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

Abstract 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 th...

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Main Authors: Ali Reza Manzoori, Davide Malatesta, Alexandre Mortier, Johan Garcia, Auke Ijspeert, Mohamed Bouri
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-84253-y
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author Ali Reza Manzoori
Davide Malatesta
Alexandre Mortier
Johan Garcia
Auke Ijspeert
Mohamed Bouri
author_facet Ali Reza Manzoori
Davide Malatesta
Alexandre Mortier
Johan Garcia
Auke Ijspeert
Mohamed Bouri
author_sort Ali Reza Manzoori
collection DOAJ
description Abstract 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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institution Kabale University
issn 2045-2322
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spelling doaj-art-a7fbfa5eb3004823a9cb3b2ce400b36b2025-01-05T12:15:52ZengNature PortfolioScientific Reports2045-23222025-01-0115111310.1038/s41598-024-84253-yAdaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotionAli Reza Manzoori0Davide Malatesta1Alexandre Mortier2Johan Garcia3Auke Ijspeert4Mohamed Bouri5Biorobotics Laboratory, Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne (EPFL)Institute of Sport Sciences, University of Lausanne (UNIL)Institute of Sport Sciences, University of Lausanne (UNIL)Institute of Sport Sciences, University of Lausanne (UNIL)Biorobotics Laboratory, Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne (EPFL)Biorobotics Laboratory, Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne (EPFL)Abstract 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.https://doi.org/10.1038/s41598-024-84253-y
spellingShingle Ali Reza Manzoori
Davide Malatesta
Alexandre Mortier
Johan Garcia
Auke Ijspeert
Mohamed Bouri
Adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion
Scientific Reports
title Adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion
title_full Adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion
title_fullStr Adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion
title_full_unstemmed Adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion
title_short Adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion
title_sort adaptive hip exoskeleton control using heart rate feedback reduces oxygen cost during ecological locomotion
url https://doi.org/10.1038/s41598-024-84253-y
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AT alexandremortier adaptivehipexoskeletoncontrolusingheartratefeedbackreducesoxygencostduringecologicallocomotion
AT johangarcia adaptivehipexoskeletoncontrolusingheartratefeedbackreducesoxygencostduringecologicallocomotion
AT aukeijspeert adaptivehipexoskeletoncontrolusingheartratefeedbackreducesoxygencostduringecologicallocomotion
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