Daniel Baechle Thesis
Daniel Baechle Thesis
by
Daniel M. Baechle
Spring 2013
by
Daniel M. Baechle
Approved: __________________________________________________________
Sunil K. Agrawal, Ph.D.
Professor in charge of thesis on behalf of the Advisory Committee
Approved: __________________________________________________________
Suresh G. Advani, Ph.D.
Chair of the Department of Mechanical Engineering
Approved: __________________________________________________________
Babatunde A. Ogunnaike, Ph.D.
Dean of the College of Engineering
Approved: __________________________________________________________
James G. Richards, Ph.D.
Vice Provost for Graduate and Professional Education
ACKNOWLEDGMENTS
his patience and expertise offered in helping me complete this project. His advice was
invaluable in helping me solve the robotics problems involved in this thesis, a field
which was entirely new to me when I started this project. He had faith in me at times
I would also like to thank my committee members, Dr. Ioannis Poulakakis and
Dr. Herbert Tanner for examining my thesis dissertation and providing their insights
I offer my sincere thanks to my team leader Eric Wetzel at the U.S. Army
Research Laboratory. His original ideas have motivated my work efforts throughout
the years, and his application of technical expertise to the benefit of the soldier
I cannot thank Dr. Ying Mao enough for his assistance throughout this project.
Without his advice, I could not have completed this project. Dr. Mao had nearly
completed his Ph. D when I was starting my thesis. He had no obligation to help me
after completing his Ph. D and starting a job far away, but continued to offer advice
whenever I asked.
and experiments, and I would be remiss not to thank them. In particular, I would like
to thank Xin Jin, Damiano Zanotto, Vineet Vashista, Paul Stegall, Joon Park and
iii
Through decades of example, my parents Daniel A. Baechle and Kathryn A.
Murphy taught me the strong work ethic I required to complete my classes and thesis.
Indeed, without their encouragement, teachings, and support, I would not be in the
position I am in now. I will always be grateful for all they have done for me.
And finally, I cannot thank my beautiful wife Christy Clark Baechle enough. We
were dating when I began my studies for this degree. Her patience and devotion
through my long nights and absent days helped me realize that she was indeed the one
with whom I should spend the rest of my life. My greatest reward is the extra time I
iv
TABLE OF CONTENTS
Chapter
1 INTRODUCTION .............................................................................................. 1
3 MAXFAS ......................................................................................................... 17
v
5 CONCLUSION ................................................................................................ 53
BIBLIOGRAPHY ........................................................................................................ 56
Appendix
vi
LIST OF TABLES
vii
LIST OF FIGURES
Figure 12: IR laser x-position for representative subject, scenarios 1 (top) and 5
(bottom)....................................................................................................... 14
Figure 13: Accelerometer data for representative subject, scenarios 1 (top) and 5
(bottom)....................................................................................................... 14
Figure 14: Gyroscope data for representative subject, scenarios 1 (top) and 5
(bottom)....................................................................................................... 15
Figure 15: An illustration of MAXFAS, cables shown in red for clarity ..................... 18
Figure 18: Molds ready for composite lay-up (left), composite plies (right) ............... 22
viii
Figure 19: Layup process and cable termination block for upper arm mold ................ 23
Figure 22: Outer (left) and inner (right) upper arm braces ........................................... 26
Figure 25: Shoulder cuff, tension sensors, and motors (left), and close-up of a
motor and cable reel (right)......................................................................... 29
Figure 26: Separation of voluntary and tremorous motion (top), and BMFLC
estimate of tremor signal (bottom) .............................................................. 32
Figure 33: Subject performing the aiming task while wearing the exoskeleton .......... 43
Figure 34: Average distance to target center (Rc) for MAXFAS subjects ................... 45
Figure 37: FFT analysis of joint speeds without and with motor control .................... 48
Figure 38: Average absolute rotation rates for MAXFAS subjects without and
with motor control....................................................................................... 49
Figure 39: Average absolute laser distance from center for MAXFAS subjects ......... 50
ix
ABSTRACT
Accurately aiming and firing a pistol requires a steady hand. While many
freedom, few devices actively reduce involuntary tremors while allowing larger
voluntary aiming movements. This paper details the design, fabrication, and
experimental evaluation of an arm exoskeleton that can actively damp arm tremors
eXoskeleton for Firearm Aim Stabilization) device allows five degrees of freedom,
controlling four degrees of freedom using thin steel cables. The cable-driven
architecture allows the control motors to be mounted away from the arm, resulting in
device that adds very little weight and inertia to the arm. The cables attach to braces
that are mounted on the forearm and upper arm. Weight of MAXFAS is further
reduced compared to conventional arm exoskeletons through the careful design and
manufacture of the braces using stiff, lightweight carbon fiber composites. The initial
design called for tremorous movement to be filtered out from voluntary motion, and
an adaptive algorithm to provide a tremor-cancelling signal to the cable control
motors. Experiments described in this paper involved a control method which used the
motors to only actively allow voluntary motion, thus attempting to passively damp
tremorous motion. The device was evaluated on subjects performing a pistol aiming
task, using an airsoft pistol with a laser sight. Results indicate that this simpler control
mode was effective at reducing the amplitude of motion in all five degrees of freedom.
During a simulated shooting task, this control mode improved shooting performance
x
both while subjects were wearing the device, as well as 5 minutes after removing the
device. These results will be discussed, and future experiments will be suggested.
xi
Chapter 1
INTRODUCTION
realm of science fiction to reality. The concept is simple a wearable device that can
technology was insufficient to make such a device feasible for real-world use. Early
devices such as GEs Hardiman (Figure 1), though designed to aid human
effectiveness.
1
Raytheons full-body XOS 2 (Figure 2) weighs 195 lbs and increases the
wearers strength by a factor of 17, allowing a person to lift loads that would
otherwise be difficult or impossible unaided [2]. The XOS 2 is a tethered device, with
hydraulic power supplied by cables running to equipment that must remain nearby.
Lockheed Martins HULC device (Figure 3), which has evolved from work at
titanium links with joints at the hip, knee and ankle [3]. Hydraulics provide power
assistance at the hip and knee joints. The device allows the wearer to carry up to 200
lb loads for 20 km on a single battery charge, transferring the load from the back to the
ground through the titanium links. The HULC device is currently being field-tested by
the U.S. Army to determine if the device improves metabolic efficiency of the wearer
[4].
