Search Results (277)

Lumbar disc herniation is one of the primary causes of lower back pain, and its incidence has significantly increased with the development of industrialization. To assist in rehabilitation therapy, this paper proposes a flexible exoskeleton for active lumbar rehabilitation based on a 4-SPU/SP biomimetic parallel mechanism. By analyzing the anatomical structure and movement mechanisms of the lumbar spine, a four degree of freedom parallel mechanism was designed to mimic the three-axis rotation of the lumbar spine around the coronal, sagittal, and vertical axes, as well as movement along the z-axis. Using a 3D motion capture system, data on the range of motion of the lumbar spine was obtained to guide the structural design of the exoskeleton. Using the vector chain method, the display equations for the drive joints of the mechanism were derived, and forward and inverse kinematic models were established and simulated to verify their accuracy. The dynamic characteristics of the biomimetic parallel mechanism were analyzed and simulated to provide a theoretical basis for the design of the exoskeleton control system. A prototype was fabricated and tested to evaluate its maximum range of motion and workspace. Experimental results showed that after wearing the exoskeleton, the lumbar spine’s range of motion could still reach over 83.5% of the state without the exoskeleton, and its workspace could meet the lumbar spine movement requirements for daily life, verifying the rationality and feasibility of the proposed 4-SPU/SP biomimetic parallel mechanism design. Full article

The half-sitting posture is essential for many functional tasks performed by industrial workers. Thus, passive lower-limb exoskeletons, known as wearable chairs, are increasingly used to relieve lower-limb loading in such scenarios. However, although these devices lighten muscle effort during half-sitting tasks, they can disrupt walking mechanics and balance. Moreover, rigorous biomechanical data on joint moments and contact forces during walking with such a device remain scarce. Therefore, this study conducted a biomechanical evaluation of level walking with a wearable chair to quantify its effects on gait and joint loading. Participants performed walking experiments with and without the wearable chair. An optical motion capture system and force plates collected kinematic and ground reaction data. Six-axis force sensors measured contact forces and moments. These measurements were fed into a Newton–Euler inverse dynamics model to estimate lower-limb joint moments and assess joint loading. The contact measurements showed that nearly all rotational load was absorbed at the thigh attachment, while the ankle attachment served mainly as a positional guide with minimal moment transfer. The inverse dynamics analysis revealed that the wearable chair introduced unintended rotational stresses at lower-limb joints, potentially elevating musculoskeletal risk. This detailed biomechanical evidence underpins targeted design refinements to redistribute loads and better protect lower-limb joints. Full article

This paper presents a real-time framework for bilateral gait reconstruction and adaptive joint control using sparse inertial sensing. The system estimates full lower-limb motion from a single-side inertial measurement unit (IMU) by applying a pipeline that includes signal smoothing, temporal alignment via Dynamic Time Warping (DTW), and motion modeling using Gaussian Mixture Models with Regression (GMM-GMR). Contralateral leg trajectories are inferred using both ideal and adaptive symmetry-based models to capture inter-limb variations. The reconstructed motion serves as reference input for joint-level control. A classical Proportional–Integral–Derivative (PID) controller is first evaluated, demonstrating satisfactory results under simplified dynamics but notable performance loss when virtual stiffness and gravity compensation are introduced. To address this, an adaptive fuzzy PID controller is implemented, which dynamically adjusts control gains based on real-time tracking error through a fuzzy inference system. This approach enhances control stability and motion fidelity under varying conditions. The combined estimation and control framework enables accurate bilateral gait tracking and smooth joint control using minimal sensing, offering a practical solution for wearable robotic systems such as exoskeletons or smart prosthetics. Full article

To enable the practical application of passive back-support exoskeletons employing pneumatic artificial muscles (PAMs) in tasks such as agricultural work, we evaluated their assistive effectiveness in a half-squatting posture with a staggered stance. In this context, assistive force profiles were adjusted according to body posture to achieve more effective support. The targeted assistive force profile was designed to be continuously active from the standing to the half-squatting position, with minimal variation across this range. The assistive force profile was developed based on a PAM contractile force model and implemented using a cam mechanism. The effectiveness of assistance was assessed by measuring body flexion angles and erector spinae muscle activity during lifting and carrying tasks. The results showed that the assistive effect was greater on the side with the forward leg. Compared to the condition without exoskeleton assistance, the conventional pulley-based system reduced muscle activity by approximately 20% whereas the cam-based system achieved a reduction of approximately 30%. Full article

