Professional Documents
Culture Documents
fully edited. Content may change prior to final publication. Citation information: DOI 10.1109/LRA.2018.2864352, IEEE Robotics
and Automation Letters
IEEE ROBOTICS AND AUTOMATION LETTERS. PREPRINT VERSION. JULY, 2018 1
paretic limbs [20], load carriers [21], and joggers [22]. From a
Abstract— This paper presents design principles for design perspective, wearable robots are typically composed of
comfort-centered wearable robots and their application in a actuators, transmissions, and wearable structure. Most
lightweight and backdrivable knee exoskeleton. The mitigation of exoskeletons with electric actuators are generally classified in
discomfort is treated as mechanical design and control issues and
three solutions are proposed in this paper: 1) a new wearable
terms of wearable structures as either rigid, or soft or flexible
structure optimizes the strap attachment configuration and suit designs. Rigid exoskeletons (e.g. ReWalk or Ekso Bionics) rely
layout to ameliorate excessive shear forces of conventional on rigid materials to deliver torque in perpendicular to the
wearable structure design; 2) rolling knee joint and double-hinge musculoskeletal structure. Soft exosuits [23], [24] use cable
mechanisms reduce the misalignment in the sagittal and frontal transmission and textile-based wearable structures to deliver
plane, without increasing the mechanical complexity and inertia, power from the actuator to the human through linear forces
respectively; 3) a low impedance mechanical transmission reduces
the reflected inertia and damping of the actuator to human, thus
along the musculoskeletal structure. This innovation minimizes
the exoskeleton is highly-backdrivable. Kinematic simulations the joint misalignment issue with great metabolic reduction
demonstrate that misalignment between the robot joint and knee benefit [16]. However, it has limitations due to high-pressure
joint can be reduced by 74% at maximum knee flexion. In concentrations [25] and the absence of weight-support
experiments, the exoskeleton in the unpowered mode exhibits 1.03 functionality [26]. Flexible exoskeleton designs [26], deliver
Nm root mean square (RMS) low resistive torque. The torque torque-type assistance (instead of linear force) with flexible
control experiments demonstrate 0.31 Nm RMS torque tracking
error in three human subjects.
structures by combining the advantages of rigid exoskeletons
and soft exosuits.
Index Terms—Contact modeling, force control, mechanism The challenges of widespread adoption of this technology,
design, misalignment mitigation, prosthetics and exoskeletons however, arise from the manifestation (and need for resolution)
of the discomfort due to excessive weight, or restricted range of
motion, or high-pressure concentration; as well as the difficulty
I. INTRODUCTION to develop a synergistic control that can mechanically assist
I N the last two decades, exoskeletons have been heralded as human and physiologically adapt to human performance.
one type of promising assistive device for performance Comfort and risk mitigation [27], [28] have been identified as
augmentation of healthy individuals [1]–[9] and medical two of the key features to allow individuals to safely and
rehabilitations of patients with disabilities [10]–[15]. Metabolic independently ambulate or use exoskeletons.
reduction has been considered the primary metric for device We propose to use shear force produced by the exoskeleton,
evaluation and its feasibility has been successfully joint misalignment, and actuator backdrivability as the
demonstrated in walkers [16]–[19] post-stroke patients with quantitative measurement for comfort. Our contribution of this
paper includes: 1) a structural analysis and design of a knee
exoskeleton that ameliorates excessive shear forces; 2) a
Manuscript received: February 24, 2018; Revised June 13, 2018; Accepted mechanism design that reduces joint misalignment and
July 14, 2018. minimizes the distal weight; 3) a novel lightweight, compact,
This paper was recommended for publication by Editor Yasuyoshi
Yokokohji upon evaluation of the Associate Editor and Reviewers’ comments. and highly-backdrivable actuation system. The overall weight
This work is supported by the Grove School of Engineering, The City of the exoskeleton prototype is 3.2 kg and its on-board battery
University of New York, City College. can power walking assistance for 1 hour. Our exoskeleton
* indicates corresponding author. Junlin Wang, Xiao Li, Tzu-Hao Huang,
Shuangyue Yu, Yanjun Li and Hao Su are with Lab of Biomechatronics and design is intended to augment human capability by providing
Intelligent Robotics (BIRO), Department of Mechanical Engineering, The City moderate levels of assistance at optimal timing of walking gait
University of New York, City College, NY, 10023, US (E-mail: cycles as this methodology has been proved to be effective and
hao.su@ccny.cuny.edu).
