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Mechatronics 64 (2019) 102297

Contents lists available at ScienceDirect

Mechatronics
journal homepage: www.elsevier.com/locate/mechatronics

Design and development of a lightweight ankle exoskeleton for human


walking augmentation ✩
Yacine Bougrinat∗, Sofiane Achiche, Maxime Raison
Mechanical Engineering Department, École Polytechnique de Montréal, Montreal, QC H3T 1J4, Canada

a r t i c l e i n f o a b s t r a c t

Keywords: Most of powered ankle exoskeletons add considerable distal mass to the user which limit their capacity in reduc-
Lower limb exoskeleton ing the metabolic energy of walking. The objective of the work presented in this paper is to develop an ankle
Human augmentation exoskeleton with a minimum added distal mass compared to existing autonomous powered ankle exoskeletons
Ankle exoskeleton
while it can provide at least 30 Nm of assistive plantarflexion torque. The proposed exoskeleton uses Bowden
Wearable robot
cables to transmit the mechanical force from the actuation unit attached to the waist to the carbon fiber struts
fixed on the boot. As the struts are pulled, they create an assistive ankle plantarflexion torque. A 3d-printed brace
was attached to the shin to adjust the direction of the cables. A design optimization study was performed to min-
imize the mass of the struts, thereby limiting the total added distal mass, attached to the shin and foot, to only
348 g. The main result obtained from walking tests was the reduction of the soleus and gastrocnemius muscles
activity by a maximum of 37% and 44% respectively when walking with the exoskeleton compared to normal
walking. This result shows the potential of the proposed exoskeleton to reduce the metabolic cost of walking and
emphasizes the importance of minimizing the distal mass of ankle exoskeletons. Tests with more subjects will be
carried in the future to confirm this result.

1. Introduction largest compared to other joints of the leg [18]. Therefore, adding posi-
tive power during this phase on the ankle can have a beneficial effect on
Walking while carrying heavy loads is a fundamental skill in daily the walking energetics. There are different design approaches for ankle
activities of some professions. For example, soldiers are often required exoskeletons in the literature; one of the most distinctive design features
to walk while carrying heavy backpacks that weigh more than 50% of is the actuation form as either passive or active, as described in the two
their lean body mass [1]. Firefighters also wear protective equipment next paragraphs, respectively.
and breathing apparatus that negatively impact their physical conditions Passive exoskeletons are suitable for augmentation on the ankle joint
[2]. Several exoskeletons have been developed to reduce the effect of as the power on the ankle has a negative period where energy can be
heavy payloads during walking [3,4]. The design of these exoskeletons stored in an elastic element and a positive period where the stored en-
varies from full leg exoskeletons [5–9] to single joint exoskeletons that ergy can be released. Using this approach, Collins et al. developed a
assist the user at the hip [10,11] or at the ankle [12–14]. It is important lightweight device equipped with a passive clutch mechanism attached
to note that the most commonly used metric to evaluate these exoskele- to a series spring to augment the ankle torque during push off [19]. Tests
tons is the metabolic cost of walking which is the energy consumed by performed on healthy typically developed subjects walking with this de-
the human body during walking [4,15]. Another common metric is the vice showed a reduction in metabolic cost by approximately 7% [13].
analysis of electromyography (EMG) signals to examine changes in mus- The advantage of passive ankle exoskeletons is that they are lightweight
cle activation [15]. Both of these metrics will be referred to in the rest and simple; however, the positive power they provide is limited com-
of the paper. pared to active exoskeletons, due to the lack of actuators.
Among single joint exoskeletons, ankle exoskeletons have shown Pneumatic actuation was used in many ankle foot orthoses for both
great potential in reducing the metabolic cost of walking [13,16,17]. rehabilitation and gait training purposes [20–23]. Pneumatic actua-
The power generated on the ankle joint during the push off phase is the tors have a high specific power [24], and thus they represent a good

Abbreviations: EMG, Electromyography; FSR, Force sensitive resistor; WAXO, Walking augmentation ankle exoskeleton; PID, Proportional integrator derivative;
PC, Personal computer; BLDC, Brushless direct current.

This paper was recommended for publication by Associate Editor Prof. Mahdi Tavakoli.

Corresponding author.
E-mail addresses: yacine.bougrinat@polymtl.ca (Y. Bougrinat), sofiane.achiche@polymtl.ca (S. Achiche), maxime.raison@polymtl.ca (M. Raison).

https://doi.org/10.1016/j.mechatronics.2019.102297
Received 8 March 2018; Received in revised form 24 August 2019; Accepted 27 October 2019
0957-4158/© 2019 Elsevier Ltd. All rights reserved.
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

