Differences in kinetic factors affecting gait speed between lesion sides in patients with stroke.

The differences in kinetic mechanisms of decreased gait speed across brain lesion sides have not been elucidated, including the arrangement of motor modules reflected by kinetic interjoint coordination. The purpose of this study was to elucidate the differences in the kinetic factors of slow gait speed in patients with stroke on the lesion sides. A three-dimensional motion analysis system was employed to assess joint moment in the lower limb and representative gait parameters in 32 patients with right hemisphere brain damage (RHD) and 38 patients with left hemisphere brain damage (LHD) following stroke as well as 20 healthy controls. Motor module composition and timing were determined using principal component analysis based on the three joint moments in the lower limb in the stance phase, which were the variances accounted for principal components (PCs) and the peak timing in the time series of PCs. A stepwise multiple linear regression analysis was performed to identify the most significant joint moment and PC-associated parameter in explaining gait speed. A negligible difference was observed in age, weight, height, and gait speed among patients with RHD and LHD and controls. The following factors contributed to gait speed: in patients with RHD, larger ankle plantarflexion moment on the paretic (p = 0.001) and nonparetic (p = 0.002) sides and ankle dorsiflexion moment on the nonparetic side (p = 0.004); in patients with LHD, larger ankle plantarflexion moment (p < 0.001) and delayed peak timing of the first PC (p = 0.012) on the paretic side as well as ankle dorsiflexion moment on the nonparetic side (p < 0.001); in the controls, delayed peak timing of the first PC (p = 0.002) on the right side and larger ankle dorsiflexion moment (p = 0.001) as well as larger hip flexion moment on the left side (p = 0.023). The findings suggest that the kinetic mechanisms of gait speed may differ among patients with RHD following patients with stroke with LHD, and controls.

Identifying essential factors for energy-efficient walking control across a wide range of velocities in reflex-based musculoskeletal systems.

Humans can generate and sustain a wide range of walking velocities while optimizing their energy efficiency. Understanding the intricate mechanisms governing human walking will contribute to the engineering applications such as energy-efficient biped robots and walking assistive devices. Reflex-based control mechanisms, which generate motor patterns in response to sensory feedback, have shown promise in generating human-like walking in musculoskeletal models. However, the precise regulation of velocity remains a major challenge. This limitation makes it difficult to identify the essential reflex circuits for energy-efficient walking. To explore the reflex control mechanism and gain a better understanding of its energy-efficient maintenance mechanism, we extend the reflex-based control system to enable controlled walking velocities based on target speeds. We developed a novel performance-weighted least squares (PWLS) method to design a parameter modulator that optimizes walking efficiency while maintaining target velocity for the reflex-based bipedal system. We have successfully generated walking gaits from 0.7 to 1.6 m/s in a two-dimensional musculoskeletal model based on an input target velocity in the simulation environment. Our detailed analysis of the parameter modulator in a reflex-based system revealed two key reflex circuits that have a significant impact on energy efficiency. Furthermore, this finding was confirmed to be not influenced by setting parameters, i.e., leg length, sensory time delay, and weight coefficients in the objective cost function. These findings provide a powerful tool for exploring the neural bases of locomotion control while shedding light on the intricate mechanisms underlying human walking and hold significant potential for practical engineering applications.

Integrated Quantitative Evaluation of Spatial Cognition and Motor Function with HoloLens Mixed Reality.

The steady increase in the aging population worldwide is expected to cause a shortage of doctors and therapists for older people. This demographic shift requires more efficient and automated systems for rehabilitation and physical ability evaluations. Rehabilitation using mixed reality (MR) technology has attracted much attention in recent years. MR displays virtual objects on a head-mounted see-through display that overlies the user's field of vision and allows users to manipulate them as if they exist in reality. However, tasks in previous studies applying MR to rehabilitation have been limited to tasks in which the virtual objects are static and do not interact dynamically with the surrounding environment. Therefore, in this study, we developed an application to evaluate cognitive and motor functions with the aim of realizing a rehabilitation system that is dynamic and has interaction with the surrounding environment using MR technology. The developed application enabled effective evaluation of the user's spatial cognitive ability, task skillfulness, motor function, and decision-making ability. The results indicate the usefulness and feasibility of MR technology to quantify motor function and spatial cognition both for static and dynamic tasks in rehabilitation.

Latent Representation-Based Learning Controller for Pneumatic and Hydraulic Dual Actuation of Pressure-Driven Soft Actuators.