2
Figure 3: Lockheed Martin's HULC [3]
Exoskeletons have also proven useful tools for human rehabilitation. Rather than
only increasing performance while the user is wearing the device, exoskeletons can be
used to re-train disabled people to properly use their appendages. The ALEX and
tethered leg exoskeletons for rehabilitation of stroke victims (Figure 4) [6], [7], [8].
gait path for the wearer. If the wearers leg moves perfectly along the desired path, the
ALEX device applies no force to the leg. However, if the wearers leg strays from the
desired path, the device applies a force to guide the leg onto the desired path. The
amount of applied force is governed by a virtual force tunnel around the desired
path. Studies using the ALEX device have shown that the device and control method
are effective at modifying the gait of healthy subjects and stroke patients after training
3
Figure 4: University of Delaware's ALEX (left) and ALEX II (right) devices [7], [8]
exoskeleton for rehabilitation purposes. The CAREX device uses a similar assist-as-
needed control method, using a virtual force tunnel to guide the wearers arm along a
path for a predetermined task (Figure 5) [9]. Training with the CAREX device has
been shown to improve a healthy subjects ability to follow an invisible path, even
after the force control is turned off. Critically, the mass of extra equipment on the arm
is only 1.32 kg, approximately an order of magnitude lower mass on the arm than
other arm exoskeletons for rehabilitation. These devices include BONES [10],
CADEN-7 [11], SAM [12], and RUPERT [13], seen in Figure 6 and Figure 7. These
rigid exoskeletons can compensate for the extra static weight on the arm using motors,
but the added inertia of the device caused by arm motion cannot be compensated.
performance. Even with proper alignment, the rigid exoskeleton can cause discomfort
for the wearer. Unlike typical robotic joints, arm joints do not rotate perfectly about
4
one stationary point [14]. The rigid exoskeleton can be aligned to the arm joints in one
position, but the arm joint centers can become misaligned with the robot joints during
arm movement. Such misalignment can lead to poor performance, discomfort and
5
Figure 7: SAM [12] (left) and RUPERT [13] (right)
Rocon and Pons have developed an arm exoskeleton specifically for suppression
of pathological tremors in the upper arm [15]. Their WOTAS device consists of DC
degrees-of-freedom (DOF) at the elbow and wrist (Figure 8). Though the device has
rigid links and motors mounted directly on the arm, it adds only 850 g to the arm.
MEMS gyroscopes mounted on the arm measure tremorous movement in the wearers
in the gyroscope signal, and estimates the frequency of the tremor. The DC motors
then create anti-phase movement in the arm in order to cancel the measured tremor.
Results of a small trial found the WOTAS device able to reduce tremor power by an
average of 40% for wearers with essential Parkinsonian and other pathological tremor.
6
Figure 8: WOTAS device [15]
outstretched), have also been shown to negatively affect aiming tasks [16], [17], [18].
However, accuracy when aiming and shooting a firearm depends on many factors.
These factors can be divided into three primary groups: environmental, hardware, and
environmental factors such as available light, ambient noise, and wind. Hardware has
been made as accurate as possible using special barrels, ammunition, scopes and laser
sights. However, even the most accurate firearm in an ideal environment is subject to
the human factors that affect aim, which include fatigue [19], heart rate [20], shooting
experience [21], body sway [22], and arm tremors. Some static devices attempt to
stabilize the arm and reduce tremors by reducing range of motion or degrees of
freedom [23]. Other devices attempt to reduce arm tremors using passive elements
7
essentially a gyroscope mounted to the back of the hand, intended to reduce tremors in
the hand [25]. Similarly, a rifle-mounted gyroscope to reduce small aiming errors was
gyroscopically stabilized rifle platform for the same purpose [27]. However, none of
these devices actively sense and cancel arm tremors, as in the WOTAS device.
and cancels tremorous motion in the arm of the wearer during an aiming and firing
task. Similar in functionality to the WOTAS device, adaptive filters separate
tremorous movement, allowing larger voluntary movements necessary for aiming. The
mobile arm exoskeleton for firearm aim stabilization (MAXFAS) device of this paper
is novel in several key ways. The MAXFAS device is cable-driven: motors are not
mounted on the arm, but above or behind the user. The cable-driven design allows for
a lighter exoskeleton, adding less than 280 g to the wearers arm. Carbon fiber
composite materials also make MAXFAS very low-weight, while maintaining the
structural rigidity required to control the arm. The MAXFAS device is an evolution of
the CAREX device. Unlike CAREX and WOTAS however, MAXFAS has no rigid
joint at the elbow, eliminating joint alignment issues. The MAXFAS device consists
of braces attached to the forearm and upper arm. MAXFAS allows five DOF:
away from the desired aiming position. The wrist and hand are not controlled. A
8
determine the sensing requirements of the device, and if wrist control was necessary.
This preliminary experiment will be described in the following chapter. Design of the
MAXFAS device, control system, and adaptive filter is described in later chapters,
9
Chapter 2
2.1 Experiment
Prior to designing the MAXFAS device, an experiment was performed to
evaluate key equipment and parameters to be used in the MAXFAS experiments. The
MAXFAS device required a sensor accurate enough to detect tremors in the arm.
Additionally, the MAXFAS experiments involved the subject aiming a toy pistol at a
target, and thus required the ability to track the subjects aim point on the target. The
axis gyroscope, and 3-axis magnetometer. The VN-100r also uses an on-board
processor to filter and compensate for drift in real-time. The VN-100r measures
36339 mm, and weighs only 13 g (not including power/data cable). For the
preliminary experiment, the VN-100r was attached to the handle of a toy pistol, as
seen in Figure 9. The barrel of the pistol was replaced with a 780 nm wavelength IR
laser. A visible red laser was mounted underneath the barrel, as seen in Figure 9. A
Vicon Bonita motion capture system, which operates at 780 nm, was used to track the
IR laser on a 3030 cm white target with black crosshairs, seen in Figure 10.
10
Vicon IR
camera
IR laser
Red laser
IMU
sensor
Each subject was instructed to hold the toy pistol and aim the red laser at the
target (approximately 2.5 meters from the subject) for 30 seconds in 7 different
11
scenarios. The scenarios are enumerated in Table 1, and were designed to test the
effect of static arm and wrist stabilization and constraint on arm tremor and aim. A
simple wrist brace was used to constrain the dominant wrist in scenarios 2, 3 and 6.
Subjects wrested the forearm of their dominant arm on a 140 cm tall stand in scenarios
5 and 6.
