Background: It has been estimated that the prevalence of Alzheimer disease (AD) and related de-

Regular use of prostheses is critical for individuals with lower limb amputations to achieve everyday mobility, maintain physical and physiological health, and achieve a better quality of life. Use of prostheses is influenced by numerous factors, with prosthetic design playing a critical role in facilitating mobility for an amputee. Thus, prostheses design can either promote biomechanically efficient or inefficient gait behavior. In addition to increased energy expenditure, inefficient gait behavior can expose prosthetic user to an increased risk of secondary musculoskeletal injuries and may eventually lead to rejection of the prosthesis. Consequently, researchers have utilized the technological advancements in various fields to improve prosthetic devices and customize them for user specific needs. One evolving technology is powered prosthetic components. Presently, an active area in lower limb prosthetic research is the design of novel controllers and components in order to enable the users of such powered devices to be able to reproduce gait biomechanics that are similar in behavior to a healthy limb. In this case series, we studied the impact of using a powered knee-ankle prostheses (PKA) on two transfemoral amputees who currently use advanced microprocessor controlled knee prostheses (MPK). We utilized outcomes pertaining to kinematics, kinetics, metabolics, and functional activities of daily living to compare the efficacy between the MPK and PKA devices. Our results suggests that the PKA allows the participants to walk with gait kinematics similar to normal gait patterns observed in a healthy limb. Additionally, it was observed that use of the PKA reduced the level of asymmetry in terms of mechanical loading and muscle activation, specifically in the low back spinae regions and lower extremity muscles. Further, the PKA allowed the participants to achieve a greater range of cadence than their predicate MPK, thus allowing them to safely ambulate in variable environments and dynamically control speed changes. Based on the results of this case series, it appears that there is considerable potential for powered prosthetic components to provide safe and efficient gait for individuals with above the knee amputation.

Many manipulation tasks require coordinated motions for arm and fingers. Complexity increases when the task requires to control for the force at contact against a non-flat surface; This becomes even more challenging when this contact is done on a human. All these challenges are regrouped when one, for instance, massages a human limb. When massaging, the robotic arm is required to continuously adapt its orientation and distance to the limb while the robot fingers exert desired patterns of forces and motion on the skin surface. To address these challenges, we adopt a Dynamical System (DS) approach that offers a unified motion-force control approach and enables to easily coordinate multiple degrees of freedom. As each human limb may slightly differ, we learn a model of the surface using support vector regression (SVR) which enable us to obtain a distance-to-surface mapping. The gradient of this mapping, along with the DS, generates the desired motions for the interaction with the surface. A DS-based impedance control for the robotic fingers allows to control separately for force along the normal direction of the surface while moving in the tangential plane. We validate our approach using the KUKA IIWA robotic arm and Allegro robotic hand for massaging a mannequin arm covered with a skin-like material. We show that our approach allows for 1) reactive motion planning to reach for an unknown surface, 2) following desired motion patterns on the surface, and 3) exerting desired interaction forces profiles. Our results show the effectiveness of our approach; especially the robustness toward uncertainties for shape and the given location of the surface.