辅助肌无力患者行走的外骨骼人机交互研究

      Instrumentation Research on exoskeleton human-machine interaction for walking assistance in myasthenia

      • 摘要: 针对当前下肢康复助力外骨骼人机交互自适应性能不足的问题,该文设计了一种髋膝关节主动驱动、踝关节被动跟随的下肢助力外骨骼,人机连接采用刚性自适应结构,使外骨骼兼具动力助力功能与结构柔顺性,旨在为肌无力患者提供步态助力并提升其穿戴舒适性。首先参照人体运动结构构建仿生外骨骼整体几何结构,采用串联链拓扑结构设计被动自由度绑缚件;并基于D-H 法建立和验证外骨骼结构的正向运动学模型;最后通过 OpenSim平台构建人穿戴外骨骼的人机耦合模型,设置人体模型为两种弱肌力状态分别为80%、60%,通过穿戴者的整体消耗和人机交互力两个主要指标变化,以及髋膝关节屈伸肌肌力变化,评估所设计外骨骼的助力效果和人机交互性能。结果表明,所设计的外骨骼能有效地降低人机交互力,大腿处的交互力峰值从70 N降低到20 N、小腿处的交互力峰值从150 N降低到30 N,降低了患者整体能量消耗13.8%−15.4%,髋膝关节主要肌群的肌肉力输出显著降低,仿真结果验证了设计的合理性及其在人机交互自适应助力方面的性能,展现了该设计在患者康复训练与肌无力患者步态助力中的应用潜力。

         

        Abstract: To address the insufficient human–robot interaction adaptability in current lower-limb rehabilitation exoskeletons, this study proposes a lower-limb assistive exoskeleton featuring active actuation at the hip and knee joints and passive following at the ankle joint. A rigid self-adaptive human–robot interface is adopted to provide both effective assistive torque and structural compliance, aiming to deliver gait assistance for individuals with muscle weakness while improving wearing comfort.First, a bionic geometric structure of the exoskeleton was constructed based on human lower-limb biomechanics, and passive degrees of freedom in the attachment components were designed using a serial-chain topology. The forward kinematics model of the exoskeleton was then established and verified using the D–H method. Finally, a human–exoskeleton coupled model was built on the OpenSim platform, in which the human model was configured to two weakened muscle strength conditions (80% and 60% of the maximal isometric force). The assistive performance and interaction characteristics of the designed exoskeleton were evaluated through changes in two key indicators—overall metabolic consumption and human–robot interaction forces—as well as variations in hip and knee flexor–extensor muscle forces.The results show that the proposed exoskeleton effectively reduces human–robot interaction forces, with peak interaction forces at the thigh decreasing from 70 N to 20 N and those at the shank decreasing from 150 N to 30 N. The overall metabolic cost of the wearer was reduced by 13.8%–15.4%, and the muscle force outputs of major hip and knee muscle groups markedly decreased. These findings validate the rationality of the design and demonstrate its performance in adaptive human–robot interaction assistance, highlighting its application potential in rehabilitation training and gait assistance for individuals with muscle weakness.

         

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