Ten right-handed subjects were tested: 9 males and 1 female. Only one subject
had any shooting experience. Figure 11 presents the standard deviation of the IR laser
x- and y-positions, averaged across all 10 subjects. As the experiment is primarily
concerned with differences in tremors between the scenarios, only standard deviation
of the aim point is presented. Accelerometer and gyroscope data from the VN-100r
was recorded to directly measure the subjects arm tremors. A representative plot of
IR laser x-position vs. time for a single subject in trials 1 and 5 can be seen in Figure
12. A representative plot of accelerometer data vs. time for a single subject in trials 1
and 5 can be seen in Figure 13. A representative plot of gyroscope data vs. time for a
12
single subject in trials 1 and 5 can be seen in Figure 14. Figure 12 illustrates the static
signal recorded by the Vicon system while the laser sat motionless and untouched,
indicating that the Vicon system can record the laser point with sub-millimeter
accuracy. Figure 13 and Figure 14 also illustrate the static signal from the
accelerometer and gyroscope, respectively, which was recorded while the VN-100r sat
13
Figure 12: IR laser x-position for representative subject, scenarios 1 (top) and 5
(bottom)
Figure 13: Accelerometer data for representative subject, scenarios 1 (top) and 5
(bottom)
14
Figure 14: Gyroscope data for representative subject, scenarios 1 (top) and 5 (bottom)
standard deviation of the IR laser aim point did not significantly decrease when the
subjects were wearing the wrist brace. This result indicates that wrist control is not a
critical factor in improving aim, and will not be necessary in the MAXFAS device.
Comparing scenarios 1 to 5 and 2 to 6 in Figure 11, it is evident that the standard
deviation of the IR laser aim point significantly decreased when the subjects rested
their dominant arm on the stand. This result can also be seen in Figure 12. This result
indicates that a device that can steady the arm during aiming will significantly
improve aim. The accelerometer data in Figure 13 indicates that the accelerometers in
the VN-100r are not sensitive enough to detect significant changes in arm tremor.
However, the gyroscope data in Figure 14 indicates that the gyroscopes are sensitive
15
enough to detect significant changes in arm tremor. As such, the gyroscopes on the
16
Chapter 3
MAXFAS
3.1 Introduction
MAXFAS is a unique arm exoskeleton designed specifically to improve aim
while adding little mass and volume to the arm. The basic concept of a cable-driven
arm exoskeleton was adapted from the CAREX device. However, whereas CAREX
used force control to guide the arm along a specified path in space, MAXFAS was
designed to allow a wider variety of large movements of the arm while actively
damping only the small tremors in the arm. This chapter details the design and
physical constraints.
exoskeleton consists of three braces: one on the anterior (inner) forearm, and one each
on the inner and outer upper arm. Six cables are used to control the arm: two cables
terminating on the forearm brace near the wrist govern flexion/extension of the
forearm. These two cables are routed through the outer upper arm brace, near the
17
elbow. Note that although forearm pronation/supination cannot be explicitly controlled
in this configuration, the location of the cable termination points on the forearm brace
and routing points of these cables on the upper arm brace constrain rotation away from
the proper aiming position when the cables are tensioned. Additionally, the forearm
brace itself constrains forearm rotation away from the proper aiming position. Cable
termination and routing points were chosen based on the CAREX design.
transmit control to the arm using cables. The shell consists of 8 plies of carbon fiber
prepreg (Cytec Cycom IM7-381). Each ply is unidirectional, having carbon fibers
running in only one direction. Ply orientation design analysis was performed using a
custom program in MATLAB. The program uses the principles of classical laminate
theory to determine the mechanical properties of any sequence of ply orientations. The
18
program was used to minimize coupling stiffnesses that can lead to undesirable
behavior under load. Manufacturer-provided ply properties used in the program can be
45/90/0/0] degrees was chosen, which has the following stiffness matrices:
9.73 1.19 0
A = 1.19 5.81 0 10 7 N/M (1)
0 0 1.38
0 0 6.12
B= 0 0 6.12 10 2 N (2)
6.12 6.12 0
12.22 0.25 0
D = 0.25 2.22 0 NM (3)
0 0 0.41
It is generally desirable to minimize B13 and B23, which couple in-plane stresses
with laminate twisting. As these terms are non-zero for this laminate, some warpage
may occur during the cure cycle [28]. Perhaps more importantly, the D13 and D23
terms, which couple bending and twisting, are 0 here. As these braces will be
19
subjected primarily to out-of-plane loads that may cause bending stresses, it is
important that the laminate not twist when subjected to such loads. Extra 0o plies were
added to the outer layers to increase stiffness along the length of the braces. Calculated
theoretical longitudinal laminate stiffness (along the length of the braces) is Ex = 94.28
GPa. The two 90o plies help provide some stiffness in the laminate transverse
GPa. The overall antisymmetric ply orientation was chosen as it can result in a lower
stress concentration factor than a crossply laminate (consisting of only 0o and 90o
plies) [28]. A low stress concentration factor is very desirable, as holes will need to be
The prepreg plies must be laid onto a mold with the desired brace shape.
Initially, silicone molds (Figure 16) were cast of the orthotic braces used in the
CAREX device. However, early composite braces cast from these molds (Figure 16)
fit only a few people. Whereas the softer plastic CAREX braces could flex to
accommodate larger arms, the composite braces had little flex. To accommodate a
wider variety of healthy users (particularly those having soldier body types), new
molds were designed in Solidworks. The dimensions were chosen based on a small
survey of healthy military-aged males. The molds, seen in Figure 17, also feature flat
tops for mounting of the VN-100r sensors. The new molds were milled out of high-
temperature epoxy, and designed to create near-net shape braces. As such, 9 mm thick
aluminum plates were affixed to the bottom of the molds. These plates allowed excess
prepreg to drape better over the edges of the mold, rather than make a nearly 90o angle
at the edge of the mold. Sharp turns near the edges of the molds can lead to poor
20
Figure 16: Early silicone molds and braces
21
The molds were treated with two release compounds: Honey Wax (Specialty
Products, Co.) and then Universal Mold Release spray (Smooth-On, Inc.). The molds
were then placed on an aluminum caul plate with brown Teflon-coated release sheet
(RE234 TFNP50, Airtech International, Inc.) between the molds and plate, as seen in
Figure 18. The prepreg plies were laid onto the molds in the afore-mentioned ply
sequence. A small aluminum cable termination block, seen in Figure 19, was placed
on the upper arm brace after the -45o layer, 25 mm from the distal end of the brace.
