Design of a new lower extremity orthosis for overground gait training with the WalkTrainer

A new set of lower limb orthoses was developed for the WalkTrainer project. This mobile reeducation device for paralyzed people allows overground gait training combining closed loop electrical muscle stimulation and lower limb guiding while walking. An active body weight support system offers precise body weight unloading during locomotion. A 6 DOF parallel robot moves the pelvis in any desired position and orientation. The lower extremity orthosis is composed of two key parts. First, a purely passive lightweight exoskeleton acts as the interface between the human leg and the machine. A 1 DOF knee orthotic joint is also designed to prevent hyperextension. Second, the active part - composed of a mechanical leg equipped with motors and sensors - is located behind each human leg, with its base fixed to the WalkTrainer base frame. The two kinematic chains are connected with appropriate linkages at the thigh and the ankle joint. Actuation of the hip, knee and ankle joints is thus provided for their flexion/extension axis. The active mechanism operates only within the sagittal plane and guides the ankle-foot subsystem. Thigh and shank add/abduction movements are possible and even essential since the pelvis moves in a 3D space. This achievement prevents the scissors effect while allowing natural walking motion at the other joints. This paper describes the design and development of the lower extremity orthosis. Starting from a biomechanical approach, the needed actuation and the mechanical structure are discussed as well as the interface between the patient and the robot.