Abstract
New computerized and powered lower limb prostheses are being developed that enable amputees to perform multiple locomotion modes. However, current lower limb prosthesis controllers are not capable of transitioning these devices automatically and seamlessly between locomotion modes such as level-ground walking, stairs and slopes. The focus of this study was to evaluate different intent recognition interfaces, which if configured properly, may be capable of providing more natural transitions between locomotion modes. Intent recognition can be accomplished using a multitude of different signals from mechanical sensors on the prosthesis. Since these signals are non-stationary over any given stride, and gait is cyclical, time history information may improve locomotion mode recognition. The authors propose a dynamic Bayesian network classification strategy to incorporate prior sensor information over the gait cycle with current sensor information. Six transfemoral amputees performed locomotion circuits comprising level-ground walking and ascending/descending stairs and ramps using a powered knee and ankle prosthesis. Using time history reduced steady-state misclassifications by over half (p < 0.01), when compared to strategies that did not use time history, without reducing intent recognition performance during transitions. These results suggest that including time history information across the gait cycle can enhance locomotion mode intent recognition performance.







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Au, S. K., J. Weber, and H. Herr. Biomechanical design of a powered ankle-foot prosthesis. In: Proceedings of 2007 IEEE 10th International Conference on Rehabilitation Robotics, 2007, pp. 298–303.
Au, S., J. Weber, and H. Herr. Powered ankle-foot prosthesis improves walking metabolic energy. IEEE Trans. Robotics Autom. 25:51–66, 2009.
Ceseracciu, E., M. Reggiani, Z. Sawacha, M. Sartori, F. Spolaor, C. Cobelli, and E. Pagello, SVM Classification of Locomotion Modes Using Surface Electromyography for Applications in Rehabilitation Robotics, Presented at the RO-MAN, Viareggio, Italy, 2010.
Davies, B., and A. Datta. Mobility outcome following unilateral lower limb amputation. Prosthet. Orthot. Int. 27:186–190, 2003.
Farrell, M. T., and H. Herr. A method to determine the optimal features for control of a powered lower-limb prostheses. In: IEEE EMBC Annual International Conference, 2011, pp. 6041–6046.
Fite, K. B., J. Mitchell, F. C. Sup, and M. Goldfarb. Design and control of an electrically powered knee prosthesis. In: Proceedings of the 2007 IEEE 10th IEEE International Conference on Rehabilitation Robotics, 2007, pp. 902–905.
Flowers, W. C., and R. W. Mann. Electrohydraulic knee-torque controller for a prosthesis simulator. ASME J. Biomech. Eng. 99:3–8, 1977.
Gales, M., and S. Young. The application of hidden Markov models in speech recognition. Found. Trends Signal Process. 1:195–304, 2007.
Hargrove, L., K. Englehart, and B. Hudgins. A comparison of surface and intramuscular myoelectric signal classification. IEEE Trans. Biomed. Eng. 54:847–853, 2007.
Huang, H., T. Kuiken, and R. Lipschutz. A strategy for identifying locomotion modes using surface electromyography. IEEE Trans. Biomed. Eng. 56:65–73, 2009.
Huang, H., F. Zhang, L. J. Hargrove, D. Zhi, D. R. Rogers, and K. B. Englehart. Continuous locomotion-mode identification for prosthetic legs based on neuromuscular mechanical fusion. IEEE Trans. Biomed. Eng. 58:2867–2875, 2011.
Joseph, K. H., G. S. Thomas, H. Matthew, and B. Ryan. An active foot-ankle prosthesis with biomechanical energy regeneration. J. Med. Devices. 4:011003.
Kuiken, T. A., G. Li, B. A. Lock, R. D. Lipschutz, L. A. Miller, K. A. Stubblefield, and K. B. Englehart. Targeted muscle reinnervation for real-time myoelectric control of multifunction artificial arms. JAMA 301:619–628, 2009.
Lawson, B. E., H. A. Varol, A. Huff, E. Erdemir, and M. Goldfarb. Control of stair ascent and descent with a powered transfemoral prosthesis. IEEE Trans. Neural Syst. Rehabil. Eng. 21:466–473, 2013.
