Adapting Semi-Active Prostheses to Real-World Movements: Sensing and Controlling the Dynamic Mean Ankle Moment Arm with a Variable-Stiffness Foot on Ramps and Stairs

(1) Background: Semi-active prosthetic feet can provide adaptation in different circumstances, enabling greater function with less weight and complexity than fully powered prostheses. However, determining how to control semi-active devices is still a challenge. The dynamic mean ankle moment arm (DMA...

Full description

Bibliographic Details
Main Authors: Jennifer K. Leestma, Katherine Heidi Fehr, Peter G. Adamczyk
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/21/18/6009
_version_ 1797517305272336384
author Jennifer K. Leestma
Katherine Heidi Fehr
Peter G. Adamczyk
author_facet Jennifer K. Leestma
Katherine Heidi Fehr
Peter G. Adamczyk
author_sort Jennifer K. Leestma
collection DOAJ
description (1) Background: Semi-active prosthetic feet can provide adaptation in different circumstances, enabling greater function with less weight and complexity than fully powered prostheses. However, determining how to control semi-active devices is still a challenge. The dynamic mean ankle moment arm (DMAMA) provides a suitable biomechanical metric, as its simplicity matches that of a semi-active device. However, it is unknown how stiffness and locomotion modes affect DMAMA, which is necessary to create closed-loop controllers for semi-active devices. In this work, we develop a method to use only a prosthesis-embedded load sensor to measure DMAMA and classify locomotion modes, with the goal of achieving mode-dependent, closed-loop control of DMAMA using a variable-stiffness prosthesis. We study how stiffness and ground incline affect the DMAMA, and we establish the feasibility of classifying locomotion modes based exclusively on the load sensor. (2) Methods: Human subjects walked on level ground, ramps, and stairs while wearing a variable-stiffness prosthesis in low-, medium-, and high-stiffness settings. We computed DMAMA from sagittal load sensor data and prosthesis geometric measurements. We used linear mixed-effects models to determine subject-independent and subject-dependent sensitivity of DMAMA to incline and stiffness. We also used a machine learning model to classify locomotion modes using only the load sensor. (3) Results: We found a positive linear sensitivity of DMAMA to stiffness on ramps and level ground. Additionally, we found a positive linear sensitivity of DMAMA to ground slope in the low- and medium-stiffness conditions and a negative interaction effect between slope and stiffness. Considerable variability suggests that applications of DMAMA as a control input should look at the running average over several strides. To examine the efficacy of real-time DMAMA-based control systems, we used a machine learning model to classify locomotion modes using only the load sensor. The classifier achieved over 95% accuracy. (4) Conclusions: Based on these findings, DMAMA has potential for use as a closed-loop control input to adapt semi-active prostheses to different locomotion modes.
first_indexed 2024-03-10T07:14:47Z
format Article
id doaj.art-bf87540f106b4e01bf6e4688cb365d7f
institution Directory Open Access Journal
issn 1424-8220
language English
last_indexed 2024-03-10T07:14:47Z
publishDate 2021-09-01
publisher MDPI AG
record_format Article
series Sensors
spelling doaj.art-bf87540f106b4e01bf6e4688cb365d7f2023-11-22T15:10:16ZengMDPI AGSensors1424-82202021-09-012118600910.3390/s21186009Adapting Semi-Active Prostheses to Real-World Movements: Sensing and Controlling the Dynamic Mean Ankle Moment Arm with a Variable-Stiffness Foot on Ramps and StairsJennifer K. Leestma0Katherine Heidi Fehr1Peter G. Adamczyk2Department of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI 53706, USADepartment of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI 53706, USADepartment of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI 53706, USA(1) Background: Semi-active prosthetic feet can provide adaptation in different circumstances, enabling greater function with less weight and complexity than fully powered prostheses. However, determining how to