Healthcare Technology Letters, 2016 · DOI: 10.1049/htl.2016.0063 · Published: October 17, 2016
This study investigates the interaction forces between a lower limb exoskeleton and the user's body, specifically focusing on whether these forces are due to the user's muscular activity or the exoskeleton's movement. The research involved measuring muscle activity (EMG) and interaction forces at various points of contact between the exoskeleton and the user's legs during different movement tasks. The findings suggest that the interaction forces are primarily caused by the exoskeleton's movement, but muscular activity can play a significant role, especially at certain locations like the front of the leg.
Exoskeleton designs should minimize interaction forces, particularly at the anterior aspect of the leg, to reduce the risk of pressure ulcers.
Therapists should be aware that patients with partial SCI may experience higher interaction forces, especially during initial training, and adjust training protocols accordingly.
EMG activity could be used to develop more intuitive control algorithms for exoskeletons, particularly for incomplete SCI patients who retain some voluntary muscle control.