This paper is based on work from the Global Research, Innovation, and Education on Assistive Technology (GREAT) Summit that was coordinated by WHO’s Global Cooperation on Assistive Technology (GATE). The purpose of this paper is to describe the needs and opportunities embedded in the assistive product lifecycle as well as issues relating to the various stages of assistive product mobilization worldwide. The paper discusses assistive technology product terminology and the dangers of focusing on products outside the context and rolling out products without a plan. Additionally, the paper reviews concepts and issues around technology transfer, particularly in relation to meeting global needs and among countries with limited resources. Several opportunities are highlighted including technology advancement and the world nearing a state of readiness through a developing capacity of nations across the world to successfully adopt and support the assistive technology products and applications. The paper is optimistic about the future of assistive technology products reaching the people that can use it the most and the excitement across large and small nations in increasing their own capacities for implementing assistive technology. This is expressed as hope in future students as they innovate and in modern engineering that will enable assistive technology to pervade all corners of current and potential marketplaces. Importantly, the paper poses numerous topics where discussions are just superficially opened. The hope is that a set of sequels will follow to continue this critical dialog.

This paper applies a robotics-inspired approach to derive a low-dimensional forward-dynamic hybrid model of human walking in the sagittal plane. The low-dimensional model is derived as a subdynamic of a higher-dimensional anthropomorphic hybrid model. The hybrid model is composed of models for single support (SS) and double support (DS), with the transition from SS to DS modeled by a rigid impact to account for the impact at heel-contact. The transition from DS to SS occurs in a continuous manner. Existing gait data are used to specify, via parametrization, the low-dimensional model that is developed. The primary result is a one-degree-of-freedom model that is an exact subdynamic of the higher-dimensional anthropomorphic model and describes the dynamics of walking. The stability properties of the model are evaluated using the method of Poincaré. The low-dimensional model is validated using the measured human gait data. The validation demonstrates the observed stability of the measured gait.

Semi-active systems using magnetorheological fluids have been realized in many novel devices such as linear dampers, rotary dampers, brakes, and so on. Rotary vane-type magnetorheological damper is one such device that uses magnetorheological fluid as a hydraulic medium and a controllable magnetorheological valve to generate variable resistance. This device, due to its limited angle motion, lends itself to a natural application for prosthetic knee joint. In this article, a bypass rotary vane-type magnetorheological damper suitable for prosthetic knee device is designed. In the proposed design, the rotary vane chamber and the bypass magnetorheological valve are connected using hydraulic cables and ports. The design of rotary cylinder is implemented based on the largest possible dimensions within the envelope of a healthy human knee, while the magnetorheological valve is designed optimally using a multi-objective genetic algorithm optimization. Off-state braking torque, induced on-state braking torque and mass of the valve are selected as three objectives. The torque and angular velocity requirements of the normal human knee are used as design limits. The optimal solution is chosen from the obtained Pareto fronts by prioritizing the objective of weight reduction of magnetorheological valve. The optimal solution is capable of producing a damping torque of 73 Nm at a design speed of 8.4 rpm and current supply of 1.9 A. Potential benefits offered by this design when compared with multi-plate magnetorheological brake are flow mode operation, large clearance gap, and fewer design components, thus reducing the manufacturing complexity.

A Knee-Ankle-Foot orthosis (KAFO) is used as a supportive device by individuals with lower limb disability. A type of KAFO that allows knee flexion-extension is prescribed for people who need knee stability in the transverse and frontal planes. In such an orthosis, mimicking the human knee motion is vital to avoid relative motion (called pistoning) between the limb and the orthosis. A four-bar mechanism, owing to its polycentric nature, simplicity and ease of fabrication can provide a customizable, biomimetic solution. This paper presents an improved and robust optimization approach to synthesize a four-bar mechanism to closely mimic the anatomical knee motion. The reference human knee centrode is obtained from literature. A genetic algorithm is used for optimal synthesis of the fourbar mechanism. Results show that the average error between the reference centrode and the centrode of the synthesized four-bar mechanism is very small (0.2 mm). Thus, the synthesized crossed four-bar linkage can reproduce better anthropomorphic characteristics of the knee joint. The methodology can be used for the design of customized orthotic knee joints for KAFOs and knee braces.