In highly mobile workplaces, wearable walking-assistant devices reduce muscle fatigue in workers’ lower extremities and increase energy efficiency. In our study, we verify this following the development of an ultralight wearable hip exoskeleton for industrial workers. Ten healthy male adults participated in this study, and their muscle activity, muscle fatigue, and energy expenditure were compared with and without a device while walking on a treadmill and going up stairs. While walking on a treadmill with the assistive device, muscle fatigue in the gastrocnemius decreased by 79.5%, and oxygen uptake and energy expenditure per minute decreased by 7.9% and 7.4%, respectively. While climbing stairs with the assistive device, muscle fatigue of the tibialis anterior decreased by 83.5%, average muscle activity of the rectus femoris, semitendinosus, and gastrocnemius muscles decreased significantly, and oxygen uptake and energy expenditure decreased by 14% and 12.9% per minute, respectively. We confirm that an ultralight wearable hip exoskeleton helps the wearer reduce lower-limb muscle fatigue and use metabolic energy more efficiently. The results of this study are intended as basic data to expand the use of ultralight wearable hip exoskeletons at industrial sites and to improve device performance.
In this study, we developed a unilateral knee actuated exoskeletal gait orthosis (KAEGO) for hemiplegic patients to conduct gait training in real-world environments without spatial limitations. For this purpose, it is crucial that the controller interacts with the patient’s gait intentions. This study newly proposes a simple gait control strategy that detects the gait state and recognizes the patient’s gait intentions using only the motion information of the lower limbs obtained from an embedded inertial measurement units (IMU) sensor and a knee angle sensor without employing ground reaction force (GRF) sensors. In addition, a torque generation method based on negative damping was newly applied as a method to determine the appropriate amount of assistive torque to support flexion or extension movements of the knee joint. To validate the performance of the developed KAEGO and the effectiveness of our proposed gait control strategy, we conducted walking tests with a hemiplegic patient. These tests included verifying the accuracy of gait recognition and comparing the metabolic cost of transport (COT). The experimental results confirmed that our gait control approach effectively recognizes the patient’s gait intentions without GRF sensors and reduces the metabolic cost by approximately 8% compared to not wearing the device.
This paper presents the design process and driving performance test results of a power-assist module to which a cycloidal reducer is applied in order to convert a manual wheelchair into an electric wheelchair. The types of electrification modules currently used to electrify manual wheelchairs include front-mounted, rear-mounted, and powered wheels. These assist devices are either difficult to carry and transport independently or require excellent hand dexterity to operate. To overcome this problem, a cycloidal reducer with no pin roller, and a novel cycloidal curve were designed to develop a small and easy-to-handle power-assist module that was tested by installing this reducer to a manual wheelchair. As a result of the test, the maximum speed of the wheelchair was 6 km/h, the maximum slope that this wheelchair can climb is 20%, and 0.358 Ah was consumed while the wheelchair moved 360 m in the current consumption test. This showed that it is possible to develop a small-sized power-assist module. In addition, the user can easily electrify the manual wheelchair by adding a small weight without replacing the manual wheel. The power-assist module consists of a DC servo motor, cycloidal reducer, battery, and joystick.
The most common aftereffect of severe burns in patients is hypertrophic scarring. Hypertrophic scars typically form following severe burns; it refers to excessive collagen production in the dermal layer during the healing process, resulting in an abnormal raised scar. Currently, practical treatments for suppressing hypertrophic scars include laser therapy, pressure therapy, and the application of silicone sheets for moisture retention. The most extensively used treatment involves compression therapy using specially designed garments for the affected areas. However, this method has limitations when applied to curved surfaces like the face. To address this issue, three-dimensional (3D) scanning and 3D printing techniques have been actively developed for face masks and have shown promising clinical results. Unfortunately, current facial masks under development lack a sensor system to measure pressure, making it difficult to ensure consistent and appropriate pressures during clinical trials. In this study, we have developed a burn pressure mask capable of real-time pressure monitoring. The facial mask developed in this study utilizes an FSR-type sensor to measure the pressure applied to the skin. We have also embedded electrical wires within the mask to enhance its comfort and wearability. For this study, two patients wore the facial mask with real-time pressure measurement capabilities for 4 weeks in 12 h per day on average. We evaluated whether the mask maintained the appropriate pressure range (15–25 mmHg) throughout the clinical trial and whether it effectively inhibited scar formation. Through the analysis of recorded pressure signal data, we confirmed that the patients consistently maintained the appropriate pressure while wearing the mask during the clinical trial. Additionally, we observed significant differences in skin moisture levels, transepidermal water loss, and scar thickness before and after the experiment. These findings suggest that the facial mask, featuring real-time monitoring capabilities, effectively prevents the formation of hypertrophic scars.