The remaining 90o and 0o plies were cut slightly to accommodate the protruding cable
termination tab. Two 3.1 mm diameter Delrin tubes were affixed to the upper arm
brace using small strips of prepreg on the outermost layer of the brace (Figure 20).
These tubes were intended to help route the upper arm cables along the braces and
provide more protection to the cables. The forearm brace had no integrated cable
Figure 18: Molds ready for composite lay-up (left), composite plies (right)
22
Figure 19: Layup process and cable termination block for upper arm mold
23
Once the prepreg layup process was complete, a blue release ply (1005081
Airtech) was placed over the uncured braces (Figure 21). The release ply was carefully
cut near the cable routing tubes and termination blocks. These cuts help avoid
wrinkles, which can transfer onto the finished braces, and to help the release ply drape
into sharp corners near around the routing tubes. If the release ply bridges over these
corners, the cured braces can have incomplete consolidation and dry carbon fibers
(without epoxy holding them together) in these areas. A white nylon breather ply (RC-
3000-10 Airtech) was then placed over the blue release ply to absorb excess epoxy,
and improve pressure distribution and consolidation. Nylon vacuum bag (WN 1500
Airtech) was placed over the white breather ply and sealed with black Tacky Tape
(Schnee-Morehead, Inc.).
24
The braces were then cured per Cytecs specifications for the prepreg: 710 mm
Hg vacuum was applied to the layup for approximately 15 minutes. The plate was then
2.8 oC/min (5oF/min). Temperature was held at 127oC for 100 minutes, then the oven
was turned off and the layup allowed to cool down to room temperature gradually over
the course of several hours. Vacuum was applied to the layup during the entire ramp-
up, hold, and ramp-down cure process. Temperature was monitored using a
After cure, the braces were released from the molds and trimmed to final
point) and 7522190 (forearm). Holes were drilled in the forearm and outer upper
arm braces to attach the VN-100r sensors, cable routing (upper arm brace) and
mounting (forearm) brackets. The bracket mounting holes were drilled 12 mm from
the edges of the braces and 16 mm apart, as Chou indicated that edge effects in
mm thick foam (Plastazote) was adhesively bonded to the inside of each brace. The
foam is often used in orthoses. Two brackets were then attached to each brace using
two brass 8-32 screws per bracket. The use of steel hardware was minimized for
VN-100r sensors that would be mounted on the braces. The cable routing/mounting
brackets were custom designed and cut out of 6 mm thick aluminum plate. They are
designed to align the cables that control the forearm with the long axes of the forearm
and upper arm, with adjustability to accommodate a variety of arm sizes. A bronze 18
mm long -20 carriage bolt is connected to each forearm mounting bracket using an
25
aluminum nut. A hole drilled in the end of each bolt provides the termination point for
each of the two cables that govern the forearm motion. A 16 mm long piece of -20
threaded Teflon rod with a small lengthwise hole is mounted in each upper arm
routing bracket using two aluminum nuts. Each VN-100r sensor was attached to the
flat surface of the forearm brace and outer upper arm brace using two 4-40 brass
screws and small-profile brass nuts. The braces are attached to the arm using 25 mm
wide Velcro straps, which are in turn attached to the braces using adhesive-backed
Velcro strips. The completed braces with all hardware and cables can be seen in
Figure 22: Outer (left) and inner (right) upper arm braces
26
Figure 23: Forearm brace
approximately 0.9 mm in diameter with a maximum load of 440 N (100 lbs). All six
cables are routed through two Teflon blocks on the shoulder cuff, as seen in Figure 24.
The shoulder routing blocks are adjustable along the circumference of the shoulder
cuff, but remain in place for purposes of this paper. The shoulder cuff is attached to
the same frame as the motors, and can be adjusted to each subjects shoulder height.
As the shoulder cuff is rigidly attached to a frame, it should help reduce body sway,
27
Figure 24: The shoulder cuff and full exoskeleton
resolution/accuracy AKM43L motors and AKD-P01206 drives were purchased for the
project. Unfortunately due to facilities issues, these motors and drives could not be
in velocity mode were used instead. The motors are mounted on an aluminum frame
above the user. Each cable winds onto a 7.24 cm diameter Delrin reel (Figure 25),
which is custom designed to prevent the cable from wrapping onto itself. Each cable
also passes through a thin rubber sheet to keep it from unwinding from the reel under
low tension. A tension sensor (Futek LSB200) with a 220 N (50 lb) limit is mounted
in line with each cable between the shoulder cuff and the rubber sheet, as seen in
28
Figure 25. Care was taken to route the wire for each tension sensor above the sensor,
so the weight of the wire does not affect the tension reading. Each tension sensor is
paired with and calibrated for an amplifier (Futek CSG100). The tension sensors are
attached to the cable with a small plastic clip, which will separate at 90 N (20 lbs) for
safety. The Teflon routing points and nylon coating on the cables help reduce friction,
Figure 25: Shoulder cuff, tension sensors, and motors (left), and close-up of a motor
and cable reel (right).
The VN-100r gyroscopes are used to directly sense arm tremors and to
calculate joint rotation angular rates. The magnetometers are used to calculate joint
rotation angles. The IMUs sample rate is 100 Hz. A National Instruments PXIe
29
system with FPGA running LabVIEW 2012 is used to interface with the sensors and
motors, as well as provide real-time control of the exoskeleton. The real-time control
voluntary movement. However, as the motors are operating in velocity mode, the large
voluntary movement of the arm must be explicitly allowed: a zero-volt signal to the
motors does not allow any movement. The gyroscopes of the IMUs mounted on the
arm braces sense both small tremors and large voluntary movements. Two second-
bandpass filter separates the tremorous movement (Figure 26). Previous studies
indicate tremors to occur primarily in the 2-15 Hz range, and more specifically the 8-
cancelling behavior for this system. The isolated 4-15 Hz tremor signal is then sent to
estimates the tremor signal as a sum of a finite number of sine and cosine signals, with
different frequencies within a predefined band fh fl. Each sine and cosine is assigned
a weight ar and br respectively, which are updated on each loop iteration to reduce
error between the estimated tremor signal and the actual tremor signal. The algorithm
can be stated as follows (equations 4-7 from [32]). At each time step k, yk forms an
30
L
r r
y k = a r sin 2 f l + k + br cos 2 f l + k (4)
r =0 G G
where L=(fhfl)G. For r weights ar and br, equation 1 can be written using reference
1
sin 2 +
, 1
= 1
(5)
cos 2 +
, + 1 2
= (6)
+1 = + 2 (7)
Error is calculated as the difference between signal sk and the signal estimate.
