robotic rehabilitation therapists

Abstract: Assistive devices for patients with neurodegenerative movement disorders must combine high mechanical transparency with the ability to generate corrective interaction forces. Achieving both properties simultaneously remains challenging. This paper presents the completed iAssistADL platform, a 3-DoF assistive device for future tremor and ataxia compensation during activities of daily living. The system employs a transparency-oriented mechanical architecture with all actuators located at the base, resulting in low moving mass, decoupled kinematics, and high mechanical transparency. To compensate for friction-induced transparency limitations along the vertical axis, a hybrid control strategy is proposed that combines open-loop force rendering in the horizontal plane with closed-loop force control in the vertical direction. The platform is experimentally evaluated through transparency measurements and static and dynamic force-rendering experiments at representative configurations. Results demonstrate resistive torques below 0.1 Nm in the horizontal plane, end-effector forces of up to approximately 10 N throughout the workspace, and accurate horizontal force rendering up to 4 Hz. While the vertical axis remains limited by friction-induced dynamics at higher frequencies, the proposed system successfully combines high transparency with controlled force generation, establishing a promising hardware platform for future tremor and ataxia compensation.

Abstract: Daily locomotion encompasses diverse activities and frequent transitions between them, yet most exoskeleton controllers are designed for a single activity or a narrow set of related movements. Changes in activity therefore typically require explicit mode switching and separately tuned or retrained controllers. Simulation-based learning reduces the need for hardware-based tuning but generally retains this limitation. Here we present UniExo, a framework that first constructs a multi-skill musculoskeletal human policy and then jointly trains an exoskeleton control policy with it. Four single-skill imitation experts for walking, turning, running and backward walking are distilled into a single network structured by a skill latent and subsequently fine-tuned through reinforcement learning on transition sequences. The resultant unified human policy achieves a mean tracking success rate of 94.7% on unseen clips of the four skills and exhibits greater robustness to perturbations than its constituent experts. A single hip exoskeleton controller (UniExo) is initialized from hip moment prediction of the human policy and co-adapted with it through multi-agent reinforcement learning across the four skills. This co-adaptation shifts the timing of the assistance torque and raises the fraction of positive work delivered to the hip. When deployed on a custom hip exoskeleton, the controller generalizes across four treadmill speeds in six participants and assists one participant through a continuous route of all four skills and their transitions, without skill labels or explicit mode switching. UniExo thus provides a step towards replacing activity-specific controllers with unified, user-specific controllers that support diverse locomotor activities and the transitions between them.