Controller synthesis and clinical exploration of wearable gyroscopic actuators to support human balance.

Journal: Scientific reports
Published Date:

Abstract

Gyroscopic actuators are appealing for wearable applications due to their ability to provide overground balance support without obstructing the legs. Multiple wearable robots using this actuation principle have been proposed, but none has yet been evaluated with humans. Here we use the GyBAR, a backpack-like prototype portable robot, to investigate the hypothesis that the balance of both healthy and chronic stroke subjects can be augmented through moments applied to the upper body. We quantified balance performance in terms of each participant's ability to walk or remain standing on a narrow support surface oriented to challenge stability in either the frontal or the sagittal plane. By comparing candidate balance controllers, it was found that effective assistance did not require regulation to a reference posture. A rotational viscous field increased the distance healthy participants could walk along a 30mm-wide beam by a factor of 2.0, compared to when the GyBAR was worn but inactive. The same controller enabled individuals with chronic stroke to remain standing for a factor of 2.5 longer on a narrow block. Due to its wearability and versatility of control, the GyBAR could enable new therapy interventions for training and rehabilitation.

Authors

  • Daniel Lemus
    Department of Biomechanical Engineering, Delft University of Technology, Delft, 2628 CD, The Netherlands.
  • Andrew Berry
    Department of Biomechanical Engineering, Delft University of Technology, Delft, 2628 CD, The Netherlands.
  • Saher Jabeen
    Department of Biomechanical Engineering, Delft University of Technology, Delft, 2628 CD, The Netherlands.
  • Chandrasekaran Jayaraman
    Max Näder Center for Rehabilitation Technologies & Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, 60611, USA.
  • Kristen Hohl
    Max Näder Center for Rehabilitation Technologies & Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, 60611, USA.
  • Frans C T van der Helm
    BioMechanical Engineering Department, Faculty of Mechanical, Maritime and Materials Engineering, Delft University of Technology, Delft, The Netherlands.
  • Arun Jayaraman
    Max Nader Lab for Rehabilitation Technologies and Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL 60611 USA.
  • Heike Vallery