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  4. Questionnaire results of user experiences with wearable exoskeletons and their preferences for sensory feedback

Questionnaire results of user experiences with wearable exoskeletons and their preferences for sensory feedback

Journal of NeuroEngineering and Rehabilitation, 2018 · DOI: https://doi.org/10.1186/s12984-018-0445-0 · Published: October 18, 2018

Spinal Cord InjuryAssistive TechnologyBiomedical

Simple Explanation

Wearable exoskeletons can help people with spinal cord injuries (SCI) walk, offering psychological and physical benefits. However, controlling these exoskeletons is hard and requires lots of training. People with SCI lack both motor control and sensory information from below their injury, which is key for balance and knowing their body's position. The study explores providing sensory feedback to exoskeleton users, aiming to improve control. A questionnaire was used to identify which information is missing and which feedback methods (sound, vibration, or visuals) and timing (constant or occasional) users prefer. The study found that feedback on weight shifting (side-to-side and front-to-back) and when to start a step might be helpful. Vibrotactile feedback (using vibrations) and occasional feedback were slightly preferred.

Study Duration
September 2015 to September 2017
Participants
10 SCI subjects
Evidence Level
Not specified

Key Findings

  • 1
    Three feedback parameters (feedback about mediolateral and anteroposterior weight shift and feedback about step initiation) were considered as possibly helpful by the respondents.
  • 2
    Furthermore, there were slight preferences for the use of vibrotactile (over auditory and visual) and discrete (over continuous) feedback.
  • 3
    The answers of the respondents on the optimal feedback parameters were rather variable and therefore it is recommended to let the users choose their preferred feedback system during a training session with several feedback options.

Research Summary

This study aimed to evaluate experiences with wearable exoskeletons and the potential of sensory feedback from the user's perspective, identifying shortcomings and assessing stimulation methods and feedback parameters. The study found variability in user responses regarding optimal feedback parameters, suggesting tailoring sensory feedback to individual user needs during training sessions. The study recommends weight shift or step initiation feedback through vibrotactile stimulation in a discrete way for future wearable exoskeletons, allowing users to choose their preferred feedback during training.

Practical Implications

Personalized Exoskeleton Training

Offer diverse feedback options during training, empowering users to select preferences.

Vibrotactile Feedback Implementation

Prioritize vibrotactile stimulation for step initiation and weight shift, mitigating noisy environments.

Future Exoskeleton Design

Incorporate user-selected sensory feedback to enhance control and balance during exoskeleton use.

Study Limitations

  • 1
    Small sample size of 10 participants.
  • 2
    The study focused solely on users of the ReWalk exoskeleton.
  • 3
    Feedback options were only described on paper, not directly experienced.

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