Papers for
rehabilitation device engineers
Papers whose findings have a practical use for this group, as judged from the abstract. Open a paper to read what it means in practice.
Soft knee exosuits sense muscle and motion to help standing up faster
Anticipatory Textile MMG-Strain Sensing for Confirm-Then-Assist Soft Knee Exosuits
Abstract: Soft wearable robots must commit to assistance around movement onset, when the available signals are ambiguous. Surface electromyography (sEMG) detects neuromuscular drive early but degrades under sweat and electrode shift, and kinematic sensors respond only once the limb moves. This letter presents a knitted textile interface that co-samples a three-channel mechanomyography (MMG) array and an anterior strain sensor on a single synchronous 500 Hz clock. Across five participants, MMG activation preceded strain-detected knee motion during sit-to-stand by per-channel medians of 322-344 ms. Sampled on the same clock, the sign of the strain slope resolved movement direction on 649 of 650 completed transitions with no training or per-participant calibration, raising four-class balanced accuracy from 90.3% to 95.6%. The fused signals drove a two-stage confirm-then-assist policy for a soft pneumatic knee. Across 240 trials in four participants, the onboard controller entered the assist state on 78 of 80 sit-to-stand trials and on none of the 80 isometric co-contractions. It also entered the assist state on 27 of 80 stand-to-sit trials and left it at the hold timeout, motivating an antagonistic flexor gauge to resolve this direction at onset. Co-sampling muscle acoustics with textile strain on one clock lets the inflation command be issued around movement onset.
Human clock based timing improves exoskeleton gait tracking accuracy
PhaseSync-Exo: Human Clock Anchored Reference Adaptation for Dynamic Gait Tracking
Abstract: Human-aware exoskeleton walking requires reconstructing gait, tracking diverse motions under dynamic constraints, and preserving human timing. We present PhaseSync-Exo, which combines two-IMU CNN-Transformer reconstruction, factorized amplitude-cadence retargeting with curriculum-trained recurrent control, and a human-clock-anchored adapter (HCA). HCA combines human-clock attraction with robot-relative feedback to adjust reference rate while preserving forward progression and continuity. The reconstruction module achieves a mean absolute error (MAE) of 3.24 degrees on a held-out recording, and the frozen tracking policy completes 356 of 357 amplitude-frequency trials. Two complementary dynamic comparisons isolate HCA's timing benefit without retraining. Against robot-relative correction, HCA reduces human-clock phase MAE from 95.55 degrees to 10.99 degrees, limiting reference drift. When human and delivered phases initially differ, it reduces phase MAE from 72.02 degrees to 13.90 degrees versus fixed-clock continuation. Compared with immediate phase reset, HCA reduces transient reference-tracking hip RMSE by 22.7% without reference jumps. All 420 timing rollouts complete without falls. These simulation results support continuous phase acquisition and sustained alignment to an independent human clock.
Diffusion models create personalized gait paths for wearable robots
Diffusion-Based Generation of Gait Trajectories
Abstract: Generation of musculoskeletal gait trajectories conditioned on patient-specific parameters remains a key challenge for wearable robotics and rehabilitation. Assistive systems such as lower-limb exoskeletons require reference trajectories that adapt to individual morphology and therapeutic goals while preserving biomechanical realism. Traditional approaches rely on hand-crafted gait templates or optimization procedures that scale poorly across subjects and walking conditions. In this work, we explore conditional diffusion models for generating lower-limb joint-angle trajectories conditioned on gait parameters such as step length. We compare a baseline transformer diffusion model with a controllable diffusion transformer variant incorporating adaptive normalization and classifier-free guidance. Experiments on a dataset of 4,590 gait cycles show that diffusion models can generate realistic periodic gait trajectories while enabling some controllability variation in gait characteristics, highlighting their potential for personalized gait synthesis in assistive robotics.