Weights ar and br (in weight vector wk) are updated on each loop iteration (time step)
to include the error, reference input vector xk, and adaptive gain . Since the tremor
estimation signal is comprised of sines and cosines, a prediction of the future tremor
signal can be made. In each iteration, the algorithms main loop calculates the next
data point of the tremor signal, negating the amplitude to create a tremor-cancelling
Figure 26. The data in Figure 26 was gathered from the VN-100r during the
preliminary experiment of Chapter 2. The gyroscope data was processed through the
zero-phase filter and BMFLC offline in MATLAB. The result plotted in blue in Figure
31
30
Raw gyro data
Tremor
20 Voluntary motion
0
5 7 9 11 13
-10
-20
-30
Time (s)
4
Tremor signal
3 BMFLC estimate
Signalestimate
2
Angular rate (rad/s)
1
0
10 10.5 11 11.5 12
-1
-2
-3
-4
Time (s)
Figure 26: Separation of voluntary and tremorous motion (top), and BMFLC estimate
of tremor signal (bottom)
band divisions G, and frequency band fh fl. The adaptive gain parameter affects the
algorithms ability to estimate the tremor signal, and is inversely related to the
32
The limits of the frequency band can also be expressed using a center frequency
f0, as
fh = f0 + fs (8)
and
fl = f0 fs (9)
initial value for f0, and fs = 1 Hz for good tremor estimation. However, in practice,
different subjects may have different dominant tremor frequencies ( [15], Ch. 2). To
accommodate such differences, a fast Fourier transform (FFT) can be used in real-time
to measure the exoskeleton wearers dominant tremor frequency, which then takes the
In order to calculate joint rotation rates, gyroscope data from the IMUs must be
q 2 4
q 5
[RU ] q 3 + [RF ] = [Rs 2 ] 5 ,
(10)
q 4 q 6 6
where
q 2 1
[RU ] q 3 = [Rs1 ] 2
(11)
q 4 3
33
In Eqs. 10 and 11, 1 3 and 4 6 represent gyroscope readings from the
VN-100r sensors on the upper arm and forearm, respectively. The terms [RU], [RF],
[Rs2], and [Rs1] represent rotation matrices for the upper arm, forearm, forearm sensor,
and upper arm sensor, respectively. The terms 2 6 are the joint angle rotation rates
listed in Table 2 below. From Eqs. 10 and 11, it is evident that calculated elbow
be affected by gyroscope signals 1 3 from the upper arm sensor. Thus, the filter
and BMFLC algorithm should be applied to the joint rotation rates after
different joint rotation rates to investigate the effect of cancelling different tremor
components. Two scenarios to test different applications of the BMFLC have been
programmed into the algorithm, and are listed in Table 3. The general control scheme
34
Table 4: Test trials
26 Bandpass
16
16 & BMFLC
Tension &
filter
Gyros Transform Jacobian safe load Motors
Lowpass check
filter
The terms 1 6 in Figure 27 are the cable speeds. Once the BMFLC algorithm
has built an estimation of the tremor signal, the 4-20 Hz cancelling signal is added to
the < 2 Hz voluntary 26 signal. The combined joint rotation rate signals are then
li
[J ] = , i = 1 6, j = 2 6 (8)
q j
The coordinate frames of the arm and the Denavit-Hartenberg parameters used to
calculate the Jacobian can be found in Figure 28 and Table 4, respectively. Given the
programmed cable speeds, the required motor speeds are calculated using the cable
35
reel diameter. The cables can only pull, not push, and thus must remain in tension at
all times. In order to ensure that the cables are not slack, an algorithm monitors each
cable tension sensor. If the cable is taut, the tremor-cancelling motor speed signal is
passed from the algorithm to the motors. If the cable is slack, a small constant signal is
sent to the motor to wind up the cable. Additionally, the algorithm ensures that the
motors do not pull too hard on the arm. If the tension in any cable exceeds 130 N (30
lbs.) for any reason, a small constant signal is sent to the motor to slack the cable.
Z0
X0 Y0
X2, Z3
X3, Z1 X1, Z2
X4, X5
Z4
Z5
Y6 X6
Z6
36
Table 5: Denavit-Hartenberg table for MAXFAS
did not have sufficient control bandwidth to produce the tremor-cancelling signals sent
by the algorithm. Therefore, the control scheme had to be modified. Two new control
transformed into joint rotation rates and cable speeds as described in section 3.2.4
above. Since the cables are only allowing the < 2 Hz large voluntary motion, higher-
frequency tremorous motion may be reduced. The second scenario is essentially the
same, but adds an aim check step. In this scenario, if the standard deviation of the
calculated joint rotation rates falls below a minimum value of 0.15 rad/s (over any 0.5
s period), the algorithm sends a 0 volt signal to all of the motors. This signal
essentially locks the cables in place, constraining the arm (although not completely).
This lock signal is maintained as long as the tension in the cables is at least 18 N (4
lbs), and the standard deviation of the joint rotation rates remains below the specified
minimum value. To exit this lock mode and return to normal motion, the wearer
37
moves their arm slightly to raise the joint rotation rates above the minimum threshold
value. The updated algorithm flow chart can be seen in Figure 29, and the updated test
Mode A
16 26
16
Tension &
Lowpass
Gyros Transform Jacobian safe load Motors
filter
check
Mode B
16 26
16
Tension &
Lowpass Aim
Gyros Transform Jacobian safe load Motors
filter check
check
Trial Condition
1 No MAXFAS
2 MAXFAS, no control
3 Mode A
4 Mode B (lock mode)
5 No MAXFAS
38
Chapter 4
4.1 Introduction
This chapter details the system and procedure used to evaluate the effectiveness
designed to evaluate the MAXFAS devices effect while wearing the device as well as
any learned effects after wearing the device. The MAXFAS devices effects on arm
tremor will also be presented and discussed. These experiments are intended to
simulate as closely as possible aiming and firing of a real pistol, without the safety
concerns associated with firing a real pistol. Use of a simulator pistol greatly
simplifies the experiments, allowing them to be performed without eye and ear
protection, and in a laboratory rather than at a firing range. Variables associated with
firing a real pistol, which are not evaluated in these simulator experiments and may
4.2 System
Subjects in these experiments used an airsoft pistol to evaluate aim. The
KJWorks M9 PTP was chosen for its similarity in weight and functionality to the
Armys standard issue Beretta M9. The M9 PTP uses a CO2 cylinder to propel an
airsoft pellet and recoil the slide. The pistol weighs 1210 g unloaded, including clip,
CO2 gas cylinder, and two rail-mounted lasers (Figure 30). The subject uses a red laser
to aim the pistol, while a 780 nm infra-red laser is used by a motion capture system to
39
track the aim point on the target. The motion capture system consists of 8 Vicon T40-
S cameras and a MX Giganet hub. Early experiments revealed that this system can
track the laser aim point with sub-millimeter resolution at 100 Hz. The system can also
track small reflective spherical markers with the same resolution. Two such markers
were placed on the pistol slide (Figure 30) to allow time correlation of each shot.