The pneumatic and hydraulic dual actuation of pressure-driven soft actuators (PSAs) is promising because of their potential to develop novel practical soft robots and expand the range of soft robot applications. However, the physical characteristics of air and water are largely different, which makes it challenging to quickly adapt to a selected actuation method and achieve method-independent accurate control performance. Herein, we propose a novel LAtent Representation-based Feedforward Neural Network (LAR-FNN) for dual actuation. The LAR-FNN consists of an autoencoder (AE) and a feedforward neural network (FNN). The AE generates a latent representation of a PSA from a 30-s stairstep response. Subsequently, the FNN provides an individual inverse model of the target PSA and calculates feedforward control input by using the latent representation. The experimental results with PSAs demonstrate that the LAR-FNN can meet the requirements of dual actuation control (i.e., accurate control performance regardless of the actuation method with a short adaptation time) with a single neural network. The results suggest that a LAR-FNN can contribute to soft dual-actuation robot development and the field of soft robotics.

A hierarchical model for external electrical control of an insect, accounting for inter-individual variation of muscle force properties.

Cyborg control of insect movement is promising for developing miniature, high-mobility, and efficient biohybrid robots. However, considering the inter-individual variation of the insect neuromuscular apparatus and its neural control is challenging. We propose a hierarchical model including inter-individual variation of muscle properties of three leg muscles involved in propulsion (retractor coxae), joint stiffness (pro- and retractor coxae), and stance-swing transition (protractor coxae and levator trochanteris) in the stick insect Carausius morosus. To estimate mechanical effects induced by external muscle stimulation, the model is based on the systematic evaluation of joint torques as functions of electrical stimulation parameters. A nearly linear relationship between the stimulus burst duration and generated torque was observed. This stimulus-torque characteristic holds for burst durations of up to 500ms, corresponding to the stance and swing phase durations of medium to fast walking stick insects. Hierarchical Bayesian modeling revealed that linearity of the stimulus-torque characteristic was invariant, with individually varying slopes. Individual prediction of joint torques provides significant benefits for precise cyborg control.

Hybrid insect-computer robots ­ an exciting fusion of biology and technology ­ herald a future of small, highly mobile and efficient devices. However, these robots require a way to control the movements of the insects, a task made complex due to the differences between different insects' nervous and muscle systems. To bridge this gap, Owaki, Dürr and Schmitz studied the relationship between electrical stimulation of three leg muscles in the legs of stick insects and the resultant torque. To do these experiments, the scientists kept the body of the stick insects fixed and electrically stimulated one out of three leg muscles to produce walking-like movements. The results of these electrical stimulations allowed Owaki, Dürr and Schmitz to propose a model that predicts the torque created in the insect's joints when different patterns of electrical stimulation are applied to a leg muscle. The researchers identified a near-linear relationship between the duration of the electrical stimulus and the resultant torque. Moreover, the slope of this linear relationship can be estimated for individual animals with a few measurements only. This finding refines the precision of the motor control required to build individually tuned biohybrid robots. Investigating the precise control of insect biohybrid robots, particularly using stick insects, can lead to advancements in biohybrid robotics and enrich our understanding of insect locomotion. Owaki, Dürr and Schmitz's insights could lead to the creation of adaptable and highly mobile devices with many applications, but key challenges need to be addressed. First, model testing must be implemented in free-walking insects, and the electrical stimuli must be refined to mimic natural neuromuscular signals more closely.

Ground Reaction Force and Moment Estimation through EMG Sensing Using Long Short-Term Memory Network during Posture Coordination.

Motion prediction based on kinematic information such as body segment displacement and joint angle has been widely studied. Because motions originate from forces, it is beneficial to estimate dynamic information, such as the ground reaction force (GRF), in addition to kinematic information for advanced motion prediction. In this study, we proposed a method to estimate GRF and ground reaction moment (GRM) from electromyography (EMG) in combination with and without an inertial measurement unit (IMU) sensor using a machine learning technique. A long short-term memory network, which is suitable for processing long time-span data, was constructed with EMG and IMU as input data to estimate GRF during posture control and stepping motion. The results demonstrate that the proposed method can provide the GRF estimation with a root mean square error (RMSE) of 8.22 ± 0.97% (mean ± SE) for the posture control motion and 11.17 ± 2.16% (mean ± SE) for the stepping motion. We could confirm that EMG input is essential especially when we need to predict both GRF and GRM with limited numbers of sensors attached under knees. In addition, we developed a GRF visualization system integrated with ongoing motion in a Unity environment. This system enabled the visualization of the GRF vector in 3-dimensional space and provides predictive motion direction based on the estimated GRF, which can be useful for human motion prediction with portable sensors.

