Wearable robots offer a promising solution for quantitatively monitoring gait and providing systematic, adaptive assistance to promote patient independence and improve gait. However, due to significant interpersonal and intrapersonal variability in walking patterns, it is important to design robot controllers that can adapt to the unique characteristics of each individual. This paper investigates the potential of human-in-the-loop optimisation (HILO) to deliver personalised assistance in gait training. The Covariance Matrix Adaptation Evolution Strategy (CMA-ES) was employed to continuously optimise an assist-as-needed controller of a lower-limb exoskeleton. Six healthy individuals participated over a two-day experiment. Our results suggest that while the CMA-ES appears to converge to a unique set of stiffnesses for each individual, no measurable impact on the subjects' performance was observed during the validation trials. These findings highlight the impact of human-robot co-adaptation and human behaviour variability, whose effect may be greater than potential benefits of personalising rule-based assistive controllers. Our work contributes to understanding the limitations of current personalisation approaches in exoskeleton-assisted gait rehabilitation and identifies key challenges for effective implementation of human-in-the-loop optimisation in this domain.

Wearable exoskeletons can augment human strength and reduce muscle fatigue during specific tasks. However, developing personalized and task-generalizable assistance algorithms remains a critical challenge. To address this, a meta-imitation learning approach is proposed. This approach leverages a task-specific neural network to predict human elbow joint movements, enabling effective assistance while enhancing generalization to new scenarios. To accelerate data collection, full-body keypoint motions are extracted from publicly available RGB video and motion-capture datasets across multiple tasks, and subsequently retargeted in simulation. Elbow flexion trajectories generated in simulation are then used to train the task-specific neural network within the model-agnostic meta-learning (MAML) framework, which allows the network to rapidly adapt to novel tasks and unseen users with only a few gradient updates. The adapted network outputs personalized references tracked by a gravity-compensated PD controller to ensure stable assistance. Experimental results demonstrate that the exoskeleton significantly reduces both muscle activation and metabolic cost for new users performing untrained tasks, compared to performing without exoskeleton assistance. These findings suggest that the proposed framework effectively improves task generalization and user adaptability for wearable exoskeleton systems.

Balance control is important for human and bipedal robotic systems. While dynamic balance during locomotion has received considerable attention, quantitative understanding of static balance and falling remains limited. This work presents a hierarchical control pipeline for simulating human balance via a comprehensive whole-body musculoskeletal system. We identified spatiotemporal dynamics of balancing during stable standing, revealed the impact of muscle injury on balancing behavior, and generated fall contact patterns that aligned with clinical data. Furthermore, our simulated hip exoskeleton assistance demonstrated improvement in balance maintenance and reduced muscle effort under perturbation. This work offers unique muscle-level insights into human balance dynamics that are challenging to capture experimentally. It could provide a foundation for developing targeted interventions for individuals with balance impairments and support the advancement of humanoid robotic systems.

Exoskeletons have been shown to effectively assist humans during steady locomotion. However, their effects on non-steady locomotion, characterized by nonlinear phase progression within a gait cycle, remain insufficiently explored, particularly across diverse activities. This work presents a shank angle-based control system that enables the exoskeleton to maintain real-time coordination with human gait, even under phase perturbations, while dynamically shaping assistance profiles to match the biological ankle moment patterns across walking, running, stair negotiation tasks. The control system consists of an assistance profile online generation method and a model-based feedforward control method. The assistance profile is formulated as a dual-Gaussian model with the shank angle as the independent variable. Leveraging only IMU measurements, the model parameters are updated online each stride to adapt to inter- and intra-individual biomechanical variability. The profile tracking control employs a human-exoskeleton kinematics and stiffness model as a feedforward component, reducing reliance on historical control data due to the lack of clear and consistent periodicity in non-steady locomotion. Three experiments were conducted using a lightweight soft exoskeleton with multiple subjects. The results validated the effectiveness of each individual method, demonstrated the robustness of the control system against gait perturbations across various activities, and revealed positive biomechanical and physiological responses of human users to the exoskeleton's mechanical assistance.

Gait asymmetry is a significant clinical characteristic of hemiplegic gait that most stroke survivors suffer, leading to limited mobility and long-term negative impacts on their quality of life. Although a variety of exoskeleton controls have been developed for robot-assisted gait rehabilitation, little attention has been paid to correcting the gait asymmetry of stroke patients following the assist-as-need (AAN) principle, and it is still challenging to properly share control between the exoskeleton and stroke patients with partial motor control. In view of this, this article proposes an AAN hip exoskeleton control with human-in-the-loop optimization to correct gait asymmetry in stroke patients. To realize the AAN concept, an objective function was designed for real-time evaluation of the subject's gait performance and active participation, which considers the variability of natural human movement and guides the online tuning of control parameters on a subject-specific basis. In this way, patients were stimulated to contribute as much as possible to movement, thus maximizing the efficiency and outcomes of post-stroke gait rehabilitation. Finally, an experimental study was conducted to verify the feasibility and effectiveness of the proposed AAN control on healthy subjects with artificial gait impairment. For the first time, the common hypothesis that AAN controls can improve human active participation was validated from the biomechanics viewpoint.

