智能外骨骼精准匹配老人髋关节发力,显著减轻疲劳并提升行动能力。
Versatile Exoskeleton Control Supports Elderly Joint Energetics During Hip-Intensive Tasks
- 采用无任务依赖的髋关节功率自适应控制,实时响应生物力学需求。
- 在多种日常动作中减少髋关节正功24.7%,整体下肢功耗降低9.3%。
- 适合老年人群日常活动,为延缓运动退化提供实用型辅助方案。
年龄相关的运动能力下降常伴随关节力线重分配,老年人因踝关节功能减弱而更多依赖髋关节,但其最大髋部功率却随年龄下降。尽管机器人外骨骼可即时改善能耗,但以往研究多局限于稳态步行等单一任务,难以反映居家与社区中的真实移动需求。本文提出一种任务无关的髋关节外骨骼控制器,对关节功率敏感,并在8名老年人中验证其有效性。在水平行走、上坡、爬楼梯及起坐转换等髋关节高强度活动中,外骨骼能高精度匹配生物功率曲线(平均余弦相似度0.89)。辅助显著降低了髋关节的生物正功24.7%和下肢整体正功9.3%,同时提升了总(生物+外骨骼)髋部峰值功率,减少了生物髋部峰值功率与扭矩。结果表明,髋关节外骨骼可通过减少生物功耗提升耐力,通过增强总功率储备改善功能性储备,是支持老年人移动性的有前景的生物力学干预手段。
原文摘要 · Abstract (English)
Age-related mobility decline is frequently accompanied by a redistribution of joint kinetics, where older adults compensate for reduced ankle function by increasing demand on the hip. Paradoxically, this compensatory shift typically coincides with age-related reductions in maximal hip power. Although robotic exoskeletons can provide immediate energetic benefits, conventional control strategies have limited previous studies in this population to specific tasks such as steady-state walking, which do not fully reflect mobility demands in the home and community. Here, we implement a task-agnostic hip exoskeleton controller that is inherently sensitive to joint power and validate its efficacy in eight older adults. Across a battery of hip-intensive activities that included level walking, ramp ascent, stair climbing, and sit-to-stand transitions, the exoskeleton matched biological power profiles with high accuracy (mean cosine similarity 0.89). Assistance significantly reduced sagittal plane biological positive work by 24.7\% at the hip and by 9.3\% for the lower limb, while simultaneously augmenting peak total (biological + exoskeleton) hip power and reducing peak biological hip power and torque. These results suggest that hip exoskeletons can potentially enhance endurance through biological work reduction, and increase functional reserve through total power augmentation, serving as a promising biomechanical intervention to support elderly mobility.
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