A biarticular passive exosuit to support balance control can reduce metabolic cost of walking

Far from the walking pace. Ecological and evolutionary consequences of the suboptimal locomotion speeds in non-adult humans

INTRODUCTION

Locomotion activities are part of most human daily tasks and are the basis for subsistence activities, particularly for hunter-gatherers. Therefore, differences in speed walking-related variables may have an effect, not only on the mobility of the group, but also on its composition. Some anthropometric parameters related to body length could affect walking speed-related variables and contribute to different human behaviors. However, there is currently little information on the influence of these parameters in nonadult individuals.

METHODS

Overall, 11 females and 17 male child/adolescents, 8-17 years of age, volunteered to participate in this cross-sectional study. Five different pace walking tests were performed on a treadmill to calculate the optimal locomotion speed (OLS) and U-shaped relationship between the walking energy expenditure and speed (χ2 cost of transport [CoT]) (i.e., energetic walking flexibility).

RESULTS

The mean OLS was 3.05 ± 0.13 miles per hour (mph), with no differences between sexes. Similarly, there were no sex differences in walking flexibility according to the χ2 CoT. Body height (p < .0001) and femur length (p < .001) were positively correlated with χ2 CoT; however, female child/adolescents mitigated the effect of height and femur length when walking at suboptimal speeds.

CONCLUSION

Consistent with prior observations in adults, our findings suggest that anthropometric parameters related to body stature are associated with reduced suboptimal walking flexibility in children and adolescents. Taken together, these results suggest that children and adolescents can adapt their pace to the one of taller individuals without a highly energetic penalty, but this flexibility decreases with increasing body size.

Virtual pivot point: Always experimentally observed in human walking?

A main challenge in human walking is maintaining stability. One strategy to balance the whole body dynamically is to direct the ground reaction forces toward a point above the center of mass, called virtual pivot point (VPP). This strategy could be observed in various experimental studies for human and animal gait. A VPP was also observed when VPP input variables like center of mass or ground reaction forces were perturbed. In this study, the kinetic and kinematic consequences of a center of pressure manipulation and the influence on the VPP are investigated. Thus, eleven participants walked with manipulated center of pressure (i.e. barefoot, backwards, with a rigid sole, with stilts, and in handstand compared to shoe walking). In all conditions a VPP could be observed, only one participant showed no VPP in handstand walking. The vertical VPP position only differs between shoe walking and rigid sole walking, there are no significant differences between the conditions in the horizontal VPP position and the spread around the VPP. However, it is conceivable that for more severe gait changes, walking without VPP could be observed. To further analyze this issue, the authors provide a VPP calculation tool for testing data regarding the existence of the VPP.

'Virtual pivot point' in human walking: Always experimentally observed but simulations suggest it may not be necessary for stability

The intersection of ground reaction forces near a point above the center of mass has been observed in computer simulation models and human walking experiments. Observed so ubiquitously, the intersection point (IP) is commonly assumed to provide postural stability for bipedal walking. In this study, we challenge this assumption by questioning if walking without an IP is possible. Deriving gaits with a neuromuscular reflex model through multi-stage optimization, we found stable walking patterns that show no signs of the IP-typical intersection of ground reaction forces. The non-IP gaits found are stable and successfully rejected step-down perturbations, which indicates that an IP is not necessary for locomotion robustness or postural stability. A collision-based analysis shows that non-IP gaits feature center of mass (CoM) dynamics with vectors of the CoM velocity and ground reaction force increasingly opposing each other, indicating an increased mechanical cost of transport. Although our computer simulation results have yet to be confirmed through experimental studies, they already indicate that the role of the IP in postural stability should be further investigated. Moreover, our observations on the CoM dynamics and gait efficiency suggest that the IP may have an alternative or additional function that should be considered.

