arXiv:2510.02808cs.ROcs.SY2025-10被引 1

根据脚趾抬升实时调节电刺激,避免过度或不足刺激。

Assist-as-needed Control for FES in Foot Drop Management

  • 通过实时监测脚趾抬升动态调整电刺激强度
  • 刺激强度显著降低,同时保持足部抬升效果
  • 适合需要长期使用的足下垂患者,提升舒适度

足下垂通常通过功能性电刺激(FES)管理,传统方法使用开环控制器,刺激强度固定。用户虽可手动调节,但易导致肌肉疲劳或刺激不足,增加跌倒风险。本文提出一种新型闭环FES控制器,根据实时脚趾抬升情况动态调节刺激强度,实现‘按需辅助’。通过在健康受试者中诱导足下垂,对比闭环与传统开环控制器在不同行走速度和坡度下的表现。运动学数据显示,该闭环系统在不显著影响髋、膝、踝关节角度的情况下,维持了足够的脚趾抬升高度,且刺激强度显著低于开环系统。结果表明,该方法在保持疗效的同时,有望减少肌肉疲劳,提高长期使用舒适性与依从性。

原文摘要 · Abstract (English)

Foot drop is commonly managed using Functional Electrical Stimulation (FES), typically delivered via open-loop controllers with fixed stimulation intensities. While users may manually adjust the intensity through external controls, this approach risks overstimulation, leading to muscle fatigue and discomfort, or understimulation, which compromises dorsiflexion and increases fall risk. In this study, we propose a novel closed-loop FES controller that dynamically adjusts the stimulation intensity based on real-time toe clearance, providing "assistance as needed". We evaluate this system by inducing foot drop in healthy participants and comparing the effects of the closed-loop controller with a traditional open-loop controller across various walking conditions, including different speeds and surface inclinations. Kinematic data reveal that our closed-loop controller maintains adequate toe clearance without significantly affecting the joint angles of the hips, the knees, and the ankles, and while using significantly lower stimulation intensities compared to the open-loop controller. These findings suggest that the proposed method not only matches the effectiveness of existing systems but also offers the potential for reduced muscle fatigue and improved long-term user comfort and adherence.

FES闭环控制足下垂康复工程

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