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  4. Volition-adaptive control for gait training using wearable exoskeleton: preliminary tests with incomplete spinal cord injury individuals

Volition-adaptive control for gait training using wearable exoskeleton: preliminary tests with incomplete spinal cord injury individuals

Journal of NeuroEngineering and Rehabilitation, 2018 · DOI: 10.1186/s12984-017-0345-8 · Published: January 10, 2018

Spinal Cord InjuryAssistive TechnologyBiomedical

Simple Explanation

This paper evaluates an adaptive control model, commanded by the user intention, using a lower limb exoskeleton with incomplete spinal cord injury individuals (SCI). The adaptive control model modifies the joint impedance properties of the exoskeleton as a function of the human-orthosis interaction torques and the joint trajectory evolution along the gait sequence, in real time. The volitional input of the user is identified by monitoring the neural signals, pertaining to the user’s motor activity.

Study Duration
Not specified
Participants
4 incomplete SCI individuals
Evidence Level
Not specified

Key Findings

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    The exoskeleton demonstrated an adaptive assistance depending on the patients’ performance without guiding them to follow an imposed trajectory.
  • 2
    The exoskeleton initiated the trajectory based on the user intention command received from the brain machine interface, demonstrating it as a reliable trigger.
  • 3
    A progressive change in the maximum flexion of the knee joint was observed at the end of each session which shows improvement in the patient performance.

Research Summary

This study demonstrates that user specific adaptive control can be applied on a wearable robot based on the human-orthosis interaction torques and modifying the joints’ impedance properties. The patients perceived no external or impulsive force and felt comfortable with the assistance provided by the exoskeleton. In addition, the initiation directly controlled by the brain allows synchronizing the user’s intention with the afferent stimulus provided by the movement of the exoskeleton, which maximizes the potentiality of the system in neuro-rehabilitative therapies.

Practical Implications

Personalized Gait Assistance

The exoskeleton can adapt to individual patient's gait patterns, providing a more customized and effective gait training experience.

Improved Patient Engagement

By using brain-machine interface to initiate movement, the system encourages active participation and motivation in the therapy.

Potential for Neuro-rehabilitation

Synchronizing user intention with exoskeleton movement maximizes the potential for neuro-rehabilitative therapies.

Study Limitations

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