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Wearable robotic devices are being designed to assist the elderly population and other patients with locomotion disabilities. However, wearable robotics increases the risk from falling. Neuroimaging studies have provided evidence for the involvement of frontocentral and parietal cortices in postural control and this opens up the possibility of using decoders for early detection of balance loss by using electroencephalography (EEG). This study investigates the presence of commonly identified components of the perturbation evoked responses (PEP) when a person is in an exoskeleton. We also evaluated the feasibility of using single-trial EEG to predict the loss of balance using a convolution neural network. Overall, the model achieved a mean 5-fold cross-validation test accuracy of 75.2 % across six subjects with 50% as the chance level. We employed a gradient class activation map-based visualization technique for interpreting the decisions of the CNN and demonstrated that the network learns from PEP components present in these single trials. The high localization ability of Grad-CAM demonstrated here, opens up the possibilities for deploying CNN for ERP/PEP analysis while emphasizing on model interpretability. 

Neural decoding of human locomotion, including automated gait intention detection and continuous decoding of lower limb joint angles, has been of great interest in the field of Brain Machine Interface (BMI). However, neural decoding of gait in developing children has yet to be demonstrated. In this study, we collected physiological data (electroencephalography (EEG), electromyography (EMG)), and kinematic data from children performing different locomotion tasks. We also developed a state space estimation model to decode lower limb joint angles from scalp EEG. Fluctuations in the amplitude of slow cortical potentials of EEG in the delta band (0.1 – 3 Hz) were used for prediction. The decoding accuracies (Pearson’s r values) were promising (Hip: 0.71; Knee: 0.59; Ankle: 0.51). Our results demonstrate the feasibility of neural decoding of children walking and have implications for the development of a real-time closed-loop BMI system for the control of a pediatric exoskeleton. 

Powered exoskeletons for gait rehabilitation and mobility assistance are currently available for the adult population and hold great promise for children with mobility limiting conditions. Described here is the development and key features of a modular, lightweight and customizable powered exoskeleton for assist-as-needed overground walking and gait rehabilitation. The pediatric lower-extremity gait system (PLEGS) exoskeleton contains bilaterally active hip, knee and ankle joints and assist-as-needed shared control for young children with lower-limb disabilities such as those present in the Cerebral Palsy, Spina Bifida and Spinal Cord Injured populations. The system is comprised of six joint control modules, one at each hip, knee and ankle joint. The joint control module, features an actuator and motor driver, microcontroller, torque sensor to enable assist-as-needed control, inertial measurement unit and system monitoring sensors. Bench-testing results for the proposed joint control module are also presented and discussed.