option for augmentation exoskeletons. Malcolm et al. performed tests


on able bodies wearing a simple bilateral ankle exoskeleton with an
artificial muscle behind the shank. By varying the onset actuation tim-
ing, the metabolic cost of normal ground level walking was reduced
by 6% [17]. Despite the light nature of pneumatic actuators, they re-
quire an air compressor which is usually large and heavy and is there-
fore found off board. This makes pneumatic actuators unsuitable as a
solution for autonomous exoskeletons where portability is key. Several
research groups used electric motors as actuators instead of pneumatic
actuators. For example, Achilles is an autonomous exoskeleton that sup-
ports plantarflexion during push-off [12,25]. The supporting torque is
produced by a series elastic actuator composed of an electric motor, a
ball screw and a leaf-spring made of carbon fiber. This structure lim-
ited the added mass around the ankle to 1.5 kg while providing 52%
of the positive biological plantarflexion power. However, tests on hu-
man subjects resulted in an increase in the consumed metabolic energy.
This was due to the relatively high weight of the Achilles compared to
other active exoskeletons [14,17] as well as the interference of the ac-
tuator with the normal ankle gait during the swing and the early stance,
where no support was provided [12]. Walsh et al. developed soft exo-
suits using textiles that transfer tensile forces in parallel to the muscles,
supplementing the hip and ankle biological torques [26–28]. In addition
to considerably decreasing the weight of the device, this design has the
advantage of not restricting the natural joints movements of the user.
Recently, it was demonstrated that an autonomous soft exosuit could Fig. 1. Overview of the WAXO exoskeleton. The actuation unit was at-
reduce the loaded walking energetics by 7.3 ± 5.0% [29]. Using soft el- tached to the waist using straps. Bowden cables were used to transmit the
force to the ankle by pulling a struts structure attached to the boot. A 3d-printed
ements to transmit forces is however associated with energy loss due to
brace attached to the shin changed the direction of the cables to pull the struts.
the compliance in textiles and the interface displacements under shear
An FSR inserted under the insole was used to detect heel strikes. The electronic
forces [30,31]. A non-conventional design for a rigid ankle exoskeleton components were enclosed in a plastic box attached to the waist.
was proposed by Mooney et al. [32], it consists of two fiberglass struts
that are attached to the boot and that extend backwards from the foot.
The two struts are pulled forward during powered plantar flexion by a reducing the added distal mass by at least 50%, compared to the 1060 g
winch actuator attached on the shin, thereby, augmenting the biologi- achieved by Mooney and al. [32] which is seen as a reference work. We
cal plantarflexion torque. In addition to adding a low distal mass, the chose the 30 Nm threshold, as this one represents around 30% of the
struts configuration allowed for a large moment arm, which provides maximum natural plantarflexion torque generated during the gait cycle
a torque comparable to biological levels. This resulted in a reduction for a 75 Kg adult [34].
in metabolic cost of loaded walking by 8 ± 3% [14] and normal walk- In this paper, we present the design of the developed device as well
ing by 10 ± 3% [32] when comparing walking with and without the as the results of EMG signals analysis of a healthy typically developed
exoskeleton. subject obtained from walking tests with and without the exoskeleton.
The low added distal mass is the main design characteristic of both Tests with more subjects will be carried in the future to confirm the
powered and passive ankle exoskeletons which demonstrated an im- obtained results.
provement on walking efficiency [13,17,29,32]. In an experimental
study [33], Browning et al. concluded that distal loads on the leg, com-
pared to proximal loads, have a larger effect on energy expenditure, par- 2. System overview
ticularly around the waist. For powered ankle exoskeletons, reducing the
weight is more challenging since the actuation system adds considerable WAXO (Walking Augmentation Ankle Exoskeleton) was the pro-
load to the device. However, placing the actuation components near the posed name of the developed ankle exoskeleton for human walking aug-
waist could help significantly reduce the added distal load, compared mentation. Like similar devices, it is characterized by an interaction be-
to placing the components on the shank or foot. For instance, the distal tween different subsystems including the user himself, the mechanical
mass per leg reported by Mooney and al. is 1060 g [32]. To our best structure and the sensory and control systems. Fig. 1) shows the main
knowledge, this represents the current lowest distal mass added by an components of the device. Since the main objective was to reduce the
autonomous powered ankle exoskeleton. distal mass of the exoskeleton, the mechanical structure is composed of
The augmentation factor is a model developed by Mooney and al. only two struts attached to the left and right sides of the boot. The re-
[14] which allows to estimate the metabolic impact of an exoskele- quirements for our design were inspired by Mooney et al. [14], whom
ton considering its mechanical power and mass distribution over the exoskeleton work was significant in reducing the metabolic cost of walk-
user body. In this model, a mass around the ankle has a negative ef- ing. However, to help further decrease the added distal mass, in our de-
fect on the metabolic energy that is 4 times higher than the same mass sign, the actuation system was attached to the waist instead of to the
placed around the waist [14]. For instance, reducing the distal mass of front of the shank. Two Bowden cables were used to transmit the force
an exoskeleton from 1 kg to 0.5 kg (50% reduction) could reduce the from the actuation unit to the tip of each strut. The cables pass through a
metabolic penalty of this mass from 14.8 W to 7.4 W. A mass of 1 kg lightweight custom designed brace attached to the shank which changes
placed on the waist, however, has a negative effect on the metabolic their direction from vertical to the actuation direction. The electron-
energy of only 5.6 W. ics, including the motor driver, were secured into a case attached to
The objective of this study is to develop an ankle exoskeleton with a the waist. One force sensitive resistor (FSR), placed under the boot in-
minimum added distal mass compared to existing autonomous powered sole, was used to monitor the gait cycle. An off-board personal com-
ankle exoskeletons while it can provide at least 30 Nm of assistive plan- puter (PC) was used to provide a graphical user interface and control the
tarflexion torque. Quantitatively, the objective of this study consists in motor.
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

Table 1
Mass of selected active ankle exoskeletons.

Device Overall mass (g) Distal mass (shank and foot) on one leg (g)

Mooney et al. [32] 3600 1060


Kirby et al. (exoskeleton Alpha) [35] N/A (tethered) 835
Kirby et al. (exoskeleton Beta) [35] N/A (tethered) 875
Van Dijk et al. [12] 9000 1500

3. Mechanical design

3.1. Augmentation principle

Human gait cycle is typically composed of a stance phase where the


foot remains in contact with the ground, and a swing phase where the
same foot moves in the air [3]. The proposed exoskeleton enables to
augment human locomotion by supplementing the ankle joint plantar
flexion torque, which is responsible for lifting and propelling the body
forward at the end of the stance phase. Although the literature has given
evidence that this design choice is valid for walking augmentation ex-
oskeletons, adding minimal mass on the ankle and foot is critical to the
energetics of walking; therefore, reducing this mass while providing sig-
nificant torque levels is the main contradicting objectives of our design.
Unlike other ankle exoskeletons where the augmentation force is applied
in the vertical direction behind the heel [13,17,35], the struts allow the Fig. 2. WAXO actuation unit. The actuation unit include a geared brushless
force to be applied normal to the shank [14]. This is more comfortable DC motor and a pulley that guides two Bowden cables.
for the user as vertical forces cause friction between the attachments
and the skin [31]. Additionally, using struts, no artificial joint is added
in parallel, thus the biological joint itself is used. 3.3.1. Actuation unit
The supporting torque is generated by the pulling force of the Bow- The actuation unit of WAXO is composed of a 200 W brushless DC
den cable and the moment arm resulting from the struts configuration. (BLDC) motor (Maxon Motor, Sachseln, Switzerland) coupled with a re-
Thus, to increase this torque, those two design parameters should be duction gearbox of 43:1 ratio (Maxon Motor, Sachseln, Switzerland).
increased. Brushless DC motor based actuation was preferred to other actuation
Our strategy to lower the distal mass of the exoskeleton is achieved options since it offers relatively high power with a compact architec-
mainly by two elements: first, placing the actuator assembly proximal ture allowing for portability, as opposed to pneumatic and hydraulic
to the torso, and secondly, optimizing the geometrical layout and mass actuators which require an offboard compressor. A spool with a 4-cm
of the struts assembly. diameter was attached to the output shaft of the gearbox to pull the two
Bowden cables attached to it. Fig. 2 shows a rendering of the actuation
unit.
3.2. Design criteria Although the gearbox adds mass to the actuation unit, it is essential
to amplify the torque of the motor and allows for a higher maximum
The criteria set for the design of WAXO were as follows: axial load on the shaft. The motor shaft can only withstand 25 N of axial
load, which is not sufficient for our application. To ensure user and
1. It should provide at least 30 Nm of plantar flexion torque. As hardware safety, the spool diameter, ds [m] was chosen to maintain
the maximum plantar flexion torque is around 1.3 Nm/Kg for an the axial load below the maximum permissible load, Fmax [N]. Using a
adult walking at a normal speed [34], 30 Nm represents around gearbox with a transmission ratio, 𝛾, and efficiency, 𝜂[%], Fmax [N] is
30% of the maximum plantarflexion torque for a person weight- given by:
ing 75 Kg which, in our judgment, is a significant assistive torque. 𝑇𝑀 ⋅ 𝛾 ⋅ 𝜂
2. The distal mass per leg must be at least 50% lower than the cur- 𝐹𝑚𝑎𝑥 = ( ) (1)
𝑑𝑠
rent minimum distal mass in the literature. To the best of our 2
knowledge, the minimum added distal mass (on shank and foot) where TM [N] is the torque delivered by the motor. Considering a factor
associated with active rigid ankle exoskeletons that carry their of safety, FoS, the minimum spool diameter is given by:
own actuation system was demonstrated by Mooney et al. [32].
𝐹 𝑜𝑆
with a value of 1060 g. Table 1 shows a comparison of mass of 𝑑𝑠 ≥ 2 ⋅ 𝑇𝑀 ⋅ 𝛾 ⋅ 𝜂 ⋅ (2)
𝐹𝑚𝑎𝑥
selected active ankle exoskeletons that were designed for human
walking augmentation. The selected gearbox has a ratio of 43 and an efficiency of 72%.
3. It should not impede the natural degrees of freedom of the ankle The maximum axial load on the gearbox shaft is of 360 N. With a factor
joint. of safety, FoS, of 1.5 and a motor torque of 0.15 Nm, the minimum
diameter for the spool is 3.9 cm. A 4-cm diameter was therefore chosen.
The actuation unit has the highest weight compared to the other
3.3. Main design components and their selection components. Therefore, to reduce its effect on the energy expenditure
during walking, the actuator was attached around the waist using straps.
The main components of WAXO are: the actuation unit, force trans-
mission mechanism and the struts attached to the boot. In this section, 3.3.2. Force transmission mechanism
we give enough details about the design of these components for it to The force is transmitted from the actuation unit to the struts on the
be reproducible by the reader. ankle joint using Bowden cables. Thereby, allowing the actuation unit to
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

