rehabilitation device developers

Abstract: This paper presents a novel framework integrating a robust wrench observer with a hybrid pose and force controller for physical Human-Robot Interaction (pHRI). In pHRI tasks, robots are expected to perform task-space motions robustly while remaining compliance with human disturbance, which proposes distinct control objectives. Most existing approaches focus mainly on either robustness or compliance and rely on force sensors for real-time tracking. To address these limitations, we propose a novel framework with the following key contributions. Firstly, a neural network (NN) is trained to improve the observer performance by compensating for system friction and unmodeled dynamics. Secondly, a task-null-space decomposition is applied to separate the joint velocity and reduce the effect of the human disturbance on the observer. Finally, a hybrid pose and force controller is introduced to achieve the end-effector pose and force tracking. Experimental results demonstrate that the proposed framework provides robust and accurate wrench estimation while maintaining reliable pose and force tracking performance. The proposed approach offers an effective solution and framework for pHRI without the need of force/torque sensor measurements which can be applied to many robotic manipulator platforms which do not have force/torque sensors.

Abstract: Electromyography (EMG)-driven control enables wearable robots to assist users based on their neuromuscular activity. Upper-limb exoskeletons typically rely on proportional myoelectric control (PMC), which amplifies user effort but may compromise stability at high assistance levels. EMG-driven adaptive gravity compensation (AGC) offers a promising alternative, counterbalancing gravitational torques while continuously adapting to neuromuscular activity. However, these approaches have not been systematically compared in a human-in-the-loop setting. This study evaluates five control algorithms: two PMC strategies at different assistance levels, a purely integral AGC (AGC-PI), a kinematics- and acceleration-aware model-based (MB) AGC (AGC-AW), and a novel MB AGC approach based on Recursive Least Squares (AGC-RLS) for online payload estimation. Fourteen healthy participants performed target-reaching tasks using an active elbow exoskeleton under 0 kg and 2 kg loading conditions. Performance metrics included muscular activity, movement accuracy, task efficiency, and subjective workload. PMC exhibited a trade-off between physical effort and task performance: low assistance levels required greater physical effort under load, whereas high gains impaired task execution. AGC-PI reduced agonist activity but induced antagonist activation. In contrast, both model-based AGC approaches effectively compensated for external payloads, reducing physical and cognitive demands while improving movement accuracy and completion time.

Abstract: Speech brain-computer interfaces (BCIs) aim to restore communication by transforming neural activity related to speech, language, or communicative intent into external outputs such as text, synthesized voice, or avatar control. Recent advances in intracortical and electrocorticographic recording, deep sequence models, and language-model-assisted decoding have enabled rapid progress, including high-performance attempted-speech decoding and increasingly naturalistic speech synthesis. Yet these achievements also reveal that speech BCIs are not simply neural-to-text decoders. They are adaptive clinical systems in which neural representations, recording hardware, decoding architectures, language priors, feedback, and user learning interact over time. Here, we synthesize speech BCI research from a system-level perspective. We first examine the neural substrates of speech and language, emphasizing their hierarchical, distributed, temporally structured, and non-stationary organization. We then examine recording and decoding choices, closed-loop adaptation, evaluation, clinical translation, and ethics. Across these domains, we highlight recurring trade-offs between signal resolution and invasiveness, low-level motor and high-level semantic targets, decoder accuracy and user agency, and language-model fluency and faithful neural evidence. We argue the next generation of speech BCIs should be evaluated not only by offline accuracy, but also by robustness across sessions, calibration burden, latency, uncertainty, usability, and safeguards against unintended decoding. By reframing speech BCIs as adaptive, user-centred systems, we outline the interdisciplinary priorities spanning speech neuroscience, neural engineering, machine learning, clinical practice, and neuroethics needed to move from proof-of-concept decoding toward reliable, expressive, and controllable communication neuroprostheses.

Abstract: Current automated gait analysis for clinical applications relies on uninterpretable black-box classifiers. Although Vision-Language Models (VLMs) offer strong reasoning capabilities, applying them directly to gait videos often leads to hallucinations, because they struggle to measure subtle geometric deviations from raw visual contexts. To address this, we introduce DrGait, a training-free agentic framework that shifts the VLM's role from a direct visual reasoner to a clinical planner. DrGait decouples semantic reasoning from geometric perception through a structured Triage-Verification-Synthesis (TVS) workflow. Given an input video and a set of basic spatiotemporal metrics, the DrGait agent first performs a heuristic triage to propose diagnostic hypotheses, which are then verified by autonomously calling deterministic biomechanical tools that operate on reconstructed 3D mesh trajectories, segmented 2D pose tracks, and event-centered video evidence. Finally, a closed-loop mechanism recursively updates the agent's reasoning context based on the feedback. By anchoring VLM's reasoning in verifiable geometric and temporal measurements, DrGait reduces hallucinations, achieving competitive diagnostic accuracy while generating transparent and audit-ready clinical reports.

