Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities

Conventional passive prostheses for lower limb amputees lack active assistance and cannot replicate the natural energy dynamics of healthy limbs, resulting in compromised mobility and diminished quality of life. Powered lower-limb prostheses can theoretically replicate the biomechanical function of...

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Main Authors: Liam M. Sullivan, Marissa Cowan, Lukas Gabert, Tommaso Lenzi
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
Subjects:
Online Access:https://ieeexplore.ieee.org/document/11108716/
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author Liam M. Sullivan
Marissa Cowan
Lukas Gabert
Tommaso Lenzi
author_facet Liam M. Sullivan
Marissa Cowan
Lukas Gabert
Tommaso Lenzi
author_sort Liam M. Sullivan
collection DOAJ
description Conventional passive prostheses for lower limb amputees lack active assistance and cannot replicate the natural energy dynamics of healthy limbs, resulting in compromised mobility and diminished quality of life. Powered lower-limb prostheses can theoretically replicate the biomechanical function of healthy limbs during ambulation. However, existing powered prostheses fall short of fully restoring mobility for individuals with above-knee amputations. This limitation is mainly due to existing controllers, which struggle to coordinate their assistance with the user’s movements across a variety of activities in a natural manner. This paper proposes a novel unified controller for powered knee and ankle prostheses that enables multiple activities and adapts to users and the environment. The proposed controller enables natural ambulation without requiring explicit measurements of the environmental characteristics or classification of the intended ambulation task. In experiments with three amputee subjects, the proposed controller enabled walking on level, inclined, and uneven ground, ascending/descending stairs, sitting and standing, and seamless transitions between these activities. This work presents the first implementation of a unified, task-agnostic control strategy for continuous ambulation across everyday ambulation activities for powered knee and ankle prostheses.
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spelling doaj-art-904329d473c54ec3a72f39efb86386792025-08-20T03:40:43ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102025-01-01333024303910.1109/TNSRE.2025.359549611108716Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation ActivitiesLiam M. Sullivan0https://orcid.org/0009-0006-8908-0829Marissa Cowan1https://orcid.org/0009-0009-6570-6972Lukas Gabert2https://orcid.org/0000-0001-5569-9099Tommaso Lenzi3https://orcid.org/0000-0003-0957-6412Department of Mechanical Engineering and Robotics Center, The University of Utah, Salt Lake City, UT, USADepartment of Mechanical Engineering and Robotics Center, The University of Utah, Salt Lake City, UT, USADepartment of Mechanical Engineering and Robotics Center, The University of Utah, Salt Lake City, UT, USADepartment of Mechanical Engineering, Robotics Center, the Rocky Mountain Center for Occupational and Environmental Health, and the Department of Biomedical Engineering, The University of Utah, Salt Lake City, UT, USAConventional passive prostheses for lower limb amputees lack active assistance and cannot replicate the natural energy dynamics of healthy limbs, resulting in compromised mobility and diminished quality of life. Powered lower-limb prostheses can theoretically replicate the biomechanical function of healthy limbs during ambulation. However, existing powered prostheses fall short of fully restoring mobility for individuals with above-knee amputations. This limitation is mainly due to existing controllers, which struggle to coordinate their assistance with the user’s movements across a variety of activities in a natural manner. This paper proposes a novel unified controller for powered knee and ankle prostheses that enables multiple activities and adapts to users and the environment. The proposed controller enables natural ambulation without requiring explicit measurements of the environmental characteristics or classification of the intended ambulation task. In experiments with three amputee subjects, the proposed controller enabled walking on level, inclined, and uneven ground, ascending/descending stairs, sitting and standing, and seamless transitions between these activities. This work presents the first implementation of a unified, task-agnostic control strategy for continuous ambulation across everyday ambulation activities for powered knee and ankle prostheses.https://ieeexplore.ieee.org/document/11108716/Biomechanicscontrollower-limb prosthesispowered prostheticsprosthetics
spellingShingle Liam M. Sullivan
Marissa Cowan
Lukas Gabert
Tommaso Lenzi
Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Biomechanics
control
lower-limb prosthesis
powered prosthetics
prosthetics
title Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities
title_full Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities
title_fullStr Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities
title_full_unstemmed Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities
title_short Unified Control of a Powered Knee-Ankle Prosthesis Enables Walking, Stairs, Transitions, and Other Daily Ambulation Activities
title_sort unified control of a powered knee ankle prosthesis enables walking stairs transitions and other daily ambulation activities
topic Biomechanics
control
lower-limb prosthesis
powered prosthetics
prosthetics
url https://ieeexplore.ieee.org/document/11108716/
work_keys_str_mv AT liammsullivan unifiedcontrolofapoweredkneeankleprosthesisenableswalkingstairstransitionsandotherdailyambulationactivities
AT marissacowan unifiedcontrolofapoweredkneeankleprosthesisenableswalkingstairstransitionsandotherdailyambulationactivities
AT lukasgabert unifiedcontrolofapoweredkneeankleprosthesisenableswalkingstairstransitionsandotherdailyambulationactivities
AT tommasolenzi unifiedcontrolofapoweredkneeankleprosthesisenableswalkingstairstransitionsandotherdailyambulationactivities