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A Hydraulic Hybrid Neuroprosthesis for Gait Restoration in People with Spinal Cord Injuries

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Abstract

The Hybrid Neuroprosthesis (HNP) is a hydraulically actuated exoskeleton and implanted Functional Electrical Stimulation (FES) system that has been designed and fabricated to restore gait to people with spinal cord injuries. The exoskeleton itself does not supply any active power, instead relying on an implanted FES system for all active motor torques. The exoskeleton instead provides support during quiet standing and stance phases of gait as well as sensory feedback to the stimulation system. Three individuals with implanted functional electrical stimulation systems have used the system to successfully walk short distances, but were limited in the flexion torques the stimulation system could provide.

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References

  1. To, C.S., Kobetic, R., Schnellenberger, J.R., Audu, M.L., Triolo, R.J.: Design of a variable constraint hip mechanism for a hybrid neuroprosthesis to restore gait after spinal cord injury. IEEE/ASME Trans. Mechatron. 13(2), 197–205 (2008)

    Article  Google Scholar 

  2. Hirokawa, S., Grimm, M., Le, T., Solomonow, M., Baratta, R.V., Shoji, H., D’Ambrosia, R.D.: Energy consumption in paraplegic ambulation using the reciprocating gait orthosis and electrical stimulation of the thigh muscles. Arch. Phys. Med. Rehabil. 71, 687–694 (1990)

    Google Scholar 

  3. Solomonow, M., Baratta, R., Hirokawa, S., Rightor, N., Walker, W., Beaudette, P., Shoji, H., D’Ambrosia, R.: The RGO generation II: muscle stimulation powered orthosis as a practical walking system for thoracic paraplegics. Orthopedics 12, 1309–1315 (1989)

    Google Scholar 

  4. Isakov, E., Douglas, R., Berns, P.: Ambulation using the reciprocating gait orthosis and functional electrical stimulation. Paraplegia 30, 239–245 (1992)

    Article  Google Scholar 

  5. Goldfarb, M., Durfee, W.: Design of a controlled-brake orthosis for FES-added gait. IEEE Trans. Rehabil. Eng. 4(1), 13–24 (1996)

    Article  Google Scholar 

  6. Goldfarb, M., Korkowski, K., Harrold, B., Durfee, W.: Preliminary evaluation of a controlled-brake orthosis for FES-aided gait. IEEE Trans. Neur. Syst. Rehabil. Eng. 11(3), 241–248 (2003)

    Article  Google Scholar 

  7. Ha, K.H., Murray, S.A., Goldfarb, M.: An approach for the cooperative control of FES with a powered exoskeleton during level walking for persons with paraplegia. IEEE Trans. Neur. Syst. Rehabil. Eng. (99), 1

    Google Scholar 

  8. del-Ama, A., Gil-Agudo, Á., Pons, J., Moreno, J.: Hybrid FES-robot cooperative control of ambulatory gait rehabilitation exoskeleton. J. NeuroEng. Rehabil. 11(1), 27 (2014)

    Google Scholar 

  9. Kobetic, R., Marsolais, E.B.: Synthesis of paraplegic gait with multichannel functional neuromuscular stimulation. IEEE Trans. Rehabil. Eng. 2(2), 66–79 (1994)

    Google Scholar 

  10. Marsolais, E.B., Kobetic, R.: Development of a practical electrical stimulation system for restoring gait in the paralyzed patient. Clin. Orthop. (233), 64–74 (1988)

    Google Scholar 

  11. Alojz, K., et al.: Gait restoration in paraplegic patients: a feasibility demonstration using multichannel surface electrode FES. J. Rehabil. R&D/Veterans Adm. Dept. Med. Surg. Rehabil. R&D Serv. 20(1), 3–20 (1983)

    Google Scholar 

  12. Kobetic, R., Triolo, R.J., Marsolais, E.B.: Muscle selection and walking performance of multichannel FES systems for ambulation in paraplegia. IEEE Trans. Rehabil. Eng. 5(1), 23–29 (1997)

    Google Scholar 

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Acknowledgements

The author would like to thank all APT Center and FES Center investigators and engineers that contributed to this work, including Dr. Musa Audu, Kevin Foglyano, and John Schnellenberger. This work was supported by grants from the Department of Defense (W81XWH-13-1-0099), and the Rehabilitation Research and Development Service of Veteran Affairs (B0608-R).

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Correspondence to Mark J. Nandor .

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Nandor, M.J., Chang, S.R., Kobetic, R., Triolo, R.J., Quinn, R. (2016). A Hydraulic Hybrid Neuroprosthesis for Gait Restoration in People with Spinal Cord Injuries. In: Lepora, N., Mura, A., Mangan, M., Verschure, P., Desmulliez, M., Prescott, T. (eds) Biomimetic and Biohybrid Systems. Living Machines 2016. Lecture Notes in Computer Science(), vol 9793. Springer, Cham. https://doi.org/10.1007/978-3-319-42417-0_18

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  • DOI: https://doi.org/10.1007/978-3-319-42417-0_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42416-3

  • Online ISBN: 978-3-319-42417-0

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