Tianyao Chen is with Department of Biomedical Engineering, Catholic efficient [25]. Normalized peak knee torques of 80 kg
University of America, Washington, DC, 20064, US. able-bodied individuals during walking and sit-to-stand are
Alessandra Carriero is with the Department of Biomedical Engineering, The typically reported as 40Nm and 80Nm respectively. The knee
City University of New York, City College, 10031, US.
Mooyeon Oh-Park is with the Burke Rehabilitation Hospital, NY, 10605,
exoskeleton in this paper aims to provide walking assistance.
US. The peak output torque is 16 Nm, which is equivalent to 40% of
Digital Object Identifier (DOI): see top of this page.
2377-3766 (c) 2018 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.
This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI 10.1109/LRA.2018.2864352, IEEE Robotics
and Automation Letters
IEEE ROBOTICS AND AUTOMATION LETTERS. PREPRINT VERSION. JULY, 2018 2
A. Suit Layout
The suit design is based on two considerations: the
configuration of attachment components and the layout of the
mechanical frame. The former factor mainly determines the
way in which the device-generated joint torque is transmitted to
the human body, and the latter affects the magnitude of certain
undesirable loads.
The design of the strap attachment configuration is based on
a force analysis of the human-exoskeleton model in the sagittal
plane. Analysis results indicate that 4 attachment points (2 on
Fig. 1. A user wears the lightweight, compact and backdrivable knee
exoskeleton in standing and kneeling postures, demonstrating its range of the thigh and 2 on the calf) are preferred for minimizing the
motion and compliance with human motion. undesirable interaction force. Fig. 2 shows the analysis process
as the model is reduced to a rigid body system of 4 segments. Fp
peak biological knee moment of an 80 kg healthy individual represents perpendicular interaction forces at attachment
during walking [29], [30]. 16 Nm is also no less than the locations; N stands for internal forces at joints; τ is the torque
required torque to restore knee torque of paretic side knee of produced at the joints. The attachment component, typically a
patients with stroke [31], [32]. strap wrapped and tightened around the leg, applies both
perpendicular and tangential forces on the limb. Such a
II. WEARABLE SUIT DESIGN condition leads to an underdetermined linear system with
The wearable suit transmits the assistive torque generated by infinite solutions for the interaction forces. However, the
the actuator to the human body, and its design has a significant attachment mechanism only allows small amount of tangential
impact on the wearer’s comfort. Our proposed design optimizes force in the form of friction, whose magnitude is negligible
comfort in different parts of the suit. First, the attachment compared with the perpendicular force at the same location.
components are configured to distribute the assistive torque to Removing the tangential forces (Fig. 2 (c)) yields a consistent
the user by applying minimal pressure on the body. In addition, and overdetermined system with a unique solution. The
the direction of force is mostly perpendicular to the leg due to solution shows that under the same loading condition, the
the mechanical frame design. Second, a rolling joint magnitude of forces at contact points decrease as the distance
mechanism is implemented at the exoskeleton’s knee joint so between 2 contact points on the same body section increases.
that the undesired forces caused by joint misalignment in the This indicates that with a 4-attachment layout, the proximal and
sagittal plane can be reduced without significantly increasing distal attachment locations on the same body section should be
the mechanical complexity. Third, the joint misalignment in the as far away from each other as possible, so that the forces
frontal plane is mitigated by a double-hinge mechanism located applied on human limb can be minimized given the same torque
on exoskeleton’s calf frame. Finally, the attachment output. On the other hand, reducing the number of attachment
components are designed to precisely fit different individuals, points would make the system inconsistent, yielding no
so that the undesired impact load during exoskeleton’s solution for the interaction forces. Having only one attachment
assistance is decreased. These features together provide a on either thigh or calf would result in excessively high forces at
comfortable experience for the wearer. Detailed designs are the attachment location. This conclusion only applies to a knee
illustrated in the following section. exoskeleton with no additional rigid attachments to the
wearer’s torso or foot. Following the analysis, our
Yu Attachment 1
Attachment 2
2
Exoskeleton
Attachment 3
3
Human Leg
Attachment 4
2377-3766 (c) 2018 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.
This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI 10.1109/LRA.2018.2864352, IEEE Robotics
and Automation Letters
WANG et al: COMFORT-CENTERED DESIGN OF A LIGHTWEIGHT AND BACKDRIVABLE KNEE EXOSKELETON 3
Fig. 4. Simulation of sagittal plane misalignment effect with rolling joint design to minimize undesired tangential force. (a) Rolling joint mechanism. The design
functions as combined rolling and rotating, with both roller having the diameter D. (b) Simulation model with human leg colored in black and exoskeleton in grey.