A Critical Review on Factors Affecting the User Adoption of Wearable and Soft Robotics

In recent years, the advent of soft robotics has changed the landscape of wearable technologies. Soft robots are highly compliant and malleable, thus ensuring safe human-machine interactions. To date, a wide variety of actuation mechanisms have been studied and adopted into a multitude of soft wearables for use in clinical practice, such as assistive devices and rehabilitation modalities. Much research effort has been put into improving their technical performance and establishing the ideal indications for which rigid exoskeletons would play a limited role. However, despite having achieved many feats over the past decade, soft wearable technologies have not been extensively investigated from the perspective of user adoption. Most scholarly reviews of soft wearables have focused on the perspective of service providers such as developers, manufacturers, or clinicians, but few have scrutinized the factors affecting adoption and user experience. Hence, this would pose a good opportunity to gain insight into the current practice of soft robotics from a user's perspective. This review aims to provide a broad overview of the different types of soft wearables and identify the factors that hinder the adoption of soft robotics. In this paper, a systematic literature search using terms such as "soft", "robot", "wearable", and "exoskeleton" was conducted according to PRISMA guidelines to include peer-reviewed publications between 2012 and 2022. The soft robotics were classified according to their actuation mechanisms into motor-driven tendon cables, pneumatics, hydraulics, shape memory alloys, and polyvinyl chloride muscles, and their pros and cons were discussed. The identified factors affecting user adoption include design, availability of materials, durability, modeling and control, artificial intelligence augmentation, standardized evaluation criteria, public perception related to perceived utility, ease of use, and aesthetics. The critical areas for improvement and future research directions to increase adoption of soft wearables have also been highlighted.

Modulating Multiarticular Energy during Human Walking and Running with an Unpowered Exoskeleton

Researchers have made advances in reducing the metabolic rate of both walking and running by modulating mono-articular energy with exoskeletons. However, how to modulate multiarticular energy with exoskeletons to improve the energy economy of both walking and running is still a challenging problem, due to the lack of understanding of energy transfer among human lower-limb joints. Based on the study of the energy recycling and energy transfer function of biarticular muscles, we proposed a hip-knee unpowered exoskeleton that emulates and reinforces the function of the hamstrings and rectus femoris in different gait phases. The biarticular exo-tendon of the exoskeleton assists hamstrings to recycle the kinetic energy of the leg swing while providing hip extension torque in the swing phase. In the following stance phase, the exo-tendon releases the stored energy to assist the co-contraction of gluteus maximus and rectus femoris for both hip extension and knee extension, thus realizing the phased modulation of hip and knee joint energy. The metabolic rate of both walking (1.5 m/s) and running (2.5 m/s) can be reduced by 6.2% and 4.0% with the multiarticular energy modulation of a hip-knee unpowered exoskeleton, compared to that of walking and running without an exoskeleton. The bio-inspired design method of this study may inspire people to develop devices that assist multiple gaits in the future.

BirdBot achieves energy-efficient gait with minimal control using avian-inspired leg clutching

Designers of legged robots are challenged with creating mechanisms that allow energy-efficient locomotion with robust and minimalistic control. Sources of high energy costs in legged robots include the rapid loading and high forces required to support the robot's mass during stance and the rapid cycling of the leg's state between stance and swing phases. Here, we demonstrate an avian-inspired robot leg design, BirdBot, that challenges the reliance on rapid feedback control for joint coordination and replaces active control with intrinsic, mechanical coupling, reminiscent of a self-engaging and disengaging clutch. A spring tendon network rapidly switches the leg's slack segments into a loadable state at touchdown, distributes load among joints, enables rapid disengagement at toe-off through elastically stored energy, and coordinates swing leg flexion. A bistable joint mediates the spring tendon network's disengagement at the end of stance, powered by stance phase leg angle progression. We show reduced knee-flexing torque to a 10th of what is required for a nonclutching, parallel-elastic leg design with the same kinematics, whereas spring-based compliance extends the leg in stance phase. These mechanisms enable bipedal locomotion with four robot actuators under feedforward control, with high energy efficiency. The robot offers a physical model demonstration of an avian-inspired, multiarticular elastic coupling mechanism that can achieve self-stable, robust, and economic legged locomotion with simple control and no sensory feedback. The proposed design is scalable, allowing the design of large legged robots. BirdBot demonstrates a mechanism for self-engaging and disengaging parallel elastic legs that are contact-triggered by the foot's own lever-arm action.