Multiple Sclerosis (MS) is a chronic neurological disorder affecting the central nervous system that significantly impairs postural control and functional abilities. Robotic-assisted gait training mitigates this functional deterioration. This preliminary study aims to investigate the effects of a four-week gait training with the ExoAtlet II exoskeleton on static balance control and functional mobility in five individuals with MS (Expanded Disability Status Scale ≤ 2.5). Before and after the training, they were assessed in quiet standing under Eyes Open (EO) and Eyes Closed (EC) conditions and with the Timed Up and Go (TUG) test. Center of Pressure (CoP) Sway Area, Antero–Posterior (AP) and Medio–Lateral (ML) CoP displacement, Stay Time, and Total Instability Duration were computed. TUG test Total Duration, sit-to-stand, stand-to-sit, and linear walking phase duration were analyzed. To establish target reference values for rehabilitation advancement, the same evaluations were performed on a matched healthy cohort. After the training, an improvement in static balance with EO was observed towards HS values (reduced Sway Area, AP and ML CoP displacement, and Total Instability Duration and increased Stay Time). Enhancements under EC condition were less marked. TUG test performance improved, particularly in the stand-to-sit phase. These preliminary findings suggest functional benefits of exoskeleton gait training for individuals with MS. Full article

Even for the strongest human being, maintaining an elevated arm position for an extended duration represents a significant challenge, as fatigue inevitably accumulates over time. The physical strain is further intensified when the individual is engaged in repetitive tasks, particularly those involving the use of tools or heavy equipment. Such activities increase the probability of developing muscle fatigue or injuries due to overuse or improper posture. Over time, this can result in the development of chronic conditions, which may impair the individual’s ability to perform tasks effectively and potentially lead to long-term physical impairment. Exoskeletons play a transformative role by reducing the perceived load on the muscles and providing mechanical support, mitigating the risk of injuries and alleviating the physical burden associated with strenuous activities. In addition to injury prevention, these devices also promise to facilitate the rehabilitation of individuals who have sustained musculoskeletal injuries. This document examines the various types of exoskeletons, investigating their design, functionality, and applications. The objective of this study is to present a comprehensive understanding of the current state of these devices, highlighting advancements in the field and evaluating their real-world impact. Furthermore, it analyzes the crucial insights obtained by other researchers, and by summarizing these findings, this work aims to contribute to the ongoing efforts to enhance exoskeleton performance and expand their accessibility across different sectors, including agriculture, healthcare, industrial work, and beyond. Full article

Transparency is a key requirement for some classes of robots, exoskeletons, and assistive devices (READs), where safe and efficient human–robot interaction is crucial. Typical fields that require transparency are rehabilitation and industrial contexts. However, the definitions of transparency adopted in the literature are heterogeneous. It follows that there is a need to clarify, summarize, and assess how transparency is commonly defined and measured. Thus, the goal of this review is to systematically examine how transparency is conceptualized and evaluated across studies. To this end, we performed a structured search across three major scientific databases. After a thorough screening process, 20 out of 400 identified articles were further examined and included in this review. Despite being recognized as a desirable and essential characteristic of READs in many domains of application, our findings reveal that transparency is still inconsistently defined and evaluated, which limits comparability across studies and hinders the development of standardized evaluation frameworks. Indeed, our screening found significant heterogeneity in both terminology and evaluation methods. The majority of the studies used either a mechanical or a kinematic definition, mostly focusing on the intrinsic behavior of the device and frequently giving little attention to the device impact of the user and on the user’s perception. Furthermore, user-centered or physiological assessments could be examined further, since evaluation metrics are usually based on kinematic and robot mechanical metrics. Only a few studies have examined the underlying motor control strategies, using more in-depth methods such as muscle synergy analysis. These findings highlight the need for a shared taxonomy and a standardized framework for transparency evaluation. Such efforts would enable more reliable comparisons between studies and support the development of more effective and user-centered READs. Full article

