Hemiparetic gait after stroke is typically asymmetric and energetically inefficient. A major contributor to walking deficits is impaired paretic ankle function. Impaired paretic ankle plantarflexion (PF) reduces forward propulsion symmetry and impaired paretic ankle dorsiflexion (DF) diminishes ground clearance during swing. We have developed soft wearable robots (soft exosuits) to assist paretic PF and DF during walking after stroke. Through experimental studies with poststroke patients, we have demonstrated that exosuits can improve forward propulsion symmetry and ground clearance in walking, ultimately reducing the metabolic cost of walking. This paper presents an optimized soft exosuit aimed at use in clinical gait training for patients poststroke. The optimized exosuit is lightweight, easy to don and doff, and capable of efficiently delivering mechanical assistance to the paretic ankle. This paper focuses on the optimized controller that can deliver well-timed consistent ankle assistance to patients. A preliminary study was performed using this exosuit with three poststroke patients with heterogeneous gait patterns. Results showed that compared to a previously published controller, more consistent assistive force profiles could be delivered to individuals poststroke while consuming 50% less electrical power. Additionally, a preliminary biomechanical assessment was performed during overground walking.

We present an autonomous and portable hip-only soft exosuit, for augmenting human walking and running that assists hip extension by delivering peak forces of 300N to the user. Different fixed assistance profiles for walking and running were applied based on an online classification algorithm. The approach is based on the biomechanical understanding that the center of mass potential energy fluctuations during walking and running are out of phase. Specifically, we monitor the vertical acceleration with an abdomen-mounted IMU at the moment of maximum hip extension. Validation is demonstrated with six subjects on the treadmill and with eight subjects outdoors. Our results demonstrated a 99.99% accuracy on average over the fourteen participants for various speeds (0.5 - 4m/s), slopes (-10 -20%), treadmill and overground terrain, loaded (13.6 kg) and unloaded, Exo On and Exo Off conditions, and different shoe types. Results from an evaluation outdoors overground on the energetics of eight subjects demonstrated a significant reduction for running when comparing Exo On to No Exo (3.9%) and for walking and running when comparing Exo On to Exo Off (12.2% and 8.2% respectively). This study represents the first demonstration of an autonomous wearable robot reducing the energy cost of running. Significant variation in response across subjects was observed, highlighting further improvements may be possible via assistance profile individualization with human-in-the-Ioop optimization.

Soft exosuits are a new approach for assisting with human locomotion, which applies assistive torques to the wearer through functional apparel. In this paper, we present a new version of autonomous multi-joint soft exosuit for gait assistance, particularly designed for overground walking. The soft exosuit assists with ankle plantarflexion, hip flexion, and hip extension, equally distributing the forces between ankle plantarflexion and hip flexion. A mobile actuation system was developed to generate high assistive forces, and Bowden cables are used to transmit the forces to the exosuit. A sensor harness connects two load cells and three IMU s per leg that are used to measure real-time data for a controller that commands desired force profiles as a function of the walking cycle. In addition, a control adaptation method was developed which adjusts control parameters while walking on irregular surfaces. In preliminary studies, the proposed method substantially improved the force consistency while walking over uneven terrain. Specifically, the number of steps where the peak force deviated from the target force decreased from 100 to 57 out of 250 steps, and RMS error on the peak force decreased from 90.0 N to 76.6 N with respect to 300 N target force. Also, a two-subject case study on country-course walking demonstrated the potential of this soft exosuit to improve human energy economy while walking overground.

In this paper, we present a design and control approach of a modular off-board actuation system with mono-articular hip exosuit, enabling the instantaneous assistive profile modification of magnitude, shape, and timing. The off-board system consists an actuation unit with two degrees of freedom that can transmit forces to our soft exosuit via Bowden cables. To perform accurate force tracking and cable slack management, we implemented a switching admittance-position control approach that utilizes the advantages of both admittance and position control. In particular, feedforward models (FFMs) are added to the admittance control to compensate variability of individual kinematics, nonlinear hip exosuit stiffness and actuator transmission loss to enable a more accurate force tracking. This system allows us to track force profiles accurately and robustly under normal walking or jogging speed. The performance of force tracking was evaluated on three subjects walking on a treadmill at 1.25 m/s with various magnitude, shape, and timings of assistive profiles and jogging on a treadmill at 2.3 m/s with varied magnitude of a representative assistance profile. Results showed that assistance could be delivered reliably across different profiles. In case of walking experiments, the errors of the magnitude, RMS-E, and timing were within 2.0 N, 8.4 N, and 1.8% when varying the magnitude, shape, and timing respectively. In case of jogging experiments, the RMS-E was within 3.0 N. This system will be used for future research examining how to individualize assistive profiles for different wearers during walking and jogging.

In this paper we describe an IMU-based iterative controller for hip extension assistance where the onset timing of assistance is based on an estimate of the maximum hip flexion angle. The controller was implemented on a mono-articular soft exosuit coupled to a lab-based multi-joint actuation platform that enables rapid reconfiguration of different sensors and control strategy implementation. The controller design is motivated by a model of the suit-human interface and utilizes an iterative control methodology that includes gait detection and step-by-step actuator position profile generation to control the onset timing, peak timing, and peak magnitude of the delivered force. This controller was evaluated on eight subjects walking on a treadmill at a speed of 1.5 m/s while carrying a load of 23 kg. Results showed that assistance could be delivered reliably across subjects. Specifically, for a given profile, the average delivered force started concurrently with the timing of the maximum hip flexion angle and reached its peak timing 22.7 ± 0.63% later in the gait cycle (desired 23%) with a peak magnitude of 198.2 ± 1.6 N (desired 200 N), equivalent to an average peak torque of 30.5 ± 4.7 Nm. This control approach was used to assess the metabolic effect of four different assistive profiles. Metabolic reductions ranging from 5.7% to 8.5% were found when comparing the powered conditions with the unpowered condition. This work enables studies to assess the biomechanical and physiological responses to different assistive profiles to determine the optimal hip extension assistance during walking.

