This paper introduces a new device for gait rehabilitation, the gait propulsion trainer (GPT). It consists of two main components (a stationary device and a wearable system) that work together to apply periodic stance-phase resistance as the user walks overground. The stationary device provides the resistance forces via a cable that tethers the user's pelvis to a magnetic-particle brake. The wearable system detects gait events via foot switches to control the timing of the resistance forces. A hardware verification test confirmed that the GPT functions as intended. We conducted a pilot study in which one healthy adult and one stroke survivor walked with the GPT with increasing resistance levels. As hypothesized, the periodic stance-phase resistance caused the healthy participant to walk asymmetrically, with greatly reduced propulsion impulse symmetry; as GPT resistance increased, the walking speed also decreased, and the propulsion impulse appeared to increase for both legs. In contrast, the stroke participant responded to GPT resistance by walking faster and more symmetrically in terms of both propulsion impulse and step length. Thus, this paper shows promising results of short-term training with the GPT, and more studies will follow to explore its long-term effects on hemiparetic gait.

Many mechanical devices and robots operate in home environments, and they offer rich experiences and valuable functionalities for human users. When these devices interact physically with humans, additional care has to be taken in both hardware and software design to ensure that the robots provide safe and meaningful interactions. It is advantageous to have the robots be customizable so users could tinker them for their specific needs. There are many robot platforms that strive toward these goals, but the most successful robots in our world are either separated from humans (such as in factories and warehouses) or occupy the same space as humans but do not offer physical interactions (such as cleaning robots). In this thesis, we envision a suite of assistive robotic devices that assist people in their daily, physical tasks. Specifically, we begin with a hybrid force display that combines a cable, a brake, and a motor, which offers safe and powerful force output with a large workspace. Virtual haptic elements, including free space, constant force, springs, and dampers, can be simulated by this device. We then adapt the hybrid mechanism and develop the Gait Propulsion Trainer (GPT) for stroke rehabilitation, where we aim to reduce propulsion asymmetry by applying resistance at the user’s pelvis during unilateral stance gait phase. Sensors underneath the user’s shoes and a wireless communication module are added to precisely control the timing of the resistance force. To address the effort of parameter tuning in determining the optimal training scheme, we then develop a learning-from-demonstration (LfD) framework where robot behavior can be obtained from data, thus bypassing some of the tuning effort while enabling customization and generalization for different task situations. This LfD framework is evaluated in simulation and in a user study, and results show improved objective performance and human perception of the robot. Finally, we apply the LfD framework in an upper-limb therapy setting, where the robot directly learns the force output from a therapist when supporting stroke survivors in various physical exercises. Six stroke survivors and an occupational therapist provided demonstrations and tested the autonomous robot behaviors in a user study, and we obtain preliminary insights toward making the robot more intuitive and more effective for both therapists and clients of different impairment levels. This thesis thus considers both hardware and software design for robotic platforms, and we explore both direct and indirect force modulation for human-assistive technologies.

Knee osteoarthritis is a progressive degenerative disease that has been linked to knee loading. Targeted gait intervention with biofeedback to decrease joint loading is a potential conservative treatment strategy. Here we describe a method to evaluate the efficacy of vibrotactile feedback outside of a constrained laboratory setting.

Clever electromechanical design is required to make the force feedback delivered by a kinesthetic haptic interface both strong and safe. This paper explores a onedimensional haptic force display that combines a DC motor and a magnetic particle brake on the same shaft. Rather than a rigid linkage, a spooled cable connects the user to the actuators to enable a large workspace, reduce the moving mass, and eliminate the sticky residual force from the brake. This design combines the high torque/power ratio of the brake and the active output capabilities of the motor to provide a wider range of forces than can be achieved with either actuator alone. A prototype of this device was built, its performance was characterized, and it was used to simulate constant force sources and virtual springs and dampers. Compared to the conventional design of using only a motor, the hybrid device can output higher unidirectional forces at the expense of free space feeling less free.