Here, a shot means that the user pulled the trigger causing recoil but not firing a
projectile, as the gun remained empty of projectiles at all times. The shot is counted as
the IR laser point on target in the last time frame before the slide began to move
backwards in recoil.
Vicon IR
cameras
Reflective markers
y
x Red laser
IR laser
Target
The target was a white 3030 cm square with black crosshairs and reflective
markers on each corner, seen in Figure 31. The target was mounted with its center 144
cm off the ground, 4 m away from the exoskeleton shoulder cuff. The target is
40
mounted so that when the subject is standing with their shoulder in the shoulder cuff,
the target is essentially centered laterally with the subject. The target was not moved to
accommodate geometry differences between subjects.
subjects wore the exoskeleton during the experiments and a control group of 5 subjects
did not wear the exoskeleton. Before the experiment, each subject read and signed an
informed consent form, which can be found in Appendix A. Red and IR laser
alignment was verified on the target at range before each subject. The lasers were
aligned only with each other, and not the iron sights. Each subject was informed of
general operation of the pistol, and instructed to aim with two hands. Subjects were
instructed to aim using the red laser only, and not the iron sights of the pistol. Each
41
subject was then allowed three practice shots to familiarize themselves with the target
and operation of the pistol. Since the pistol was unloaded, the slide lock was taped
down to keep the pistol from locking open after each shot. All shots were in single
action trigger mode. After the three practice shots, each subject performed five trials
consisting of 15 shots each. Experimental protocol for the five trials can be seen in
Figure 32.
Order randomized
5 2 2 5
No No Control Control No
min min min min
Exo Control Mode A Mode B Exo
rest rest rest rest
5 2 2 5
No No No No No
min min min min
Exo Exo Exo Exo Exo
rest rest rest rest
Control group
In each trial, subjects were instructed when to start and stop, so they did not have
to keep track of the number of shots. Subjects were instructed to allow at least 1 s
between shots. Early evaluation revealed that a single CO2 cartridge could provide
recoil for up to 80 shots. The CO2 cartridge was replaced after trial 3 (45 shots) for
each subject. Decrease in recoil force was not perceptible after 45 shots. Experimental
scenarios are described in section 3.2.5 and Table 5 above. Trial 1 consisted of
shooting without the exoskeleton. Subjects then performed 3 trials while wearing the
exoskeleton, consisting of two trials with motor control and one trial without motor
control. A picture of a subject aiming the pistol while wearing the exoskeleton can be
42
seen in Figure 32. Experimental scenarios for trials 2-4 were randomized for subjects
who wore the exoskeleton, so as to minimize effects of fatigue, learning, and any
imperceptible changes in recoil force after replacing the CO2 cartridge. Finally,
the control group performed all 5 trials using the same timing, but without ever
wearing the exoskeleton. All subjects in all trials stood with their shoulder in the
shoulder cuff while shooting. Upper arm and forearm length was recorded for each
subject, and entered into the Labview algorithm for subjects who wore the
exoskeleton. Subject height, age, sex, and shooting experience were also recorded. As
caffeine may increase arm tremors [33], subjects were asked to abstain from any
sources of caffeine before the experiment. All subjects reported no caffeine intake
Figure 33: Subject performing the aiming task while wearing the exoskeleton
43
The location of the IR laser point on the target was recorded for all subjects
throughout each trial. Unfiltered joint rotation rates were also recorded while subjects
as described below and Friedmans test was used to check for significant differences
in each metric among trials. If a metric was found to change significantly among trials,
pairwise comparisons were then performed using Wilcoxon signed rank tests.
Significant differences described below refer to results of the Wilcoxon tests. Holm-
4.4 Results
Average subject age and height for the control group and MAXFAS group (who
wore the exoskeleton) can be found in Table 7. Here, shooters refers to the number
of people in each group who indicated they had some shooting experience.
Average Average
Group age height Females Shooters
(years) (cm)
Control 29.85.8 173.611.4 2 1
MAXFAS 29.15.8 176.76.7 3 5
44
Target center location was calculated for each trial using the four reflective
markers on the target. Absolute distance from target center (radius Rc) was calculated
for each shot. Rc was averaged over the 15 shots in each trial, then averaged across all
subjects in each trial. Average Rc of all MAXFAS subjects in each trial can be found
in Figure 34. Additionally, each subjects average Rc in trials 2-5 was normalized
against their trial 1 Rc (pre-exoskeleton) value. Figure 35 thus presents the average
shooting performance for trials 2-5 normalized to each subjects initial performance.
