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面向高龄脑卒中患者康复训练的柔性下肢外骨骼(英文)

Soft Lower-Limb Exoskeleton for Rehabilitation Training in Older Stroke Patients

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【作者】 白佳昕陈恒越王继先杨国源俞文伟谢叻

【Author】 BAI Jiaxin;CHEN Hengyue;WANG Jixian;YANG Guoyuan;YU Wenwei;XIE Le;School of Materials Science and Engineering, Shanghai Jiao Tong University;Ruijin Hospital, Shanghai Jiao Tong University School of Medicine;School of Biomedical Engineering,Shanghai Jiao Tong University;Center for Frontier Medical Engineering, Chiba University;

【通讯作者】 谢叻;

【机构】 上海交通大学材料科学与工程学院上海交通大学医学院附属瑞金医院上海交通大学生物医学工程学院千叶大学前沿医学工程中心

【摘要】 随着人口老龄化加速,高龄脑卒中患者数量持续增加,其下肢运动功能障碍严重影响步态稳定性与生活质量。传统刚性外骨骼体积大、舒适性和柔顺性不足,难以满足高龄人群对安全性与轻量化的需求。针对上述问题,本文建立了鲍登线缆摩擦与弹性力学模型,并在此基础上提出基于导纳控制和PID控制的双环助力策略,实现对膝、踝关节步态偏差的柔顺补偿。通过两名高龄脑卒中受试者的穿戴实验进行验证,结果表明该系统能够显著提高膝关节屈曲能力,并在重度足内翻受试者中明显降低内翻峰值,同时减小关节角度波动、提升姿态稳定性。上述结果验证了所提出柔性外骨骼助力策略在高龄脑卒中康复中的可行性与应用潜力。

【Abstract】 With the accelerating pace of population aging, the number of older stroke patients continues to rise. Lower-limb motor impairments severely compromise gait stability and quality of life. Conventional rigid exoskeletons are often bulky and provide insufficient comfort and compliance, making it difficult to meet the safety and lightweight requirements of older users. To address these limitations, this study establishes mechanical models of Bowden-cable friction and elasticity, and on this basis proposes a dual-loop assistance strategy that integrates admittance control with PID control to achieve compliant compensation of gait deviations at the knee and ankle joints. Wearable experiments involving two older post-stroke participants demonstrate that the proposed system significantly improves knee flexion and markedly reduces the peak inversion angle in the participant with severe foot inversion, while also decreasing joint angle fluctuations and enhancing postural stability. These findings support the feasibility and application potential of the proposed exoskeleton-assisted strategy for gait rehabilitation in older stroke populations.

【基金】 supported by the National Key R&D Program of China (No. 2024YFE0198200);the National Natural Science Foundation of China(Nos. W2521022 and 62473258);the Joint Project of Xinhua Hospital-Institute of Medical Robotics of Shanghai Jiao Tong University (No. 21XJMR03);the Project of Shanghai Key Laboratory of Flexible Medical Robotics;the Project of Institute of Medical Robotics of Shanghai Jiao Tong University
  • 【文献出处】 Journal of Shanghai Jiao Tong University(Science) ,上海交通大学学报(英文版) , 编辑部邮箱 ,2026年03期
  • 【分类号】R743.3;R496
  • 【下载频次】16
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