Evidence map›Paper›PMID 41862934›Full record

ArticleJournal of neuroengineering and rehabilitation2026

Simplifying rehabilitation control of lower-limb exoskeletons in five ambulation modes via dataset-driven state-machine calibration.

Clément Lhoste, Alberto Cantón, Emek Barış Küçüktabak, Matthew R Short, Rebecca Schwanemann, Shoshana Clark, Daniel Ludvig, Kevin Lynch, Levi Hargrove, Jesús Tornero and 2 more

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Article in Journal of neuroengineering and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Clément Lhoste *Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA.
Alberto Cantón *Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA.
Emek Barış KüçüktabakLegs and Walking Lab, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA.
Matthew R ShortLegs and Walking Lab, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA.
Rebecca SchwanemannLegs and Walking Lab, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA.
Shoshana ClarkLegs and Walking Lab, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA.
Daniel LudvigDepartment of Biomedical Engineering, Northwestern University, 633 Clark St, Evanston, IL, 60208, USA.
Kevin LynchCenter for Robotics and Biosystems, Northwestern University, 633 Clark St, Evanston, IL, 60208, USA.
Levi HargroveNeural Engineering for Prosthetics and Orthotics, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA.
Jesús TorneroCenter for Clinical Neuroscience, Hospital Los Madroños, M-501, Km 17, 900, Brunete, 28690, Madrid, Spain.
Lorenzo VianelloLegs and Walking Lab, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA. lvianello@sralab.org.
José PonsLegs and Walking Lab, Shirley Ryan AbilityLab, 355 E Erie St, Chicago, IL, 60618, USA.

Funding

National Science Foundation 2024488
6 · The paper itself

Abstract

backgroundLower-limb exoskeletons are a useful tool in rehabilitation settings as they can provide customized assistance to individuals during functional exercises. These approaches typically rely on state-machine-based control with impedance controllers tailored to different locomotion phases, ensuring appropriate assistance across various activities and environments. However, these methods necessitate lengthy calibration procedures, as many impedance parameters need to be fine-tuned to provide appropriate assistance for various activities (e.g., overground walking, ramps, and stairs).

methodsThis study presents three contributions: (1) a state-machine-based control strategy for partial assistance lower-limb exoskeletons, (2) a computational method to extract reference trajectories from a benchmark dataset (Camargo et al. in J Biomech 119:110320, 2021), enabling the identification of state-machine controller parameters and simplifying calibration procedures and (3) a dataset of 19 healthy individuals walking in five walking conditions (overground walking, upstairs, downstairs, up ramps, and down ramps) using either the state-machine approach or a transparent controller.

resultsThe state-machine controller produced in average more negative interaction power ([Formula: see text] W/kg) compared to transparent control ([Formula: see text] W/kg), indicating greater user assistance. Preferred walking speed was notably faster with the state-machine controller, particularly on level ground, ramps and stairs ascent (25–32% increase). Kinematic analysis revealed closer alignment to able-bodied gait patterns with the state-machine controller, suggesting improved gait quality. At the same time, the dataset of the collected locomotion activities ( dataset link ) will constitute a new benchmark dataset for locomotion.

conclusionsIn this work, we presented and evaluated a novel state-machine-based control strategy for partial-assistance lower-limb exoskeletons. In this approach, reference trajectories are extracted from a benchmark dataset, simplifying calibration procedures. Additionally, we provide a dataset of 19 healthy individuals using two exoskeleton controllers. The proposed controller will be applied to patient populations, while the dataset will serve as a valuable resource for advancing robust and effective control mechanisms through machine learning techniques.

Indexed as

Exoskeleton DeviceLower ExtremityNeurological RehabilitationWalkingAdultCalibrationFemaleHumansMaleControlExoskeletonRehabilitation

Identifiers

PMID41862934
PMCPMC13045145

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.