Comprehensive multi-metric analysis of user experience and performance in adaptive and non-adaptive lower-limb exoskeletons.

Among control methods for robotic exoskeletons, biologically inspired control based on central pattern generators (CPGs) offer a promising approach to generate natural and robust walking patterns. Compared to other approaches, like model-based and machine learning-based control, the biologically ins...

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Main Authors: Krongkaew Supapitanon, Tanyaporn Patathong, Chaicharn Akkawutvanich, Arthicha Srisuchinnawong, Worachit Ketrungsri, Poramate Manoonpong, Patarawan Woratanarat, Chanika Angsanuntsukh
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0313593
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author Krongkaew Supapitanon
Tanyaporn Patathong
Chaicharn Akkawutvanich
Arthicha Srisuchinnawong
Worachit Ketrungsri
Poramate Manoonpong
Patarawan Woratanarat
Chanika Angsanuntsukh
author_facet Krongkaew Supapitanon
Tanyaporn Patathong
Chaicharn Akkawutvanich
Arthicha Srisuchinnawong
Worachit Ketrungsri
Poramate Manoonpong
Patarawan Woratanarat
Chanika Angsanuntsukh
author_sort Krongkaew Supapitanon
collection DOAJ
description Among control methods for robotic exoskeletons, biologically inspired control based on central pattern generators (CPGs) offer a promising approach to generate natural and robust walking patterns. Compared to other approaches, like model-based and machine learning-based control, the biologically inspired control provides robustness to perturbations, requires less computational power, and does not need system models or large learning datasets. While it has shown effectiveness, a comprehensive evaluation of its user experience is lacking. Thus, this study addressed this gap by investigating the performance of a state-of-the-art adaptive CPG-based exoskeleton control system (intelligent mode) under a multi-metric analysis (involving three-dimensional gait analysis, muscle activity, oxygen consumption, user comfort, and exoskeleton performance scores) and comparing it to a standard commercial exoskeleton control system (default mode). A cross-over design with randomized allocation in Thai healthy and independently walking adults ensured participants experienced both modes. All participants were assigned into two groups to receive an alternate sequence of walking with the intelligent mode or the default mode of the lower-limb exoskeleton Exo-H3 at high and normal speed. From eight participants, the intelligent mode-driven exoskeleton (adaptive exoskeleton) showed a significantly lower velocity, stride, and step lengths than the default mode-driven exoskeleton (non-adaptive exoskeleton). This setup significantly increased anterior pelvic tilt during mid-swing at normal speed (3.69 ± 1.77 degrees, p = 0.001) and high speed (2.52 ± 1.69 degrees, p = 0.004), hip flexion during stance phase with ankle dorsiflexion, and used less oxygen consumption at high speed (-2.03 ± 2.07 ml/kg/min) when compared to the default one. No significant differences of muscle activity, user comfort and exoskeleton performance scores between the two modes. Further exoskeletal modification in terms of hardware and control is still needed to improve the temporal spatial, kinematics, user comfort, and exoskeleton performance.
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spelling doaj-art-a4a19ddf53674f13be7f12c1a5cd781d2025-01-17T05:31:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031359310.1371/journal.pone.0313593Comprehensive multi-metric analysis of user experience and performance in adaptive and non-adaptive lower-limb exoskeletons.Krongkaew SupapitanonTanyaporn PatathongChaicharn AkkawutvanichArthicha SrisuchinnawongWorachit KetrungsriPoramate ManoonpongPatarawan WoratanaratChanika AngsanuntsukhAmong control methods for robotic exoskeletons, biologically inspired control based on central pattern generators (CPGs) offer a promising approach to generate natural and robust walking patterns. Compared to other approaches, like model-based and machine learning-based control, the biologically inspired control provides robustness to perturbations, requires less computational power, and does not need system models or large learning datasets. While it has shown effectiveness, a comprehensive evaluation of its user experience is lacking. Thus, this study addressed this gap by investigating the performance of a state-of-the-art adaptive CPG-based exoskeleton control system (intelligent mode) under a multi-metric analysis (involving three-dimensional gait analysis, muscle activity, oxygen consumption, user comfort, and exoskeleton performance scores) and comparing it to a standard commercial exoskeleton control system (default mode). A cross-over design with randomized allocation in Thai healthy and independently walking adults ensured participants experienced both modes. All participants were assigned into two groups to receive an alternate sequence of walking with the intelligent mode or the default mode of the lower-limb exoskeleton Exo-H3 at high and normal speed. From eight participants, the intelligent mode-driven exoskeleton (adaptive exoskeleton) showed a significantly lower velocity, stride, and step lengths than the default mode-driven exoskeleton (non-adaptive exoskeleton). This setup significantly increased anterior pelvic tilt during mid-swing at normal speed (3.69 ± 1.77 degrees, p = 0.001) and high speed (2.52 ± 1.69 degrees, p = 0.004), hip flexion during stance phase with ankle dorsiflexion, and used less oxygen consumption at high speed (-2.03 ± 2.07 ml/kg/min) when compared to the default one. No significant differences of muscle activity, user comfort and exoskeleton performance scores between the two modes. Further exoskeletal modification in terms of hardware and control is still needed to improve the temporal spatial, kinematics, user comfort, and exoskeleton performance.https://doi.org/10.1371/journal.pone.0313593
spellingShingle Krongkaew Supapitanon
Tanyaporn Patathong
Chaicharn Akkawutvanich
Arthicha Srisuchinnawong
Worachit Ketrungsri
Poramate Manoonpong
Patarawan Woratanarat
Chanika Angsanuntsukh
Comprehensive multi-metric analysis of user experience and performance in adaptive and non-adaptive lower-limb exoskeletons.
PLoS ONE
title Comprehensive multi-metric analysis of user experience and performance in adaptive and non-adaptive lower-limb exoskeletons.
title_full Comprehensive multi-metric analysis of user experience and performance in adaptive and non-adaptive lower-limb exoskeletons.
title_fullStr Comprehensive multi-metric analysis of user experience and performance in adaptive and non-adaptive lower-limb exoskeletons.
title_full_unstemmed Comprehensive multi-metric analysis of user experience and performance in adaptive and non-adaptive lower-limb exoskeletons.
title_short Comprehensive multi-metric analysis of user experience and performance in adaptive and non-adaptive lower-limb exoskeletons.
title_sort comprehensive multi metric analysis of user experience and performance in adaptive and non adaptive lower limb exoskeletons
url https://doi.org/10.1371/journal.pone.0313593
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