Abstract
The pelvis plays a significant role in creating smooth and efficient motion during gait. In this study, an orthosis is designed to support pelvis motion of patients with the inability to walk. This assistive device is un-powered and consists of only passive elements. By focusing on the motion of the lower extremities during treadmill walking, a 3D dynamic model of the human body is simulated through a coupled optimization process. Based on two approaches of direct and inverse dynamics, the optimization problems are defined to derive optimum structural parameters of the pelvic orthosis. The optimization results of the direct dynamics problem indicate good matches between the optimized time plots of pelvis rotations with corresponding desired ones. Moreover, by solving the inverse dynamics problem, the minimum value of torque vector of the hip joint of the stance leg during a gait cycle is obtained. Furthermore, by utilizing a prototype of the orthosis, preliminary experiments are conducted on a normal user to validate the model and to investigate the feasibility of using the device for rehabilitation. For this purpose, the rotational movements of the pelvis and energy consumption of the subject in two cases with and without the device are compared during gait on a treadmill. Decreased energy consumption and the compliant motion of the pelvis while using the device verify simulation results and confirm the favorable performance of the assistive device for pelvic support during walking rehabilitation.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig2_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig3_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig4_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig5_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig6_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig7_HTML.jpg)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig8_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig9_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig10_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs42235-022-00315-9/MediaObjects/42235_2022_315_Fig11_HTML.png)
Similar content being viewed by others
Data Availability
The datasets generated and/or analyzed during the current study are available upon reasonable request from the corresponding author.
References
Brotherton, S. S., Krause, J. S., & Nietert, P. J. (2007). Falls in individuals with incomplete spinal cord injury. Spinal Cord, 45, 37–40.
Li, S., Francisco, G. E., & Zhou, P. (2018). Post-stroke hemiplegic gait: New perspective and insights. Frontiers in Physiology, 9, 1021.
Zhao, X., Xiao, J. L., Sun, Y., Zhu, Z., Xu, M., Wang, X. N., Lin, F., Wang, Y., & Wang, J. C. (2018). Novel 3D printed modular hemipelvic prosthesis for successful hemipelvic arthroplasty: A case study. Journal of Bionic Engineering, 15, 1067–1074.
Dong, E., Iqbal, T., Fu, J., Li, D., Liu, B., Guo, Z., Cuadrado, A., Zhen, Z., Wang, L., & Fan, H. (2019). Preclinical strength checking for artificial pelvic prosthesis under multi-activities—A case study. Journal of Bionic Engineering, 16, 1092–1102.
Neptune, R. R., Kautz, S. A., & Zajac, F. E. (2001). Contributions of the individual ankle plantar flexors to support, forward progression and swing initiation during walking. Journal of Biomechanics, 34, 1387–1398.
Inman, V., Ralston, H., & Todd, F. (1981). Human Walking. Edwin Mellen, New York.
Penycott, A., Wyss, D., Vallery, H., & Riener, R. (2011). Effects of added inertia and body weight support on lateral balance control during walking. IEEE International Conference on Rehabilitation Robotics, Zurich, Switzerland.
Zhao, L. Y., Zhang, L. X., Wang, L., & Wang, J. (2005). Three-dimensional motion of the pelvis during human walking. International Conference on Mechatronics & Automation, Niagara Falls, Canada, pp. 335–339.
Perry, J. (2010). Gait Analysis: Normal Pathological Function (2nd ed.). Slack Incorporated, Thorofare.
Behrman, A., & Harkema, S. (2000). Locomotor training after human spinal cord injury: A series of case studies. Physical Therapy, 80, 688–700.
Aoyagi, D., Ichinose, W. E., Harkema, S. J., Reinkensmeyer, D. J., & Bobrow, J. E. (2005). An assistive robotic device that can synchronize to the pelvic motion during human gait training. Proceedings of 9th International Conference on Rehabilitation Robotics, Chicago, USA, pp. 565–568.
Stauffer, Y., Allemand, Y., Bouri, M., Fournier, J., Clavel, R., Metrailler, P., Brodard, R., & Reynard, F. (2008). Pelvic motion measurement during over ground walking, analysis and implementation on the WalkTrainer reeducation device. Proceedings of International Conference on Intelligent Robots and Systems, Nice, France, 2362–2367.