18.0
MAXFAS group
16.0
14.0
12.0
Average Rc (mm)
10.0
8.0
6.0
4.0
2.0
0.0
Trial 1: Exo w/o Control Control Trial 5:
Pre-exo Control Mode A Mode B Post-exo
Figure 34: Average distance to target center (Rc) with standard error
for MAXFAS subjects
45
140
MAXFAS group
120
Baseline: Pre-exo
80
60
40
20
0
Exo w/o Control Control Trial 5:
Control Mode A Mode B Post-exo
Figure 35: Average Rc for MAXFAS subjects normalized to trial 1, with standard error
Compared to trial 1, 14 out of 15 subjects had a lower average Rc using control mode
B. Average Rc was not significantly lower than trial 1 while subjects wore the braces
without motor control. This result indicates that the improvement in shooting
performance is not merely attributable to the braces, but that the motor control plays
an important role in reducing average Rc. Compared to the trial 1 average, the
reduction in average Rc with control mode B was greater and more significant than the
reduction in average Rc with control mode A. Additionally, the average Rc for trial 5
(5 minutes after removing the exoskeleton) was somewhat smaller than that of trial 1.
this reduction is not statistically significant using the corrected Wilcoxon test
46
described in section 4.3.1 above. Average Rc of all control subjects in trials 1 and 5
can be seen in Figure 36. The shooting performance of the control group did not
18.0
Control group
16.0
14.0
12.0
Average Rc (mm)
10.0
8.0
6.0
4.0
2.0
0.0
Trial 1 Trial 5
Figure 36: Average Rc with standard error, for control group subjects
Calculated joint rotation rates were analyzed 0.5-1 s before each shot. This short
timeframe was chosen to avoid the inclusion of recoil movement for subjects shooting
at 1-2 s intervals. Absolute rotation rates were averaged across MAXFAS subjects
without and with motor control during this pre-shot time frame. These averaged
absolute rotation rates can be seen in Figure 37below. It is apparent that the addition
timeframe. Also, motor control mode B was more effective at reducing arm tremor
47
than control mode A. As such, Figure 38 and Figure 39 below will focus on results for
control mode B.
0.020
Exo w/o control
Average absolute rotation rate (rad/s) 0.018 Control mode A
Control mode B
0.016
0.014
0.012
0.010
0.008
0.006
0.004
0.002
0.000
Figure 37: Average absolute rotation rates for MAXFAS subjects without and with
motor control (standard error shown)
The fast Fourier transform (FFT) was used on the joint rotation rates to
determine the dominant frequency of movement for the same 0.5-1 s pre-shot
timeframe as above. The frequency having the maximum amplitude was then averaged
across subjects in two scenarios: subjects wearing the exoskeleton with no control, and
with control mode B. The results of this FFT analysis can be seen in Figure 38 below.
48
12.0
Exo w/o control
Control mode B
10.0
6.0
4.0
2.0
0.0
Figure 38: FFT analysis of joint speeds without and with motor control mode B
(standard error shown)
dominant frequencies did not vary much with and without motor control, all staying
significantly with the addition of motor control mode B, from 5.50.6 to 3.70.6 Hz.
At 9.90.9 Hz, forearm rotation dominant frequency did not change significantly with
the addition of motor control, but was on average significantly higher than the other
measured joint rotation rate frequencies. All numbers given above and in Figure 38 are
MAXFAS subjects in the scenarios mentioned above, as well as trials 1 and 5. These
values were measured in the 0.5-1 s before each shot, and the averages are plotted in
49
Figure 39 below. Average absolute laser x- and y- distance to target center did not
change significantly across the trials. However, absolute x-distance to center was
significantly smaller than absolute y-distance to target center for all MAXFAS
9.0
MAXFAS group X-dir
8.0 Y-dir
Average absolute distance (mm)
7.0
6.0
5.0
4.0
3.0
2.0
1.0
0.0
Trial 1: Exo w/o Control Trial 5:
Pre-exo Control mode B Post-exo
Figure 39: Average absolute laser distance from center for MAXFAS subjects
4.5 Discussion
It is clear that shooting performance improved while subjects wore the
uncontrolled braces alone. Figure 35 illustrates that the addition of motor control,
without motor control. Control mode B resulted in an over 50% reduction in average
50
Rc for some subjects, compared to the pre-exoskeleton trial 1. These results are very
unlikely to be due to learning (acclimation to the pistol or task), since the order of
exoskeleton. However, this improvement over trial 1 was slight, and not quite
However, it should be noted that the control group did not improve on average from
trial 1 to trial 5. Indeed, the standard deviation for the control groups average Rc was
actually worse in trial 5, which may indicate some fatigue effects. Compared to the
MAXFAS groups trial 5 average performance, this result may also indicate that the
MAXFAS device may combat fatigue during aiming. It should be noted however that
the control group only consisted of 5 people, whereas the MAXFAS group consisted
of 15 people.
improvement in shooting performance. This reduction was evident in all joint rotation
internal/external rotation were most reduced during the motor control mode B trial. It
is expected that a two-hand grip on the pistol will provide more lateral aim stability
than vertical stability, and thus the motor control will have less of an effect on
using motor control is unexpected. Perhaps this DOF contributes more to aim stability
51
Figure 39 reinforces the hypothesis that vertical aim stability is weaker than
lateral aim stability using a two-handed pistol grip. Y-distance to target was much
larger than x-distance to target even with motor control, indicating that further
improvements in aim may be achievable by better vertically stabilizing the arm during
aim and shooting. Curiously, average x- and y-distance to target changed little with the
addition of motor control. Considering that the average Rc and arm tremor (as
measured directly by the gyroscopes) were both reduced while wearing the MAXFAS
device, the laser average x-and y-distance to target would be expected to be reduced
during the 0.5-1 s period before each shot. Why this trend is not borne out in the
current results is unclear, but this metric could be investigated in larger future trials in
52
Chapter 5
CONCLUSION
testing an arm exoskeleton for pistol aim stabilization. The device adds very little
weight to the arm, reducing extra arm inertia that cannot be compensated by motors.
fabricated carbon fiber braces that attach to the arm. These braces were carefully
designed and manufactured to provide the necessary stiffness to transmit motor control
to the arm while maintaining a very low weight (section 3.2.2). A tremor-cancelling
algorithm was designed and optimized for this application (section 3.2.4). While the
Experiments were designed simulate real shooting, using a pistol with recoil,
realistic weight and trigger action (section 4.2). Experiments were also designed to
eliminate many of the confounding factors involved in aiming and shooting, including
body sway, acclimation to the pistol, caffeine intake, and familiarity with iron sights
(section 4.3). Experiments were conducted on subjects wearing the MAXFAS device,
as well as a small control group who never wore the device. The experiments
device, as well as improved shooting 5 minutes after removing the device. Amplitude
of arm shaking, as measured by gyroscopes on the arm, was also reduced while the
MAXFAS devices motors applied control to the arm (section 4.4). These experiments
53
indicated correlation between reduced arm tremors and improved shooting and aiming
The implications of this work extend beyond steadying aim. This device could
Parkinsons disease and other debilitating tremors could benefit from active tremor
cancelling. MAXFAS could also be used in training for a number of sports and
shooting and aiming task. The control mode was limited by the use of outdated
motors. First and foremost, the original tremor-cancelling design described in section
3.2.4 should be tested on human subjects using the motors originally purchased for
this device. The tremor cancelling algorithm could be combined with the control
during human subject experiments carried out for this paper. The routing brackets on
the upper arm brace should be redesigned to be further away from the arm radially.
