For powered prosthetic legs to be viable in everyday situations, they require an activity classification system that is not only accurate but also straightforward to understand and use. However, incorporating the numerous activity modes in real-world ambulation often requires high-dimensional feature spaces and restrictions on the leg leading each transition. This article addresses these challenges by delegating sit/stand transitions and variable-incline walking to the mid-level controller, effectively reducing the classification space to four states with easily distinguishable features. We implement simple heuristic rules for both prosthetic-led and intact-led (i.e., ambilateral) transitions, using lower-limb kinematic features, ground contact and inclination, and environmental distance from an ultrasonic sensor. Two transfemoral amputee subjects using a powered knee-ankle prosthesis demonstrated an ambilateral transition accuracy of 99.2% under both self-paced and rapid-paced/fatiguing conditions, with a 100% recovery rate due to backup logic or user-cued resets. The incline estimator enabled the prosthesis to continuously adapt between level and inclined surfaces without explicit classification. These results and an outdoor multi-terrain demonstration indicate that simple and straightforward transition logic can enable powered prosthetic legs to be used reliably across a broad array of daily activities.

Research in powered prosthesis control has explored the use of impedance-based control algorithms due to their biomimetic capabilities and intuitive structure. Modern impedance controllers feature parameters that smoothly vary over gait phase and task according to a data-driven model. However, these recent efforts only use continuous impedance control during stance and instead utilize discrete transition logic to switch to kinematic control during swing, necessitating two separate models for the different parts of the stride. In contrast, this paper presents a controller that uses smooth impedance parameter trajectories throughout the gait, unifying the stance and swing periods under a single, continuous model. Furthermore, this paper proposes a basis model to represent intertask relationships in the impedance parameters-a strategy that has previously been shown to improve model accuracy over classic linear interpolation methods. In the proposed controller, a weighted sum of Fourier series is used to model the impedance parameters of each joint as continuous functions of gait cycle progression and task. Fourier series coefficients are determined via convex optimization such that the controller best reproduces the joint torques and kinematics in a reference able-bodied dataset. Experiments with a powered knee-ankle prosthesis show that this simpler, unified model produces competitive results when compared to a more complex hybrid impedance-kinematic model over varying walking speeds and inclines.

Many powered prosthetic devices use load cells to detect ground interaction forces and gait events. These sensors introduce additional weight and cost in the device. Recent proprioceptive actuators enable an algebraic relationship between actuator torques and ground contact forces. This paper presents a proprioceptive force sensing paradigm which estimates ground reaction forces as a solution to detect gait events without a load cell. A floating body dynamic model is obtained with constraints at the center of pressure representing foot-ground interaction. Constraint forces are derived to estimate ground reaction forces and subsequently timing of gait events. A treadmill experiment is conducted with a powered knee-ankle prosthesis used by an able-bodied subject walking at various speeds and slopes. Results show accurate gait event timing, with pooled data showing heel strike detection lagging by only 6.7 ± 7.2 ms and toe off detection leading by 30.4 ± 11.0 ms compared to values obtained from the load cell. These results establish proof of concept for predicting gait events without a load cell in powered prostheses with proprioceptive actuators.

Robotic knee-ankle prostheses have often fallen short relative to passive microprocessor prostheses in time-based clinical outcome tests. User ambulation endurance is an alternative clinical outcome metric that may better highlight the benefits of robotic prostheses. However, previous studies were unable to show endurance benefits due to inaccurate high-level classification, discretized mid-level control, and insufficiently difficult ambulation tasks. In this case study, we present a phase-based mid-level prosthesis controller which yields biomimetic joint kinematics and kinetics that adjust to suit a continuum of tasks. We enrolled an individual with an above-knee amputation and challenged him to perform repeated, rapid laps of a circuit comprising activities of daily living with both his passive prosthesis and a robotic prosthesis. The participant demonstrated improved endurance with the robotic prosthesis and our mid-level controller compared to his passive prosthesis, completing over twice as many total laps before fatigue and muscle discomfort required him to stop. We also show that time-based outcome metrics fail to capture this endurance improvement, suggesting that alternative metrics related to endurance and fatigue may better highlight the clinical benefits of robotic prostheses.

One of the primary benefits of emerging powered prosthetic legs is their ability to facilitate step-over-step stair ascent by providing positive mechanical work. Existing control methods typically have distinct steady-state activity modes for walking and stair ascent, where activity transitions involve discretely switching between controllers and often must be initiated with a particular leg. However, these discrete transitions do not necessarily replicate able-bodied joint biomechanics, which have been shown to continuously adjust over a transition stride. This paper presents a phase-based kinematic controller for a powered knee-ankle prosthesis that enables continuous, biomimetic transitions between walking and stair ascent. The controller tracks joint angles from a data-driven kinematic model that continuously interpolates between the steady-state kinematic models, and it allows both the prosthetic and intact leg to lead the transitions. Results from experiments with two transfemoral amputee participants indicate that knee and ankle kinematics smoothly transition between walking and stair ascent, with comparable or lower root mean square errors compared to variations from able-bodied data.