prosthesis
Control of Powered Ankle-Foot Prostheses on Compliant Terrain: A Quantitative Approach to Stability Enhancement
Karakasis, Chrysostomos, Scully, Camryn, Salati, Robert, Artemiadis, Panagiotis
Walking on compliant terrain presents a substantial challenge for individuals with lower-limb amputation, further elevating their already high risk of falling. While powered ankle-foot prostheses have demonstrated adaptability across speeds and rigid terrains, control strategies optimized for soft or compliant surfaces remain underexplored. This work experimentally validates an admittance-based control strategy that dynamically adjusts the quasi-stiffness of powered prostheses to enhance gait stability on compliant ground. Human subject experiments were conducted with three healthy individuals walking on two bilaterally compliant surfaces with ground stiffness values of 63 and 25 kN/m, representative of real-world soft environments. Controller performance was quantified using phase portraits and two walking stability metrics, offering a direct assessment of fall risk. Compared to a standard phase-variable controller developed for rigid terrain, the proposed admittance controller consistently improved gait stability across all compliant conditions. These results demonstrate the potential of adaptive, stability-aware prosthesis control to reduce fall risk in real-world environments and advance the robustness of human-prosthesis interaction in rehabilitation robotics.
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Introducing V-Soft Pro: a Modular Platform for a Transhumeral Prosthesis with Controllable Stiffness
Milazzo, Giuseppe, Grioli, Giorgio, Bicchi, Antonio, Catalano, Manuel G.
Current upper limb prostheses aim to enhance user independence in daily activities by incorporating basic motor functions. However, they fall short of replicating the natural movement and interaction capabilities of the human arm. In contrast, human limbs leverage intrinsic compliance and actively modulate joint stiffness, enabling adaptive responses to varying tasks, impact absorption, and efficient energy transfer during dynamic actions. Inspired by this adaptability, we developed a transhumeral prosthesis with Variable Stiffness Actuators (VSAs) to replicate the controllable compliance found in biological joints. The proposed prosthesis features a modular design, allowing customization for different residual limb shapes and accommodating a range of independent control signals derived from users' biological cues. Integrated elastic elements passively support more natural movements, facilitate safe interactions with the environment, and adapt to diverse task requirements. This paper presents a comprehensive overview of the platform and its functionalities, highlighting its potential applications in the field of prosthetics.
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A bionic knee restores natural movement
In a small clinical study, people with above-the-knee amputations said it helped them navigate more easily and felt more like part of their body. A subject with the osseointegrated mechanoneural prosthesis overcomes an obstacle placed in their walking path by volitionally flexing and extending their phantom knee joint. Control signals from their residual knee muscles are used to produce movement of the powered prosthetic knee that mirrors the phantom knee. MIT researchers have developed a new bionic knee that is integrated directly with the user's muscle and bone tissue. It can help people with above-the-knee amputations walk faster, climb stairs, and avoid obstacles more easily than they could with a traditional prosthesis, which is attached to the residual limb by means of a socket and can be uncomfortable. For several years, Hugh Herr, SM '93, co-director of the K. Lisa Yang Center for Bionics, has been working with his colleagues on techniques that can extract neural information from muscles left behind after an amputation and use that information to help guide a prosthetic limb.
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A Compound Classification System Based on Fuzzy Relations Applied to the Noise-Tolerant Control of a Bionic Hand via EMG Signal Recognition
Trajdos, Pawel, Kurzynski, Marek
Modern anthropomorphic upper limb bioprostheses are typically controlled by electromyographic (EMG) biosignals using a pattern recognition scheme. Unfortunately, there are many factors originating from the human source of objects to be classified and from the human-prosthesis interface that make it difficult to obtain an acceptable classification quality. One of these factors is the high susceptibility of biosignals to contamination, which can considerably reduce the quality of classification of a recognition system. In the paper, the authors propose a new recognition system intended for EMG based control of the hand prosthesis with detection of contaminated biosignals in order to mitigate the adverse effect of contaminations. The system consists of two ensembles: the set of one-class classifiers (OCC) to assess the degree of contamination of individual channels and the ensemble of K-nearest neighbours (KNN) classifier to recognise the patient's intent. For all recognition systems, an original, coherent fuzzy model was developed, which allows the use of a uniform soft (fuzzy) decision scheme throughout the recognition process. The experimental evaluation was conducted using real biosignals from a public repository. The goal was to provide an experimental comparative analysis of the parameters and procedures of the developed method on which the quality of the recognition system depends. The proposed fuzzy recognition system was also compared with similar systems described in the literature.
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HannesImitation: Grasping with the Hannes Prosthetic Hand via Imitation Learning
Alessi, Carlo, Vasile, Federico, Ceola, Federico, Pasquale, Giulia, Boccardo, Nicolò, Natale, Lorenzo
Recent advancements in control of prosthetic hands have focused on increasing autonomy through the use of cameras and other sensory inputs. These systems aim to reduce the cognitive load on the user by automatically controlling certain degrees of freedom. In robotics, imitation learning has emerged as a promising approach for learning grasping and complex manipulation tasks while simplifying data collection. Its application to the control of prosthetic hands remains, however, largely unexplored. Bridging this gap could enhance dexterity restoration and enable prosthetic devices to operate in more unconstrained scenarios, where tasks are learned from demonstrations rather than relying on manually annotated sequences. To this end, we present HannesImitationPolicy, an imitation learning-based method to control the Hannes prosthetic hand, enabling object grasping in unstructured environments. Moreover, we introduce the HannesImitationDataset comprising grasping demonstrations in table, shelf, and human-to-prosthesis handover scenarios. We leverage such data to train a single diffusion policy and deploy it on the prosthetic hand to predict the wrist orientation and hand closure for grasping. Experimental evaluation demonstrates successful grasps across diverse objects and conditions. Finally, we show that the policy outperforms a segmentation-based visual servo controller in unstructured scenarios. Additional material is provided on our project page: https://hsp-iit.github.io/HannesImitation
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Learning to Perform Low-Contact Autonomous Nasotracheal Intubation by Recurrent Action-Confidence Chunking with Transformer
Tian, Yu, Hao, Ruoyi, Huang, Yiming, Xie, Dihong, Chan, Catherine Po Ling, Chan, Jason Ying Kuen, Ren, Hongliang
-- Nasotracheal intubation (NTI) is critical for establishing artificial airways in clinical anesthesia and critical care. Current manual methods face significant challenges, including cross-infection, especially during respiratory infection care, and insufficient control of endoluminal contact forces, increasing the risk of mucosal injuries. While existing studies have focused on automated endoscopic insertion, the automation of NTI remains unexplored despite its unique challenges: Nasotracheal tubes exhibit greater diameter and rigidity than standard endoscopes, substantially increasing insertion complexity and patient risks. We propose a novel autonomous NTI system with two key components to address these challenges. First, an autonomous NTI system is developed, incorporating a prosthesis embedded with force sensors, allowing for safety assessment and data filtering. Then, the Recurrent Action-Confidence Chunking with Transformer (RACCT) model is developed to handle complex tube-tissue interactions and partial visual observations. Experimental results demonstrate that the RACCT model outperforms the ACT model in all aspects and achieves a 66% reduction in average peak insertion force compared to manual operations while maintaining equivalent success rates.