EMG-Based Estimation of Lower Limb Joint Angles and Moments Using Long Short-Term Memory Network.

One of the fundamental limitations in human biomechanics is that we cannot directly obtain joint moments during natural movements without affecting the motion. However, estimating these values is feasible with inverse dynamics computation by employing external force plates, which can cover only a small area of the plate. This work investigated the Long Short-Term Memory (LSTM) network for the kinetics and kinematics prediction of human lower limbs when performing different activities without using force plates after the learning. We measured surface electromyography (sEMG) signals from 14 lower extremities muscles to generate a 112-dimensional input vector from three sets of features: root mean square, mean absolute value, and sixth-order autoregressive model coefficient parameters for each muscle in the LSTM network. With the recorded experimental data from the motion capture system and the force plates, human motions were reconstructed in a biomechanical simulation created using OpenSim v4.1, from which the joint kinematics and kinetics from left and right knees and ankles were retrieved to serve as output for training the LSTM. The estimation results using the LSTM model deviated from labels with average R2 scores (knee angle: 97.25%, knee moment: 94.9%, ankle angle: 91.44%, and ankle moment: 85.44%). These results demonstrate the feasibility of the joint angle and moment estimation based solely on sEMG signals for multiple daily activities without requiring force plates and a motion capture system once the LSTM model is trained.

A Survey of Sim-to-Real Transfer Techniques Applied to Reinforcement Learning for Bioinspired Robots.

The state-of-the-art reinforcement learning (RL) techniques have made innumerable advancements in robot control, especially in combination with deep neural networks (DNNs), known as deep reinforcement learning (DRL). In this article, instead of reviewing the theoretical studies on RL, which were almost fully completed several decades ago, we summarize some state-of-the-art techniques added to commonly used RL frameworks for robot control. We mainly review bioinspired robots (BIRs) because they can learn to locomote or produce natural behaviors similar to animals and humans. With the ultimate goal of practical applications in real world, we further narrow our review scope to techniques that could aid in sim-to-real transfer. We categorized these techniques into four groups: 1) use of accurate simulators; 2) use of kinematic and dynamic models; 3) use of hierarchical and distributed controllers; and 4) use of demonstrations. The purposes of these four groups of techniques are to supply general and accurate environments for RL training, improve sampling efficiency, divide and conquer complex motion tasks and redundant robot structures, and acquire natural skills. We found that, by synthetically using these techniques, it is possible to deploy RL on physical BIRs in actuality.

Systematic Motion Integration with Multiple Depth Cameras Allowing Sensor Movement for Stable Skeleton Tracking.

In recent years, markerless motion capture using a depth camera or RGB camera without any restriction on the subject has been attracting attention. Especially, depth cameras such as Kinect and RealSense allow instantaneous motion capture even at home outside lab environment, which is attractive for rehabilitation usage. However, single depth camera can capture steadily skeleton only when the subject stands facing to camera for the limited range, thus it is hard to apply to track skeletons while walking. Multiple depth cameras setting may allow to expand the range, but it can involve non-practical calibration process and can affect instantaneous capture advantage of depth camera. In this study, we propose a systematic method to integrate the motion information of skeletal models obtained from multiple depth cameras. The proposed method can perform a quick calibration using skeletal models instead of external reference objects, and estimate the spatial relationship of the sensors that allows the depth camera to move. The result demonstrates stable skeleton tracking free from occlusion problem keeping instantaneous capture capability of depth cameras.

Game-based Evaluation of Whole-body Movement Functions with CoM Stability and Motion Smoothness.

In the field of rehabilitation, there is a great demand for an automatic and quantitative evaluation system. The balance ability is an essential factor for motor function evaluation related to posture control. Although balance ability is assessed using various indices in current clinical situations, most of previous studies developing an automatic evaluation system have used only a single particular index for balance evaluation. In this study, we developed a system that evaluates whole-body motor function using multiple indices based on the trajectory of the center of mass (CoM) and the motion smoothness. The system is inexpensive and little physical burden because the evaluation indices are calculated from the skeleton tracked by Kinect in a game environment. We attempt to capture the differences in individual motor functions which are difficult to be detected by qualitative visual observation.

