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Intervention of robotic devices in the field of physical gait therapy can help in providing repetitive, systematic, and economically viable training sessions. Interactive or assist-as-needed (AAN) gait training encourages patient voluntary participation in the robotic gait training process which may aid in rapid motor function recovery. In this paper, a lightweight robotic gait training orthosis with two actuated and four passive degrees of freedom (DOFs) is proposed. The actuated DOFs were powered by pneumatic muscle actuators. An AAN gait training paradigm based on adaptive impedance control was developed to provide interactive robotic gait training. The proposed adaptive impedance control scheme adapts the robotic assistance according to the disability level and voluntary participation of human subjects. The robotic orthosis was operated in two gait training modes, namely, inactive mode and active mode, to evaluate the performance of the proposed control scheme. The adaptive impedance control scheme was evaluated on ten neurologically intact subjects. The experimental results demonstrate that an increase in voluntary participation of human subjects resulted in a decrease of the robotic assistance and vice versa. Further clinical evaluations with neurologically impaired subjects are required to establish the therapeutic efficacy of the adaptive-impedance-control-based AAN gait training strategy.

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Abstract-It is a common hypothesis in the field of robot assisted gait rehabilitation that the active involvement and voluntary participation of neurologically impaired subjects in the robotic gait training process may enhance the outcomes of such therapy. An adaptive seamless assist-as-needed (AAN) control scheme was developed for the robotic gait training. The AAN control scheme learns in real time the disability level of human subjects based on the trajectory tracking errors and adapts the robotic assistance accordingly. The overall AAN control architecture works on the basis of a robust adaptive control approach. The performance of seamless AAN control scheme was evaluated during treadmill training with a compliant robotic orthosis having 6-degrees of freedom (DOF). Two experiments, namely trajectory following experiment and the AAN experiment were carried out to evaluate the performance of seamless adaptive AAN control scheme. It was found that the robotic orthosis is capable of guiding the subjects' limbs on reference trajectories during the trajectory following experiment. Also, a variation in robotic assistance was recorded during the AAN experiment based on the voluntary participation of human subjects. This work is an advance on the current state of the art in the compliant actuation of robotic gait rehabilitation orthoses in the context of seamless AAN gait training.

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