scholarly journals Cascade Descriptor Observers: Application to Understanding Sitting Control of Persons Living With Spinal Cord Injury

2021 ◽  
Vol 2 ◽  
Author(s):  
Hajer Srihi ◽  
Thierry-Marie Guerra ◽  
Anh-Tu Nguyen ◽  
Philippe Pudlo ◽  
Antoine Dequidt

People with spinal cord injury (SCI) suffer from a drastic reduction in sitting stability which negatively impacts their postural control. Thus, sitting balance becomes one of the most challenging everyday exercises. To better understand the consequences of this pathology, we have to work with high-sized non-linear biomechanical models implying both theoretical and numerical difficulties. The main goal being to recover unmeasured inputs, the observer should have limited or no simplification at all to provide a better estimation quality. A Proportional Integral-observer (PI-observer) is designed and its convergence is formulated by linear matrix inequalities (LMI) through convex optimization techniques. Using a unique high-sized observer, the LMI constraints problem can quickly reach current solvers limitations regarding the number of unknown parameters required. A way to solve this issue is to design a cascade observer in order to estimate the unmeasurable torques of a human with SCI. This approach consists in decomposing a biomechanical model into interconnected subsystems and to build “local” observers. The relevance of this approach is demonstrated in simulation and with real-time experimental data.

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S33-S34
Author(s):  
George E. Marzloff ◽  
Andrew D. Delgado ◽  
Marwa Mekki ◽  
Gianluca G. Di Rosario ◽  
Audrey Chun ◽  
...  

Author(s):  
Angel Gil-Agudo ◽  
Antonio del ◽  
Ana de los Reyes-Guzman ◽  
Alberto Bernal-Sahun ◽  
Eduardo Roco

2018 ◽  
Vol 24 (2) ◽  
pp. 177-193 ◽  
Author(s):  
Libak Abou ◽  
Gabriel Ribeiro de Freitas ◽  
Juliete Palandi ◽  
Jocemar Ilha

Author(s):  
Atif S. Khan ◽  
Donna C. Livingstone ◽  
Caitlin L. Hurd ◽  
Jennifer Duchcherer ◽  
John E. Misiaszek ◽  
...  

Abstract Background Powered exoskeletons provide a way to stand and walk for people with severe spinal cord injury. Here, we used the ReWalk exoskeleton to determine the training dosage required for walking proficiency, the sensory and motor changes in the nervous system with training, and the functionality of the device in a home-like environment. Methods Participants with chronic (> 1 yr) motor complete or incomplete spinal cord injury, who were primarily wheelchair users, were trained to walk in the ReWalk for 12 weeks. Measures were taken before, during, immediately after, and 2–3 months after training. Measures included walking progression, sitting balance, skin sensation, spasticity, and strength of the corticospinal tracts. Results Twelve participants were enrolled with 10 completing training. Training progression and walking ability: The progression in training indicated about 45 sessions to reach 80% of final performance in training. By the end of training, participants walked at speeds of 0.28–0.60 m/s, and distances of 0.74–1.97 km in 1 h. The effort of walking was about 3.3 times that for manual wheelchair propulsion. One non-walker with an incomplete injury became a walker without the ReWalk after training. Sensory and motor measures: Sitting balance was improved in some, as seen from the limits of stability and sway speed. Neuropathic pain showed no long term changes. Change in spasticity was mixed with suggestion of differences between those with high versus low spasticity prior to training. The strength of motor pathways from the brain to back extensor muscles remained unchanged. Adverse events: Minor adverse events were encountered by the participants and trainer (skin abrasions, non-injurious falls). Field testing: The majority of participants could walk on uneven surfaces outdoors. Some limitations were encountered in home-like environments. Conclusion For individuals with severe SCI, walking proficiency in the ReWalk requires about 45 sessions of training. The training was accompanied by functional improvements in some, especially in people with incomplete injuries. Trial registration NCT02322125 Registered 22 December 2014.


2020 ◽  
Vol 53 (2) ◽  
pp. 8001-8006
Author(s):  
Thierry-Marie Guerra ◽  
Mathias Blandeau ◽  
Anh-Tu Nguyen ◽  
Hajer Srihi ◽  
Antoine Dequidt

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