Soft Wearable Robotics for Ankle and Lower Body Gait Rehabilitation: Design, Modeling, and Implementation of Fabric-Based Actuators to Assist Human Locomotion

This work presents the design, modeling, analysis, and experimental characterization and testing of soft wearable robotics for lower limb rehabilitation for the ankle and hip. The Soft Robotic Ankle-Foot Orthosis (SR-AFO) is a wearable soft robot designed using multiple pneumatically-powered soft actuators to assist the ankle in multiple degrees-of-freedom during standing and walking tasks. The flat fabric pneumatic artificial muscle (ff-PAM) contracts upon pressurization and assists ankle plantarflexion in the sagittal plane. The Multi-material Actuator for Variable Stiffness (MAVS) aids in supporting ankle inversion/eversion in the frontal plane. Analytical models of the ff-PAM and MAVS were created to understand how the changing of the design parameters affects tensile force generation and stiffness support, respectively. The models were validated by both finite element analysis and experimental characterization using a universal testing machine. A set of human experiments were performed with healthy participants: 1) to measure lateral ankle support during quiet standing, 2) to determine lateral ankle support during walking over compliant surfaces, and 3) to evaluate plantarflexion assistance at push-off during treadmill walking, and 4) determine if the SR-AFO could be used for gait entrainment. Group results revealed increased ankle stiffness during quiet standing with the MAVS active, reduced ankle deflection while walking over compliant surfaces with the MAVS active, and reduced muscle effort from the SOL and GAS during 40 - 60% of the gait cycle with the dual ff-PAM active. The SR-AFO shows promising results in providing lateral ankle support and plantarflexion assistance with healthy participants, and a drastically increased basin of entrainment, which suggests a capability to help restore the gait of impaired users in future trials. The ff-PAM actuators were used in an X-orientation to assist the hip in flexion and extension. The Soft Robotic Hip Exosuit (SR-HExo) was evaluated using the same set of actuators and trials with healthy participants showed reduction in muscle effort during hip flexion and extension to further enhance the study of soft fabric actuators on human gait assistance.