Nefian, A., L. Liang, X. Pi, X. Liu, and K. Murphy. Dynamics Bayesian networks for audio-visual speech recognition. J. Appl. Signal Process. 11:1–15, 2002.
OSSUR, The POWER KNEE. http://bionics.ossur.com/Products/POWER-KNEE/SENSE.
Otto Bock Orthopedic Industry, I. (Date Assessed: Dec 5, 2012). Instruction Materials—Training with Genium. Available: http://www.ottobockknees.com/for-professionals/instructional-materials/.
Otto Bock Orthopedic Industry, I., Manual for the 3c100 Otto Bock C-LEG. Duderstadt, Germany, 1998.
Rabiner, L. R. A tutorial on hidden Markov models and selected applications in speech recognition. Proc. IEEE 77:257–286, 1989.
Segal, A. D., M. S. Orendurff, G. K. Klute, M. L. McDowell, J. A. Pecoraro, J. Shofer, and J. Czerniecki. Kinematic and kinetic comparisons of transfemoral amputee gait using C-Leg and Mauch SNS prosthetic knees. J. Rehabil. Res. Dev. 43:857–870, 2006.
Sup, F., A. Bohara, and M. Goldfarb. Design and control of a powered transfemoral prosthesis. Int. J. Robot. Res. 27:263–273, 2008.
Sup, F., A. Bohara, and M. Goldfarb. Design and control of a powered knee and ankle prosthesis. In: IEEE International Conference on Robotics and Automation, Roma, Italy, 2007.
Sup, F., H. A. Varol, J. Mitchell, T. Withrow, and M. Goldfarb. Design and control of an active electrical knee and ankle prosthesis. In: IEEE international conference on biomedical robotics and biomechatronics, Scottsdale, U.S.A., 2008, pp. 523–528.
Sup, F., H. A. Varol, J. Mitchell, T. Withrow, and M. Goldfarb. Preliminary evaluations of a self-contained anthropomorphic transfemoral prosthesis. IEEE ASME Trans. Mechatron. 14:667–676, 2009.
Sup, F., H. A. Varol, and M. Goldfarb. Upslope walking with a powered knee and ankle prosthesis: initial results with an amputee subject. IEEE Trans. Neural Syst. Rehabil. Eng. 19:71–78, 2011.
Varol, H. A., F. Sup, and M. Goldfarb. Multiclass real-time intent recognition of a powered lower limb prosthesis. IEEE Trans. Biomed. Eng. 57:542–551, 2010.
Wilkenfeld, A. J. Biologically inspired autoadaptive control of a knee prosthesis. Ph.D. Thesis, Massachusetts Institute of Technology, Cambridge, 2000.
Winter, D. A. Biomechanical motor patterns in normal walking. J. Mot. Behav. 15:302–330, 1983.
Winter, D. A. The Biomechanics and Motor Control of Human Gait: Normal, Elderly and Pathological. Univeristy of Waterloo Press, 1991.
Acknowledgments
The authors would like to acknowledge Tom Idstein and the electronics team at the Center for Bionic Medicine, Rehabilitation Institute of Chicago for their support. Additional acknowledgements include Todd Kuiken for his scientific and clinical advise, Robert Lipschutz and Beth Halsne for prosthetic fitting support, Suzanne Finucane for patient physical therapy support, and Kim Ingraham for data collection. This work was supported in part by the US Army’s Telemedicine and Advanced Technology Research Center under Grant Number 81XWH-09-2-0020. A.J. Young was supported by a National Defense Science and Engineering Graduate Fellowship.
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Associate Editor Thurmon E. Lockhart oversaw the review of this article.
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Young, A.J., Simon, A.M., Fey, N.P. et al. Intent Recognition in a Powered Lower Limb Prosthesis Using Time History Information. Ann Biomed Eng 42, 631–641 (2014). https://doi.org/10.1007/s10439-013-0909-0
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DOI: https://doi.org/10.1007/s10439-013-0909-0