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Biomechatronics Bart Koopman lower extremity orthotics and prosthetics

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Page 1: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Biomechatronics

Bart Koopman

lower extremity orthotics and prosthetics

Page 2: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Biomechatronics

Plant: Skeletal system,

external load

Actuator:muscles

Sensors: physiological

sensory system

intention

Plant: Orthosis

Prosthesis

Actuator:motor

Sensors: artificial

Artificial

Physiological

Controller:artificial

Controller:CNS

Page 3: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Prosthetics and Orthotics

Prosthesis:• Replacement of body

parts and/or functions

Orthosis:• Support of body functions

Page 4: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Short history: amputation and prosthesiology

• 1000 bC: Rig-Veda (sanskriet)• 400 bC: Hippocrates• 300 bC: eldest prosthesis

Page 5: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Amputation in middle ages

H. Von Gerßdorf, 1517, Feldtbuch der Wundarztney

Page 6: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Armprosthesis

Götz von Berlichingen, Landshut1504

Page 7: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Ambroise Paré (1510-1590)

Page 8: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Prosthesis of Paré

Page 9: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Dominique Jean Larrey (1766-1843)

Page 10: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention
Page 11: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Modern amputation techniques

Page 12: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Orthotics

Functions:• Support• Redressing• Stabilization (immobilization)• Cosmetic

Page 13: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Control orthosis

Plant: Skeletal system,

external load

Actuator:muscle

Controller:Central Nervous

system (CNS)

Sensors: physiological

sensory system

intentionActiv-ation force Movement

Orthosis

Page 14: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Muscle control

motor unit

fiber

fiber

fiber

fiber

fiber

motor unit

mor

phol

ogy r11

r12

Muscle 1

motor unit

fiber

fiber

fiber

fiber

fiber

motor unit

mor

phol

ogy

r2

Muscle 2

Joint 1

Joint 2+

+

Mj1,pass

Seg

men

ts m

odel

Mj2,pass

347106104

Page 15: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Normal control

r11

r12

r2

knee joint

Hip joint+

+

Mj1,pass

Mj2,pass

Muscle 1

Muscle 2

Mechanical properties

Segments model

Hip angle

Knee angle

External loads

Sensor dynamics

Page 16: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

control orthosis

r11

r12

r2

Knee joint

Hip joint+

+

Mj1,pass

Mj2,pass

Muscle 1

Muscle 2

Mechanical properties

Segments model

Hip angle

Knee angle

Orthosis

External loads

Page 17: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Skeletal systemMuscles

Phys. Sensors

CNS

OrthosisProsthesis

MotorArt. Controller

Art. Sensors

Example

UTX-swing orthosis• Knee Ankle Foot Orthosis for

paralyzed knee muscles• controller allows flexion during

swing and locking during stance

Page 18: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Old KAFO UTX-swing

Leg orthoses

Page 19: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Prosthetics

Functions:• Support• Cosmetic

TF-prosthesis:• modular• 1,5 – 4 kg• 3 – 30 k€

Page 20: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Amputations in NL

Page 21: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Amputation causes

Page 22: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Normal control

r11

r12

r2

knee joint

Hip joint+

+

Mj1,pass

Mj2,pass

Muscle 1

Muscle 2

Mechanical properties

Segments model

Hip angle

Knee angle

External loads

Sensor dynamics

Page 23: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

control prosthesis

r2 Hip joint+

Mj2,pass

Muscle 2

Mechanical properties

Segments model

Hip angle

Knee angleProsthesis

External loads

Sensor dynamics

Page 24: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

control prosthesis

Mechanical properties

Segments model

Hip torque

Knee angleProsthesis

External loads

Sensor dynamics

Hip angle

Page 25: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Prostetic knee design

4-axial knee: • Improve local stability• Improve controllability• No actuation!

Page 26: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Inverted knee design

Posterior view

Model predictions: • increased push-off time• increased velocity

Page 27: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Regular vs. inverse knee

Post. Ant.

polar curve

inverted knee

-0,50

0,00

0,50

1,00

1,50

0 5 10 15 20 25 30 35

Knee Angle [deg]

dM/dϕ stable

regular 4-axial knee

-2,00

-1,50

-1,00

-0,50

0,000 5 10 15 20 25 30 35

Knee Angle [deg]

dM/dϕ instable

Page 28: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Experimental results

Page 29: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Skeletal systemMuscles

Phys. Sensors

CNS

OrthosisProsthesis

MotorArt. Controller

Art. Sensors

Example

EMG-activated prostheses• lower extremities: controlled damping,

no motor, artificial sensors• upper extremities: myo-electric arm

prosthesis, motor, no artificial sensors

Page 30: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Skeletal systemMuscles

Phys. Sensors

CNS

OrthosisProsthesis

MotorArt. Controller

Art. Sensors

Example

Page 31: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Skeletal systemMuscles

Phys. Sensors

CNS

OrthosisProsthesis

MotorArt. Controller

Art. Sensors

Example

Otto Bock C-leg

Page 32: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Prosthetic foot design

passive mechanism: • damping 10 J• energy storing??• No actuation!

Page 33: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Concepts of gait

• Walking is:– preventing to fall– cyclical movement with left/right foot placements in

front of the other supporting body weight

• The purpose of bipedal walking is to maximize the double support time while maintaining the forward velocity.

• Stability is maintained by balancing the trunk through coordinated actions of joints.

Page 34: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Double support phase

Page 35: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Stilt walking

Pelvic tilt: ±35°

Page 36: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Stilt walking + feet

Pelvic tilt: ±15°

Page 37: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Stilt walking + feet + knees

Pelvic tilt: ±0°

Page 38: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Normal walking(feet, knees, ankles, pelvic rotation)

Pelvic tilt: free

Page 39: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Why is d.s. phase important ?

• Largest ground reaction forces

• largest muscle forces• almost all mechanical

work• stable position

slow walking

00,20,40,60,8

11,21,4

0 20 40 60 80 100

time [% stride]

reac

tion

forc

e [-]

right left total

other phases are more or less ballisticMaximize double support time !

Page 40: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Prosthetic / orthotic gait

Walking without knee function would result in…

• Reduced velocity• Reduced double support time• Reduced step length• Increased pelvic tilt

Page 41: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Balancing mechanism

• direct ground reaction force (push against large mass of trunk)

• trunk will rotate (a little)• requires coordinated

joint actions

Page 42: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Balancing mechanism

Page 43: Optimization to improve the accuracy of estimated joint … · Biomechatronics Plant: Skeletal system, external load Actuator: muscles Sensors: physiological sensory system intention

Trunk movement in walking

Fast walking

Normal walking

Walking with large steps