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review article

Review of control strategies for lower-limb exoskeletons to assist gait

Baud, Romain  
•
Manzoori, Ali Reza  
•
Ijspeert, Auke  
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July 27, 2021
Journal of Neuroengineering and Rehabilitation

Background Many lower-limb exoskeletons have been developed to assist gait, exhibiting a large range of control methods. The goal of this paper is to review and classify these control strategies, that determine how these devices interact with the user. Methods In addition to covering the recent publications on the control of lower-limb exoskeletons for gait assistance, an effort has been made to review the controllers independently of the hardware and implementation aspects. The common 3-level structure (high, middle, and low levels) is first used to separate the continuous behavior (mid-level) from the implementation of position/torque control (low-level) and the detection of the terrain or user's intention (high-level). Within these levels, different approaches (functional units) have been identified and combined to describe each considered controller. Results 291 references have been considered and sorted by the proposed classification. The methods identified in the high-level are manual user input, brain interfaces, or automatic mode detection based on the terrain or user's movements. In the mid-level, the synchronization is most often based on manual triggers by the user, discrete events (followed by state machines or time-based progression), or continuous estimations using state variables. The desired action is determined based on position/torque profiles, model-based calculations, or other custom functions of the sensory signals. In the low-level, position or torque controllers are used to carry out the desired actions. In addition to a more detailed description of these methods, the variants of implementation within each one are also compared and discussed in the paper. Conclusions By listing and comparing the features of the reviewed controllers, this work can help in understanding the numerous techniques found in the literature. The main identified trends are the use of pre-defined trajectories for full-mobilization and event-triggered (or adaptive-frequency-oscillator-synchronized) torque profiles for partial assistance. More recently, advanced methods to adapt the position/torque profiles online and automatically detect terrains or locomotion modes have become more common, but these are largely still limited to laboratory settings. An analysis of the possible underlying reasons of the identified trends is also carried out and opportunities for further studies are discussed.

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Type
review article
DOI
10.1186/s12984-021-00906-3
Web of Science ID

WOS:000679402200001

Author(s)
Baud, Romain  
Manzoori, Ali Reza  
Ijspeert, Auke  
Bouri, Mohamed  
Date Issued

2021-07-27

Publisher

BioMed Central

Published in
Journal of Neuroengineering and Rehabilitation
Volume

18

Issue

1

Start page

119

Subjects

Engineering, Biomedical

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Neurosciences

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Rehabilitation

•

Engineering

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Neurosciences & Neurology

•

exoskeleton

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lower-limb

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control

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review

•

ankle-foot orthosis

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locomotion-mode-recognition

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body-weight support

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spinal-cord-injury

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knee exoskeleton

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powered exoskeleton

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robotic orthosis

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musculoskeletal model

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stroke survivors

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adaptive-control

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
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Available on Infoscience
August 14, 2021
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/180572
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