Title Robust control of heart rate for cycle ergometer exercise.
Author Hunt, Kenneth J; Hurni, Cedric C
Journal Med Biol Eng Comput Publication Year/Month 2019-Nov
PMID 31471785 PMCID PMC6828638
Affiliation + expend 1.Institute for Rehabilitation and Performance Technology, Division of Mechanical Engineering, Department of Engineering and Information Technology, Bern University of Applied Sciences, Burgdorf, CH-3400, Switzerland. kenneth.hunt@bfh.ch.

The objective was to assess the performance and robustness of a novel strategy for automatic control of heart rate (HR) during cycle ergometry. Control design used a linear plant model and direct shaping of the closed-loop input-sensitivity function to achieve an appropriate response to disturbances attributable to broad-spectrum heart rate variability (HRV). The controller was evaluated in 73 feedback control experiments involving 49 participants. Performance and stability robustness were analysed using a separately identified family of 73 plant models. The controller gave highly accurate and stable HR tracking performance with mean root-mean-square tracking error between 2.5 beats/min (bpm) and 3.1 bpm, and with low average control signal power. Although plant parameters varied over a very wide range, key closed-loop transfer functions remained invariant to plant uncertainty in important frequency bands, while infinite gain margins and large phase margins (> 62( composite function)) were preserved across the whole plant model family. Highly accurate, stable and robust HR control can be achieved using LTI controllers of remarkably simple structure. The results highlight that HR control design must focus on disturbances caused by HRV. The input-sensitivity approach evaluated in this work provides a transparent method of addressing this challenge. Graphical Abstract Heart rate control using a cycle ergometer.

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