Misalignment between human joint and rolling joint causes the prismatic joints to slide along thigh model and calf model by the amount of f (θ, D) and g (θ, D)
respectively. (c) Simulation results of frame drifting caused by misalignment under different knee angle and roller diameter D.
2377-3766 (c) 2018 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.
This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI 10.1109/LRA.2018.2864352, IEEE Robotics
and Automation Letters
IEEE ROBOTICS AND AUTOMATION LETTERS. PREPRINT VERSION. JULY, 2018 4
2377-3766 (c) 2018 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.
This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI 10.1109/LRA.2018.2864352, IEEE Robotics
and Automation Letters
WANG et al: COMFORT-CENTERED DESIGN OF A LIGHTWEIGHT AND BACKDRIVABLE KNEE EXOSKELETON 5
S1 Tensioner
Actuator r1
S1 Input Pulley
1st Stage
Reducer (S1) Thigh Frame
R1 S2 Input Pulley
(a) (b) (c) (d) S1 Output Pulley
r2
Fig. 7. Procedure of customizable braces as the mechanical interface
S2 Tensioner
attachment. (a) The unprocessed thermoplastic is machined to form raw part 2nd Stage
Sectional Gear
of universal shape. (b) Raw part is heated and applied on user’s leg with the Reducer (S2) Effective Level
mechanical frame. (c) Raw part cools down and forms customized brace. (d) Arm: (R2+r2)/2 R2 Instantaneous
Precise fit with the user’s limb. Center of Rotation
S2 Output Pulley
Calf Frame
In our design, we adopt thermoplastic (Fig. 7) as the material
of attachment braces, the thermoplastic braces can precisely fit Fig. 9. Two-stage timing belt transmission system. This compact and simple
different individuals, reducing the control dead zone and system can amplify the torque of the electric motor to meet the assistive
requirement. Moreover, through power transmission, the electric motor can be
undesired impact. In addition, a simplified tightening and installed at the proximal end of thigh frame. The inertia of the exoskeleton can
buckling design are incorporated, reducing the donning/doffing be significantly reduced by this configuration.
time of the entire system to 2 minutes (Fig. 8).
center of rotation of the calf roller in our paper. Assuming the
III. ACTUATION AND ELECTRONICS radius of the input and output pulley is r1 and R1 of the 1st stage
Besides the wearable suit design, the actuation system also reducer, and r2 and R2 of the 2nd stage reducer, the effective
plays critical role for comfort-centered design. First, the lever arm of the belt transmission is (R2+r2)/2 (see Fig. 9). As a
backdrivability of the actuation subsystem determines the result, the total gear reduction ratio is
transparency of the exoskeleton when power is off. Second, io = i1 ( i2 + 1) / 2 (3)
excessive system weight and inertia about the human center of
where i1= r1/R1 and i2=r2/R2 are reduction ratio of S1 and S2
mass (CoM) costs extra energy cost for the wearer and obstruct
respectively. Considering the overall profile of the transmission
human motion. Therefore, the design principle for actuation and the reliability of involved transmission components, the
and electronics are high backdrivability, lightweight design, transmission ratios of S1 and S2 are set at 4 and 3.43
and low inertia. respectively, leading to a total reduction ratio of 8.85. Paired
with a highly integrated torque-dense actuator, the transmission
A. 2-Stage Timing Belt Transmission
generates a peak torque of 15.93 Nm and rated torque of 5.99
We developed and integrated a 2-stage timing belt Nm. The distance between the S1 input and output shafts can be
transmission with the rolling knee joint mechanism (Fig. 9). adjusted to tension the S1 timing belt. As the distance between
The ladder tooth synchronous belt is fabricated from Neoprene input and output shafts of S2 is a fixed design parameter (roller
rubber and glass fiber rope that has a long lifecycle. The input diameter D), a pair of adjustable pulleys are used to tension the
axis of the 1st stage reducer (S1), aligned with the actuator, is belt. The implementation of the high torque density actuator
located at the proximal end of thigh brace; the output pulley of reduces the system weight by eliminating a conventional metal
S1 and the input pulley of 2nd stage reducer (S2) are concentric gear head (e.g. planetary gear or Harmonic Drive). In addition, it
requires a low reduction ratio to reach high torque output,
with the thigh roller center; the output pulley of S2 aligns with
reducing the friction resistance within transmission and
calf roller center. The S2 output pulley is fixed on calf frame improving backdrivability.
and transmit the motor-generated torque to the frame. The
output torque of the exoskeleton is defined on the instantaneous B. Minimization of Distal Mass Distribution
It has been demonstrated by [50] that exoskeletons should
2377-3766 (c) 2018 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.
