Active ankle foot orthosis

• US 8,551,029 B1
• Filed: 02/13/2013
• Issued: 10/08/2013
• Est. Priority Date: 09/25/2003
• Status: Active Grant

• Current Assignee: Massachusetts Institute of Technology
• Original Assignee: Massachusetts Institute of Technology
• Inventors: Herr, Hugh, Blaya, Joaquin, Pratt, Gill A.
• Primary Examiner(s): Brown, Michael A.
• Application Number:
  US13/765,998
• Time in Patent Office: 237 Days
• Field of Search: 602/16, 602 23- 27, 128/882, 744/900.1, 623 39- 40, 623 42- 45
• US Class Current: 602/16
• CPC Class Codes: A61B 5/1038 Measuring plantar pressure during gait
• CPC Class Codes: A61B 5/1071 measuring angles, e.g. using goniometers A61B5/1123 takes precedence
• CPC Class Codes: A61B 5/4519 Muscles A61B5/389, A61B5/224 take precedence
• CPC Class Codes: A61B 5/4523 Tendons
• CPC Class Codes: A61B 5/4528 Joints A61B5/4533, A61B5/4538 take precedence
• CPC Class Codes: A61F 2/70 electrical
• CPC Class Codes: A61F 2002/701 operated by electrically controlled means, e.g. solenoids or torque motors
• CPC Class Codes: A61F 2005/0155 with actuating means
• CPC Class Codes: A61F 5/0113 Drop-foot appliances
• CPC Class Codes: A61F 5/0127 for the feet A61F5/0111 takes precedence
• CPC Class Codes: A61H 2003/007 secured to the patient, e.g. with belts
• CPC Class Codes: A61H 2201/12 Driving means
• CPC Class Codes: A61H 2205/10 Leg
• CPC Class Codes: A61H 3/00 Appliances for aiding patients or disabled persons to walk about apparatus for helping babies to walk A47D13/04 ; applying electrical currents by contact electrodes for stimulating motor muscles, e.g. walking assistance A61N1/36003

Abstract

An Active Ankle Foot Orthosis (AAFO) is provided where the impedance of an orthotic joint is modulated throughout the walking cycle to treat ankle foot gait pathology, such as drop foot gait. During controlled plantar flexion, a biomimetic torsional spring control is applied where orthotic joint stiffness is actively adjusted to minimize forefoot collisions with the ground. Throughout late stance, joint impedance is minimized so as not to impede powered plantar flexion movements, and during the swing phase, a torsional spring-damper (PD) control lifts the foot to provide toe clearance. To assess the clinical effects of variable-impedance control, kinetic and kinematic gait data were collected on two drop foot participants wearing the AAFO. It has been found that actively adjusting joint impedance reduces the occurrence of slap foot, allows greater powered plantar flexion, and provides for less kinematic difference during swing when compared to normals.

Claims

1. An autonomous motorized permanent assistance device comprising:

a mechanical ankle joint;

an actuator adapted to exert a torque about the ankle joint, the actuator comprising;

a motor; and

a spring operatively coupled with the motor;

at least one sensor adapted to determine at least one of a position, a velocity, and a force; and

a controller adapted to control the motor to change spring compression during a gait cycle to modulate at least one of joint torque, stiffness, damping, position or speed based at least in part on the at least one sensor.

2. The device of claim 1, wherein the actuator comprises a series elastic actuator.

3. The device of claim 1, wherein the spring is in series with the motor.

4. The device of claim 1, wherein the controller comprises a state machine comprising a plurality of control states.

5. The device of claim 4, wherein the control states comprise a contact state and a swing state.

6. The device of claim 4, wherein the state machine further comprises a safe state.

7. The device of claim 1, wherein the sensor comprises an ankle angle sensor.

8. The device of claim 1, wherein the sensor comprises at least one ground reaction force sensor.

9. The device of claim 1, wherein the sensor comprises a foot switch.

10. The device of claim 9, wherein the foot switch is disposed in a forefoot region of the device.

11. The device of claim 9, wherein the foot switch is disposed in a heel region of the device.

12. The device of claim 1, wherein the sensor is adapted to estimate a forward speed based on time a foot remains in contact with ground.

13. The device of claim 1, wherein the controller is adapted to control the motor to change spring compression during a stance phase to modulate joint torque.

14. The device of claim 1, wherein the controller is adapted to change spring compression during the stance phase of a walking cycle to adjust ankle stiffness.

15. The device of claim 1, wherein the controller is adapted to change spring compression during the swing phase of a walking cycle to dorsiflex the ankle joint.

16. The device of claim 1, wherein the controller is adapted to modulate impedance in response to step-to-step gait variations.

17. The device of claim 1, wherein the controller is adapted to modulate impedance with gait speed to lift a toe during a swing phase.

18. The device of claim 17, wherein the toe is lifted to provide toe clearance to reduce toe drag during the swing phase.

19. The device of claim 1, wherein the controller is adapted to modulate impedance with gait speed to control ankle movement during controlled plantar flexion.

20. The device of claim 19, wherein the ankle movement is adapted to be controlled to reduce foot slap during a stance phase.

21. The device of claim 1, wherein the controller is adapted to employ a positive force feedback in controlling the actuator.

22. The device of claim 21, wherein the positive force feedback control is adapted to reject system energy disturbances in controlling the actuator.

23. The device of claim 1, wherein the device is adjustable to model ankle biomechanics.

24. The device of claim 23, wherein the ankle biomechanics are selected from the group consisting of stiffness, damping, zero torque, zero impedance, a spring model, a combination spring and damper model, a non-linear spring model, ankle work, plantar flexion ankle rotation, and dorsiflexion ankle rotation.

25. The device of claim 24, wherein the combination spring and damper model is applied with gains that vary with gait speed.

26. The device of claim 25, wherein the gains vary in a swing phase.

27. The device of claim 1, wherein the device comprises an ankle orthosis.