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Anklefoot orthoses (AFOs) are used to assist persons with
lowerlimb neuromuscular impairments. We have developed the
portable powered AFO (PPAFO). This device uses a
bidirectional pneumatic actuator powered by a CO
2
bottle to
provide dorsiflexor and plantarflexor torque assistance. The
PPAFO operates tetherfree, allowing for use outside of the
laboratory. This system has been tested on one impaired and
multiple healthy subjects. Timing of the assistance provided by
the PPAFO has been determined by: 1) direct event detection
using sensor feedback with threshold triggers, and 2) state
estimation in which gait events are estimated using a cross
correlation based algorithm. Direct event detection, while
simple to implement, can be unreliable for subjects with certain
gait impairments. State estimation, while more complicated to
implement, provides access to state information that cannot be
directly measured by the AFO, which allows for greater
flexibility in assistance timing. Current hardware limitations
and future work are also discussed.
AFO Anklefoot orthosis.
PPAFO Portable powered anklefoot orthosis.
DE Direct event detection.
CC Crosscorrelation state estimator.
Walking is a fundamental part of everyday life for most
individuals, and greatly contributes to overall quality of life.
Gait itself is a cyclic task, with one cycle defined as the initial
ground contact of the foot to the following contact by the same
foot. During a gait cycle the ankle joint performs four main
functional tasks: deceleration of the foot during loading
response, support for stability during early to midstance,
propulsion during late stance, and motion control of the foot
during swing [13]. The ability of the ankle joint to perform
these functional tasks can be impaired by injury or
neuromuscular pathologies. Sizeable populations exist in the
United States alone with these types of impairments: stroke
(8M), spinal cord injuries (1.3M), multiple sclerosis (1M),
cerebral palsy (412K), and polio (272K) [4, 5].
Pathological gait can manifest in a variety of ways, but two
common lowerleg symptoms are weakness in the
plantarflexors (calf muscles) or in the dorsiflexors (shin
muscles). Weakness in the dorsiflexor muscles affects both the
loading response and swing phases of gait. This affect could
present as an audible foot slap during weight acceptance or
footdrop during swing. Weak plantarflexor muscles, on the
other hand, primarily affect limb stability and propulsion [1].
Proceedings of the ASME 2011 Dynamic Systems and Control Conference
DSCC2011
October 31 - November 2, 2011, Arlington, VA, USA
1 Copyright © 2011 by ASME
DSCC2011-6170
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