The wrist plays a pivotal role in facilitating motion dexterity and hand functions. Wrist orthoses, from passive braces to active exoskeletons, provide an effective solution for the assistance and rehabilitation of motor abilities. However, the type of motions facilitated by currently available orthoses is limited, with little emphasis on personalised design. To address these gaps, this paper proposes a novel wrist orthosis design inspired by the Kresling origami. The design can be adapted to accommodate various individual shape parameters, which benefits from the topological variations and intrinsic compliance of origami. Heat-sealable fabrics are used to replicate the non-rigid nature of the Kresling origami. The orthosis is capable of six distinct motion modes with a detachable tendon-based actuation system. Experimental characterisation of the workspace has been conducted by activating tendons individually. The maximum bending angle in each direction ranges from 18.81{\deg} to 32.63{\deg}. When tendons are pulled in combination, the maximum bending angles in the dorsal, palmar, radial, and ulnar directions are 31.66{\deg}, 30.38{\deg}, 27.14{\deg}, and 14.92{\deg}, respectively. The capability to generate complex motions such as the dart-throwing motion and circumduction has also been experimentally validated. The work presents a promising foundation for the development of personalised wrist orthoses for training and rehabilitation.

Intent inferral, the process by which a robotic device predicts a user's intent from biosignals, offers an effective and intuitive way to control wearable robots. Classical intent inferral methods treat biosignal inputs as unidirectional ground truths for training machine learning models, where the internal state of the model is not directly observable by the user. In this work, we propose reciprocal learning, a bidirectional paradigm that facilitates human adaptation to an intent inferral classifier. Our paradigm consists of iterative, interwoven stages that alternate between updating machine learning models and guiding human adaptation with the use of augmented visual feedback. We demonstrate this paradigm in the context of controlling a robotic hand orthosis for stroke, where the device predicts open, close, and relax intents from electromyographic (EMG) signals and provides appropriate assistance. We use LED progress-bar displays to communicate to the user the predicted probabilities for open and close intents by the classifier. Our experiments with stroke subjects show reciprocal learning improving performance in a subset of subjects (two out of five) without negatively impacting performance on the others. We hypothesize that, during reciprocal learning, subjects can learn to reproduce more distinguishable muscle activation patterns and generate more separable biosignals.

Intent inferral on a hand orthosis for stroke patients is challenging due to the difficulty of data collection from impaired subjects. Additionally, EMG signals exhibit significant variations across different conditions, sessions, and subjects, making it hard for classifiers to generalize. Traditional approaches require a large labeled dataset from the new condition, session, or subject to train intent classifiers; however, this data collection process is burdensome and time-consuming. In this paper, we propose ChatEMG, an autoregressive generative model that can generate synthetic EMG signals conditioned on prompts (i.e., a given sequence of EMG signals). ChatEMG enables us to collect only a small dataset from the new condition, session, or subject and expand it with synthetic samples conditioned on prompts from this new context. ChatEMG leverages a vast repository of previous data via generative training while still remaining context-specific via prompting. Our experiments show that these synthetic samples are classifier-agnostic and can improve intent inferral accuracy for different types of classifiers. We demonstrate that our complete approach can be integrated into a single patient session, including the use of the classifier for functional orthosis-assisted tasks. To the best of our knowledge, this is the first time an intent classifier trained partially on synthetic data has been deployed for functional control of an orthosis by a stroke survivor. Videos and additional information can be found at https://jxu.ai/chatemg.

Assistive Exoskeleton Robots are helping restore functions to people suffering from underlying medical conditions. These robots require precise tuning of hyper-parameters to feel natural to the user. The device hyper-parameters often need to be re-tuned from task to task, which can be tedious and require expert knowledge. To address this issue, we develop a set of fuzzy logic controllers that can dynamically tune robot gain parameters to adapt its sensitivity to the user's intention determined from muscle activation. The designed fuzzy controllers benefit from a set of expert-defined rules and do not rely on extensive amounts of training data. We evaluate the designed controllers with three different tasks and compare our results against the manually tuned system. Our preliminary results show that our controllers reduce the amount of fighting between the device and the human, measured using a set of pressure sensors.

We propose MetaEMG, a meta-learning approach for fast adaptation in intent inferral on a robotic hand orthosis for stroke. One key challenge in machine learning for assistive and rehabilitative robotics with disabled-bodied subjects is the difficulty of collecting labeled training data. Muscle tone and spasticity often vary significantly among stroke subjects, and hand function can even change across different use sessions of the device for the same subject. We investigate the use of meta-learning to mitigate the burden of data collection needed to adapt high-capacity neural networks to a new session or subject. Our experiments on real clinical data collected from five stroke subjects show that MetaEMG can improve the intent inferral accuracy with a small session- or subject-specific dataset and very few fine-tuning epochs. To the best of our knowledge, we are the first to formulate intent inferral on stroke subjects as a meta-learning problem and demonstrate fast adaptation to a new session or subject for controlling a robotic hand orthosis with EMG signals.