This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI 10.1109/LRA.2018.2864352, IEEE Robotics
and Automation Letters
IEEE ROBOTICS AND AUTOMATION LETTERS. PREPRINT VERSION. JULY, 2018 6
2377-3766 (c) 2018 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.
This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI 10.1109/LRA.2018.2864352, IEEE Robotics
and Automation Letters
WANG et al: COMFORT-CENTERED DESIGN OF A LIGHTWEIGHT AND BACKDRIVABLE KNEE EXOSKELETON 7
Flexion
Fig. 15. The no-load impedance test for the transparency evaluation. The
maximum amplitude of torque is 3.33 Nm and the root mean square of the
torque is 1.03 Nm.
2377-3766 (c) 2018 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.
This article has been accepted for publication in a future issue of this journal, but has not been fully edited. Content may change prior to final publication. Citation information: DOI 10.1109/LRA.2018.2864352, IEEE Robotics
and Automation Letters
IEEE ROBOTICS AND AUTOMATION LETTERS. PREPRINT VERSION. JULY, 2018 8
[10] M. Kim, T. Chen and S. H. Collins, “An ankle-foot prosthesis emulator power in gait of stroke patients,” Arch. Phys. Med. Rehabil., vol. 72, no.
with control of plantarflexion and inversion-eversion torque,” in IEEE 5, pp. 309–314, 1991.
Trans Robot, 2018. [33] A. Craig and R. Condon, “anthropometry and biomechanics,” Hum.
[11] R. J. Farris, H. A. Quintero, S. A. Murray, K. H. Ha, C. Hartigan, and M. Factors, vol. 26, pp. 197–205, 1984.
Goldfarb, “A preliminary assessment of legged mobility provided by a [34] R. Altendorfer et al., “Evidence for spring loaded inverted pendulum
lower limb exoskeleton for persons with paraplegia,” IEEE Trans. Neural running in a hexapod robot,” in Experimental Robotics VII, Springer,
Syst. Rehabil. Eng., 2014. 2001, pp. 291–302.
[12] K. Z. Takahashi, M. D. Lewek, and G. S. Sawicki, “A [35] A. M. Smith, C. E. Chapman, M. Deslandes, J.-S. Langlais, and M.-P.
neuromechanics-based powered ankle exoskeleton to assist walking Thibodeau, “Role of friction and tangential force variation in the
post-stroke: A feasibility study,” J. Neuroeng. Rehabil., 2015. subjective scaling of tactile roughness,” Exp. Brain Res., vol. 144, no. 2,
[13] P. K. Asselin, M. Avedissian, S. Knezevic, S. Kornfeld, and A. M. pp. 211–223, 2002.
Spungen, “Training Persons with Spinal Cord Injury to Ambulate Using a [36] J. B. Morrison, “The mechanics of the knee joint in relation to normal
Powered Exoskeleton,” J. Vis. Exp., 2016. walking,” J. Biomech., vol. 3, no. 1, pp. 51–61, 1970.
[14] M. K. Shepherd and E. J. Rouse, “Design and Validation of a [37] S. Koo and T. P. Andriacchi, “The knee joint center of rotation is
Torque-Controllable Knee Exoskeleton for Sit-to-Stand Assistance,” predominantly on the lateral side during normal walking,” J. Biomech.,
IEEE/ASME Trans. Mechatronics, 2017. vol. 41, no. 6, pp. 1269–1273, 2008.
[15] C. Tefertiller, K. Hays, J. Jones, A. Jayaraman, C. Hartigan, T. Bushnik [38] K. A. Witte, A. M. Fatschel, and S. H. Collins, “Design of a lightweight,
and G. F. Forrest., “Initial Outcomes from a Multicenter Study Utilizing tethered, torque-controlled knee exoskeleton,” in IEEE International
the Indego Powered Exoskeleton in Spinal Cord Injury.,” Top. Spinal Conference on Rehabilitation Robotics, 2017, pp. 1646–1653.
