Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces

State-of-the-art controllers for active back exosuits rely on body kinematics and state machines. These controllers do not continuously target the lumbosacral compression forces or adapt to unknown external loads. The use of additional contact or load detection could make such controllers more adapt...

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Main Authors: Alejandro Moya-Esteban, Mohamed Irfan Refai, Saivimal Sridar, Herman van der Kooij, Massimo Sartori
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Wearable Technologies
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Online Access:https://www.cambridge.org/core/product/identifier/S2631717625000039/type/journal_article
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author Alejandro Moya-Esteban
Mohamed Irfan Refai
Saivimal Sridar
Herman van der Kooij
Massimo Sartori
author_facet Alejandro Moya-Esteban
Mohamed Irfan Refai
Saivimal Sridar
Herman van der Kooij
Massimo Sartori
author_sort Alejandro Moya-Esteban
collection DOAJ
description State-of-the-art controllers for active back exosuits rely on body kinematics and state machines. These controllers do not continuously target the lumbosacral compression forces or adapt to unknown external loads. The use of additional contact or load detection could make such controllers more adaptive; however, it can be impractical for daily use. Here, we developed a novel neuro-mechanical model-based controller (NMBC) that uses a personalized electromyography (EMG)-driven musculoskeletal (MSK) model to estimate lumbosacral joint loading. NMBC provided adaptive, subject- and load-specific assistive forces proportional to estimates of the active part of biological joint moments through a soft back support exosuit. Without a priori information, the maximum assistive forces of the cable were modulated across weights. Simultaneously, we applied a non-adaptive, kinematic-dependent, trunk inclination-based controller (TIBC). Both NMBC and TIBC reduced the mean and peak biomechanical metrics, although not all reductions were significant. TIBC did not modulate assistance across weights. NMBC showed larger reductions of mean than peak values, significant reductions during the erect stance and the cumulative compressive loads by 21% over multiple cycles in a cohort of 10 participants. Overall, NMBC targeted mean lumbosacral compressive forces during lifting without a priori information of the load being carried. This may facilitate the adoption of non-hindering wearable robotics in real-life scenarios. As NMBC is informed by an EMG-driven MSK model, it is possible to tune the timing of NMBC-generated torque commands to the exosuit (delaying or anticipating commands with respect to biological torques) to target further reduction of peak or mean compressive forces and muscle fatigue.
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publishDate 2025-01-01
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spelling doaj-art-1dddfb8bb8b9456a85141fa8b5c147512025-08-20T03:13:08ZengCambridge University PressWearable Technologies2631-71762025-01-01610.1017/wtc.2025.3Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forcesAlejandro Moya-Esteban0Mohamed Irfan Refai1https://orcid.org/0000-0002-3617-5131Saivimal Sridar2Herman van der Kooij3Massimo Sartori4Department of Biomechanical Engineering, University of Twente, Enschede, The NetherlandsDepartment of Biomechanical Engineering, University of Twente, Enschede, The NetherlandsDepartment of Biomechanical Engineering, University of Twente, Enschede, The NetherlandsDepartment of Biomechanical Engineering, University of Twente, Enschede, The NetherlandsDepartment of Biomechanical Engineering, University of Twente, Enschede, The NetherlandsState-of-the-art controllers for active back exosuits rely on body kinematics and state machines. These controllers do not continuously target the lumbosacral compression forces or adapt to unknown external loads. The use of additional contact or load detection could make such controllers more adaptive; however, it can be impractical for daily use. Here, we developed a novel neuro-mechanical model-based controller (NMBC) that uses a personalized electromyography (EMG)-driven musculoskeletal (MSK) model to estimate lumbosacral joint loading. NMBC provided adaptive, subject- and load-specific assistive forces proportional to estimates of the active part of biological joint moments through a soft back support exosuit. Without a priori information, the maximum assistive forces of the cable were modulated across weights. Simultaneously, we applied a non-adaptive, kinematic-dependent, trunk inclination-based controller (TIBC). Both NMBC and TIBC reduced the mean and peak biomechanical metrics, although not all reductions were significant. TIBC did not modulate assistance across weights. NMBC showed larger reductions of mean than peak values, significant reductions during the erect stance and the cumulative compressive loads by 21% over multiple cycles in a cohort of 10 participants. Overall, NMBC targeted mean lumbosacral compressive forces during lifting without a priori information of the load being carried. This may facilitate the adoption of non-hindering wearable robotics in real-life scenarios. As NMBC is informed by an EMG-driven MSK model, it is possible to tune the timing of NMBC-generated torque commands to the exosuit (delaying or anticipating commands with respect to biological torques) to target further reduction of peak or mean compressive forces and muscle fatigue.https://www.cambridge.org/core/product/identifier/S2631717625000039/type/journal_articlesoft wearable roboticsneuro-roboticsbiomechatronicshuman motor controlexosuits
spellingShingle Alejandro Moya-Esteban
Mohamed Irfan Refai
Saivimal Sridar
Herman van der Kooij
Massimo Sartori
Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces
Wearable Technologies
soft wearable robotics
neuro-robotics
biomechatronics
human motor control
exosuits
title Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces
title_full Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces
title_fullStr Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces
title_full_unstemmed Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces
title_short Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces
title_sort soft back exosuit controlled by neuro mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces
topic soft wearable robotics
neuro-robotics
biomechatronics
human motor control
exosuits
url https://www.cambridge.org/core/product/identifier/S2631717625000039/type/journal_article
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