Individuals with hand paralysis resulting from C6-C7 spinal cord injuries frequently rely on tenodesis for grasping. However, tenodesis generates limited grasping force and demands constant exertion to maintain a grasp, leading to fatigue and sometimes pain. We introduce the MyHand-SCI, a wearable robot that provides grasping assistance through motorized exotendons. Our user-driven device enables independent, ipsilateral operation via a novel Throttle-based Wrist Angle control method, which allows users to maintain grasps without continued wrist extension. A pilot case study with a person with C6 spinal cord injury shows an improvement in functional grasping and grasping force, as well as a preserved ability to modulate grasping force while using our device, thus improving their ability to manipulate everyday objects. This research is a step towards developing effective and intuitive wearable assistive devices for individuals with spinal cord injury.

Increased effort during use of the paretic arm and hand can provoke involuntary abnormal synergy patterns and amplify stiffness effects of muscle tone for individuals after stroke, which can add difficulty for user-controlled devices to assist hand movement during functional tasks. We study how volitional effort, exerted in an attempt to open or close the hand, affects resistance to robot-assisted movement at the finger level. We perform experiments with three chronic stroke survivors to measure changes in stiffness when the user is actively exerting effort to activate ipsilateral EMG-controlled robot-assisted hand movements, compared with when the fingers are passively stretched, as well as overall effects from sustained active engagement and use. Our results suggest that active engagement of the upper extremity increases muscle tone in the finger to a much greater degree than through passive-stretch or sustained exertion over time. Potential design implications of this work suggest that developers should anticipate higher levels of finger stiffness when relying on user-driven ipsilateral control methods for assistive or rehabilitative devices for stroke.

A Spinal Cord Injury (SCI) can have life-altering consequences, and with an estimated 18,000 yearly cases in the US, the societal impact cannot be overstated [1]. SCI often results in partial or complete sensorimotor loss in the arms and body, leading to limited independence. As such, restoration of hand function is one of the highest priorities for SCI populations [2]. Many individuals with C6-C7 SCI have preserved wrist mobility and use tenodesis to grasp. Tenodesis can achieve some degree of lateral pinch and grasp by exploiting the Figure 1: MyHand-SCI assists finger flexion for grasping without passive finger flexion that occurs when the wrist is extended.

Locomotion is a primary task for human beings and an essential component for a rich quality of life. There might be diverse (neurological or muscular) causes that limit the locomotion ability in humans, especially the efficiency and effectiveness of gait. Among all multi-body segments and muscles involved in walking, those related to the ankle joint are major contributors to perform the required mechanical work (Moltedo et al., 2018; Conner et al., 2022; Vaughan et al., 1999). Over the last decades, wearable assistive ankle-foot orthoses (AAFOs) have been developed and applied to assist ankle motion in humans. The main aim of these devices is to either reinforce and enhance the mobility in able-bodied subjects (Moltedo et al., 2018), or to restore, assist or rehabilitate lost functions of people with motor disorders (Moltedo et al., 2018; Alam et al., 2014; Bayón et al., 2023; Shorter et al., 2013). Despite the end goal to be achieved with the AAFO, a major distinction between these devices can be made according to their working principle. Passive AAFOs are those devices that rely on passive elements such as dampers or springs to store and release energy during gait, containing no control or electronics. Quasi-passive (or semi-active) AAFOs use computer control to adjust the performance of a passive element, and sometimes also hold a small motor to modulate their stiffness.

This paper presents a dataset containing recordings of the electroencephalogram (EEG) and the electromyogram (EMG) from eight subjects who were assisted in moving their right arm by an active orthosis device. The supported movements were elbow joint movements, i.e., flexion and extension of the right arm. While the orthosis was actively moving the subject's arm, some errors were deliberately introduced for a short duration of time. During this time, the orthosis moved in the opposite direction. In this paper, we explain the experimental setup and present some behavioral analyses across all subjects. Additionally, we present an average event-related potential analysis for one subject to offer insights into the data quality and the EEG activity caused by the error introduction. The dataset described herein is openly accessible. The aim of this study was to provide a dataset to the research community, particularly for the development of new methods in the asynchronous detection of erroneous events from the EEG. We are especially interested in the tactile and haptic-mediated recognition of errors, which has not yet been sufficiently investigated in the literature. We hope that the detailed description of the orthosis and the experiment will enable its reproduction and facilitate a systematic investigation of the influencing factors in the detection of erroneous behavior of assistive systems by a large community.