Robot-Assisted Reaching Performance of Chronic Stroke and Healthy Individuals in a Virtual Versus a Physical Environment: A Pilot Study

Human-Gait-Based Tracking Control for Lower Limb Exoskeleton Robot

Research shows that it is practical for the normal human movement mechanism to assist the patients with stroke in robot-assisted gait rehabilitation. In passive training, the effect of rehabilitation training for patients can be improved by imitating normal human walking. To make the lower limb exoskeleton robot (LLER) move like a normal human, a tracking control scheme based on human gait data is proposed in this paper. The real human gait data is obtained from healthy subjects using a three-dimensional motion capture platform (3DMCP). Furthermore, the normal human motion characteristics are adopted to enhance the scientificity and effectiveness of assistant rehabilitation training using LLER. An adaptive radial basis function network (ARBFN) controller based on feed-forward control is presented to improve the trajectory tracking accuracy and tracking performance of the control system, where the ARBFN controller is deployed to predict the uncertain model parameters. The feed-forward controller based on the tracking errors is used to compensate for the input torque of LLER. The effectiveness of the presented control scheme is confirmed by simulation results based on experimental data.

Online compensation detecting for real-time reduction of compensatory motions during reaching: a pilot study with stroke survivors

BACKGROUND

Compensations are commonly observed in patients with stroke when they engage in reaching without supervision; these behaviors may be detrimental to long-term functional improvement. Automatic detection and reduction of compensation cab help patients perform tasks correctly and promote better upper extremity recovery.

OBJECTIVE

Our first objective is to verify the feasibility of detecting compensation online using machine learning methods and pressure distribution data. Second objective was to investigate whether compensations of stroke survivors can be reduced by audiovisual or force feedback. The third objective was to compare the effectiveness of audiovisual and force feedback in reducing compensation.

METHODS

Eight patients with stroke performed reaching tasks while pressure distribution data were recorded. Both the offline and online recognition accuracy were investigated to assess the feasibility of applying a support vector machine (SVM) based compensation detection system. During reduction of compensation, audiovisual feedback was delivered using virtual reality technology, and force feedback was delivered through a rehabilitation robot.

RESULTS

Good classification performance was obtained in online compensation recognition, with an average F1-score of over 0.95. Based on accurate online detection, real-time feedback significantly decreased compensations of patients with stroke in comparison with no-feedback condition (p < 0.001). Meanwhile, the difference between audiovisual and force feedback was also significant (p < 0.001) and force feedback was more effective in reducing compensation in patients with stroke.

CONCLUSIONS

Accurate online recognition validated the feasibility of monitoring compensations using machine learning algorithms and pressure distribution data. Reliable online detection also paved the way for reducing compensations by providing feedback to patients with stroke. Our findings suggested that real-time feedback could be an effective approach to reducing compensatory patterns and force feedback demonstrated a more enviable potential compared with audiovisual feedback.