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1. User and Environmental Context Adaptive Knee Exoskeleton Assistance using Electromyography

   https://doi.org/10.1109/ISMR57123.2023.10130260  

   Lee, Dawit; Kang, Inseung; Kogler, Géza F.; Hammond, Frank L.; Young, Aaron J. (April 2023, IEEE 2023 International Symposium on Medical Robotics (ISMR))

   Proportional myoelectric controller (PMC) has been one of the most common assistance strategies for robotic exoskeletons due to its ability to modulate assistance level directly based on the user's muscle activation. However, existing PMC strategies (static or user-adaptive) scale torque linearly with muscle activation level and fail to address complex and non-linear mapping between muscle activation and joint torque. Furthermore, previously presented adaptive PMC strategies do not allow for environmental changes (such as changes in ground slopes) and modulate the system's assistance level over many steps. In this work, we designed a novel user- and environment-adaptive PMC for a knee exoskeleton that modulates the peak assistance level based on the slope level during locomotion. We recruited nine able-bodied adults to test and compare the effects of three different PMC strategies (static, user-adaptive, and user- and environment-adaptive) on the user's metabolic cost and the knee extensor muscle activation level during load-carriage walking (6.8 kg) in three inclination settings (0°, 4.5°, and 8.5°). The results showed that only the user- and environment-adaptive PMC was effective in significantly reducing user's metabolic cost (5.8% reduction) and the knee extensor muscle activation (19% reduction) during 8.5° incline walking compared to the unpowered condition while other PMCs did not have as large of an effect. This control framework highlights the viability of implementing an assistance paradigm that can dynamically adjust to the user's biological demand, allowing for a more personalized assistance paradigm. 

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2. A Potential Energy Shaping Controller with Ground Reaction Force Feedback for a Multi-Activity Knee-Ankle Exoskeleton

   https://doi.org/10.1109/BioRob49111.2020.9224341  

   Divekar, Nikhil V.; Lin, Jianping; Nesler, Christopher; Borboa, Sara; Gregg, Robert D. (November 2020, 2020 8th IEEE RAS/EMBS International Conference for Biomedical Robotics and Biomechatronics (BioRob))

   This paper presents the design and implementation of a novel multi-activity control strategy for a backdrivable knee-ankle exoskeleton. Traditionally, exoskeletons have used trajectory-based control of highly geared actuators for complete motion assistance. In contrast, we develop a potential energy shaping controller with ground reaction force (GRF) feedback that facilitates multi-activity assistance from a backdrivable exoskeleton without prescribing pre-defined kinematics. Although potential energy shaping was previously implemented in an exoskeleton to reduce the user’s perceived gravity, this model-based approach assumes the stance leg is fully loaded with the weight of the user, resulting in excessive control torques as weight transfers to the contralateral leg during double support. The presented approach uses GRF feedback to taper the torque control output for any activity involving multiple supports, leading to a closer match with normative joint moments in simulations based on pre-recorded human data during level walking. To implement this strategy, we present a custom foot force sensor that provides GRF feedback to the previously designed exoskeleton. Finally, results from an able-bodied human subject experiment demonstrate that the exoskeleton is able to reduce muscular activation of the primary muscles related to the knee and ankle joints during sit-to-stand, stand-to-sit, level walking, and stair climbing. 

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3. Muscle coordination and recruitment during squat assistance using a robotic ankle–foot exoskeleton

   https://doi.org/10.1038/s41598-023-28229-4  

   Jeong, Hyeongkeun; Haghighat, Parian; Kantharaju, Prakyath; Jacobson, Michael; Jeong, Heejin; Kim, Myunghee (January 2023, Scientific Reports)

   Abstract Squatting is an intensive activity routinely performed in the workplace to lift and lower loads. The effort to perform a squat can decrease using an exoskeleton that considers individual worker’s differences and assists them with a customized solution, namely, personalized assistance. Designing such an exoskeleton could be improved by understanding how the user’s muscle activity changes when assistance is provided. This study investigated the change in the muscle recruitment and activation pattern when personalized assistance was provided. The personalized assistance was provided by an ankle–foot exoskeleton during squatting and we compared its effect with that of the no-device and unpowered exoskeleton conditions using previously collected data. We identified four main muscle recruitment strategies across ten participants. One of the strategies mainly used quadriceps muscles, and the activation level corresponding to the strategy was reduced under exoskeleton assistance compared to the no-device and unpowered conditions. These quadriceps dominant synergy and rectus femoris activations showed reasonable correlations (r = 0.65, 0.59) to the metabolic cost of squatting. These results indicate that the assistance helped reduce quadriceps activation, and thus, the metabolic cost of squatting. These outcomes suggest that the muscle recruitment and activation patterns could be used to design an exoskeleton and training methods. 

