Gravity-balancing leg orthosis and its performance evaluation

In this paper, we propose a device to assist persons with hemiparesis to walk by reducing or eliminating the effects of gravity. The design of the device includes the following features: 1) it is passive, i.e., it does not include motors or actuators; but is only composed of links and springs; 2) it is safe and has a simple patient-machine interface to accommodate variability in geometry and inertia of the subjects. A number of methods have been proposed in the literature to gravity-balance a machine. Here, we use a hybrid method to achieve gravity balancing of a human leg over its range of motion. In the hybrid method, a mechanism is used to first locate the center of mass of the human, limb and the orthosis. Springs are then added so that the system is gravity-balanced in every configuration. For a quantitative evaluation of the performance of the device, electromyographic (EMG) data of the key muscles, involved in the motion of the leg, were collected and analyzed. Further experiments involving leg-raising and walking tasks were performed, where data from encoders and force-torque sensors were used to compute joint torques. These experiments were performed on five healthy subjects and a stroke patient. The results showed that the EMG activity from the rectus femoris, and hamstring muscles with the device was reduced by 75%, during static hip and knee flexion, respectively. For leg-raising tasks, the average torque for static positioning was reduced by 66.8% at the hip joint and 47.3% at the knee joint; however, if we include the transient portion of the leg-raising task, the average torque at the hip was reduced by 61.3%, and at the knee was increased by 2.7% at the knee joints. In the walking experiment, there was a positive impact on the range of movement at the hip and knee joints, especially for the stroke patient: the range of movement increased by 45% at the hip joint and by 85% at the knee joint. We believe that this orthosis can be potentially used to design rehabilitation protocols for patients with stroke.