Cord Inj. Rehabil., 2018. [39] B. Cho, Y. Lee, Y. J. Kim, J. Lee, M. Lee, S. G. Roh, Y. J. Park, K. Kim
[16] Y. Ding, K. Myunghee, K. Scott, and C. J. Walsh. "Human-in-the-Loop and Y. Shim., Development of adjustable knee joint for walking
Optimization of Hip Assistance with A Soft Exosuit during assistance devices. 2017.
Walking." Science Robotics 3, no. 15 (2018): eaar5438. [40] B. Choi, Y. Lee, K. Kim, M. Lee, J. Lee, S. G. Roh, H. Choi, Y. J. Kim
[17] S. H. Collins, M. Bruce Wiggin, and G. S. Sawicki, “Reducing the energy and J. Y. Choi., “A self-aligning knee joint for walking assistance
cost of human walking using an unpowered exoskeleton,” Nature, 2015. devices,” in Proceedings of the Annual International Conference of the
[18] J. Zhang, P. Firsm, K. A. Witte, R. W. Jackson, K. L. Poggensee, C. G. IEEE Engineering in EMBS, 2016, vol. 2016–Octob, pp. 2222–2227.
Atkeson and S. H. Collins., “Human-in-the-loop optimization of [41] L. Saccares, I. Sarakoglou, and N. G. Tsagarakis, “It-knee: An
exoskeleton assistance during walking,” Science (80-. )., 2017. exoskeleton with ideal torque transmission interface for ergonomic power
[19] Z. F. Lerner, D. L. Damiano, H.-S. Park, A. J. Gravunder, and T. C. augmentation,” in IEEE International Conference on Intelligent Robots
Bulea, “A robotic exoskeleton for treatment of crouch gait in children and Systems, 2016.
with cerebral palsy: Design and initial application,” IEEE Trans. Neural [42] A. H. A. Stienen, E. E. G. Hekman, F. C. T. van der Helm, and H. van der
Syst. Rehabil. Eng., vol. 25, no. 6, pp. 650–659, 2017. Kooij, “Self-aligning exoskeleton axes through decoupling of joint
[20] L. N. Awad, J. Bae, K. O'donnell, S. M. De Rossi, K. Hendron, L. H. rotations and translations,” IEEE Trans. Robot., 2009.
Sloot, P. Kudzia, S. Allen, K. G. Holt, T. D. Ellis and C. J. Walsh., “A soft [43] X. Jin, X. Cui, and S. K. Agrawal, “Design of a cable-driven active leg
robotic exosuit improves walking in patients after stroke,” Sci. Transl. exoskeleton (C-ALEX) and gait training experiments with human
Med., vol. 9, no. 400, 2017. subjects,” in Proceedings - IEEE International Conference on Robotics
[21] L. M. Mooney, E. J. Rouse, and H. M. Herr, “Autonomous exoskeleton and Automation, 2015, vol. 2015–June, no. June, pp. 5578–5583.
reduces metabolic cost of human walking during load carriage,” J. [44] M. Wehner, B. Quinlivan, P. M. Aubin, E. Martinez-Villalpando, M.
Neuroeng. Rehabil., vol. 11, no. 1, p. 80, 2014. Baumann, L. Stirling, K. Holt, R. Wood and C. J. Walsh., “A Lightweight
[22] G. Lee, J. Kim, F. A. Panizzolo, Y. M. Zhou, L. M. Baker, I. Galiana, P. Soft Exosuit for Gait Assistance,” in Proceedings - IEEE International
Malcolm and C. J. Walsh., “Reducing the metabolic cost of running with Conference on Robotics and Automation, 2013, pp. 3362–3369.
a tethered soft exosuit,” Sci. Robot., 2017. [45] W. Y.-W. Tung, M. McKinley, M. V Pillai, J. Reid, and H. Kazerooni,
[23] B. T. Quinlivan, S. Lee, P. Malcolm, D. M. Rossi, M. Grimmer, C. Siviy, “Design of a Minimally Actuated Medical Exoskeleton With Mechanical
N. Karavas, D. Wagner, A. Asbeck, I. Galiana and C. J. Walsh., Swing-Phase Gait Generation and Sit-Stand Assistance,” 2013.
“Assistance magnitude versus metabolic cost reductions for a tethered [46] H. Iwaki, V. Pinskerova, and M. A. R. Freeman, “Tibiofemoral
multiarticular soft exosuit,” Sci. Robot., vol. 2, no. 2, p. eaah4416, 2017. movement 1: the shapes and relative movements of the femur and tibia in
[24] D. Park, H. In, H. Lee, S. Lee, I. Koo, B. B. Kang, P. Keunyoung, W. S. the unloaded cadaver knee,” J. Bone Jt. Surg., 2000.