Pietrusinski, M., Cajigas, I., Mizikacioglu, Y., Goldsmith, M., Bonato, P., & Mavroidis, C. (2010). Gait rehabilitation therapy using robot generated force fields applied at the pelvis. Proceedings of Haptics Symposium, Waltham, USA, pp. 401–407.
Luu, T. P., Lim, H. B., Qu, X., & Low, K. H. (2011). Pelvic motion assistance of NaTUre-gaits with adaptive body weight support. Proceedings of 8th Asian Control Conference, Kaohsiung, Taiwan, 950–955.
Jung, C. Y., Choi, J. H., Park, S. S., Lee, J. M., Kim, C. W., & Kim, S. J. (2014). Design and control of an exoskeleton system for gait rehabilitation capable of natural pelvic movement. IEEE/RSJ International Conference on Intelligent Robots and Systems, Chicago, USA, 2095–2100.
Mun, K. R., Guo, Z., & Yu, H. Y. (2015). Development and evaluation of a novel overground robotic walker for pelvic motion support. IEEE International Conference on Rehabilitation Robotics (ICORR), Singapore, 95–100.
Kang, J., Martelli, D., Vashista, V., Martinez-Hernandez, I., Kim, H. Y., & Agrawal, S. K. (2017). Robot-driven downward pelvic pull to improve crouch gait in children with cerebral palsy. Science Robotics, 2, eaan2634.
Ji, J. C., Guo, S., & Xi, F. F. (2018). Force analysis and evaluation of a pelvic support walking robot with joint compliance. Journal of Healthcare Engineering, 2018, Article ID 9235023.
Wyss, D., Pennycott, A., Bartenbach, V., Riener, R., & Vallery, H. (2019). A MUltidimensional Compliant Decoupled Actuator (MUCDA) for pelvic support during gait. IEEE/ASME Transactions on Mechatronics, 24, 164–174.
Son, C. G., Lee, A., Lee, J. K., Kim, D. E., Kim, S. J., Chun, M. H., & Choi, J. H. (2021). The effect of pelvic movements of a gait training system for stroke patients: a single blind, randomized, parallel study. Journal of Neuroengineering and Rehabilitation, 18.
Hwang, S. G., Lee, S. C., Shin, D. B., Baek, I. H., Ham, S. Y., & Kim, W. S. (2022). Development of a prototype overground pelvic obliquity support robot for rehabilitation of hemiplegia gait. Sensors (Basel), 22, PMID: 35408083.
Kirtley, C. (2006). Clinical gait analysis: Theory and practice. Churchill Livingstone.
Bernhardt, M., Frey, M., Colombo, G., & Riener, R. (2005). Hybrid force-position control yields cooperative behaviour of the rehabilitation robot LOKOMAT. 9th International Conference on Rehabilitation Robotics, Chicago, USA, 336–339.
Veneman, J. F., Kruidhof, R., Hekman, E. E. G., Ekkelenkamp, R., Van Asseldonk, E. H. F., & van der Kooij, H. (2007). Design and evaluation of the LOPES exoskeleton robot for interactive gait rehabilitation. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 15, 379–386.
Baker, R. (2001). Pelvic angles: A mathematically rigorous definition which is consistent with a conventional clinical understanding of the terms. Gait & Posture, 13, 1–6.
McGill, D. J., & King, W. W. (1989). An introduction to dynamics. PWS-KENT Pub Co, Boston, USA.
Mokhtarian, A., Fattah, A., & Agrawal, S. K. (2013). An assistive passive pelvic device for gait training and rehabilitation using locomotion dynamic model. Indian Journal of Science and Technology, 6, 4168–4181.
Winter, D. A. (2009). Biomechanics and motor control of human movement (p. 86). John Wiley & Sons.
Arora, J. (2004). Introduction to optimum design (pp. 285–287). Academic Press.
Wu, C. H. (2005). Physiological cost index of walking for normal adults. Special Education and Rehabilitation Journal, 96, 1–19.
Acknowledgements
The authors highly appreciate the Department of Rehabilitation Sciences of Isfahan University of Medical Sciences which greatly assisted the research. We also would like to thank Hamed Mojiri for assisting us to fabricate a prototype.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
On behalf of all authors, the corresponding author declares that there is no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Mokhtarian, A., Fattah, A. & Keshmiri, M. Design and Fabrication of a Passive Pelvic Orthosis for Treadmill Walking Rehabilitation. J Bionic Eng 20, 1036–1048 (2023). https://doi.org/10.1007/s42235-022-00315-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s42235-022-00315-9