Hybrid impedance control of a knee joint orthosis

Purpose This paper aims to deal with the design of new hybrid approach for the assistance of the flexion extension movement of the knee joint. Design/methodology/approach The control approach combines the use of a knee joint orthosis along with functional electrical stimulation (FES) within an assist-as-needed paradigm. An active impedance controller is used to assist the generation of muscular stimulation patterns during the extension sub-phase of the knee joint movement. The generated FES patterns are appropriately tailored to achieve flexion/extension movement of the knee joint, which allows providing the required assistance by the subject through muscular stimulation. The generated torque through stimulation is tracked by a non-linear disturbance observer and fed to the impedance controller to generate the desired trajectory that will be tracked using a standard proportional derivative controller. Findings The approach was tested in experiments with two healthy subjects. Results show satisfactory performances in terms of estimating the knee joint torque, as well as in terms of cooperation between the FES and the orthosis actuator during the execution of the knee joint flexion/extension movements. Originality/value The authors designed a new hybrid approach for the assistance of the flexion extension movement of the knee joint, which has not been studied yet. The control approach combines the use of a knee joint orthosis along with FES within an assist-as-needed paradigm.