Study on the Control Method of Knee Joint Human-Exoskeleton Interactive System

The advantages of exoskeletons based on the Bowden cable include being lightweight and flexible, thus being convenient in assisting humans. However, the performance of an exoskeleton is limited by the structure and human–exoskeleton interaction, which is analyzed from the established mathematical model of the human–exoskeleton system. In order to improve the auxiliary accuracy, corresponding control methods are proposed. The disturbance observer is designed to compensate for disturbances and parameter perturbations in the inner loop. The human–exoskeleton interaction feedforward model is integrated into the admittance control, which overcomes the limitation of the force loading caused by the friction of the Bowden cable and the change in stiffness of the human–exoskeleton interaction. Furthermore, an angle prediction method using the encoder as the signal source is designed to reduce the disturbance of the force loading caused by human motion. Finally, the effectiveness of the design method proposed in this paper is verified through experiments.

From a biological template model to gait assistance with an exosuit

The invention of soft wearable assistive devices, known as exosuits, introduced a new aspect in assisting unimpaired subjects. In this study, we designed and developed an exosuit with compliant biarticular thigh actuators called BATEX. Unlike the conventional method of using rigid actuators in exosuits, the BATEX is made of serial elastic actuators (SEA) resembling artificial muscles. This bioinspired design is complemented by the novel control concept of using the ground reaction force to adjust the artificial muscles' stiffness in the stance phase. By locking the motors in the swing phase, the SEAs will be simplified to passive biarticular springs, which is sufficient for leg swinging. The key concept in our design and control approach is to synthesize human locomotion to develop an assistive device instead of copying human motor control outputs. Analyzing human walking assistance using experiment-based OpenSim simulations demonstrates the advantages of the proposed design and control of BATEX, such as 9.4% reduction in metabolic cost during normal walking condition. This metabolic reduction increases to 10.4% when the subjects carry a 38 kg load. The adaptability of our proposed model-based control to such an unknown condition outperforms the assistance level of the model-free optimal controller. Moreover, increasing the assistive system's efficiency by adjusting the actuator compliance with the force feedback supports our previous findings on the LOPES II exoskeleton.

A portable exotendon assisting hip and knee joints reduces muscular burden during walking

Assistive devices are used to reduce human effort during locomotion with increasing success. More assistance strategies are worth exploring, so we aimed to design a lightweight biarticular device with well-chosen parameters to reduce muscle effort. Based on the experience of previous success, we designed an exotendon to assist in swing leg deceleration. Then we conducted experiments to test the performance of the exotendon with different spring stiffness during walking. With the assistance of the exotendon, peak activation of semitendinosus decreased, with the largest reduction of 12.3% achieved with the highest spring stiffness (p = 0.004). The peak activations of other measured muscles were not significantly different (p = 0.15-0.92). The biological hip extension and knee flexion moments likewise significantly decreased with the spring stiffness (p < 0.01). The joint angle was altered during the assisted phases with decreased hip flexion and knee extension. Meanwhile, the step frequency and the step length were also altered, while the step width remained unaffected. Gait variability changed only in the frontal plane, exhibiting lower step width variability. We conclude that passive devices assisting hip extension and knee flexion can significantly reduce the burden on the hamstring muscles, while the kinematics is easily altered.

Reducing the energy cost of running using a lightweight, low-profile elastic exosuit

Background

Human beings can enhance their distance running performance with the help of assistive devices. Although several such devices are available, they are heavy and bulky, which limits their use in everyday activities. In this study, we developed a lightweight running assistive device with a low-profile design. The device applies a flexion moment to the hip according to the hip extension within a specific range of motion to assist running.