Fig. 3. (A) The cable routing brace attached to the shin was
used to change the direction of the cables (B) a zoomed figure
of the cable routing brace.

be placed near the center of mass of the body. Although using Bowden point O coincides with the metatarsophalangeal joint representing the
cables results in loss of mechanical power due to friction, the advan- origin of the coordinate system. One end of the strut is fixed on the point
tage of this choice is that it reduces the effect of the actuation unit on O and the other end is represented by the point C. C’ is the projection
the metabolic energy because the actuation unit has the largest weight of the point C on the x axis. The point B is the location of the posterior
compared to other main parts of the device. extremity of the boot. The point A represents the location of the ankle
Two Bowden cables were used to pull the two struts. Each cable was joint. The point P is the lower tip of the V brake noodle, thus, the line
attached to the spool on one end and to one of the two struts on the (CP) defines the direction of the force exerted by the cable. The point
other end. When the spool rotates, the cables rotate simultaneously in D in the line (CP) defines the perpendicular distance 𝐴𝐷 between point
the same direction pulling the two struts forward. A brace was custom- A and the line (CP). P’ is the intersection of the horizontal line passing
designed, and 3D printed, in such a way as to change the direction of through the point C and the vertical line passing through the point P.
the cables from vertical to the pulling direction (see Fig. 3A). Two “V
brake” noodles were inserted on the left and right sides of the brace to 3.4.1.1. Design variables. Three design variables were chosen for this
guide the cables (see Fig. 3B). optimization study as shown in Table 2. These variables control the ge-
ometrical configuration of the struts and the position of the cable routing
3.3.3. Struts brace on the shank.
The struts set, which constitutes an exoskeletal foot rigidly attached
to the boot, is the physical interface between the exoskeleton and the 3.4.1.2. Design parameters. Design parameters are different from design
user and guarantees the transfer of power to the biological joint. The variables. Unlike the design variables that are changed by the optimiza-
struts were optimized to provide a large moment arm while keeping tion algorithm at each iteration. The design parameters can vary in gen-
their mass to a minimum. Details of the optimization are given in the eral but are fixed for each optimization run. Design parameters can be
next section. The struts were fixed by bolts to the boot insole on the used to examine how their variation affects the final design solution.
metatarsophalangeal joint and under the ankle joint. This configuration The design parameters chosen in our optimization problem are given in
was chosen to reduce undesired forces and moments on these joints that Table 3.
may alter the natural gait. We denote the design variables and parameters by x and p respec-
tively, that is:
3.4. Struts optimization [ ]𝑇
𝒙 = 𝑙 𝑠 , 𝜃𝑠 , 𝜃𝑐
The struts are the main distal mass added around the ankle joint by
the WAXO exoskeleton. Therefore, as our main objective is to reduce the [ ]𝑇
𝒑 = 𝐷1𝑚𝑎𝑥 , 𝐷2𝑚𝑖𝑛 , 𝐻𝑚𝑎𝑥 , 𝐿𝑚𝑎𝑥 , 𝜃𝑚𝑎𝑥 , 𝑥𝐴 , 𝑦𝐴 , 𝑥𝑃 , 𝑑𝐵
distal mass while providing a high torque, an optimization study of the
struts assembly was performed. This optimization was done through two 3.4.1.3. Objective function formulation. The main goal of the layout op-
distinct optimization problems. First, the geometrical layout of the struts timization is to maximize the artificial lever arm, 𝐴𝐷[mm], of the aug-
was optimized to result in a maximum torque lever arm; thus, reducing mentation torque when the foot is on the ground with no plantarflexion.
force requirements of the motor. Then, the thickness and width of the Eq. (3) represents the objective function written in terms of design vari-
struts were optimized to minimize the mass. In the next subsections, we ables and parameters. The details of the development of this equation
give details of these two optimization problems. are given in Appendix A.
( ( ( ) ))
3.4.1. Struts geometrical layout optimization 𝑙s cos 𝜃𝑠 − 𝑥𝐴
Optimizing the struts layout is central to reducing the added distal 𝑓 (𝒙, 𝒑) = 𝐴𝐶 𝑠𝑖𝑛 𝜃𝑐 + 𝑎𝑟𝑐𝑜𝑠 (3)
𝐴𝐶
mass while providing high torque comparable to the biological torque.
From each side of the foot, the structure consists of two struts attached to Where:

each other near the ankle joint (Fig. 3A). The longer strut is bolted to the ( ( ) )2 ( ( ) )2
𝐴𝐶 = 𝑙s cos 𝜃𝑠 − 𝑥𝐴 + 𝑙s 𝑠𝑖𝑛 𝜃𝑠 − 𝑦𝐴
boot insole on the metatarsophalangeal joint on one end and attached
to the Bowden cable on the opposite end. The shorter strut is fixed to
3.4.1.4. Constraints. The constraints associated with the optimization
the previous strut from one end and to the back side of the insole on
are as follows:
the other end. The shorter struts help reinforce the bolt in holding the
longer struts fixed under the applied cable force, thereby, maximizing 1. When the foot is on the ground (no plantarflexion), the part of
the transfer of power from the actuator to the user joint. the struts behind the foot should not exceed a maximum value
Fig. 4 shows the design variables as well as the different points defin- D1max [mm] on the horizontal axis. A large strut part behind the
ing the lines and distances used in the optimization problem below. The foot might make the device impractical or difficult to use in a real
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

Fig. 4. Layout of the struts on the foot. (a) configuration of


the struts assembly when the foot is on the ground (b) Config-
uration of the struts assembly when the foot is on maximum
plantarflexion during walking.