control semi-active devices is still a challenge. The dynamic mean ankle moment arm (DMAMA) provides a suitable biomechanical metric, as its simplicity matches that of a semi-active device. However, it is unknown how stiffness and locomotion modes affect DMAMA, which is necessary to create closed-loop controllers for semi-active devices. In this work, we develop a method to use only a prosthesis-embedded load sensor to measure DMAMA and classify locomotion modes, with the goal of achieving mode-dependent, closed-loop control of DMAMA using a variable-stiffness prosthesis. We study how stiffness and ground incline affect the DMAMA, and we establish the feasibility of classifying locomotion modes based exclusively on the load sensor. (2) Methods: Human subjects walked on level ground, ramps, and stairs while wearing a variable-stiffness prosthesis in low-, medium-, and high-stiffness settings. We computed DMAMA from sagittal load sensor data and prosthesis geometric measurements. We used linear mixed-effects models to determine subject-independent and subject-dependent sensitivity of DMAMA to incline and stiffness. We also used a machine learning model to classify locomotion modes using only the load sensor. (3) Results: We found a positive linear sensitivity of DMAMA to stiffness on ramps and level ground. Additionally, we found a positive linear sensitivity of DMAMA to ground slope in the low- and medium-stiffness conditions and a negative interaction effect between slope and stiffness. Considerable variability suggests that applications of DMAMA as a control input should look at the running average over several strides. To examine the efficacy of real-time DMAMA-based control systems, we used a machine learning model to classify locomotion modes using only the load sensor. The classifier achieved over 95% accuracy. (4) Conclusions: Based on these findings, DMAMA has potential for use as a closed-loop control input to adapt semi-active prostheses to different locomotion modes.https://www.mdpi.com/1424-8220/21/18/6009prosthesislocomotion modewearablesgait biomechanicssemi-active deviceprosthetic control
spellingShingle Jennifer K. Leestma
Katherine Heidi Fehr
Peter G. Adamczyk
Adapting Semi-Active Prostheses to Real-World Movements: Sensing and Controlling the Dynamic Mean Ankle Moment Arm with a Variable-Stiffness Foot on Ramps and Stairs
Sensors
prosthesis
locomotion mode
wearables
gait biomechanics
semi-active device
prosthetic control
title Adapting Semi-Active Prostheses to Real-World Movements: Sensing and Controlling the Dynamic Mean Ankle Moment Arm with a Variable-Stiffness Foot on Ramps and Stairs
title_full Adapting Semi-Active Prostheses to Real-World Movements: Sensing and Controlling the Dynamic Mean Ankle Moment Arm with a Variable-Stiffness Foot on Ramps and Stairs
title_fullStr Adapting Semi-Active Prostheses to Real-World Movements: Sensing and Controlling the Dynamic Mean Ankle Moment Arm with a Variable-Stiffness Foot on Ramps and Stairs
title_full_unstemmed Adapting Semi-Active Prostheses to Real-World Movements: Sensing and Controlling the Dynamic Mean Ankle Moment Arm with a Variable-Stiffness Foot on Ramps and Stairs
title_short Adapting Semi-Active Prostheses to Real-World Movements: Sensing and Controlling the Dynamic Mean Ankle Moment Arm with a Variable-Stiffness Foot on Ramps and Stairs
title_sort adapting semi active prostheses to real world movements sensing and controlling the dynamic mean ankle moment arm with a variable stiffness foot on ramps and stairs
topic prosthesis
locomotion mode
wearables
gait biomechanics
semi-active device
prosthetic control
url https://www.mdpi.com/1424-8220/21/18/6009
work_keys_str_mv AT jenniferkleestma adaptingsemiactiveprosthesestorealworldmovementssensingandcontrollingthedynamicmeananklemomentarmwithavariablestiffnessfootonrampsandstairs
AT katherineheidifehr adaptingsemiactiveprosthesestorealworldmovementssensingandcontrollingthedynamicmeananklemomentarmwithavariablestiffnessfootonrampsandstairs
AT petergadamczyk adaptingsemiactiveprosthesestorealworldmovementssensingandcontrollingthedynamicmeananklemomentarmwithavariablestiffnessfootonrampsandstairs