Methods

A passive exosuit was fabricated using textile materials and elastic bands. The deformation of the suit was measured and compensated for in the design. The fabricated suit was tested on eight participants (age: 24.4 ± 3.8 y; height: 1.72 ± 0.05 m; weight: 74.5 ± 6.1 kg) who were instructed to run on a treadmill at a speed of 2.5 m/s. Through indirect calorimetry, the metabolic rate was measured for the no-suit condition and three band conditions. Variations in the spatiotemporal parameters were measured using a motion capture system and force-sensing resistors (FSRs).

Results

When using the fabricated device, seven out of the eight participants exhibited a reduced metabolic rate in at least one of the three band conditions. An average reduction of − 4.7 ± 1.4% (mean ± standard error of the mean (s.e.m.), two-sided paired t-test, p = 0.017) was achieved when using the best-fitting bands compared to the average of the two no-suit conditions. No statistically significant changes were observed in the spatiotemporal parameters, except for the stance duration in the medium assistance force condition.

Conclusions

The proposed passive exosuit, which has a low weight of 609 g and small extrusion of 2.5 cm from the body in standing posture, can reduce the metabolic rate during running. The proposed device can potentially be used every day owing to its low-profile design and low weight, thereby overcoming the limitations of existing portable devices targeting the hip joints.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12984-021-00928-x.

Review of control strategies for lower-limb exoskeletons to assist gait

Background

Many lower-limb exoskeletons have been developed to assist gait, exhibiting a large range of control methods. The goal of this paper is to review and classify these control strategies, that determine how these devices interact with the user.

Methods

In addition to covering the recent publications on the control of lower-limb exoskeletons for gait assistance, an effort has been made to review the controllers independently of the hardware and implementation aspects. The common 3-level structure (high, middle, and low levels) is first used to separate the continuous behavior (mid-level) from the implementation of position/torque control (low-level) and the detection of the terrain or user’s intention (high-level). Within these levels, different approaches (functional units) have been identified and combined to describe each considered controller.

Results

291 references have been considered and sorted by the proposed classification. The methods identified in the high-level are manual user input, brain interfaces, or automatic mode detection based on the terrain or user’s movements. In the mid-level, the synchronization is most often based on manual triggers by the user, discrete events (followed by state machines or time-based progression), or continuous estimations using state variables. The desired action is determined based on position/torque profiles, model-based calculations, or other custom functions of the sensory signals. In the low-level, position or torque controllers are used to carry out the desired actions. In addition to a more detailed description of these methods, the variants of implementation within each one are also compared and discussed in the paper.

Conclusions

By listing and comparing the features of the reviewed controllers, this work can help in understanding the numerous techniques found in the literature. The main identified trends are the use of pre-defined trajectories for full-mobilization and event-triggered (or adaptive-frequency-oscillator-synchronized) torque profiles for partial assistance. More recently, advanced methods to adapt the position/torque profiles online and automatically detect terrains or locomotion modes have become more common, but these are largely still limited to laboratory settings. An analysis of the possible underlying reasons of the identified trends is also carried out and opportunities for further studies are discussed.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12984-021-00906-3.

A Single Assistive Profile Applied by a Passive Hip Flexion Device Can Reduce the Energy Cost of Walking in Older Adults

Difficulty walking in older adults affects their independence and ability to execute daily tasks in an autonomous way, which can result in a negative effect to their health status and risk of morbidity. Very often, reduced walking speed in older adults is caused by an elevated metabolic energy cost. Passive exoskeletons have been shown to offer a promising solution for lowering the energy cost of walking, and their simplicity could favor their use in real world settings. The goal of this study was to assess if a constant and consistent low torque applied by means of a passive exoskeleton to the hip flexors during walking could provide higher and more consistent metabolic cost reduction than previously achieved. Eight older adults walked on a treadmill at a constant speed of 1.1 m/s with and without the hip assistive device. Metabolic power and spatiotemporal parameters were measured during walking in these two conditions of testing. The hip assistive device was able to apply a low torque which initiates its assistive effect at mid-stance. This reduced the metabolic cost of walking across all the participants with respect to free walking (−4.2 ± 1.9%; p = 0.002). There were no differences in the spatiotemporal parameters reported. This study strengthened the evidence that passive assistive devices can be a valuable tool to reduce metabolic cost of walking in older adults. These findings highlighted the importance of investigating torque profiles to improve the performance provided by a hip assistive device. The simplicity and usability of a system of this kind can make it a suitable candidate for improving older adults’ independence.