Temporal Variation Quantification During Cognitive Dual-Task Gait Using Two IMU Sensors.

Multiple tasks are simultaneously performed during walking in our daily life. Distracted walk by smartphone usage is recently getting a social problem. The term dual-task gait refers to the secondary task added to the walking. Attention demanding tasks may influence how a person walks. Since in-lab measurement may not accurately reflect the daily living gait, wearable sensors approach have been proposed for gait analysis in an out-of-lab setting. This study addresses the potential of using only two inertial measurement units (IMUs) attached to the shoes for the assessment of cognitive dual-task gait and how it differs from single-task gait. We found that the proposed system is sensitive to recognizing a tiny change in gait features such as on the double support time and gait indices when subject performing dual-task gait compared to the single-task gait experiment.

Quantifying Motor and Cognitive Function of the Upper Limb Using Mixed Reality Smartglasses.

In our aging world, the need to measure and evaluate motor and cognitive functions and to automate physical and occupational therapy will increase in the future. Many studies on VR-based rehabilitation systems are already underway. However, there are some issues such as the risk of falling or crashing due to the complete blockage of visual information, VR sickness, and lack of reality. The purpose of this research is to develop a system that simultaneously measures and evaluates multiple abilities and functions, such as motor function, cognitive function, and prediction ability, by using mixed reality (MR) smartglasses technology that enables interaction with spatially arranged objects while maintaining real-world information. In this study, we focused on the motor function of the upper limbs and cognitive function, and measured finger and gaze movements during a reaching task. In addition, we developed a game-based task for occupational therapy in a MR environment and reported the results.

Multimodal bipedal locomotion generation with passive dynamics via deep reinforcement learning.

Generating multimodal locomotion in underactuated bipedal robots requires control solutions that can facilitate motion patterns for drastically different dynamical modes, which is an extremely challenging problem in locomotion-learning tasks. Also, in such multimodal locomotion, utilizing body morphology is important because it leads to energy-efficient locomotion. This study provides a framework that reproduces multimodal bipedal locomotion using passive dynamics through deep reinforcement learning (DRL). An underactuated bipedal model was developed based on a passive walker, and a controller was designed using DRL. By carefully planning the weight parameter settings of the DRL reward function during the learning process based on a curriculum learning method, the bipedal model successfully learned to walk, run, and perform gait transitions by adjusting only one command input. These results indicate that DRL can be applied to generate various gaits with the effective use of passive dynamics.

Deep Reinforcement Learning with Gait Mode Specification for Quadrupedal Trot-Gallop Energetic Analysis.

Quadruped system is an animal-like model which has long been analyzed in terms of energy efficiency during its various gait locomotion. The generation of certain gait modes on these systems has been achieved by classical controllers which demand highly specific domain-knowledge and empirical parameter tuning. In this paper, we propose to use deep reinforcement learning (DRL) as an alternative approach to generate certain gait modes on quadrupeds, allowing potentially the same energetic analysis without the difficulty of designing an ad hoc controller. We show that by specifying a gait mode in the process of learning, it allows faster convergence of the learning process while at the same time imposing a certain gait type on the systems as opposed to the case without any gait specification. We demonstrate the advantages of using DRL as it can exploit automatically the physical condition of the robots such as the passive spring effect between the joints during the learning process, similar to the adaptation skills of an animal. The proposed system would provide a framework for quadrupedal trot-gallop energetic analysis for different body structures, body mass distributions and joint characteristics using DRL.

Seamless Temporal Gait Evaluation during Walking and Running Using Two IMU Sensors.

In this study, we proposed a framework for extracting gait events and extensive temporal features, seamlessly, during walking and running on a treadmill by constructing a finite state machine (FSM) transition rules based on two IMU sensors attached to the back of the shoes. Detailed innerclass states were defined to recognize the double support phase on walking gait and the double flight phase on running gait. Further, an in-depth speed-based analysis of temporal gait features can be performed for each tested speed with an automatic speed change detection algorithm based on the moving average filter applied to motion intensity data. The results have demonstrated that the FSM can accurately distinguish walking gait and running gait while also extract a detailed gait phase, respectively. This finding may contribute to a more flexible gait analysis where a change in speed or transition from walk to run can be anticipated and recognized accordingly.