Extreme care had to be taken while attaching the braces to the upper arm to ensure that
The upper arm cables should be routed through the embedded tubes in the upper
arm braces. This will require modification of the Jacobian, and may cause excess
frictional wear on the cables and Delrin tubes. However, the tubes will likely provide
54
an optimal path for routing of the upper arm cables and allow for easier attachment
The cable that terminates on the bottom of the wrist (ulna side) was observed to
occasionally contact the elbow when some subjects bent their elbow. While this
contact is not a great concern as most subjects lock their elbows when aiming, this
cable should have an extra routing point on the forearm brace to avoid such contact
during arm motion from the rest position to the aiming position.
The safety clips attached in line with the load sensors and cables occasionally
detached below their 89 N (20 lb) limit. Large aiming movements thus had to be
performed slowly to avoid detaching the clips. The clips should be replaced by clips
that detach at 133-178 N (30-40 lbs) to allow more natural movement without the fear
of prematurely detaching the safety clips. Parameters within the control algorithm
using a real pistol and aiming with the iron sights rather than a laser. Such experiments
should also include a large control group. The experiments should involve longer
periods of shooting while wearing the exoskeleton, as well as evaluation at later than 5
minutes after removing the device to further evaluate any possible training capability
of MAXFAS. Results were good for simulated shooting, but shooting a real pistol
using iron sights to aim is very different from the experiments carried out in this work.
55
BIBLIOGRAPHY
[2] D. Nosowitz, "Real-Life Iron Man Exoskeleton Gets a Slimmer, More Powerful
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[Link]
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[9] Y. Mao and S. K. Agrawal, "Transition from Mechanical Arm to Human Arm
with CAREX: a Cable Driven ARm EXoskeleton (CAREX) for Neural
56
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St. Paul, MN, 2012.
[10] J. Klein and e. al., "Biomimetic Orthosis for the Neurorehabilitation of the Elbow
and Shoulder (BONES)," in 2nd Biennial IEEE/RAS-EMBS International
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control of the upper limb in air pistol shooters," Journal of Sports Sciences, vol.
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Catecholamine Excretion, Shooting Range Performance and Self-ratings of
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[22] K. A. Ball, R. J. Best and T. V. Wrigley, "Body Sway, Aim Point fluctuation and
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[30] P. Era, N. Konttinen, P. Mehto, P. Saarela and H. Lyytinen, "Postural Stability
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59
Appendix A
EXPERIMENTAL EVALUATION:
You will aim and dry-fire (no ammunition or projectile) a toy pistol 15
times while standing, taking your time to aim between each trigger pull. The
toy pistol will be equipped with a red laser to assist your aim at a target
approximately 10 feet away. The toy pistol will also be equipped with an
invisible laser, which will be tracked by a special camera system in order to
evaluate your aim. Next, the exoskeleton will be fitted to your arm. The
exoskeleton will apply small forces to your arm while you repeat the
aiming/dry-fire task. You will have a brief rest, and repeat the aiming/dry-fire
60
task again. This will be repeated several times. The exoskeleton will then be
removed, and after a brief rest you will repeat the aiming/dry-fire task once
more without the exoskeleton. The entire test session should take no more
than one hour including setup. The goal is to evaluate any effect on aim that
the exoskeleton might have.
There are slight risks of injury from arm movement with the cable-actuated
exoskeleton attached to the arm. These risks include joint and muscle
soreness and skin irritation. These risks are minimized in several ways. The
motor controller of the device is designed to gently modify the arm movement
by applying only small forces. The motors are set to limit the amount of applied
force. If forces exceed these values, the motors are automatically shut off. In
addition, software defined stops disable the motors when the subject's arm
approaches anatomical limits. Both you and the experimenter will have a
switch that can be pushed to immediately shut down the motors. Nonetheless,
it will be important for you to inform the investigators immediately if you
perceive uncomfortable forces being applied to your arm. If you experience
any discomfort, the motors will be immediately stopped and appropriate
adjustments will be made to reduce the discomfort. Automatic shutoffs and
shutdown switches of the exoskeleton will be tested to perform as designed
before the experiment.
Pressure from the links of the exoskeleton that modify the arm movement
can occur due to faulty alignment, which may result in irritation and redness of
the skin. Aligning the braces or the support cuffs for each participant
individually reduces these risks. However, it is important that you inform the
investigators if you are experiencing any unusual pressure from the braces or
support cuffs while wearing these so that proper adjustments can be made.
In the event that you are injured or experience acute medical emergency
during the study, you will be provided with first aid by the researchers. If you
seek or need additional medical care (including care from paramedics), it will
be at your own expense.
61
Your participation may provide valuable information that will help in the
design and application of new technology although this may be of no direct
benefit to you. This information may help us to improve aim and training for
soldiers, competitive shooters, or any other sport or task that requires a steady
arm.
CONFIDENTIALITY:
Personal information and the associated case number will be stored in an
encrypted and password protected file. Data will be associated directly with
the case number alone, not the personal information. Only the researchers will
have access to this information. Your individual evaluation results will not be
shared with anyone outside the laboratory. Neither your name nor any
identifying information will be used in any publication or presentation resulting
from this study, unless you provide us consent to use your photographs and/or
videos for presentation in seminars and technical papers. The data collected
about your aiming performance during these studies will be saved on long-
term storage media such as CDs or DVDs, without information that can
directly identify you. The media will be stored in the investigators laboratory in
Spencer Laboratory. Following completion of this project, the data will be
stored in a secured file cabinet in the investigators laboratory if the
information is deemed to continue to be useful to explore future experimental
questions.
Subjects STATEMENT
I have read this consent form and have discussed the procedure described
above with the investigator(s). I have been given the opportunity to ask
questions, which have been answered to my satisfaction. I understand that
any further questions that I might have will be answered verbally, or if I prefer,
with a written statement.
In the event that I am injured or experience acute medical emergency
during the study, I will be provided with first aid. If I seek additional medical
care, it will be at my own expense.
62
I have been fully informed of the above-described procedure with its
possible risks and benefits, and I hereby consent to the procedures. I have
received a copy of this consent form.
.
Subjects Name (please print)
63
Appendix B
64
65