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IntroductionIndividuals who have suffered a cervical spinal cord injury prioritize the recovery of upper limb function for completing activities of daily living. Hybrid FES-exoskeleton systems have the potential to assist this population by providing a portable, powered, and wearable device; however, realization of this combination of technologies has been challenging. In particular, it has been difficult to show generalizability across motions, and to define optimal distribution of actuation, given the complex nature of the combined dynamic system. MethodsIn this paper, we present a hybrid controller using a model predictive control (MPC) formulation that combines the actuation of both an exoskeleton and an FES system. The MPC cost function is designed to distribute actuation on a single degree of freedom to favor FES control effort, reducing exoskeleton power consumption, while ensuring smooth movements along different trajectories. Our controller was tested with nine able-bodied participants using FES surface stimulation paired with an upper limb powered exoskeleton. The hybrid controller was compared to an exoskeleton alone controller, and we measured trajectory error and torque while moving the participant through two elbow flexion/extension trajectories, and separately through two wrist flexion/extension trajectories. ResultsThe MPC-based hybrid controller showed a reduction in sum of squared torques by an average of 48.7 and 57.9% on the elbow flexion/extension and wrist flexion/extension joints respectively, with only small differences in tracking accuracy compared to the exoskeleton alone. DiscussionTo realize practical implementation of hybrid FES-exoskeleton systems, the control strategy requires translation to multi-DOF movements, achieving more consistent improvement across participants, and balancing control to more fully leverage the muscles' capabilities. 

Vibration is a widely used mode of haptic communication, as vibrotactile cues provide salient haptic notifications to users and are easily integrated into wearable or handheld devices. Fluidic textile-based devices offer an appealing platform for the incorporation of vibrotactile haptic feedback, as they can be integrated into clothing and other conforming and compliant wearables. Fluidically driven vibrotactile feedback has primarily relied on valves to regulate actuating frequencies in wearable devices. The mechanical bandwidth of such valves limits the range of frequencies that can be achieved, particularly in attempting to reach the higher frequencies realized with electromechanical vibration actuators ( > 100 Hz). In this paper, we introduce a soft vibrotactile wearable device, constructed entirely of textiles and capable of rendering vibration frequencies between 183 and 233 Hz with amplitudes ranging from 23 to 114 g . We describe our methods of design and fabrication and the mechanism of vibration, which is realized by controlling inlet pressure and harnessing a mechanofluidic instability. Our design allows for controllable vibrotactile feedback that is comparable in frequency and greater in amplitude relative to state-of-the-art electromechanical actuators while offering the compliance and conformity of fully soft wearable devices. 

Vibration is ubiquitous as a mode of haptic communication, and is used widely in handheld devices to convey events and notifications. The miniaturization of electromechanical actuators that are used to generate these vibrations has enabled designers to embed such actuators in wearable devices, conveying vibration at the wrist and other locations on the body. However, the rigid housings of these actuators mean that such wearables cannot be fully soft and compliant at the interface with the user. Fluidic textile-based wearables offer an alternative mechanism for haptic feedback in a fabric-like form factor. To our knowledge, fluidically driven vibrotactile feedback has not been demonstrated in a wearable device without the use of valves, which can only enable low-frequency vibration cues and detract from wearability due to their rigid structure. We introduce a soft vibrotactile wearable, made of textile and elastomer, capable of rendering high-frequency vibration. We describe our design and fabrication methods and the mechanism of vibration, which is realized by controlling inlet pressure and harnessing a mechanical hysteresis. We demonstrate that the frequency and amplitude of vibration produced by our device can be varied based on changes in the input pressure, with 0.3 to 1.4 bar producing vibrations that range between 160 and 260 Hz at 13 to 38 g, the acceleration due to gravity. Our design allows for controllable vibrotactile feedback that is comparable in frequency and outperforms in amplitude relative to electromechanical actuators, yet has the compliance and conformity of fully soft wearable devices.