Table 2
Design variables.

Variable Description Unit

ls Length of the strut (distance between points O and C) [mm]


𝜃s angle between the strut and the line (OB) [rad]
𝜃c angle between the cable and the line (CP′) when the foot is on the ground (no plantarflexion) [rad]

Table 3
Design parameters.

Parameter Description Unit

D1max Maximum distance behind the strut tip and the back of the insole [mm]
D2min Minimum distance between the strut tip and the vertical line passing through the ankle joint [mm]
Hmax Maximum height of the cable routing brace from the insole [mm]
Lmax Maximum length of the strut [mm]
𝜃 max Maximum value for the cable angle 𝜃 c [rad]
xA x coordinate of the ankle joint (point A) [mm]
yA y coordinate of the ankle joint (point A) [mm]
xP x coordinate of the point P [mm]
dB Distance between the strut attachment on the insole (point O) and the back side of the insole (point B). [mm]

setting as the strut or the cable can get stuck to objects from the security of the user.
surrounding environment. This constraint could be expressed in ( )
terms of design variables and parameters as follows: 𝑔2 (𝒙, 𝒑) = 𝐷2𝑚𝑖𝑛 − 𝑙𝑠 𝑐𝑜𝑠 0.26 + 𝜃𝑠 + 𝑂𝐴 cos (0.26 + ∠𝐴𝑂𝐵) < 0
(5)
( )
𝑔1 (𝒙, 𝒑) = 𝑙𝑠 𝑐𝑜𝑠 𝜃𝑠 − 𝑑𝐵 − 𝐷1𝑚𝑎𝑥 < 0 (4) Replacing the angle ∠AOB and distance 𝑂𝐴 by their explicit form
in terms of design parameters, we obtain:
2. When maximum plantar flexion is reached (around 15°) (Fig. 4B), ( ( ))
( ) √( 2 ) 𝑦
the distance on the horizontal axis between the tip of the longer 𝑔2 (𝒙, 𝒑) = 𝐷2𝑚𝑖𝑛 − 𝑙𝑠 𝑐𝑜𝑠 0.26 + 𝜃𝑠 + 𝑥𝐴 + 𝑦2𝐴 cos 0.26 + atan 𝐴 <0
𝑥𝐴
strut (point C in Fig. 4) and the vertical line passing through the
(6)
ankle joint A must be bigger that D2min . This constraint is neces-
sary for the proper functioning of the cable routing brace and the Here, atan returns values in the first quadrant.
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

3. When the foot is on the ground (no plantarflexion), the height Table 4
of the cable routing brace must be lower than Hmax .This ensures Numerical values for parame-
that the brace be placed on the shank area, at a given distance ters.
from the knee, making its attachment easy. Parameter Value Unit
The height of the brace represented by the point P is given by:
D1max 30 [mm]
( ) ( ( ) ) ( )
𝑔3 (𝒙, 𝒑) = 𝑙𝑠 𝑠𝑖𝑛 𝜃𝑠 + 𝑙𝑠 cos 𝜃𝑠 − 𝑥𝑃 tan 𝜃𝑐 − 𝐻𝑚𝑎𝑥 < 0 (7) D2min 0 [mm]
Hmax 300 [mm]
Where xP is the x coordinate of the point P. Lmax 330 [mm]
4. To prevent excessive deflection of the strut when the force is ap- 𝜃 max 0.52 [rad]
xA 130 [mm]
plied to it, the strut length, 𝑂𝐶 [mm], was limited to an upper
yA 105 [mm]
bound, Lmax [mm]. However, this limit was considered as a de- xP 70 [mm]
sign parameter to examine how its variation affects the solution. dB 195 [mm]
This bound constraint is given by:
𝑙𝑠 < 𝐿𝑚𝑎𝑥 (8) Table 5
Obtained results.
5. The cable angle, 𝜃 c [rad], was bounded by zero on the lower
bound. A negative angle means that the cable end attached to Variable Optimal value Unit
the strut tip is pulled downward, which could cause high deflec- ls 330 [mm]
tion of the struts as the body is propelled upward during push 𝜃s 1.0 [rad]
off. Although this deflection will not necessarily cause a damage, 𝜃c 0.2 [rad]

we avoided negative cable angles because they won’t improve


the solution and they could cause some discomfort to the user
compared to positive angles. An upper bound for the angle is also
necessary to limit the shear forces between the brace attachments
and the skin. Those forces increase as the angle increases and
could cause user discomfort and brace slippage over the shank.
When the cable is horizontal, all the force is applied normally to
the shank. This bound constraint can be expressed as:
0 < 𝜃𝑐 < 𝜃𝑚𝑎𝑥 (9)

Consequently, the optimization problem can be written in the nega-


tive null form as follows:
( ( ( ) ))
𝑙s cos 𝜃𝑠 − 𝑥𝐴
min −𝑓 (𝒙, 𝒑) = −𝐴𝐶 𝑠𝑖𝑛 𝜃𝑐 + 𝑎𝑟𝑐𝑜𝑠
𝒙
𝐴𝐶
Where:

( ( ) )2 ( ( ) )2
𝐴𝐶 = 𝑙s cos 𝜃𝑠 − 𝑥𝐴 + 𝑙s 𝑠𝑖𝑛 𝜃𝑠 − 𝑦𝐴
subject to:
( )
𝑔1 (𝒙, 𝒑) = 𝑙𝑠 𝑐𝑜𝑠 𝜃𝑠 − 𝑑𝐵 − 𝐷1𝑚𝑎𝑥 < 0

( ( ))
( ) √( 2 ) 𝑦
𝑔2 (𝒙, 𝒑) = 𝐷2𝑚𝑖𝑛 − 𝑙𝑠 𝑐𝑜𝑠 0.26 + 𝜃𝑠 + 𝑥𝐴 + 𝑦2𝐴 cos 0.26 + atan 𝐴 <0
𝑥𝐴

