Interaction-based rapid heuristic optimization of exoskeleton assistance during walking.

Using human responses to optimize and thus personalize assistance enhances exoskeleton performance during locomotion. Current approaches lack efficiency, comfort, rapid deployability, and computation and actuation simplicity. Here we present a method that optimizes assistance within 2 min, 16 times faster than the state-of-the-art, by effectively imitating human joint moment while ensuring stability. Optimization of a unilateral ankle exoskeleton with off-board actuation produced gentler assistance (78.2% torque) while reducing muscle activity by 36.8% and metabolic cost by 20.4% than no assistance, comparable to state-of-the-art. The method was easily and effectively deployed across new gait conditions, to bilateral devices, to knee joints and also outdoors. It largely avoided the problems of existing methods with instantaneously measurable feedback, a non-aggressive tuning process, a reasonable tuning direction, and a non-parametric assistance formulation. By significantly reducing pre-research, operational, user physiological and psychological costs, this method largely elevates the accessibility level of effective, personalized and continuously tuned exoskeletons in everyday scenarios.