학술논문

Study on Gait Stabilization Method Using Wearable Cyborg HAL Trunk-Unit for Parkinson's Disease and Parkinsonism with Freezing of Gait
Document Type
Conference
Source
2023 IEEE International Conference on Systems, Man, and Cybernetics (SMC) Systems, Man, and Cybernetics (SMC), 2023 IEEE International Conference on. :3228-3233 Oct, 2023
Subject
Aerospace
Bioengineering
Communication, Networking and Broadcast Technologies
Computing and Processing
General Topics for Engineers
Power, Energy and Industry Applications
Robotics and Control Systems
Signal Processing and Analysis
Transportation
Parkinson's disease
Human-machine systems
Force
Switches
Control systems
Synchronization
Frequency control
Language
ISSN
2577-1655
Abstract
Freezing of Gait (FOG) is one of the typical parkinsonian gait disturbances of progressive neurological disorders such as Parkinson's disease (PD) and progressive supranuclear palsy. Previous studies showed that the wearable cyborg HAL trunk-unit improved their gait disturbances through only an autonomous sway control that provided lateral swing with constant frequency. To promote the improvement by establishing interactive Bio-Feedback loop, it is necessary to realize synchronization between the wearer's intention and gait states for stabilizing gait, i.e. reducing variation of gait cycle. In this study, we developed a voluntary control method that responded to an intentional change in gait cycle and a method that switched 2 kinds of controls including the voluntary control method and the autonomous sway control method for stabilizing gait. The voluntary swing control method synchronized the HAL's force with wearer's gait in a stable gait state less prone to FOG. The autonomous sway control method provided lateral swing with constant frequency as feedback to the patients to achieve a gait state less prone to FOG. These controls were switched according to the gait stability calculated by wearer's gait cycle. Through the gait experiments with an abled-body participant, we confirmed that the HAL's lateral cyclic sway synchronized with the participant's gait and each control switched based on a gait stability. These results showed that the proposed methods had the feasibility of stabilizing gait.