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4. Emulator-Based Optimization of a Semi-Active Hip Exoskeleton Concept: Sweeping Impedance Across Walking Speeds

   https://doi.org/10.1109/TBME.2022.3188482  

   Shafer, Benjamin A.; Powell, Justine C.; Young, Aaron J.; Sawicki, Gregory S. (January 2023, IEEE Transactions on Biomedical Engineering)

   Objective: Semi-active exoskeletons combining lightweight, low powered actuators and passive-elastic elements are a promising approach to portable robotic assistance during locomotion. Here, we introduce a novel semi-active hip exoskeleton concept and evaluate human walking performance across a range of parameters using a tethered robotic testbed. Methods : We emulated semi-active hip exoskeleton (exo) assistance by applying a virtual torsional spring with a fixed rotational stiffness and an equilibrium angle established in terminal swing phase (i.e., via pre-tension into stance). We performed a 2-D sweep of spring stiffness x equilibrium position parameters (30 combinations) across walking speed (1.0, 1.3, and 1.6 m/s) and measured metabolic rate to identify device parameters for optimal metabolic benefit. Results : At each speed, optimal exoskeleton spring settings provided a ∼10% metabolic benefit compared to zero-impedance (ZI). Higher walking speeds required higher exoskeleton stiffness and lower equilibrium angle for maximal metabolic benefit. Optimal parameters tuned to each individual (user-dependent) provided significantly larger metabolic benefit than the average-best settings (user-independent) at all speeds except the fastest (p = 0.021, p = 0.001, and p = 0.098 at 1.0, 1.3, and 1.6 m/s, respectively). We found significant correlation between changes in user's muscle activity and changes in metabolic rate due to exoskeleton assistance, especially for muscles crossing the hip joint. Conclusion : A semi-active hip exoskeleton with spring-parameters personalized to each user could provide metabolic benefit across functional walking speeds. Minimizing muscle activity local to the exoskeleton is a promising approach for tuning assistance on-line on a user-dependent basis. 

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5. Understanding muscle function during perturbed in vivo locomotion using a muscle avatar approach

   https://doi.org/10.1242/jeb.244721  

   Rice, Nicole; Bemis, Caitlin M.; Daley, Monica A.; Nishikawa, Kiisa (July 2023, Journal of Experimental Biology)

   ABSTRACT The work loop technique has provided key insights into in vivo muscle work and power during steady locomotion. However, for many animals and muscles, ex vivo experiments are not feasible. In addition, purely sinusoidal strain trajectories lack variations in strain rate that result from variable loading during locomotion. Therefore, it is useful to develop an ‘avatar’ approach in which in vivo strain and activation patterns from one muscle are replicated in ex vivo experiments on a readily available muscle from an established animal model. In the present study, we used mouse extensor digitorum longus (EDL) muscles in ex vivo experiments to investigate in vivo mechanics of the guinea fowl lateral gastrocnemius (LG) muscle during unsteady running on a treadmill with obstacle perturbations. In vivo strain trajectories from strides down from obstacle to treadmill, up from treadmill to obstacle, strides with no obstacle and sinusoidal strain trajectories at the same amplitude and frequency were used as inputs in work loop experiments. As expected, EDL forces produced with in vivo strain trajectories were more similar to in vivo LG forces (R2=0.58–0.94) than were forces produced with the sinusoidal trajectory (average R2=0.045). Given the same stimulation, in vivo strain trajectories produced work loops that showed a shift in function from more positive work during strides up from treadmill to obstacle to less positive work in strides down from obstacle to treadmill. Stimulation, strain trajectory and their interaction had significant effects on all work loop variables, with the interaction having the largest effect on peak force and work per cycle. These results support the theory that muscle is an active material whose viscoelastic properties are tuned by activation, and which produces forces in response to deformations of length associated with time-varying loads. 

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