Adaptive Negative Damping Control for User-Dependent Multi-T errain Walking Assistance with a Hip Exoskeleton Giulia Ramella 1, 2, Auke Ijspeert 2, and Mohamed Bouri 1, 3 Abstract -- Hip exoskeletons are known for their versatility in assisting users across varied scenarios. However, current assistive strategies often lack the flexibility to accommodate for individual walking patterns and adapt to diverse locomotion environments. In this work, we present a novel control strategy that adapts the mechanical impedance of the human-exoskeleton system. We design the hip assistive torques as an adaptive virtual negative damping, which is able to inject energy into the system while allowing the users to remain in control and contribute voluntarily to the movements. Experiments with five healthy subjects demonstrate that our controller reduces the metabolic cost of walking compared to free walking (average reduction of 7 . Additionally, our method achieves minimal power losses from the exoskeleton across the entire gait cycle (less than 2% negative mechanical power out of the total power), ensuring synchronized action with the users' movements. Moreover, we use Bayesian Optimization to adapt the assistance strength and allow for seamless adaptation and transitions across multi-terrain environments. Our strategy achieves efficient power transmission under all conditions. Our approach demonstrates an individualized, adaptable, and straightforward controller for hip exoskeletons, advancing the development of viable, adaptive, and user-dependent control laws.

This paper presents a novel approach to evaluating back support exoskeletons (BSEs) in workplace settings addressing the limitations of traditional methods like electromyography (EMG), which are impractical due to their sensitivity to external disturbances and user sweat. Variability in BSE performance among users, often due to joint misalignment and anthropomorphic differences, can lead to discomfort and reduced effectiveness. To overcome these challenges, we propose integrating a compact load cell into the exoskeleton's thigh cuff. This small load cell provides precise force measurements without significantly altering the exoskeleton's kinematics or inertia, enabling real-time assessment of exoskeleton assistance in both laboratory and workplace environments, Experimental validation during load-lifting tasks demonstrated that the load cell effectively captures interface forces between the BSE and human subjects, showing stronger correlations with the user's muscle activity when the BSE provides effective assistance. This innovative sensing interface offers a stable, practical alternative to EMG and respiratory gas measurements, facilitating more accurate and convenient evaluation of BSE performance in real-world industrial and laboratory settings. The proposed method holds promise for enhancing the adoption and effectiveness of BSEs by providing reliable, real-time feedback on their assistance capabilities.

-- Hip exoskeletons are increasing in popularity due to their effectiveness across various scenarios and their ability to adapt to different users. However, personalizing the assistance often requires lengthy tuning procedures and computationally intensive algorithms, and most existing methods do not incorporate user feedback. In this work, we propose a novel approach for rapidly learning users' preferences for hip exoskeleton assistance. We perform pairwise comparisons of distinct randomly generated assistive profiles, and collect participants preferences through active querying. Users' feedback is integrated into a preference-learning algorithm that updates its belief, learns a user-dependent reward function, and changes the assistive torque profiles accordingly. Results from eight healthy subjects display distinct preferred torque profiles, and users' choices remain consistent when compared to a perturbed profile. A comprehensive evaluation of users' preferences reveals a close relationship with individual walking strategies. The tested torque profiles do not disrupt kinematic joint synergies, and participants favor assistive torques that are synchronized with their movements, resulting in lower negative power from the device. This straightforward approach enables the rapid learning of users preferences and rewards, grounding future studies on reward-based human-exoskeleton interaction.

Construction workers exert intense physical effort and experience serious safety and health risks in hazardous working environments. Quiet stance and kneeling are among the most common postures performed by construction workers during their daily work. This paper analyzes lower-limb joint influence on neural balance control strategies using the frequency behavior of the intersection point of ground reaction forces. To evaluate the impact of elevation and wearable knee exoskeletons on postural balance and welding task performance, we design and integrate virtual- and mixed-reality (VR/MR) to simulate elevated environments and welding tasks. A linear quadratic regulator-controlled triple- and double-link inverted pendulum model is used for balance strategy quantification in quiet stance and kneeling, respectively. Extensive multi-subject experiments are conducted to evaluate the usability of occupational exoskeletons in destabilizing construction environments. The quantified balance strategies capture the significance of knee joint during balance control of quiet stance and kneeling gaits. Results show that center of pressure sway area reduced up to 62% in quiet stance and 39% in kneeling for subjects tested in high-elevation VR/MR worksites when provided knee exoskeleton assistance. The comprehensive balance and multitask evaluation methodology developed aims to reveal exoskeleton design considerations to mitigate the fall risk in construction.

Humans rely on ankle torque to maintain standing balance, particularly in the presence of small to moderate perturbations. Reductions in maximum torque (MT) production and maximum rate of torque development (MRTD) occur at the ankle with age, diminishing stability. Ankle exoskeletons are powered orthotic devices that may assist older adults by compensating for reduced muscle force and power production capabilities. They may also be able to assist with ankle strategies used for balance. However, no studies have investigated the effect of such devices on balance in older adults. Here, we model the effect ankle exoskeletons have on stability in physics-based models of healthy young and old adults, focusing on the mitigation of age-related deficits such as reduced MT and MRTD. We show that an ankle exoskeleton moderately reduces feasible stability boundaries in users who have full ankle strength. For individuals with age-related deficits, there is a trade-off. While exoskeletons augment stability in low velocity conditions, they reduce stability in some high velocity conditions. Our results suggest that well-established control strategies must still be experimentally validated in older adults.