January 1, 2021

MEDICAL ROBOTICS

Frontier Research Overview

“The ability to restore and improve movements for individuals with walking difficulty is extremely crucial to improve the quality of their life.”

From this point of view, we focus on developing an adaptive biologically-inspired control mechanism with fast real-time online adaptation of an exoskeleton system to achieve adaptive, dynamic, and robust user-exoskeleton interaction. This will result in natural and energy-efficient walking of patients as well as multiple gait generation for walking on a level floor, walking up/downstairs, and walking on uneven terrain.


Research Highlights

2023

Personalized Symmetrical and Asymmetrical Gait Generation of a Lower-limb Exoskeleton:

Abstract:

Personal assistive devices for rehabilitation will be in increasing demand during the coming decades due to demographic change, i.e., an aging society. Among the elderly population, difficulty in walking is the most common problem. Even though there are commercially available lower-limb exoskeleton systems, the coordination between user and device still needs to be improved to achieve versatile personalized gaits. To tackle this issue, an advanced EXOskeleton framework for Versatile personalized gaIt generation with a Seamless user-exo interface (called “EXOVIS”) is proposed in this study. The main control of the framework uses adaptive bio-inspired modular neural mechanisms. These mechanisms include decoupled central pattern generators (CPGs) with Hebbian-based synaptic plasticity and adaptive CPG post-processing networks with error-based learning. The control method facilitates the rapid online learning of personalized walking gaits described by the walking frequency as well as hip, knee, and ankle joint patterns. The method is verified on a real lower-limb exoskeleton system with six degrees of freedom (DOFs) on different subjects under static and dynamic conditions such as flat terrain and a split-belt treadmill. The results show that the proposed method can not only automatically learn to generate personalized symmetrical gaits, but also asymmetrical gaits, which have not been explicitly shown by other approaches so far.

Paper:

https://ieeexplore.ieee.org/document/10008050

Supplementary:

https://ieee-dataport.org/documents/supplement-media-personalized-symmetrical-and-asymmetrical-gait-generation-lower-limb

VDO summary:

Acknowledgement:

We would like to thank Technaid S.L. for technical support. This work was supported by the VISTEC research grant under the EXOVIS project (Grant No. I20POM-INT010 [PM]) and PTT-RAII under the VIS-RA project (Grant No. 18POM-PTT010 [PM].


2022

EXOBIC – Intelligent EXOskeleton with BIofeedbaCk for Advanced Rehabilitation:

Motivation:

An exoskeleton is one of the medical wearable robotic devices for humans. Our type is a lower-limb exoskeleton type controlling the movement of all legs’ joints. It usually uses in rehabilitation for subjects with conditions ranging from muscle weakness to movement disability. Many studies have shown that brain-computer interface (BCI) can assist to improve the damaged nervous system by reshaping the neuron connectivity (brain plasticity) which is beneficial in rehabilitation. Due to this fact, the purpose of our project is to create an intelligent exoskeleton based on those two technologies. We will enable the exoskeleton to exploit biofeedback signals i.e., Electroencephalogram (EEG), Electromyography (EMG), biomechanical movement, and forces, in order to optimally control the exoskeleton for each individual person. Moreover, this enhanced exoskeleton will be more useful when working seamlessly under an automated gait lab environment resulting in an advanced rehabilitation platform.

Technology:

This project comprises three main technologies:

  • one study is going to create a neural control-based personalized exoskeleton with seamless human-machine interaction (HMI),
  • one study is going to create artificial neural networks that can interpret biofeedback signals and translate the information into proper control signals, and
  • one study is going to create an automated gait lab where all instruments are well-integrated, better in communication, and suitable for cloud-based solutions.

Application and expected impact:

We hope that this knowledge and innovation will improve the quality of life of vulnerable groups as mentioned. Specifically, we expect the device to be a solution or an alternative choice for disabled persons with orthoses (approx. 25% of 1.5 M disabled persons in Thailand) and also for the impact of demographic change to be an aging society (more than 50 yrs. from 33.7% in 2019 to 42.5% in 2030 [1])

In terms of the economy, this study related to an orthotic device which has a proportion within around 6.6% of the exported medical devices (2020; Durable items; approximately 10.5 B THB of 159.9 B THB [2]). The payback period is estimated to be around 2-3 years when we try to model it to be deployed in a clinical rehabilitation center.

References

[1] Udomkerdmongkol, Manop, “Thailand Economic Focus: Demographic change in Thailand: How planners can prepare for the future | United Nations in Thailand,” Oct. 19, 2020. https://thailand.un.org/en/96303-thailand-economic-focus-demographic-change-thailand-how-planners-can-prepare-future (accessed Apr. 06, 2021).

[2] http://medicaldevices.oie.go.th/ (accessed Nov. 30, 2022)


2020

From Bipedal Locomotion to Exoskeleton:

Abstract:

Achieving adaptive, stable, and robust bipedal locomotion and dealing with asymmetrical conditions in a robotic system remain a challenging problem. To address the problem, the research team of the BRAIN lab at IST in collaboration with the University of Southern Denmark has recently proposed novel bio-inspired adaptive motor control. We demonstrate that this real-time motor control can effectively generate adaptive and stable bipedal locomotion with robustness against sensory feedback malfunction for a biped robot. It also allows the robot to effectively walk on a treadmill at different speeds and deal with asymmetric conditions such as weight imbalance and asymmetrical elastic resistance in the legs. As an application of this control technology, we have now successfully applied it to a lower-limb exoskeleton system for gait rehabilitation. This research was supported by PTT-RAII under the VISRA project (AdVanced Human-MachIne InteractionS Technology for ImpRoving QuAlity of Life and Health).

For more details, see Akkawutvanich, et al., Robotics and Autonomous Systems, 2020.

Video link of the bipedal experiments:

DACBOT: Reflex-based control under normal operation and absence of sensors

DACBOT: Adaptive parallel control under normal operation and absence of sensors

DACBOT: Adaptive parallel control under different treadmill speeds

DACBOT: Adaptive parallel control with an unbalanced leg under normal and absence of sensors

DACBOT: Adaptive parallel control with asymmetrical elastic resistance