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272                             Georgios A. Bertos and Evangelos G. Papadopoulos



























          Fig. 21 Self-contained powered knee and ankle transfemoral prosthesis. (From
          Varol, H.A., Sup, F., Goldfarb, M., 2010. Multiclass real-time intent recognition of a
          powered lower limb prosthesis. IEEE Trans. Biomed. Eng. 57(3), 542–551. https://doi.
          org/10.1109/TBME.2009.2034734.)

          provides net energy during walking, and also identifies the intended uses that
          the amputee wants to perform. The controller state chart and classification
          results of the intended states are shown in Figs. 22 and 23 respectively.



          6.5 Artificial Intelligence—Pattern Recognition—Machine
               Learning—Synergies

          A new research thread has been developed aiming to use pattern recognition
          and machine learning on identifying the intentions of the amputee (i.e.,
          ascend or descend stairs, walking). This is in the right direction with the
          seamless need of transition between intended states that we have stated in
          Sections 2.1.1 and 2.1.3. An example of this research is the work done
          by Simon et al. (2016, 2017), Spanias et al. (2014, 2016a,b, 2017, 2018),
          and Woodward et al. (2016). Using a third generation powered knee-ankle
          prosthesis designed by the Vanderbilt University (Lawson et al., 2010; Sup
          et al., 2009a), inputs from different sensors (mechanical sensor data including
          axial load, ankle and knee angles, velocities, and EMGs) were used to trigger
          transitions between the following states: stand, walk on level ground,
          ascend/descend a ramp, and ascend/descend stairs. An overview of the adap-
          tive algorithm is shown in Fig. 24.
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