Chang and K. J. Cho, “Preliminary study for a soft wearable knee [47] K. M. Lee and J. Guo, “Kinematic and dynamic analysis of an
extensor to assist physically weak people,” in International Conference anatomically based knee joint,” J. Biomech., 2010.
on Ubiquitous Robots and Ambient Intelligence, URAI 2014, 2014. [48] Y. Li, S. Chang, G. Francisco, H. Su, “Interaction Force Modeling for
[25] B. Quinlivan, A. Asbeck, D. Wagner, T. Ranzani, S. Russo, and C. J. Joint Misalignment Minimization Toward Bio-inspired Knee
Walsh, “Force Transfer Characterization of a Soft Exosuit for Gait Exoskeleton Design,” in Design of Medical Devices Conferences (DMD),
Assistance,” in 39th Mechanisms and Robotics Conference, 2015. 2018.
[26] Y. Lee, Y. J. Kim, J. Lee, M. Lee, B. Choi, J. Kim, Y. J. Park and J. Choi, [49] C. P. Charalambous, “Measurement of lower extremity kinematics during
“Biomechanical Design of a Novel Flexible Exoskeleton for Lower level walking,” in Classic Papers in Orthopaedics, 2014, pp. 397–398.
Extremities,” IEEE/ASME Trans. Mechatronics, vol. 22, no. 5, pp. [50] A. Bicchi, M. A. Peshkin, and J. E. Colgate, “Safety for physical
2058–2069, 2017. human–robot interaction,” in Springer handbook of robotics, Springer,
[27] Y. He, D. Eguren, T. P. Luu, and J. L. Contreras-Vidal, “Risk 2008, pp. 1335–1348.
management and regulations for lower limb medical exoskeletons: A [51] H. Aguilar-Sierra, R. Lopez, W. Yu, S. Salazar, and R. Lozano, “A lower
review,” Medical Devices: Evidence and Research. 2017. limb exoskeleton with hybrid actuation,” in 5th BioRob, 2014.
[28] J. Wolff, C. Parker, J. Borisoff, W. Ben Mortenson, and J. Mattie, “A [52] R. Lu, Z. Li, C.-Y. Su, and A. Xue, “Development and Learning Control
survey of stakeholder perspectives on exoskeleton technology,” J. of a Human Limb With a Rehabilitation Exoskeleton,” IEEE Trans. Ind.
Neuroeng. Rehabil., 2014. Electron., 2014.
[29] D. C. Kerrigan, P. O. Riley, T. J. Nieto, and U. Della Croce, “Knee joint [53] G. Elliott, A. Marecki, and H. Herr, “Design of a Clutch–Spring Knee
torques: a comparison between women and men during barefoot Exoskeleton for Running,” J. Med. Device., vol. 8, no. 3, p. 031002, 2014.
walking,” Arch. Phys. Med. Rehabil., vol. 81, no. 9, pp. 1162–1165, 2000. [54] M. K. Shepherd, S. Member, E. J. Rouse, and A. D. Goals, “Design and
[30] J. A. Zeni and J. S. Higginson, “Differences in gait parameters between Characterization of a Torque-Controllable Actuator for Knee Assistance
healthy subjects and persons with moderate and severe knee during Sit-to-Stand,” pp. 2228–2231, 2016.
osteoarthritis: a result of altered walking speed?,” Clin. Biomech., vol. 24, [55] H. Yu, M.S. Cruz,, G. Chen, Huang, S. Zhu, “Mechanical design of a
no. 4, pp. 372–378, 2009. portable knee-ankle-foot robot,” in ICRA 2013, pp. 2183–2188, 2013.
[31] J. L. Astephen, K. J. Deluzio, G. E. Caldwell, and M. J. Dunbar, [56] J. E. Pratt, B. T. Krupp, C. J. Morse, and S. H. Collins, “The RoboKnee:
“Biomechanical changes at the hip, knee, and ankle joints during gait are an exoskeleton for enhancing strength and endurance during walking,” in
associated with knee osteoarthritis severity,” J. Orthop. Res., vol. 26, no. IEEE International Conference on Robotics and Automation, 2004.
3, pp. 332–341, 2008.
[32] S. J. Olney, M. P. Griffin, T. N. Monga, and I. D. McBride, “Work and
2377-3766 (c) 2018 IEEE. Personal use is permitted, but republication/redistribution requires IEEE permission. See http://www.ieee.org/publications_standards/publications/rights/index.html for more information.