This review provides a comprehensive analysis of recent advancements in lower limb exoskeleton systems, focusing on applications, control strategies, hardware architecture, sensing modalities, human-robot interaction, evaluation methods, and technical innovations. The study spans systems developed for gait rehabilitation, mobility assistance, terrain adaptation, pediatric use, and industrial support. Applications range from sit-to-stand transitions and post-stroke therapy to balance support and real-world navigation. Control approaches vary from traditional impedance and fuzzy logic models to advanced data-driven frameworks, including reinforcement learning, recurrent neural networks, and digital twin-based optimization. These controllers support personalized and adaptive interaction, enabling real-time intent recognition, torque modulation, and gait phase synchronization across different users and tasks. Hardware platforms include powered multi-degree-of-freedom exoskeletons, passive assistive devices, compliant joint systems, and pediatric-specific configurations. Innovations in actuator design, modular architecture, and lightweight materials support increased usability and energy efficiency. Sensor systems integrate EMG, EEG, IMU, vision, and force feedback, supporting multimodal perception for motion prediction, terrain classification, and user monitoring. Human–robot interaction strategies emphasize safe, intuitive, and cooperative engagement. Controllers are increasingly user-specific, leveraging biosignals and gait metrics to tailor assistance. Evaluation methodologies include simulation, phantom testing, and human–subject trials across clinical and real-world environments, with performance measured through joint tracking accuracy, stability indices, and functional mobility scores. Overall, the review highlights the field’s evolution toward intelligent, adaptable, and user-centered systems, offering promising solutions for rehabilitation, mobility enhancement, and assistive autonomy in diverse populations. Following a detailed review of current developments, strategic recommendations are made to enhance and evolve existing exoskeleton technologies. Full article

Brain–Computer Interfaces (BCIs) enable direct communication between the brain and external devices by decoding motor intentions from EEG signals. However, the existing multi-class classification methods for motor imagery EEG (MI-EEG) signals are hindered by low signal quality and limited accuracy, restricting their practical application. This study focuses on rehabilitation training scenarios, aiming to capture the motor intentions of patients with partial or complete motor impairments (such as stroke survivors) and provide feedforward control commands for exoskeletons. This study developed an EEG acquisition protocol specifically for use with lower-limb rehabilitation motor imagery (MI). It systematically explored preprocessing techniques, feature extraction strategies, and multi-classification algorithms for multi-task MI-EEG signals. A novel 3D EEG convolutional neural network (3D EEG-CNN) that integrates time/frequency features is proposed. Evaluations on a self-collected dataset demonstrated that the proposed model achieved a peak classification accuracy of 66.32%, substantially outperforming conventional approaches and demonstrating notable progress in the multi-class classification of lower-limb motor imagery tasks. Full article

The development of wearable robotic exoskeletons has seen rapid progress in recent years, driven by the growing need for technologies that support motor rehabilitation, assist individuals with physical impairments, and enhance human capabilities in both clinical and everyday contexts. Within this field, elbow exoskeletons have emerged as a key focus due to the joint’s essential role in upper limb functionality and its frequent impairment following neurological injuries such as stroke. With increasing research activity, there is a strong interest in evaluating these systems not only from a technical perspective but also in terms of user comfort, adaptability, and clinical relevance. This review investigates recent advancements in elbow exoskeleton technology, evaluating their effectiveness and identifying key design challenges and limitations. Devices are categorized based on three main criteria: mechanical structure (rigid, soft, or hybrid), actuation method, and sensing technologies. Additionally, the review classifies systems by their supported range of motion, flexion–extension, supination–pronation, or both. Through a systematic analysis of these features, the paper highlights current design trends, common trade-offs, and research gaps, aiming to guide the development of more practical, effective, and accessible elbow exoskeletons. Full article

Background/Objectives: Robotic-assisted gait training (RAGT) is a promising adjunct to conventional rehabilitation for stroke survivors. However, its additive benefit over standard therapy remains to be fully clarified. This systematic review and meta-analysis evaluated the effectiveness of combining RAGT with conventional rehabilitation in improving gait-related outcomes among individuals with stroke. Methods: We searched PubMed, Embase, CINAHL, and Cochrane CENTRAL through September 2024 for randomized controlled trials (RCTs) comparing combined RAGT and conventional rehabilitation versus conventional rehabilitation alone in adults post-stroke. Data were synthesized using a random-effects model, and subgroup analyses examined effects by intervention duration, stroke chronicity, and robotic system type. Results: Twenty-three RCTs (n = 907) were included. The combined intervention significantly improved gait function (SMD = 0.51, p = 0.001), gait speed (SMD = 0.47, p = 0.010), balance (MD = 4.58, p < 0.001), and ADL performance (SMD = 0.35, p = 0.001). Subgroup analyses revealed that end-effector robotic systems yielded superior outcomes compared to exoskeletons, particularly in subacute stroke patients. The most pronounced benefits were seen in gait velocity and dynamic balance, especially with ≤15 training sessions. Conclusions: Integrating RAGT with conventional rehabilitation enhances motor recovery and functional performance in stroke survivors. End-effector devices appear most effective in subacute phases, supporting individualized RAGT application based on patient and device characteristics. Full article

