RESUMEN
Humans rely on ankle torque to maintain standing balance, particularly in the presence of small to moderate perturbations. Reductions in maximum torque (MT) production and maximum rate of torque development (MRTD) occur at the ankle with age, diminishing stability. Ankle exoskeletons are powered orthotic devices that may assist older adults by compensating for reduced muscle force and power production capabilities. They may also be able to assist with ankle strategies used for balance. However, no studies have investigated the effect of such devices on balance in older adults. Here, we model the effect ankle exoskeletons have on stability in physics-based models of healthy young and old adults, focusing on the mitigation of age-related deficits such as reduced MT and MRTD. We show that an ankle exoskeleton moderately reduces feasible stability boundaries in users who have full ankle strength. For individuals with age-related deficits, there is a trade-off. While exoskeletons augment stability in low velocity conditions, they reduce stability in some high velocity conditions. Our results suggest that well-established control strategies must still be experimentally validated in older adults.
RESUMEN
This paper presents a new model and phase-variable controller for sit-to-stand motion in above-knee amputees. The model captures the effect of work done by the sound side and residual limb on the prosthesis, while modeling only the prosthetic knee and ankle with a healthy hip joint that connects the thigh to the torso. The controller is parametrized by a biomechanical phase variable rather than time and is analyzed in simulation using the model. We show that this controller performs well with minimal tuning, under a range of realistic initial conditions and biological parameters such as height and body mass. The controller generates kinematic trajectories that are comparable to experimentally observed trajectories in non-amputees. Furthermore, the torques commanded by the controller are consistent with torque profiles and peak values of normative human sit-to-stand motion. Rise times measured in simulation and in non-amputee experiments are also similar. Finally, we compare the presented controller with a baseline proportional-derivative controller demonstrating the advantages of the phase-based design over a set-point based design.