Balance recovery after tripping often requires an active adaptation of foot placement. Thus far, few attempts have been made to actively assist forward foot placement for balance recovery employing wearable devices. This study aims to explore the possibilities of active forward foot placement through two paradigms of actuation: assistive moments exerted with the reaction moments either internal or external to the human body, namely 'joint' moments and 'free' moments, respectively. Both paradigms can be applied to manipulate the motion of segments of the body (e.g., the shank or thigh), but joint actuators also exert opposing reaction moments on neighbouring body segments, altering posture and potentially inhibiting tripping recovery. We therefore hypothesised that a free moment paradigm is more effective in assisting balance recovery following tripping. The simulation software SCONE was used to simulate gait and tripping over various ground-fixed obstacles during the early swing phase. To aid forward foot placement, joint moments and free moments were applied either on the thigh to augment hip flexion or on the shank to augment knee extension. Two realizations of joint moments on the hip were simulated, with the reaction moment applied to either the pelvis or the contralateral thigh. The simulation results show that assisting hip flexion with either actuation paradigm on the thigh can result in full recovery of gait with a margin of stability and leg kinematics closely matching the unperturbed case. However, when assisting knee extension with moments on the shank, free moment effectively assist balance but joint moments with the reaction moment on the thigh do not. For joint moments assisting hip flexion, placement of the reaction moment on the contralateral thigh was more effective in achieving the desired limb dynamics than placing the reaction on the pelvis. Poor choice of placement of reaction moments may therefore have detrimental consequences for balance recovery, and removing them entirely (i.e., free moment) could be a more effective and reliable alternative. These results challenge conventional assumptions and may inform the design and development of a new generation of minimalistic wearable devices to promote balance during gait.

@en

Gyroscopic actuators are appealing for wearable applications due to their ability to provide overground balance support without obstructing the legs. Multiple wearable robots using this actuation principle have been proposed, but none has yet been evaluated with humans. Here we use the GyBAR, a backpack-like prototype portable robot, to investigate the hypothesis that the balance of both healthy and chronic stroke subjects can be augmented through moments applied to the upper body. We quantified balance performance in terms of each participant’s ability to walk or remain standing on a narrow support surface oriented to challenge stability in either the frontal or the sagittal plane. By comparing candidate balance controllers, it was found that effective assistance did not require regulation to a reference posture. A rotational viscous field increased the distance healthy participants could walk along a 30mm-wide beam by a factor of 2.0, compared to when the GyBAR was worn but inactive. The same controller enabled individuals with chronic stroke to remain standing for a factor of 2.5 longer on a narrow block. Due to its wearability and versatility of control, the GyBAR could enable new therapy interventions for training and rehabilitation.

@en

Previous research has identified two major non-stepping strategies used to recover balance following mechanical perturbations: ankle and hip strategy [1, 2]. These strategies are selected depending on eg the perturbation magnitude, prior experience, and configuration of the support surface [2] in order to control the posture (upright trunk and leg orientation) and angular momentum [3, 4]. Following an external mechanical perturbation, both body posture and angular momentum depend, in part, on passive properties of the body, such as the amount and distribution of mass. Simple mechanical models, like the inverted pendulum (IP)[4, 5] or the double IP [6] suggest an approximately linear inverse relationship between the inertia of a perturbed body segment and the resultant acceleration and, presumably, also the segment deflection. @en

Balancing the upper body is pivotal for upright and efficient gait. While models have identified potentially useful characteristics of biarticular thigh muscles for postural control of the upper body, experimental evidence for their specific role is lacking. Based on theoretical findings, we hypothesised that biarticular muscle activity would increase strongly in response to upper-body perturbations. To test this hypothesis, we used a novel Angular Momentum Perturbator (AMP) that, in contrast to existing methods, perturbs the upper-body posture with only minimal effect on Centre of Mass (CoM) excursions. The impulse-like AMP torques applied to the trunk of subjects resulted in upper-body pitch deflections of up to 17° with only small CoM excursions below 2 cm. Biarticular thigh muscles (biceps femoris long head and rectus femoris) showed the strongest increase in muscular activity (mid- and long-latency reflexes, starting 100 ms after perturbation onset) of all eight measured leg muscles which highlights the importance of biarticular muscles for restoring upper-body balance. These insights could be used for improving technological aids like rehabilitation or assistive devices, and the effectiveness of physical training for fall prevention e.g. for elderly people.

@en

Wearable actuators in lower-extremity active orthoses or prostheses have the potential to address a variety of gait disorders. However, whenever conventional joint actuators exert moments on specific limbs, they must simultaneously impose opposing reaction moments on other limbs, which may reduce the desired effects and perturb posture. Momentum exchange actuators exert free moments on individual limbs, potentially overcoming or mitigating these issues. We simulate unperturbed gait to compare conventional joint actuators placed on the knee or hip of the swing leg, and equivalent angular momentum exchange actuators placed on the shank or thigh. Our results indicate that, while conventional joint actuators excel at increasing toe clearance when assisting knee flexion, free moments can yield greater increases in stride length when assisting knee extension or hip flexion.@en

Despite the long history of studies on the singularity problem inherent to single-gimbal control moment gyroscopes, few existing gimbal steering laws can both accurately track moments and escape or avoid every type of singularity. The most-referenced steering laws perturb the system suboptimally at every singularity to enforce escape, which creates a tradeoff between minimizing escape time and minimizing transient tracking errors and gimbal rates. It is shown that no such tradeoff is necessary by proposing new singularity measures to quantify the current and future reference moment tracking capabilities and defining explicitly how an anticipated singularity can be avoided or escaped. Using these measures to separate and prioritize the tasks of moment tracking, gimbal damping, and singularity escape and avoidance, a gimbal steering law is designed that accurately tracks moments and avoids singularities when possible while escaping them with a minimal error moment otherwise. The steering law has smaller overall tracking errors and lower peak gimbal rates, and it achieves singularity escape faster than existing methods, as demonstrated analytically and using simulations.@en

Gyroscopic actuation is appealing for wearable applications due to its ability to impart free moments on a body without exoskeletal structures on the joints.We recently proposed an unobtrusive balancing aid consisting of multiple parallelmounted control moment gyroscopes (CMGs) contained within a backpack-like orthopedic corset. Using conventional CMG control techniques, geometric singularities result in a number of performance issues, including either unintended oscillations or freezing of the gimbals at certain alignments, which are typically mitigated by the addition of redundant actuators or by allowing errors in the generated moment; however, because of the minimalistic design of the proposed device and focus on accurate moment tracking, a new methodology is required. In this paper, a control scheme is proposed for non-redundant CMG systems in which oscillations at saturated states are avoided and all remaining singularities are efficiently escaped by exploiting the system geometry; due to its use of classification-specific singularity proximity measures that account for the command moment orientation, it is named the directional singularity-robust (DSR) control law. The performance of this control law is assessed in both simulations and hardware testing. The proposed method is suitable for a wide range of CMG systems, including both balancing and aerospace applications.

@en