( ) ( ( ) ) ( )
𝑔3 (𝒙, 𝒑) = 𝑙𝑠 𝑠𝑖𝑛 𝜃𝑠 + 𝑙𝑠 cos 𝜃𝑠 − 𝑥𝑃 tan 𝜃𝑐 − 𝐻𝑚𝑎𝑥 < 0

𝑙𝑠 < 𝐿𝑚𝑎𝑥 Fig. 5. Objective function and isocontours of the constraints. The contraints
“distance to shank” (red), “cable brace height” (green) and “Max. strut length”
(yellow) are active. Changing those contraints will change the solution.
0 < 𝜃𝑐 < 𝜃𝑚𝑎𝑥
where:
[ ]𝑇 Given these values, the maximum obtained lever arm is:
𝒙 = 𝑙𝑠 , 𝜃𝑠 , 𝜃𝑐
𝐴𝐷 = 179.5 𝑚𝑚
[ ]𝑇
𝒑 = 𝐷1𝑚𝑎𝑥 , 𝐷2𝑚𝑖𝑛 , 𝐻𝑚𝑎𝑥 , 𝐿𝑚𝑎𝑥 , 𝜃𝑚𝑎𝑥 , 𝑥𝐴 , 𝑦𝐴 , 𝑥𝑃 , 𝑑𝐵 The results show that the second, third and fourth constraints are
active. Therefore, a variation in the limit values of these constraints will
3.4.1.5. Results of the geometrical layout optimization. The parameters change the solution, as can be seen in Fig. 5, which presents isocontours
(xA , yA , xP ,dB ) were measured for a typically developed adult wearing of the objective function and the constraints.
the boot on which the struts were attached. Table 4 shows the numerical The graph presented in Fig. 6 shows how the solution varies when
values for the previously mentioned parameters and the chosen values the maximum strut length parameter, Lmax [mm], is varied. Up to a cer-
for the other design parameter. tain limit, the lever arm length increases linearly with the increase in
The fmincon Matlab function (Mathworks, Natrick, MA, US) was used Lmax [mm], such that an increase of 1 mm in Lmax [mm] results in an in-
to solve the optimization problem using the sequential quadratic poly- crease of 1.06 mm in the length of the lever arm. However, because of
nomial algorithm. The obtained results are shown in Table 5. other constraints, in particular, the maximum height of the cable rout-
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

Fig. 8. (A) The design variables for the mass optimization problem were the
thickness, t[mm] and the width, w[mm] of the struts (B) The struts were fixed
on the points O and F. A force of 200 N was applied at the point C at an 11°
angle with the horizontal.

ingly, this relationship is of particular interest given that Hmax [mm] can
be increased for taller people who might need higher push-off torque.
The obtained results presented in the table (5) were used in our de-
sign. The obtained lever arm length was sufficient to deliver the required
augmentation torque. In fact, with a cable transmission efficiency 𝜂 c
Fig. 6. Effect of the maximum strut length parameter on the maximum (discussed further on Section 5.1), to deliver a supportive plantarflexion
lever arm. In this case, the maximum strut length varied while the maximum torque, T[Nm], of 30 Nm, the force, F[N], that needs to be transmitted
height is fixed at 300 mm. by the two cables is:
𝑇 30
𝐹 = = = 283.2 𝑁 (10)
𝜂𝑐 𝐴𝐷 0.59 × 0.1795

This force is lower than the 360 N maximum force that the gearbox
shaft can support.

3.4.2. Struts mass optimization


To ensure a minimal added distal mass, the minimization of the mass
of the struts assembly, which is attached to the foot, is necessary. On
the other hand, the struts are the only physical interface between the
exoskeleton and the user, therefore, their structure must withstand the
different loads applied to it.

3.4.2.1. Design variables and constraints. The selected design variables


for this study are: the struts width, w[mm] varying from 10 to 20 mm
and the struts thickness, t[mm], varying from 1 to 3 mm (see Fig. 8A).
The chosen material for the struts was the standard carbon fiber as it
has high strength and low mass density.
The only constraint set for the mass optimization is the factor of
safety that must be greater than 1.5. The factor of safety here is defined
as the proportion between the tensile strength of the considered material
and the maximum Von-Mises stress resulting from the finite element
analysis.

3.4.2.2. Finite element model. The Finite element analysis tool of Solid-
works software (Dassault Systèmes, France) was used to calculate
the Von-Mises stress for each combination of the design variables.
Fig. 7. Effect of the maximum brace height parameter on the maximum Fig. 8 shows the load and the constraints applied to the struts. A 200 N
lever arm. In this case, the maximum brace height parameter is varied while
force was applied to the strut tip (point C) at an angle of 11° with the
the strut length is fixed to 360 mm in this case.
horizontal. The two struts were considered rigidly connected and fixed
at points O and F. This configuration is conservative, since in reality,
the struts structure can move with the foot under a given load.
ing brace, Hmax [mm], after a certain value of Lmax [mm] the resulting
length of the lever arm remains constant. Specifically, when Lmax [mm] 3.4.2.3. Mass optimization results. The minimization problem was
is above 350 mm, the solution remains near 185 mm. solved using the simulation module of Solidworks. The obtained solu-
The Hmax [mm] parameter exhibits the same general behavior as tion corresponds to 3-mm thick and 10-mm wide struts. The proportion
Lmax [mm] (see Fig. 7), except that the relationship between the increase between the width and the thickness of the struts allows to reduce de-
in lever arm length and the increase in Hmax [mm] is nonlinear. Interest- flection on the direction of the cable pulling force.
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

While performing these tests, the safety of the device and the user
were insured by a set of hardware and software measures. For the soft-
ware, the applied torque was limited by selecting a torque profile with a
maximum value lower than 50 Nm. In addition, at any moment, the de-
vice can be stopped immediately by pressing a stop button in the graph-
ical user interface.
For the hardware safety measures, mechanical stops were added to
the spool and the spool cover to limit the travel distance of the cables.

