Mechanical Sensing for Lower Limb Soft Exoskeletons: Recent Progress and Challenges

Totaro, Michele; Natali, Christian Di; Bernardeschi, Irene; Ortiz, Jesús; Beccai, Lucia

doi:10.1007/978-3-030-24230-5_3

Cited by 2 publications

(2 citation statements)

References 66 publications

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“…In light of the challenges identified, although significant progresses have been made since the early 2000s [26,27], several improvement opportunities exist in WRE use. The present section will strictly focus on two key challenges: increasing walking speed and governing dynamic standing balance.…”

Section: Improvement Opportunitiesmentioning

confidence: 99%

Wearable Robotic Exoskeletons for Overground Walking in Rehabilitation: Specific Contexts of Use and Improvement Opportunities

Gagnon

Aïssaoui

2020

Curr Robot Rep

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Purpose of Review Within the clinical rehabilitation settings, wearable robotic exoskeletons (WREs) can be used as a dynamic walking orthosis, for a neurorehabilitation intervention, as well as a for physical activity adaptation. The purpose of this commentary is to describe and comment on these issues. Recent Findings There are important links between the use of WRE for clinical setting intervention and the technical aspect, which are related to define a specific walking speed and designing a dynamic stable user-WRE couple. There is still difficulty to allow the user to choose the walking speed so that the WRE adapts to it. Moreover, the stability of walking with the WRE without using a walker or crutches is still challenging problem. Summary The enhancement of these two technical aspects (i.e., walking speed and dynamic stability) will help in the future to design exoskeleton with increased functionalities such as walking along a curved path and making turns, walking over uneven or rough terrains (e.g., slopes), and ascending and descending stairs. Keywords Dynamic stability. Sensorimotor impairments. Walking speed. Wearable exoskeleton This article is part of the Topical Collection on Rehabilitation and Assistive Robotics

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Section: Improvement Opportunitiesmentioning

confidence: 99%

Wearable Robotic Exoskeletons for Overground Walking in Rehabilitation: Specific Contexts of Use and Improvement Opportunities

Gagnon

Aïssaoui

2020

Curr Robot Rep

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“…Several reviews have recently been published that specifically analyze exosuits. For example, Jain et al [14] show an overview of different technological aspects of exosuits, Crowell et al [15] review the design challenges for exosuits, Masia et al [16] provide an in-depth explanation of construction and control schemes of soft assistive robots, while Totaro et al [17] compare different sensor technologies for exosuits. However, thus far none of the published reviews shows the clinical outcomes of lower-limb exosuits, which are an important indicator for the state of development and foreseeable impact on the health sector.…”

Section: Introductionmentioning

confidence: 99%

Lower-Limb Exosuits for Rehabilitation or Assistance of Human Movement: A Systematic Review

Koch

Font-Llagunes

2021

Applied Sciences

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Background: The aim of this review is to provide a comprehensive overview of the technological state-of-the-art of exosuits and the clinical results obtained when applied to users with mobility impairment. Methods: Searches are carried out in the COCHRANE, PubMed, IEEE Xplore and MEDLINE databases. Titles, abstracts and full texts are screened for inclusion criteria. Technological and clinical data are extracted. The quality of the studies is evaluated via a study quality assessment tool. Results: 19 studies are identified as relevant. Active (47%) and passive exosuits (53%) are used. Most are used untethered (84%), accommodating the demand of mobility. No study reports power consumption, which is important for dimensioning power systems. Fields of applications are post-stroke (79%), osteoarthritis (16%) and post-trauma (5%). Mostly the ankle joint is addressed (57%), while less studies address multiple joints (21%). The outcomes of clinical evaluations of lower-limb exosuits with patients suffering from mobility impairments are positive in the correction of gait pattern and reducing metabolic energy consumption during hemiparetic walking. Conclusions: Lower-limb exosuits for clinical applications are still facing technological challenges. Fields of application are limited to stroke, osteoarthritis and trauma. While clinical outcomes are overall positive, improvements in the study protocols are suggested.

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Mechanical Sensing for Lower Limb Soft Exoskeletons: Recent Progress and Challenges

Cited by 2 publications

References 66 publications

Wearable Robotic Exoskeletons for Overground Walking in Rehabilitation: Specific Contexts of Use and Improvement Opportunities

Wearable Robotic Exoskeletons for Overground Walking in Rehabilitation: Specific Contexts of Use and Improvement Opportunities

Lower-Limb Exosuits for Rehabilitation or Assistance of Human Movement: A Systematic Review

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