Regulating Metabolic Energy Among Joints During Human Walking Using a Multiarticular Unpowered Exoskeleton

Researchers have found that the walking economy can be enhanced by recycling ankle metabolic energy using an unpowered ankle exoskeleton. However, how to regulate multiarticular energy to enhance the overall energy efficiency of humans during walking remains a challenging problem, as multiarticular passive assistance is more likely to interfere with the human body's natural biomechanics. Here we show that the metabolic energy of the hip and knee musculature can be regulated to a more energy-effective direction using a multiarticular unpowered exoskeleton that recycles negative mechanical energy of the knee joint in the late swing phase and transfers the stored energy to assist the hip extensors in performing positive mechanical work in the stance phase. The biarticular spring-clutch mechanism of the exoskeleton performs a complementary energy recycling and energy transfer function for hip and knee musculature. Through the phased regulation of the hip and knee metabolic energy, the target muscle activities decreased during the whole assistive period of the exoskeleton, which was the direct reason for 8.6 ± 1.5% (mean ± s.e.m) reduction in metabolic rate compared with that of walking without the exoskeleton. The proposed unpowered exoskeleton enhanced the user's multiarticular energy efficiency, which equals improving musculoskeletal structure by adding a complementary loop for efficient energy recycling and energy transfer.

Hopping frequency influences elastic energy reuse with joint series elastic actuators

Robotic limb design struggles to combine energy efficiency with human-like levels of movement versatility. High efficiency and a range of angles and torques are characteristics of human hopping at different frequencies. Humans use muscles in combination with tendons to achieve the required joint actuation. Therefore, we consider whether appropriately tuned series elastic actuators (SEAs) placed at the leg joints can be used to reduce the functional gap between robots and humans. Human hip, knee, and ankle biomechanics were recorded over a range of hopping frequencies to extract joint angles and torques, which were used as an input to a mechanical simulation SEA model. This model was used to optimize the SEA stiffness of each joint to either minimize peak power or energy requirements. This work investigated the relationship between hopping frequency and SEA stiffness, the utility of using SEAs at each joint, and the reasons behind humans' preferred hopping frequency. Although the constant stiffness values across different hopping frequencies are suitable for the knee and the ankle, a variable serial elastic actuator stiffness could still further reduce energy requirements. Optimal SEA stiffness was found to reduce peak power requirements by up to 73% at the ankle and up to 66% at the knee, with greatest benefits found around the preferred frequency. However, no SEA benefits were found for the hip and above the preferred hopping frequency for the knee. These insights could be used to aid in the design of robotic and assistive devices to achieve versatile and energy efficient human-like movements.

Postural stability in human running with step-down perturbations: an experimental and numerical study

Postural stability is one of the most crucial elements in bipedal locomotion. Bipeds are dynamically unstable and need to maintain their trunk upright against the rotations induced by the ground reaction forces (GRFs), especially when running. Gait studies report that the GRF vectors focus around a virtual point above the centre of mass (VPA), while the trunk moves forward in pitch axis during the stance phase of human running. However, a recent simulation study suggests that a virtual point below the centre of mass (VPB) might be present in human running, because a VPA yields backward trunk rotation during the stance phase. In this work, we perform a gait analysis to investigate the existence and location of the VP in human running at 5 m s-1, and support our findings numerically using the spring-loaded inverted pendulum model with a trunk. We extend our analysis to include perturbations in terrain height (visible and camouflaged), and investigate the response of the VP mechanism to step-down perturbations both experimentally and numerically. Our experimental results show that the human running gait displays a VPB of ≈-30 cm and a forward trunk motion during the stance phase. The camouflaged step-down perturbations affect the location of the VPB. Our simulation results suggest that the VPB is able to encounter the step-down perturbations and bring the system back to its initial equilibrium state.