Abstract: Hip exoskeletons provide an important hardware basis for lower-limb rehabilitation and locomotor assistance. Laboratory rehabilitation assessment and system development require substantial actuation and computing resources, whereas mobile assistance requires untethered portability. Integrating both capabilities within one reusable platform remains a central design challenge. This paper presents a reconfigurable bidirectional cable-driven hip exoskeleton platform that rapidly switches between bench-mounted and backpack-mounted actuation while sharing one cable-free wearable hip interface. The platform modularly adapts the actuation configuration, end-effector sensing path, and low-level control interface. Each cable-driven end-effector weighs 0.405 kg, excluding the cable and actuation unit, and integrates an encoder and a torque sensor; experiments validated bench-mounted admittance-based motion tracking capability and backpack-mounted open-loop torque tracking. Human-worn experiments with three healthy participants used myoMOTION to evaluate the platform's wearable-side hip-motion sensing capability, verified bench-to-backpack and backpack-to-bench motion-ready switching across 30 trials in $30.1\pm16.3$ s, and formed a small-scale multimodal wearable-exoskeleton gait dataset for sensing validation and data-driven algorithm development, comprising 8 min bench-mounted treadmill records and 11 min backpack-mounted outdoor walking records. These results show that, by unifying the wearable structure, actuation interface, and sensing path, the proposed platform enables validation of the same hip exoskeleton in both bench-mounted and backpack-mounted configurations, providing reusable hardware for iterative development and applications across scenarios.

Abstract: Simulated electromyograms are used to understand what an electrode records, to test decomposition and estimation algorithms on signals with known ground truth, and to train learning-based decoders. Most simulators fix the geometry to a cylinder or a slab, or stop at the lead field and leave the rest to the user. We present emgforge, an open pipeline that takes a labelled MRI segmentation of a limb to surface EMG in one command: a tetrahedral mesh with conductivity tensors aligned with each muscle's fibres; one reciprocal finite-element solve per electrode, valid for every fibre of every muscle; fibre beds that are straight or follow the muscle's shape; a motor-unit pool obeying the size principle; motor-unit action potentials on any electrode layout; and a motoneuron-pool and twitch layer that turns a drive or a movement into interference EMG and force. We describe the pipeline stage by stage, and at each stage we show, with an example, why the choice was made. The step that turns a lead field into a single-fibre action potential -- direct line-source synthesis -- is checked against a closed-form solution ($r = 1.0000$, zero lag), and the whole chain against fifty checks with numeric criteria from the physiological literature. We then use the pipeline for four studies: what an electrode sees as a function of depth, fat, spacing and montage; whether fibre geometry changes the signal; how much crosstalk a grid over one muscle receives from its neighbours; and how interference EMG scales with drive. The code, the validation suite and three datasets with ground truth are released.

Abstract: Muscle-driven locomotion provides a physically grounded approach to generating realistic human movement. However, achieving both physiological plausibility and adaptability to changes in musculoskeletal capacity and external disturbances remains a fundamental challenge. To address this limitation, we propose a Reflex-Informed Neuromuscular Reinforcement Learning framework for muscle-driven locomotion. Within this framework, a fixed phase-dependent reflex controller serves as the underlying neuromuscular control mechanism, while the reinforcement learning policy produces four biomechanically meaningful residual parameters to modulate key reflex gains and thresholds associated with hip swing, knee support, and ankle propulsion according to the current state. Experimental results demonstrate that the proposed framework generates physiologically plausible locomotion with improved kinematic accuracy and dynamic consistency, as well as better bilateral symmetry and stride-to-stride consistency under nominal walking conditions. The learned policy remains robust under muscle weakness and external perturbations without retraining.

Abstract: Finger-specific motor intent is a clinically meaningful control signal for post-stroke neurorehabilitation, where residual muscle activity may remain measurable despite weak or incomplete movement. We study five-finger multilabel intent decoding from impaired-arm high-density surface electromyography (sEMG) in PhysioMio, a bilateral longitudinal dataset collected from stroke patients. A common processing protocol aligns movement labels, applies 20--450 Hz Butterworth filtering and Symlet-4 wavelet denoising, segments overlapping 200 ms windows, and extracts twelve time- and frequency-domain descriptors per channel. Direct LSTM, CNN, and GNN baselines reveal complementary behavior: the LSTM attains the highest subset accuracy (0.545), whereas the GNN attains the highest macro F1 (0.706) and macro AUPRC (0.776). Architecture search then identifies CNN-Large as the strongest single-split CNN, with 0.593 subset accuracy and 0.714 macro F1, while CNN-Micro provides a compact architecture for embedded inference. To match a four-sensor hardware design, we retrain CNN-Micro using channels associated with ECRB, ECRL, FDS, and FDP and exclude the ground electrode from model input. Across five seeds, cross-channel knowledge distillation improves the four-channel student over direct training, reaching $0.5219 \pm 0.0114$ subset accuracy, $0.7612 \pm 0.0038$ finger accuracy, and $0.6095 \pm 0.0058$ macro F1. The selected 123K-parameter model accepts nine windows of 48 features and has been exported to ONNX. These results establish a reproducible software path from post-stroke sEMG to compact five-finger intent prediction for subsequent hardware-in-the-loop evaluation.