Objective: Real-time measurement of biological joint moment could enhance clinical assessments and generalize exoskeleton control. Accessing joint moments outside clinical and laboratory settings requires harnessing non-invasive wearable sensor data for indirect estimation. Previous approaches have been primarily validated during cyclic tasks, such as walking, but these methods are likely limited when translating to non-cyclic tasks where the mapping from kinematics to moments is not unique. Methods: We trained deep learning models to estimate hip and knee joint moments from kinematic sensors, electromyography (EMG), and simulated pressure insoles from a dataset including 10 cyclic and 18 non-cyclic activities. We assessed estimation error on combinations of sensor modalities during both activity types. Results: Compared to the kinematics-only baseline, adding EMG reduced RMSE by 16.9% at the hip and 30.4% at the knee (p<0.05) and adding insoles reduced RMSE by 21.7% at the hip and 33.9% at the knee (p<0.05). Adding both modalities reduced RMSE by 32.5% at the hip and 41.2% at the knee (p<0.05) which was significantly higher than either modality individually (p<0.05). All sensor additions improved model performance on non-cyclic tasks more than cyclic tasks (p<0.05). Conclusion: These results demonstrate that adding kinetic sensor information through EMG or insoles improves joint moment estimation both individually and jointly. These additional modalities are most important during non-cyclic tasks, tasks that reflect the variable and sporadic nature of the real-world. Significance: Improved joint moment estimation and task generalization is pivotal to developing wearable robotic systems capable of enhancing mobility in everyday life. 
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                    This content will become publicly available on November 14, 2025
                            
                            Task-agnostic exoskeleton control via biological joint moment estimation
                        
                    
    
            Lower-limb exoskeletons have the potential to transform the way we move1,2,3,4,5,6,7,8,9,10,11,12,13,14, but current state-of-the-art controllers cannot accommodate the rich set of possible human behaviours that range from cyclic and predictable to transitory and unstructured. We introduce a task-agnostic controller that assists the user on the basis of instantaneous estimates of lower-limb biological joint moments from a deep neural network. By estimating both hip and knee moments in-the-loop, our approach provided multi-joint, coordinated assistance through our autonomous, clothing-integrated exoskeleton. When deployed during 28 activities, spanning cyclic locomotion to unstructured tasks (for example, passive meandering and high-speed lateral cutting), the network accurately estimated hip and knee moments with an average R2 of 0.83 relative to ground truth. Further, our approach significantly outperformed a best-case task classifier-based method constructed from splines and impedance parameters. When tested on ten activities (including level walking, running, lifting a 25 lb (roughly 11 kg) weight and lunging), our controller significantly reduced user energetics (metabolic cost or lower-limb biological joint work depending on the task) relative to the zero torque condition, ranging from 5.3 to 19.7%, without any manual controller modifications among activities. Thus, this task-agnostic controller can enable exoskeletons to aid users across a broad spectrum of human activities, a necessity for real-world viability. 
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                            - Award ID(s):
- 2233164
- PAR ID:
- 10609336
- Publisher / Repository:
- Nature
- Date Published:
- Journal Name:
- Nature
- Volume:
- 635
- Issue:
- 8038
- ISSN:
- 0028-0836
- Page Range / eLocation ID:
- 337 to 344
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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