5.1. Mechanical efficiency

The augmentation torque and power delivered by the actuator on


the ankle joint could be measured directly using an inline load cell.
However, due to the constrained space between the tips of the struts,
Fig. 9. Control system architecture. The control system includes an FSR sen- where the cable is attached (point C in Fig. 4), and the cable routing
sor that detects the heel strike. An mbed lpc1864 microcontroller calculates the brace (point P in Fig. 4), it was preferred to estimate the power on the
average gait cycle period, then sends a signal to the PC software at the actua- ankle joint using the transmission efficiency and the measured mechan-
tion timing. The PC software sends the desired torque value to the motor driver ical power at the motor level. The efficiency of the transmission sys-
which uses feedback from the motor encoder and current sensor to regulate the tem (gearbox, spool and cables) was determined experimentally. The
motor current using a PID controller. mechanical power of the motor was calculated using the velocity and
current data obtained from the motor driver. The force applied on the
4. Control system and electronics struts was measured by an inline load cell (LFT-13B, Shenzhen Ligent
Sensor Tech Co., Ltd, China). The cable velocity was estimated from the
The control system monitors the gait cycle of the user and applies the motor velocity, the gearbox reduction ratio, and the spool diameter.
augmentation torque in an open loop fashion during ankle plantarflex- A sinusoidal position reference signal of 0.5 Hz frequency and 90°
ion on terminal stance. A hierarchic control architecture composed of amplitude was applied by the motor while the cables were attached to a
a high-level and a low-level controller was used. The high-level con- hanging mass of 2.8 kg. The obtained efficiency was 0.59 ± 0.01 (mean
troller estimates the gait cycle percentage by dividing the time passed ± standard deviation).
in each cycle by the average walking period measured over 10 cycles.
Since the controller assumes that the subject moves at a constant speed
(treadmill), 10 cycles are normally enough to estimate the average gait 5.2. Human walking trials
period.
The beginning of each cycle, characterized by a heel strike, was 5.2.1. Subject characteristics
determined by reading the signal of the force sensitive resistor (FSR) The effect of the exoskeleton on the user muscle activity was tested
(KIT_SENPACK_COM_FSR, Smart Bes, Guangdong, China) inserted un- on a healthy typically developed male subject (60 Kg weight, 160 cm
der the insole at the heel area. The FSR was used instead of other gait height) with no history gait disorders while walking on a treadmill at a
monitoring means, such as inertial measurement units, because the FSR speed of 1.2 m/s. This evaluation study was approved by the Research
is simple to implement and does not require filtering of the signal, which Ethics Board of Centre Hospitalier de Sainte-Justine.
could introduce some computational delays. At 43% of the gait cycle, a
predefined parabolic torque profile was applied in open loop manner. 5.2.2. Protocol
This actuation onset timing was shown to be optimal for reducing the Two walking conditions were considered during the tests: walking
metabolic cost of walking [36]. without the exoskeleton (NO EXO) and walking with the exoskeleton
Fig. 9 shows a diagram of the electronics and control system. powered on (EXO ON). The subject walked without the exoskeleton for
The microcontroller, mbed LPC1768 (NXP Semiconductors, Eindhoven, 5 min then rested for 3 min before walking with the exoskeleton pow-
Netherlands), reads the FSR signal to detect heel strikes and measure the ered on for 7 min. The first 5 min of the EXO ON condition were consid-
stride period as well as the gait cycle percentage. At the actuation onset ered as an adaptation phase, the data were recorded on the remaining
timing, the microcontroller communicates to the PC, running a C#.NET 2 min of walking.
program, to transmit the desired current profile to the motor driver. Different human walking tests were performed to evaluate the per-
The motor driver, EPOS2 70/10 (Maxon Motor, Sachseln, Switzerland), formance of the exoskeleton and how its control parameters affect its
reads the signal of the encoder (Maxon Motor, Sachseln, Switzerland) performance. During all these tests, the assistive torque applied by
and current sensor to regulate the motor current. WAXO on the subject ankle joint was a parabolic profile, and only the
A simple graphical user interface was developed under Visual Stu- maximum torque magnitude and onset were changed to examine their
dio C#.NET. The interface that was running on the PC allows to turn the effect on muscle activity. The maximum value of the torque profile is
exoskeleton on and off and select from different torque profiles. In ad- attained at the half of the actuation duration. The different tests per-
dition, it gives a visual feedback about the stride duration. The software formed are summarized in Table 6.
also allows to select either a manual or an autonomous mode. In the The torque magnitudes were chosen based on the comfort of the
manual mode, the torque profiles could be tested offline. The interface subject during the gait. As our exoskeleton is unilateral, higher torque
will be used for the tests. magnitudes were uncomfortable for the subject and could lead to insta-
bility during walking. The actuation onsets were selected to be on the
5. Experimental tests late stance phase of the gait cycle. These values were also selected to
be near the values used in the study of Galle and al [36] to determine
The exoskeleton performance was evaluated by determining the me- the optimal actuation onset timing. The actuation duration in each trial
chanical efficiency of the actuation system as well as the effect of walk- was fixed to 200 ms. As the push off ends at 64% of the gait cycle [36],
ing with the exoskeleton on muscle activation of a typically developed assuming a gait period of 900 ms and push off starting at 43% of the gait
user. cycle, the push off duration is then near 200 ms.
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

Table 6
Human walking trials performed for the exoskeleton evaluation.

Trial Maximum torque applied by WAXO on the ankle joint (Nm) Duration (ms) Onset (%)

T1 14 200 40
T2 14 200 38
T3 11 200 38
T4 11 200 43

Table 7 avoided in WAXO design in order to reduce the mass of the actuation
WAXO parts mass. unit.
Component Location Mass (g) The priority of minimizing the exoskeleton weight is important be-
cause it reduces the effort required by the user to move with the device
Actuation Unit Waist 1050
attached to his body, and thus, the power benefit of the exoskeleton
Electronics box Waist 647
Cable routing brace Shin 290 is more significant in this case compared to a heavier exoskeleton that
Struts (including bolts) Foot 58 provides the same mechanical power. However, in the current design of
Total mass (g) 2045 WAXO, the actuation unit was located on the waist and cables were used
to transmit the force. The cables reduce the efficiency of the actuation
system and thus, WAXO will draw more electrical energy compared to
5.2.3. Data recording another exoskeleton with a more efficient transmission system. Still, we
The EMG signals of the soleus and gastrocnemius (lateralis) muscles adopted this design because increasing the exoskeleton power benefit to
were recorded using wireless surface EMG FreeEMG300 system (BTS, the user and reducing its weight are objectives of higher priority in the
Milan, Italy). These muscles were selected because they are directly current state of research in walking augmentation exoskeletons. Addi-
involved in generating the ankle plantarflexion torque. Self-adhesive tionally, more efficient transmission cables could be used to increase the
pairs of disposable Ag/AgCl surface electrodes with a 10 mm record- efficiency of the transmission system. WAXO did not include a portable
ing diameter (Covidien, Mansfield, MA, USA) were placed following power source, such as a battery to allow for a fully-autonomous system.
the SENIAM (Surface Electromyography for Non-Invasive Assessment of Adding a battery will increase the overall mass of the device, however,
Muscles) guidelines [37]. The recorded EMG signals in each trial were it will not affect the added distal mass because the battery can easily be
band-pass filtered (10–450 Hz, zero-lag 4th order), full-wave rectified, attached to the back of the user, and therefore reduce its effect on the
and smoothed with a low-pass filter (3 Hz, Butterworth zero-lag 2nd or- metabolic cost.
der). The resulting signals were then normalized by the maximum value
obtained in the NO EXO condition.
6.2. Human walking trials
Although oxygen consumption was not measured to determine the
metabolic cost of walking, it is still accepted that muscle activity in-
During the powered plantarflexion phase, the exoskeleton added to
duces a large consumption of metabolic energy [13,38]. Therefore, a
the subject ankle joint positive mechanical power of 15 ± 3 W during
significant reduction of muscle activity is an indication of the potential
trials T1 and T2 , 11 ± 2 W during trial T3 and 11 ± 1 W during trial T4
of WAXO to reduce the walking metabolic cost.
(see Fig. 10). Fig. 11 shows the average parabolic mechanical power
The current and the velocity of the motor were recorded using the
profile applied on trial T2 .Table 8 shows the results of muscle activity
motor sensors and driver. The recorded data were used to calculate the
obtained from each trial in both conditions, NO EXO and EXO ON. The
positive mechanical power delivered by the exoskeleton during walking
activity of the gastrocnemius and soleus muscles was reduced on the
trials on the EXO ON condition.
EXO ON condition compared to the NO EXO condition in all the trials.

