Modular Exoskeleton for Cerebral Palsy Gait Training

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Solution Overview

Problem

Patients with cerebral palsy face challenges in standing and walking due to muscle tone and motor skill impairments, leading to risk of motor function loss and muscle atrophy, requiring innovative methods and apparatus to aid in balance, posture, and muscle engagement.

Innovation Solution

A modular exoskeleton system providing progressive support from the lower back to the feet, comprising a rigid back, external leg and foot supports, and body fasteners, configured to maintain a normal walking pattern, engage leg adductor muscles, and allow for adjustable degrees of motion, including hip flexion, knee bending, and ankle movement, with optional motorized or non-motorized assistance.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If a patient with cerebral palsy attempts to stand and walk independently, then motor function and muscle strength may be maintained, but the patient experiences exaggerated muscle contraction, unyielding limbs, and involuntary movements that prevent normal walking

Engineering Contradiction:
Improvemotor function maintenanceVSAvoidwalking ability
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The exoskeleton acts as an intermediary device between the patient's impaired motor control and the desired walking motion. It provides mechanical guidance and support to the limbs, enabling normal gait patterns despite the patient's inability to voluntarily control muscle contraction and relaxation.

Inventive Principle:
Principle #24Intermediary (Mediator)

Solution Approach 2:

The system changes the physical parameters of limb movement by providing external mechanical support and guidance. The exoskeleton structures modify the stiffness and range of motion parameters of the patient's limbs, transforming unyielding limbs into controllable, moving segments that can follow normal walking patterns.

Inventive Principle:
Principle #35Parameter changes

2Stability of the object's composition

If the exoskeleton provides full support to stabilize the patient, then balance and posture are maintained, but the patient's muscles may become dependent and fail to engage properly

Engineering Contradiction:
Improvebalance and postureVSAvoidmuscle engagement capability
Core Design Contradiction:
Stability of the object's compositionVSAdaptability or versatility

Solution Approach 1:

The exoskeleton transitions from a static, fully supportive structure to a dynamic system that progressively reduces support as the patient's abilities improve. The device adapts its level of assistance, allowing muscle engagement to increase over time while maintaining balance and posture during the learning process.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The system performs preliminary stabilization actions to establish proper balance and posture before requiring the patient's muscles to engage independently. By initially providing full support to maintain correct alignment, the system creates a stable foundation from which muscle engagement can gradually develop.

Inventive Principle:
Principle #10Preliminary action

3Manufacturing precision

If the exoskeleton uses rigid structures to prevent deviation from normal walking pattern, then gait correction is achieved, but the system becomes complex and difficult to adjust

Engineering Contradiction:
Improvegait pattern accuracyVSAvoidsystem structure
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The exoskeleton is divided into separate modular components that can be independently adjusted and configured. This segmentation allows each segment to be optimized for specific gait correction functions while simplifying overall system adjustment and adaptation to individual patient needs.

Inventive Principle:
Principle #1Segmentation

Data Source

PatentUS11452660B2Apparatus and method of training human brain and body to walk using modular an exoskeleton
Publication Date: 2022.09.27 THE ARIZONA BOARD OF REGENTS ON BEHALF OF THE UNIV OF ARIZONA
  • US11452660B2 patent drawing
  • US11452660B2 patent drawing
  • US11452660B2 patent drawing

AI summary

A system and method to assist a user to overcome an interruption of service between the brain and the legs including several subsystems configured to be progressively removed to provide decreasing levels of lower trunk and leg support.