Two-Week Rehabilitation with Auditory Biofeedback Prosthesis Reduces Whole Body Angular Momentum Range during Walking in Stroke Patients with Hemiplegia: A Randomized Controlled Trial.

Walking rehabilitation is challenging in stroke patients with sensory impairments. In this study, we examined the two-week effect of an auditory biofeedback prosthesis, Auditory Foot (AF), on the change in the frontal whole body angular momentum (WBAM) range, before and after a two-week walking rehabilitation. We conducted a pilot randomized controlled trial (RCT). We employed statistical Bayesian modeling to understand the mechanism of the rehabilitation effect and predict the expected effect in new patients. The best-performing model indicated that the frontal WBAM range was reduced in the AF group by 12.9-28.7%. This suggests that the use of kinesthetic biofeedback in gait rehabilitation contributes to the suppression of frontal WBAM, resulting in an improved walking balance function in stroke patients.

Classification of Ankle Joint Stiffness during Walking to Determine the Use of Ankle Foot Orthosis after Stroke.

Categorization based on quasi-joint stiffness (QJS) may help clinicians select appropriate ankle foot orthoses (AFOs). The objectives of the present study were to classify the gait pattern based on ankle joint stiffness, also called QJS, of the gait in patients after stroke and to clarify differences in the type of AFO among 72 patients after stroke. Hierarchical cluster analysis was used to classify gait patterns based on QJS at least one month before the study, which revealed three distinct subgroups (SGs 1, 2, and 3). The proportion of use of AFOs, articulated AFOs, and non-articulated AFOs were significantly different among SGs 1-3. In SG1, with a higher QJS in the early and middle stance, the proportion of the patients using articulated AFOs was higher, whereas in SG3, with a lower QJS in both stances, the proportion of patients using non-articulated AFOs was higher. In SG2, with a lower QJS in the early stance and higher QJS in the middle stance, the proportion of patients using AFOs was lower. These findings indicate that classification of gait patterns based on QJS in patients after stroke may be helpful in selecting AFO. However, large sample sizes are required to confirm these results.

Individual deformability compensation of soft hydraulic actuators through iterative learning-based neural network.

Robotic devices with soft actuators have been developed to realize the effective rehabilitation of patients with motor paralysis by enabling soft and safe interaction. However, the control of such robots is challenging, especially owing to the difference in the individual deformability occurring in manual fabrication of soft actuators. Furthermore, soft actuators used in wearable rehabilitation devices involve a large response delay which hinders the application of such devices for at-home rehabilitation. In this paper, a feed-forward control method for soft actuators with a large response delay, comprising a simple feed-forward neural network (FNN) and an iterative learning controller (ILC), is proposed. The proposed method facilitates the effective learning and acquisition of the inverse model (i.e. the model that can generate control input to the soft actuator from a target trajectory) of soft actuators. First, the ILC controls a soft actuator and iteratively learns the actuator deformability. Subsequently, the FNN is trained to obtain the inverse model of the soft actuator. The control results of the ILC are used as training datasets for supervised learning of the FNN to ensure that it can efficiently acquire the inverse model of the soft actuator, including the deformability and the response delay. Experiments with fiber-reinforced soft bending hydraulic actuators are conducted to evaluate the proposed method. The results show that the ILC can learn and compensate for the actuator deformability. Moreover, the iterative learning-based FNN serves to achieve a precise tracking performance on various generalized trajectories. These facts suggest that the proposed method can contribute to the development of robotic rehabilitation devices with soft actuators and the field of soft robotics.

Adaptive and Energy-Efficient Optimal Control in CPGs Through Tegotae-Based Feedback.

To obtain biologically inspired robotic control, the architecture of central pattern generators (CPGs) has been extensively adopted to generate periodic patterns for locomotor control. This is attributed to the interesting properties of nonlinear oscillators. Although sensory feedback in CPGs is not necessary for the generation of patterns, it plays a central role in guaranteeing adaptivity to environmental conditions. Nonetheless, its inclusion significantly modifies the dynamics of the CPG architecture, which often leads to bifurcations. For instance, the force feedback can be exploited to derive information regarding the state of the system. In particular, the Tegotae approach can be adopted by coupling proprioceptive information with the state of the oscillation itself in the CPG model. This paper discusses this policy with respect to other types of feedback; it provides higher adaptivity and an optimal energy efficiency for reflex-like actuation. We believe this is the first attempt to analyse the optimal energy efficiency along with the adaptivity of the Tegotae approach.