This study explored the feasibility of automated characterization of functional mobility via an Instrumented Cane System (ICS) within an older adult sample of cane users. An off-the-shelf offset cane was instrumented with inertial, force, and ultrasound sensors for noninvasive data collection. Eighteen patients from a neurological out-patient rehabilitation clinic and nine independently mobile controls participated in standard clinical evaluations of mobility using the ICS while under the care of an attending physical therapist. Feasibility of the ICS was gauged through two studies. The first demonstrated the capability of the ICS to reliably collect meaningful usage metrics, and the second provided preliminary support for the discriminability of high and low falls risk from system-reported metrics. Specifically, the cane significantly differentiated patients and controls (p < 0.05), and a measure of the variation in rotational velocity was associated with total scores on the Functional Gait Assessment (partial r = 0.61, p < 0.01). These findings may ultimately serve to complement and even extend current clinical assessment practices.

Independent mobility is an important aspect of an individual's life and must sometimes be augmented by use of an assistive device such as a wheeled walker or cane following a fall, injury, or functional decline. Physical therapists perform functional gait assessments to gauge the probability of an individual experiencing a fall and often recommend use of a walker, cane, or walking stick to decrease fall risk. Our team has developed a clinical assessment tool centered on a standard walking cane embedded system that can enhance a therapist's observation-based gait assessment with use of additional objective and quantitative data. This system can be utilized to detect timing and speed of cane placement, angular acceleration of the cane, and amounts of weight borne on the cane. This system is designed to assist physical therapists at the basic level in collection of objective data during gait analysis, to facilitate appropriate assistive gait device prescription, to provide patients and therapists feedback during gait training, and to reduce wrist and shoulder injuries with cane usage. However, more importantly, using the plethora of objective data that can be obtained from this cane, automated gait analysis and gait pattern classification can be performed to understand a patient's walking performance.

We propose the use of a haptic touchscreen to convey graphical and mathematical concepts through aural and/or vibratory tactile feedback. We hypothesize that an important application of such a display will be in teaching visually impaired students concepts that are traditionally learned almost entirely visually. This paper describes initial feasibility studies using a commercially available haptic touchscreen to display grids, points, lines, and shapes - some of the first visual graphical entities students encounter in K-12 mathematics education, and from which more complex lessons can be constructed. We conducted user studies designed to evaluate perception of these objects through haptic feedback alone, auditory feedback alone, and combinations of the two. Our results indicate that both sensory channels can be valuable in user perception.

A hybrid functional electrical stimulation (FES)/orthosis system is being developed which combines two channels of (surface-electrode-based) electrical stimulation with a computer-controlled orthosis for the purpose of restoring gait to spinal cord injured (SCI) individuals (albeit with a stability aid, such as a walker). The orthosis is an energetically passive, controllable device which 1) unidirectionally couples hip to knee flexion; 2) aids hip and knee flexion with a spring assist; and 3) incorporates sensors and modulated friction brakes, which are used in conjunction with electrical stimulation for the feedback control of joint (and therefore limb) trajectories. This paper describes the hybrid FES approach and the design of the joint coupled orthosis. A dynamic simulation of an SCI individual using the hybrid approach is described, and results from the simulation are presented that indicate the promise of the JCO approach.

This paper presents the design of a 14 degree-of-motion forearm actuation unit for an upper extremity prosthesis. The forearm utilizes pneumatic type actuators which use the reaction products of a monopropellant gas generator as a working fluid. The use of pneumatic type actuators provides a near-human power density, such that the fourteen actuator forearm unit can deliver approximately one half of the force and power capability of a human arm, with a total package size that fits within the volumetric constraints of a 50thpercentile female forearm (excluding the cartridge of liquid propellant). This paper describes the design of the forearm. The design has been fabricated, and experimental results are presented that demonstrate the closed-loop force tracking capability. An accompanying video further demonstrates the forearm performance.

This paper presents the design of a gas-actuated anthropomorphic arm prosthesis with 21 degrees of freedom and nine independent actuators. The prosthesis utilizes the monopropellant hydrogen peroxide as a gas generator to power nine pneumatic type actuators. Of the nine independent actuators, one provides direct- drive actuation of the elbow, three provide direct-drive actuation for the wrist, and the remaining five actuate an underactuated 17 degree of freedom hand. This paper describes the design of the prosthesis, including the design of small-scale high-performance servovalves, which enable the implementation of the monopropellant concept in a transhumeral prosthesis. Experimental results are given characterizing both the servovalve performance and the force and/or motion control of various joints under closed-loop control.

This paper presents the design of an anthropomorphic 21 degree-of-freedom, 9 degree-of-actuation arm prosthesis for use by transhumeral amputees. The design leverages the power density of pneumatic actuation with the energy density of liquid propellants to obtain a self-powered dexterous prosthesis in which all of the requisite power, actuation, and sensing is packaged within the volumetric envelope of a normal human arm. Specifically, the arm utilizes a monopropellant as a gas generator to power nine pneumatic-type actuators that drive an elbow, three wrist degrees-of-freedom, and a 17 degree-of-freedom compliant hand. The design considerations discussed in this work include the design of compact, low-power servovalves; the choice of actuators based on energetic requirements of a normal arm; the design of compact elbow and wrist joints with integrated position and force sensing; and the components of the compliant hand design. The liquid-fueled prosthesis is expected to approach the dexterity of an anatomical arm and is projected to deliver half of the force and power output of an average human arm.