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It seems like something straight out of a science fiction movie: humans wearing bionic technology to move more easily.

However, a 51��Ʒ��Ƶ team is turning fiction into a reality by helping people with paraplegia regain or improve mobility using robotic technology.

The team recently created a .��The hybrid aspect comes from the two types of technology being used in this project, with electrodes sending ultrasound noninvasively to make paralyzed muscles work while the battery-powered exoskeleton provides additional support to promote movement.

“We’re trying to create a situation where the patient controls the exoskeleton, not the other way around,” said , associate professor of mechanical engineering and materials science in 51��Ʒ��Ƶ’s  and the team’s principal investigator.

Peter Ahwesh, who grew up in 51��Ʒ��Ƶsburgh and graduated from 51��Ʒ��Ƶ in 1995 with a bachelor’s degree in history, participated in Sharma’s study last year, before moving to North Carolina.

Ahwesh walked in the exoskeleton with balance support from a rolling walker. He has an incomplete spinal cord injury, meaning he has partial yet weakened movement of his legs.

While Ahwesh said he didn’t find the prototype especially comfortable, he said the research being done is fantastic. He walked in the exoskeleton before the Sharma Lab worked with ultrasound.

“I appreciate the research they’re doing at the Sharma Lab. There aren’t many places doing such a thing to improve people’s lives with these devices,” said Ahwesh.

Current rehabilitative technologies predict remaining muscle function and how much assistance is needed for muscle movement, a process called electromyography. Correctly measuring how much assistance any rehabilitative device should provide is a challenge with this method, as it is limited to large muscle groups.��

However, Sharma’s research uses ultrasound, rather than electricity, delivered through sensors placed on the body. This aims to more accurately measure how much movement a target muscle group can generate. Ultrasound stimulates the tissue beneath the skin’s surface using high-frequency sound waves that cannot be heard by humans.

While the ultimate goal is to coordinate muscle movement for the entire leg, Sharma’s team is focusing on the ankle for now because it is “much more complicated” than other parts of the leg, Sharma said.

“Unlike the knee joint which moves in one direction, the ankle can be flexed in multiple directions and different muscles activate that joint,” Sharma said. “With electromyography, it’s very challenging because there is no correct place to put these sensors, so we want to use ultrasound to figure that out.”

Also on the research team are , associate professor of medicine and bioengineering at 51��Ʒ��Ƶ and the Heart and Vascular Institute at UPMC, and , medical director of the and associate professor in 51��Ʒ��Ƶ’s .��The project will also use technology from 51��Ʒ��Ƶ’s to further its progress.

The project is being funded by a $509,060 CAREER award from the .��

Moving forward

The prototype exoskeleton is being developed at 51��Ʒ��Ƶ’s , also known as the Sharma Lab, and is wired to a power source. The final product will be able to function with a portable battery. In addition, the team is working on designs that will integrate these exoskeletons with wheelchairs other mobility technologies.

Sharma said the team will next find out whether the exoskeleton affects neurological behavior and muscle mass in the legs. The team also aims to slim down the 17 kilogram (37.5 pounds) prototype to make the exoskeleton more user friendly.

“We added knee motors to the design, making it heavier. But we will be replacing many of our parts with aluminum and carbon fiber parts in the near future, so we are targeting a weight of under 12 kilograms (about 26.5 pounds) with the upgrades,” said Albert Dodson, a research associate in the Sharma Lab.

“Exoskeletons are heavy, so what we’re proposing is that since people will be using their muscles, you don’t need these big exoskeletons,” Sharma said. “And if you use both your own muscles and these exoskeletons, you could also save power and walk for longer periods of time.”

“The research needs to keep moving,” Ahwesh said, “but it’s great they’re doing this at 51��Ʒ��Ƶ.”