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  4. Adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion
 
research article

Adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion

Manzoori, Ali Reza  
•
Malatesta, Davide
•
Mortier, Alexandre
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December 1, 2025
Scientific Reports

Despite their potential, exoskeletons have not reached widespread adoption in daily life, partly due to the challenge of seamlessly adapting assistance across various tasks and environments. Task-specific designs, reliance on complex sensing and extensive data-driven training often limit the practicality of the existing control strategies. To address this challenge, we introduce an adaptive control strategy for hip exoskeletons, emphasizing minimal sensing and ease of implementation. Using only insole pressure and heart rate (HR) sensing, the controller modulates assistance across various locomotor tasks. We evaluated this strategy with twelve able-bodied participants in a real-world scenario including level walking, stairs, and inclines. The controller successfully adapted assistance timing and amplitude to different activities. This resulted in effort intensity reductions (measured by oxygen uptake) of up to 12.6% compared to walking with no exoskeleton, and up to 25.5% compared to walking with the exoskeleton in zero-torque mode. Cardiodynamic response of HR, although delayed, proved sufficient for adaptation in tasks lasting longer than around 45 s, and delay-induced limitations primarily affected brief bouts of abrupt change in intensity. However, we found discernible patterns in HR shortly after the onset of such changes that can be exploited to improve responsiveness. Our findings underscore the potential of HR as a promising measure of user effort intensity, encouraging future research to explore its integration into advanced adaptive algorithms.

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Type
research article
DOI
10.1038/s41598-024-84253-y
Scopus ID

2-s2.0-85213951399

Author(s)
Manzoori, Ali Reza  

École Polytechnique Fédérale de Lausanne

Malatesta, Davide
Mortier, Alexandre
Garcia, Johan
Ijspeert, Auke  

École Polytechnique Fédérale de Lausanne

Bouri, Mohamed  

École Polytechnique Fédérale de Lausanne

Date Issued

2025-12-01

Publisher

Nature Research

Published in
Scientific Reports
Volume

15

Issue

1

Article Number

507

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
BIOROB  
FunderFunding(s)Grant NumberGrant URL

Innosuisse – Swiss Innovation Agency

100.215 IP-ENG

EU's Horizon 2020 research and innovation programme

Marie Sklodowska-Curie grant agreement

754354

Available on Infoscience
January 14, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/242755
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