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Active lower limb orthosis with one degree of freedom for people with paraplegia

机译:截瘫患者活动性下肢矫形器具有一种自由度

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The main challenges of designing devices for paraplegic walking can be summarized into three groups, stability and comfort, high efficiency or low energy consumption, dimensions and weight. A new economical device for people with paraplegia which tackles all problems of the three groups is introduced in this paper. The main idea of this device is based on HALO mechanism. HALO is compact passive medial hip joint orthosis with contralateral hip and ankle linkage, which keeps the feet always parallel to the ground and assists swinging the leg. The medial hip joint is equipped with one actuator in the new design and the new orthosis is called @halo. Due to this update, we can achieve more stable and smoother walking patterns with decreased energy consumption of the users, yet maintain its compact and lightweight features. It is proven by the results from preliminary experiments with able-bodied subjects during which the same device with and without actuator was evaluated. Waddling and excessive vertical elevation of the center of gravity were decreased by 40% with significantly smaller standard deviations in case of the active orthosis. There was 52% less energy spent by the user wearing @halo which was calculated from the vertical excursion difference. There was measured 38.5% bigger impulse in crutches while using passive orthosis. The new @halo device is the first active orthosis for lower limbs with just one actuated degree of freedom for users with paraplegia.
机译:设计截瘫步行设备的主要挑战可归纳为三类:稳定性和舒适性,高效或低能耗,尺寸和重量。本文介绍了一种针对截瘫患者的新型经济设备,该设备可解决三组患者的所有问题。该设备的主要思想是基于HALO机制。 HALO是一种紧凑的被动内侧髋关节矫形器,具有对侧臀部和踝关节的连接,可以使脚始终与地面平行,并有助于摆动腿部。髋关节内侧关节在新设计中配备了一个执行器,新的矫形器称为@halo。由于此更新,我们可以在减少用户能耗的情况下实现更稳定,更平稳的行走方式,同时保持其紧凑轻便的功能。身体健康的受试者进行的初步实验结果证明了这一点,在此期间,评估了带有和不带有执行器的相同设备。在活动矫形器的情况下,摇摆和重心的垂直高度过高降低了40%,标准偏差明显减小。根据垂直偏移差异计算,佩戴@halo的用户所消耗的能量减少了52%。使用被动矫形器时,拐杖的冲动被测得大38.5%。新的@halo装置是第一个针对下肢的主动矫形器,对于截瘫的使用者只有一个激活的自由度。

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