6. Result and discussion

6.1. Exoskeleton mass

The total mass of WAXO is 2045 g. The mass of each component


of WAXO is shown in Table 7. The mass of the parts attached to the
waist area accounts for 1050 g for the actuation unit and 647 g for the
electronics and motor driver. The distal mass is therefore only 348 g,
of which 290 g were on the shin (cable routing brace) and 58 g on the
foot (struts assembly and bolts used to fix the struts to the boot). This
lightweight structure made the exoskeleton almost transparent to the
user and did not restrict any natural degrees of freedom.
The 348 g of distal mass added by WAXO is 67% lower than the
current minimum distal mass added by a powered ankle exoskeleton
in the literature [32]. Still, WAXO can provide large mechanical power
during powered plantarflexion. In addition, the maximum torque that
can be delivered by WAXO is only limited by the maximum axial load of
the gearbox shaft. When the motor generates a pulling force of 300 N on
the pulley (lower than the 360 N limit of the gearbox shaft), the torque
resulting on the ankle will be 52 Nm as the length of the artificial lever Fig. 10. Average mechanical power applied by the exoskeleton on each
arm is 18 cm and the transmission system efficiency is 59%. Instead of gait cycle. WAXO applied 15 ± 3 W during trials T1 and T2, 11 ± 2 W during
mounting the pulley directly on the motor shaft, a coupling can be used trial T3 and 11 ± 1 W during trial T4. The orange bars represent the average me-
to connect the two elements, in this manner, the motor can provide large chanical power over the gait cycles of each trial. Error bars denote the standard
torque while keeping the shaft safe from any damage. This solution was deviation.
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

Table 8
Results of the human walking trials. Rela-
tive reduction in EMG activity on EXO ON con-
dition compared to EXO OFF condition. Neg-
ative values indicate an increase in the EMG
activity.

Trial EMG Activity Reduction (%)

Soleus muscle Gastrocnemius muscle

T1 16 18
T2 37 44
T3 6 43
T4 11 19

actuation onset condition of 43% resulted in the largest reduction in


metabolic energy. This highlights the need for a study where the im-
plication of the actuation onset condition is examined simultaneously
on the metabolic energy consumption and muscle activity; such study
could help in understanding the interaction between the exoskeleton as-
sistive strategy and the metabolic energy consumption on the one hand,
and between the metabolic energy and muscle activity during walking
Fig. 11. Mechanical power applied by WAXO in trial T2. The blue line rep-
on the other hand.
resents the average mechanical power over the gait cycles applied by WAXO
The effect of the exoskeleton mechanical power and maximum ap-
in trial T2 during the plantarflexion phase. The shaded region represents the
stadnard deviation. plied exoskeleton torque can be assessed by comparing the results of the
group trials {T2 ,T3 }. As predicted, the muscle activity reduction in trial
T3 was higher than in trial T4 as the mechanical power generated by
The largest reduction of the gastrocnemius muscle activity was 44% and the exoskeleton was higher in the former. The soleus activity reduction
was observed on trial T2 (see Fig. 12) where the actuation onset was at improved from 6% in trial T3 to 37% in trial T2 .
38% of the gait cycle and WAXO added 15 ± 3 W of positive mechanical The focus of our design was to develop an exoskeleton with minimum
power. The largest reduction in the soleus muscle activity occurred in distal mass capable of adding mechanical positive power to the ankle
trial T2 as well, with a value of 37%. This reduction of muscle activity joint during the powered plantarflexion phase. While this objective was
gives indication of the potential of WAXO in reducing the metabolic cost achieved, there are still some limitations that need to be addressed. In
of walking. For instance, in the study done by Collins and al. [13], while terms of design, the exoskeleton control system used a simple method
the exoskeleton reduced the metabolic energy by 7.2 ± 2.6%, the soleus to monitor gait phases based on detecting the heel strike using a single
muscle activity during mid-stance was reduced by only 22%. FSR. In this way, the computational time was reduced, however, the gait
The effect of the actuation onset on muscle activity can be examined detection system becomes not as robust since it is dependent on only
by separately comparing the results of the two trial groups {T1 ,T2 } and one sensor. In future work, other sensors [39] can be incorporated and
{T3 ,T4 }. The mechanical power provided by the exoskeleton was nearly multi sensor fusion techniques can be used [40]. These techniques can be
the same (see Fig. 10) for each of the two groups. We found that the combined with more advanced methods for torque control [41,42]. The
reduction in soleus and gastrocnemius activity was significantly larger power density of WAXO can be increased by adding positive mechanical
in the 38% onset condition compared to the 40% and 43% conditions. power on the opposite leg. One advantage of our actuation system design
This could be interpreted by the fact that these muscles are naturally is that the same motor used in our current exoskeleton could be used
activated early in the gait cycle. Malcolm and al. [17] found that the to actuate the second ankle joint without adding another motor. This

Fig. 12. Results of trial T2 . The activity of the gastrocnemius and soleus muscles was reduced by 44% and 37% respectively on the EXO ON condition compared
to the NO EXO condition. The signals were normalized by the maximum EMG value obtained during the NO EXO condition of each trial. The Blue bars show the
average values over the gait cycles; error bars are standard deviations.
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