This study aimed to evaluate how wearable hip exoskeleton assistance affects phase-dependent gait stability in healthy adults using a novel visualization technique known as gait tube analysis. Hip exoskeletons offer significant potential to enhance human locomotion through joint torque augmentation, yet their effects on gait stability across the gait cycle remain underexplored. This study introduces gait tube analysis, a novel method for visualizing center of mass velocity trajectories in three-dimensional state space, to quantify phase-dependent gait stability under hip exoskeleton assistance. We analyzed data from ten healthy adults walking under twelve conditions (ten powered with varying torque magnitude and timing, one passive, and one unassisted), assessing variability via covariance-based ellipsoid volumes. Powered conditions, notably HighLater and HighLatest, significantly increased vertical variability (VT) during early-to-mid stance (10–50% of the gait cycle), with HighLater showing the highest mean ellipsoid volume (99,937 mm³/s³; z = 2.3). Conversely, the passive PowerOff condition exhibited the lowest variability (47,285 mm³/s³; z = –1.7) but higher metabolic cost, highlighting a stability-efficiency trade-off. VT was elevated in 11 of 12 conditions (p ≤ 0.0059), and strong correlations (r ≥ 0.65) between ellipsoid volume and total variability validated the method’s robustness. These findings reveal phase-specific stability challenges and metabolic cost variations induced by exoskeleton assistance, providing a foundation for designing adaptive controllers to balance stability and efficiency in rehabilitation and performance enhancement contexts. Full article

This paper presents a novel design for a bionic knee exoskeleton equipped with a variable stiffness actuator based on rope-driven artificial muscles. To meet the varying stiffness requirements of the knee joint across different gait modes, the actuator dynamically switches between multiple rope bundle configurations, thereby enabling effective stiffness modulation. A mathematical model of the knee exoskeleton is developed, and the mechanical properties of the selected flexible aramid fiber ropes under tensile loading are analyzed through both theoretical and experimental approaches. Furthermore, a control framework for the exoskeleton system is proposed. Wearable experiments are conducted to evaluate the effectiveness of the variable stiffness actuation in improving compliance and comfort across various gait patterns. Electromyography (EMG) results further demonstrate that the exoskeleton provides a compensatory effect on the rectus femoris muscle. Full article

Piano-based occupational therapy has emerged as an engaging and effective rehabilitation strategy for improving upper limb motor functions. However, a lack of comprehensive biomechanical modeling, objective rehabilitation assessment, and real-time fatigue monitoring has limited its clinical optimization. This study developed a comprehensive “key–finger–exoskeleton” biomechanical model based on Hill-type muscle dynamics and rigid-body kinematics. A three-dimensional muscle synergy analysis method using non-negative tensor factorization (NTF) was proposed to quantitatively assess rehabilitation effectiveness. Furthermore, a real-time Comprehensive Muscle Fatigue Index (CMFI) based on multi-muscle coordination was designed for fatigue monitoring during therapy. Experimental validations demonstrated that the biomechanical model accurately predicted interaction forces during piano-playing tasks. After three weeks of therapy, patients exhibited increased synergy modes and significantly improved similarities with healthy subjects across spatial, temporal, and frequency domains, particularly in the temporal domain. The CMFI showed strong correlation (r > 0.83, p < 0.001) with subjective fatigue ratings, confirming its effectiveness in real-time fatigue assessment and training adjustment. The integration of biomechanical modeling, synergy-based rehabilitation evaluation, and real-time fatigue monitoring offers an objective, quantitative framework for optimizing piano-based rehabilitation. These findings provide important foundations for developing intelligent, adaptive rehabilitation systems. Full article

Electromyography (EMG) has emerged as a vital tool in the development of wearable robotic exoskeletons, enabling intuitive and responsive control by capturing neuromuscular signals. This review presents a comprehensive analysis of the EMG signal processing pipeline tailored to exoskeleton applications, spanning signal acquisition, noise mitigation, data preprocessing, feature extraction, and control strategies. Various EMG acquisition methods, including surface, intramuscular, and high-density surface EMG, are evaluated for their applicability in real-time control. The review addresses prevalent signal quality challenges, such as motion artifacts, power-line interference, and crosstalk. It also highlights both traditional filtering techniques and advanced methods, such as wavelet transforms, empirical mode decomposition, and adaptive filtering. Feature extraction techniques are explored to support pattern recognition and motion classification. Machine learning approaches are examined for their roles in pattern recognition-based and hybrid control architectures. This article emphasizes muscle synergy analysis and adaptive control algorithms to enhance personalization and fatigue compensation, followed by the benefits of multimodal sensing and edge computing in addressing the limitations of EMG-only systems. By focusing on EMG-driven strategies through signal processing, machine learning, and sensor fusion innovations, this review bridges gaps in human–machine interaction, offering insights into improving the precision, adaptability, and robustness of next generation exoskeletons. Full article