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Objective: Accurate, non-invasive methods for estimating joint and muscle physiological states have the potential to greatly enhance control of wearable devices during real-world ambulation. Traditional modeling approaches and current estimation methods used to predict muscle dynamics often rely on complex equipment or computationally intensive simulations and have difficulty estimating across a broad spectrum of tasks or subjects. Methods: Our approach used deep learning (DL) models trained on kinematic inputs to estimate internal physiological states at the knee, including moment, power, velocity, and force. We assessed each model's performance against ground truth labels from both a commonly used, standard OpenSim musculoskeletal model without EMG (static optimization) and an EMG-informed method (CEINMS), across 28 different cyclic and noncyclic tasks. Results: EMG provided no benefit for joint moment/power estimation (e.g., biological moment), but was critical for estimating muscle states. Models trained with EMG-informed labels but without EMG as an input to the DL system significantly outperformed models trained without EMG (e.g., 33.7% improvement for muscle moment estimation) (p < 0.05). Models that included EMG-informed labels and EMG as a model input demonstrated even higher performance (49.7% improvement for muscle moment estimation) (p < 0.05), but require the availability of EMG during model deployment, which may be impractical. Conclusion/Significance: While EMG information is not necessary for estimating joint level states, there is a clear benefit during muscle level state estimation. Our results demonstrate excellent tracking of these states with EMG included only during training, highlighting the practicality of real-time deployment of this approach. 

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.