the Fourth Medical Center of PLA General Hospital;
Xi'an Jiaotong University;
Senior Department of Orthopedics;
Sports Center;
Honghui Hospital;
Institute of Robotics and Intelligent Systems;
China|Shaanxi Key Laboratory of Intelligent Robots;
Xi'an;
Department of Rehabilitation;
China;
Rehabilitation Department;
Beijing;
School of Energy and Power Engineering;
Fourth Medical Center of PLA General Hospital;
关键词：
Knee;
Actuators;
Torque;
Pulleys;
Exoskeletons;
Energy efficiency;
Trajectory;
期刊名称：
IEEE Transactions on Biomedical Engineering
i s s n：
0018-9294
年卷期：
2025 年
72 卷
2 期
页 码：
528-539
页 码：
摘 要：
Objective: This paper aims to enhance exoskeleton compliance during locomotion assistance by reducing misalignment and to improve energy efficiency by overcoming the limitations posed by the bulky structure of powered rigid exoskeletons. Methods: A novel compliant knee exoskeleton, featuring a parallel elastic self-alignment mechanism, has been developed and structurally optimized. The exoskeleton uses adaptive oscillators to determine the wearer's gait phase and provides real-time assistance to the knee joint. Results: Bench tests demonstrate that the parallel elastic mechanism significantly reduces the driving torque of the knee exoskeleton. Performance evaluations reveal that, compared to a commercial orthosis, the root-mean-square of knee angle error, joint misalignment, and unexpected interaction forces are reduced by 16.5 $pm$ 11.3%, 23.3 $pm$ 4.9%, and 17.7 $pm$ 1.3%, respectively. Gait intervention experiments show reductions in average and maximum muscle activity of the knee joint by 7.6 $pm$ 4.9% and 23.2 $pm$ 5.7%, respectively. Additionally, the exoskeleton decreases negative work performed by the knee joint and the total lower limb by 22.7% and 8.6%, respectively. Conclusion: The parallel elastic self-alignment mechanism effectively mitigates joint misalignment, while the parallel springs offer partial gravity compensation, thereby enhancing both the energy efficiency and locomotion assistance of the exoskeleton. Significance: The parallel elastic self-alignment mechanism effectively addresses both misalignment and energy efficiency challenges in powered exoskeletons, providing valuable insights for future design improvements.
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