approach was already demonstrated by Walsh and al. in their exosuit By substituting (A.3) in (A.1), we obtain the objective function as
[43]. Our design assumptions were mainly based on the results from the follows:
literature, however, modeling [44,45] and multi-criteria optimization ( ( ( ) ))
𝑙s cos 𝜃𝑠 − 𝑥𝐴
methods [46–48] can be combined to better predict and optimize the 𝑓 (𝒙, 𝒑) = 𝐴𝐶 𝑠𝑖𝑛 𝜃𝑐 + 𝑎𝑟𝑐𝑜𝑠 (A.3)
exoskeleton performance and interaction with the user. In future work, 𝐴𝐶
an extensive evaluation study for WAXO will be performed with a larger Where:
group of subjects to confirm the current results. This evaluation will also √
( ( ) )2 ( ( ) )2
include measurement of oxygen consumption to estimate the metabolic 𝐴𝐶 = 𝑙s cos 𝜃𝑠 − 𝑥𝐴 + 𝑙s 𝑠𝑖𝑛 𝜃𝑠 − 𝑦𝐴 (A.4)
expenditure as well as kinematic measurements to compare the gait of
the subjects when walking with and without WAXO. As for now, this is References
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𝐴𝐷 = 𝐴𝐶 𝑠𝑖𝑛∠𝐷𝐶𝐴 = 𝐴𝐶 𝑠𝑖𝑛 𝜃𝑐 + 𝜃𝑠 + ∠𝑂𝐶𝐴 (A.1) (2014 5th IEEE RAS &amp; EMBS international conference on. IEEE; 2014.
[26] Asbeck AT, et al. Biologically-inspired soft exosuit. in rehabilitation robotics
∠OCA could be written as follows: (ICORR), 2013 IEEE international conference on. IEEE; 2013.
( ) [27] Asbeck AT, et al. A biologically inspired soft exosuit for walking assistance. Int J
𝑥 − 𝑥𝐴
∠𝑂𝐶𝐴 = 𝑎𝑟𝑐𝑜𝑠 𝐶 − 𝜃𝑠 (A.2) Rob Res 2015;34(6):744–62.
[28] Asbeck AT, et al. Stronger, smarter, softer: next-generation wearable robots. IEEE
𝐴𝐶
Robot Automat Mag 2014;21(4):22–33.
where arcos returns values in the first quadrant. [29] Panizzolo FA, et al. A biologically-inspired multi-joint soft exosuit that can reduce
That is: the energy cost of loaded walking. J Neuroeng Rehabil 2016;13(1):43.
[30] Yandell MB, Popov D, Quinlivan B, Walsh CJ, Zelik KE. Systematic evaluation of
⎛ ( ) ⎞ human-exosuit physical interfaces. Dynamic Walking 2016.
⎜ 𝑙s cos 𝜃𝑠 − 𝑥𝐴 ⎟ [31] Yandell MB, et al. Physical interface dynamics alter how robotic exosuits augment
∠𝑂𝐶𝐴 = 𝑎𝑟𝑐𝑜𝑠⎜ √ ⎟ − 𝜃𝑠 (A.3)
⎜ ( ( ) ) ( ( ) ) human movement: implications for optimizing wearable assistive devices. J Neuro-
𝑙s cos 𝜃𝑠 − 𝑥𝐴 + 𝑙s 𝑠𝑖𝑛 𝜃𝑠 − 𝑦𝐴 ⎟⎠
2 2
⎝ eng Rehabil 2017;14(1):40.
Y. Bougrinat, S. Achiche and M. Raison Mechatronics 64 (2019) 102297

[32] Mooney LM, Rouse EJ, Herr HM. Autonomous exoskeleton reduces metabolic cost [50] Yazji M, et al. Are the mediolateral joint forces in the lower limbs different between
of human walking. J Neuroeng Rehabil 2014;11(1):151. scoliotic and healthy subjects during gait? Scoliosis 2015;10(2):S3.
[33] Browning RC, et al. The effects of adding mass to the legs on the energetics and [51] Hart R, et al. Impact of exercise-induced fatigue on the strength, postural con-
biomechanics of walking. Med Sci Sports Exerc 2007;39(3):515. trol, and gait of children with a neuromuscular disease. Am J Phys Med Rehabilit
[34] Bovi G, et al. A multiple-task gait analysis approach: kinematic, kinetic and EMG 2014;93(8):649–55.
reference data for healthy young and adult subjects. Gait Posture 2011;33(1):6–13.
[35] Witte KA, et al. Design of two lightweight, high-bandwidth torque-controlled ankle Yacine Bougrinat is a master candidate in mechanical engi-
exoskeletons Robotics and automation (ICRA), 2015 IEEE international conference neering at the École Polytechnique de Montréal. He is also
on. IEEE; 2015. member of the Rehabilitation Engineering Chair Applied to
[36] Galle S, et al. Reducing the metabolic cost of walking with an ankle exoskeleton: Pediatrics at the CRME–Ste-Justine University Hospital Cen-
interaction between actuation timing and power. J Neuroeng Rehabil 2017;14(1):35. ter, Montreal. He holds a state engineer degree in mechanical
[37] Hermens HJ, et al. European recommendations for surface electromyography. Roess- engineering from École Nationale Polytechnique in Algeria.
ingh Res Dev 1999;8(2):13–54. His research interests include wearable robotics, human aug-
[38] Blake OM, Wakeling JM. Estimating changes in metabolic power from EMG. mentation and mechatronics systems design and integration.
Springerplus 2013;2(1):229.
[39] Zizoua C, et al. Detecting muscle contractions using strain gauges. Electron Lett
2016;52(22):1836–8.
[40] Duivenvoorden A, et al. Sensor fusion in upper limb area networks: a survey Global
information infrastructure and networking symposium (GIIS), 2017. IEEE; 2017.
[41] Geoffroy P, et al. A two-stage suboptimal approximation for variable compliance Sofiane Achiche received the M.Sc.A. and Ph.D. degrees from
and torque control Control conference (ECC), 2014 European. IEEE; 2014. the École Polytechnique de Montréal, Canada. He is currently
[42] Geoffroy P, et al.. From inverse kinematics to optimal control, in advances in robot a Full Professor at the Mechanical Engineering Department,
kinematics. Springer; 2014. p. 409–18. Design of Machinery Section, École Polytechnique de Mon-
[43] Asbeck AT, et al. Multi-joint soft exosuit for gait assistance Robotics and automation tréal. His research interests focus upon evolutionary compu-
(ICRA), 2015 IEEE international conference on. IEEE; 2015. tational intelligence applied to engineering problems, such as
[44] Raison M. On the quantification of joint and muscle efforts in the human body during condition monitoring. Furthermore, he works in the field of
motion. UCL-Université Catholique de Louvain; 2009. design support of mechatronics and applied mechatronics in
[45] Hernandez S, et al. Refinement of exoskeleton design using multibody modeling: an aerospace and biomedical engineering.
overview CCToMM mechanisms, machines, and mechatronics symposium; 2015.
[46] Leroux M, et al. Design guidelines for shoulder design of an anthropomorphic robotic
arm. In: DS 87-4 proceedings of the 21st international conference on engineering
design (ICED 17) Vol 4. Design Methods and Tools; 2017. p. 21–5. 08. 2017. Maxime Raison received the degree in electrical engineering
[47] Mohebbi A, et al. Trends in concurrent, multi-criteria and optimal design of mecha- and the Ph.D. degree in mechanical engineering from the Uni-
tronic systems: a review. In: Innovative design and manufacturing (ICIDM), Proceed- versity catholique de Louvain, Belgium. He is currently a Pro-
ings of the 2014 international conference on. IEEE; 2014. fessor in mechanical and biomedical engineering with École
[48] Mohebbi A, Achiche S, Baron L. Mechatronic multicriteria profile (MMP) for concep- Polytechnique de Montréal, Canada. He is responsible for the
tual design of a robotic visual servoing system. ASME 2014 12th biennial conference Rehabilitation Engineering Chair Applied to Pediatrics at the
on engineering systems design and analysis. American Society of Mechanical Engi- CRME–Ste-Justine University Hospital Center, Montréal. His
neers; 2014. main research interests are biomechanics, multibody dynamic
[49] Samadi B, et al. Custom sizing of lower limb exoskeleton actuators using gait dy- modeling, and assistive robotics.
namic modelling of children with cerebral palsy. Comput Methods Biomech Biomed
Engin 2016;19(14):1519–24.

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