称是大多数中风患者常见的临床特征,严重影响行动能力与生活质量。尽管已开发多种外骨骼控制方法用于机器人辅助步态康复,但针对中风患者部分运动功能下遵循‘按需辅助’(AAN)原则纠正步态不对称的研究仍较少,且人机控制权分配仍具挑战。本文提出一种基于人机协同优化的按需髋外骨骼控制策略,以纠正中风患者的步态不对称。为实现AAN理念,设计了实时评估个体步态表现与主动参与度的目标函数,考虑自然运动的变异性,支持个体化在线调参。该机制激励患者尽可能主动参与运动,从而提升康复效率与效果。最终在模拟步态障碍的健康受试者上开展实验,首次从生物力学角度验证了AAN控制可增强人类主动参与度的假设。

原文摘要 · Abstract (English)

Gait asymmetry is a significant clinical characteristic of hemiplegic gait that most stroke survivors suffer, leading to limited mobility and long-term negative impacts on their quality of life. Although a variety of exoskeleton controls have been developed for robot-assisted gait rehabilitation, little attention has been paid to correcting the gait asymmetry of stroke patients following the assist-as-need (AAN) principle, and it is still challenging to properly share control between the exoskeleton and stroke patients with partial motor control. In view of this, this article proposes an AAN hip exoskeleton control with human-in-the-loop optimization to correct gait asymmetry in stroke patients. To realize the AAN concept, an objective function was designed for real-time evaluation of the subject's gait performance and active participation, which considers the variability of natural human movement and guides the online tuning of control parameters on a subject-specific basis. In this way, patients were stimulated to contribute as much as possible to movement, thus maximizing the efficiency and outcomes of post-stroke gait rehabilitation. Finally, an experimental study was conducted to verify the feasibility and effectiveness of the proposed AAN control on healthy subjects with artificial gait impairment. For the first time, the common hypothesis that AAN controls can improve human active participation was validated from the biomechanics viewpoint.

外骨骼步态矫正人机协同中风康复

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