Preprint Article Version 1 This version is not peer-reviewed

Automatic Assist Level Adjustment Function of a Gait Exercise Rehabilitation Robot with Functional Electrical Stimulation for Spinal Cord Injury

Version 1 : Received: 11 September 2024 / Approved: 12 September 2024 / Online: 12 September 2024 (05:38:40 CEST)

How to cite: Kimura, R.; Sato, T.; Kasukawa, Y.; Kudo, D.; Iwami, T.; Miyakoshi, N. Automatic Assist Level Adjustment Function of a Gait Exercise Rehabilitation Robot with Functional Electrical Stimulation for Spinal Cord Injury. Preprints 2024, 2024090968. https://doi.org/10.20944/preprints202409.0968.v1 Kimura, R.; Sato, T.; Kasukawa, Y.; Kudo, D.; Iwami, T.; Miyakoshi, N. Automatic Assist Level Adjustment Function of a Gait Exercise Rehabilitation Robot with Functional Electrical Stimulation for Spinal Cord Injury. Preprints 2024, 2024090968. https://doi.org/10.20944/preprints202409.0968.v1

Abstract

This study aimed to identify whether the combined use of functional electrical stimulation (FES) reduces the motor torque of a gait exercise rehabilitation robot in spinal cord injury (SCI) and to verify the effectiveness of the developed automatic assist level adjustment in people with paraplegia. Acute and chronic SCI patients (1 case each) performed 10 min of gait exercises with and without FES using a rehabilitation robot. Reinforcement learning was used to adjust the assist level automatically. The maximum torque values and assist levels for each of the ten walking cycles when walking became steady were averaged and compared with and without FES. The motor's output torque and the assist level were measured as outcomes. The assist level adjustment allowed both the motor torque and assist level to decrease gradually to a steady state. The motor torque and the assist levels were significantly lower with the FES than without the FES under steady conditions in both cases. No adverse events were reported. The combined use of FES attenuated the motor torque of a gait exercise rehabilitation robot for SCI. Automatic assistive level adjustment is also useful for spinal cord injuries.

Keywords

spinal cord injury; functional electrical stimulation; rehabilitation robot; reinforcement learning; assistive level

Subject

Medicine and Pharmacology, Other

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.