1.2 Spine of the Adolescent Idiopathic
Scoliosis (AIS)
A scoliosis curve usually looks a bit like a backward
C shape and involves the spine bending sideways to
the right, which is also called dextroscoliosis. Side-
ways spinal curvature on the left side of the back is
more like a regular C shape and called levoscoliosis.
Scoliosis is categorized into several types depending
on the cause and age of the curve development, 2%
to 3% of the population suffer from scoliosis (Ander-
son, 2007). There are four common types of scolio-
sis curves: right thoracic curve, right thoracolumbar
curve, right lumbar curve, double major curve. The
two parts affected by scoliosis are the thorax and lum-
bar regions.
To measure coronal plane deformity on antero
posterior plain radiographs in the classification of sco-
liosis Cobb angle is used. Cobb angle is defined as the
angles formed between a line drawn parallel to the su-
perior endplate of one vertebra above the fracture and
a line dawn parallel to the inferior endplate of the ver-
tebra one level below the fracture (Fig. 1).
A diagnosis of scoliosis is confirmed when the
Cobb angle, (J. Zhang, 2009) (Behairy, 2000) (Cobb,
1984) (Delorme, 2000), is 10 degrees or greater,
which is measured through a standard radiographic
examination. x-rays of the entire spine are taken to
evaluate the front and side curvature. The Cobb an-
gle is used on x-rays to measure the angle between
the most angulated vertebrae that make up the cur-
vature , (Longstein, 1994) (A. H. W. V. Eeuwijk,
2006) (Lafage, 2004). Lines are drawn on the x-rays
or a computer program assists to calculate the angle.
Most scoliosis curves are between 10 to 40 degrees in
magnitude. Although radiographic measurements are
used to decide treatment, a small degree of error ex-
ists when comparing radiographs. A change of 5 de-
grees is usually needed to document an actual change
in curve progression.
Treatment options for idiopathic scoliosis could
include: observation, bracing (Schiller and Eberson,
2010) (Aulisa and Aulisa, 2014) and surgery. Bracing
is the application of external corrective forces onto the
spine and trunk. It can be rigid or flexible. But con-
ventional rigid braces present some limitations: dif-
ficult to move, lower self-esteem, more fatigue and
lower compliance, heavy and non-breathable and un-
comfortable.
These braces are designed to be worn 16 to 23
hours a day. And as the child grows, the required ex-
ternal forces to correct the abnormal posture change
along the length of the curve and over the course of
treatment. Our objective is to achieve a dynamic bra-
ce. It is actuated by 2 motors placed on adjacent
rings to control the force or position applied on the
human body. In this paper we propose to investigate
the kinematics design of a vertebral column for hu-
man. Three kinds of experiments are carried out, first
experiment of spine in the sagittal plane, second ex-
periment in coronal plane and third experiment in ax-
ial plane. Simulations of experiments let to choose
the motors of the dynamic brace.
The paper is organized as follows. Section II is
dedicated to trajectory planning and inverse kinemat-
ics of human model in sagittal plane. Section III pro-
poses a dynamics model for the human spine. Section
IV describes the kinematics of the parallel mechanism
proposed to correct the posture of spine affected by
(AIS). Section V is devoted to conclusion and per-
spectives.
2 TRAJECTORY PLANNING AND
INVERSE KINEMATICS OF
HUMAN MOTION
2.1 Model of Human
A spine is a complex remarkable mechanical struc-
ture optimized by thousands generations of humans.
It transmits the weight of the upper body to the pelvis
and is subjected to internal forces whose magnitudes
are many times the entire body weight depicts the hu-
man model used for simulation in the sagittal plane
(y,z). The model is constituted by rectangular seg-
ments, namely head, trunk, pelvis, femurs, tibias and
arms. Masses and heights of the different body parts
are derived from a human kid-size model. Total
height is 1.40 [m]. Total mass is M
T
=40[Kg] without
pitch joints in the vertebral column.
This mass increases by 0.01 M
T
for each pitch
joint. The mass of the thorax is equal to the mass
of the trunk when the robot has no articulated spine.
Table 1: Masses and heights of body parts.
Part Masses [Kg] Height [m]
Head 0.08M
T
0.07H
T
Arms(2) 0.1M
T
0.47H
T
Tibias(2) 0.12M
T
0.27H
T
Thighs(2) 0.18M
T
0.22H
T
Pelvis 0.02M
T
0.04H
T
Trunk (0.5+0.01δ
j
) M
T
0.4H
T
Pitch joint 0.01 M
T
1
12
H
Trunk
Lumbar part N
v
0.01 M
T
H
Trunk
− H
T horax
Thorax M
Trunk
(1- N
v
1
12
)H
Trunk
ICINCO 2017 - 14th International Conference on Informatics in Control, Automation and Robotics
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