The soft exosuit is a new approach for applying assistive forces over the wearer's body through load paths configured by the textile architecture. In this paper, we present a body-worn lower-extremity soft exosuit and a new control approach that can independently control the level of assistance that is provided during negative- and positive-power periods at the ankle. The exosuit was designed to create load paths assisting ankle plantarflexion and hip flexion, and the actuation system transmits forces from the motors to the suit via Bowden cables. A load cell and two gyro sensors per leg are used to measure real-time data, and the controller performs position control of the cable on a step-by-step basis with respect to the power delivered to the wearer's ankle by controlling two force parameters, the pretension and the active force. Human subjects testing results demonstrate that the controller is capable of modulating the amount of power delivered to the ankle joint. Also, significant reductions in metabolic rate (11%-15%) were observed, which indicates the potential of the proposed control approach to provide benefit to the wearer during walking.

Exosuits represent a new approach for applying assistive forces to an individual, using soft textiles to interface to the wearer and transmit forces through specified load paths. In this paper we present a body-worn, multi-joint soft exosuit that assists both ankle plantar flexion and hip flexion through a multiarticular load path, and hip extension through a separate load path, at walking speeds up to 1.79m/s (4.0mph). The exosuit applies forces of 300N in the multiarticular load path and 150N in hip extension, which correspond to torques of 21% and 19% of the nominal biological moments at the ankle and hip during unloaded walking. The multi-joint soft exosuit uses a new actuation approach that exploits joint synergies, with one motor actuating the multiarticular load paths on both legs and one motor actuating the hip extension load paths on both legs, in order to reduce the total system weight. Control is accomplished by an algorithm that uses only a gyroscope at the heel and a load cell monitoring the suit tension, and is shown to adapt within a single step to changes in cadence. Additionally, the control algorithm can create slack in the suit during non-level-ground walking motions such as stepping over obstacles so that the system can be transparent to the wearer when required. The resulting system consumes 137W, and has a mass of 6.5kg including batteries.

Lower-limb wearable robots have been proposed as a means to augment or assist the wearer's natural performance, in particular, in the military and medical field. Previous research studies on human-robot interaction and biomechanics have largely been performed with rigid exoskeletons that add significant inertia to the lower extremities and provide constraints to the wearer's natural kinematics in both actuated and non-actuated degrees of freedom. Actuated lightweight soft exosuits minimize these effects and provide a unique opportunity to study human-robot interaction in wearable systems without affecting the subjects underlying natural dynamics. In this paper, we present the design and control of a reconfigurable multi-joint actuation platform that can provide biologically realistic torques to ankle, knee, and hip joints through lower extremity soft exosuits. Two different soft exosuits have been designed to deliver assistive forces through Bowden cable transmission to the ankle and hip joints. Through human subject experiments, it is demonstrated that with a real-time admittance controller, accurate force profile tracking can be achieved during walking. The average energy delivered to the test subject was calculated while walking at 1.25 m/s and actuated with 15% of the total torque required by the biological joints. The results show that the ankle joint received an average of 3.02J during plantar flexion and that the hip joint received 1.67J during flexion each gait cycle. The efficiency of the described suit and controller in transferring energy to the human biological joints is 70% for the ankle and 48% for the hip.

This paper describes the design and evaluation of a new platform created in order to improve the learning experience of bilateral control algorithms in teleoperation. This experimental platform, developed at Universidad Politécnica de Madrid, is used by the students of the Master on Automation and Robotics in the practices of the subject called “Telerobotics and Teleoperation”. The main objective is to easily implement different control architectures in the developed platform and evaluate them under different conditions to better understand the main advantages and drawbacks of each control scheme. So, the student's tasks are focused on adjusting the control parameters of the predefined controllers and designing new ones to analyze the changes in the behavior of the whole system. A description of the subject, main topics and the platform constructed are detailed in the paper. Furthermore, the methodology followed in the practices and the bilateral control algorithms are presented. Finally, the results obtained in the experiments with students are also shown.

Stroke is the leading cause of long-term disability in the United States, affecting over 795,000 people annually. In order to regain motor function of the upper body, patients are usually treated by regular sessions with a dedicated physical therapist. A cost-effective wearable upper body orthotics system that can be used at home to empower both the patients and physical therapists is described. The system is composed of a thin, compliant, lightweight, cost-effective soft orthotic device with an integrated cable actuation system that is worn over the upper body, an embedded limb position sensing system, an electric actuator package and controller. The proposed device is robust to misalignments that may occur during actuation of the compliant brace or when putting on the system. Through simulations and experimental evaluation, it was demonstrated i) that the soft orthotic cable-driven shoulder brace can be successfully actuated without the production of off-axis torques in the presence of misalignments and ii) that the proposed model can identify linear and angular misalignments online.

In this paper we present a new method for measuring forces using piezoresistive sensors. This method dramatically increases the accuracy and repeatability of the readings compared with traditional methods. These improvements will allow the common use of piezoresistive sensors in robotic applications, where only expensive and sophisticated force sensors such as load cells are currently used. We also present a sketch of a haptic interface under development, consisting of a data glove in which these force sensors are integrated. This interface is intended to control an Intelligent Assist Device by measuring operator-applied forces to the load. The new method proposed for measuring forces in piezoresistive sensors consists of reading conductance and capacitance by applying DC and sinusoidal waveforms to the sensors, thereby allow us to determine a multivariable estimation of force, instead of using the traditional, purely resistive model that has been used up to now.