Evidence map›Paper›PMID 42192464›Full record

ArticleJournal of neuroengineering and rehabilitation2026

Cyberlegs X-Leg at CYBATHLON 2024: insights on the control development of an active transfemoral prosthesis.

Stefano Nuzzo, Sophia Taddei, Eligia Alfio, Rossana Lovecchio, Menthy Denayer, Stijn Hamelryckx, Elias Thiery, Stijn Kindt, María Alejandra Díaz, Louis Flynn and 2 more

Abstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Stefano NuzzoBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium. stefano.nuzzo@vub.be.
Sophia TaddeiBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Eligia AlfioBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Rossana LovecchioBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Menthy DenayerBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Stijn HamelryckxBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Elias ThieryBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Stijn KindtBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
María Alejandra DíazBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Louis FlynnBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Kevin De PauwBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.
Tom VerstratenBrubotics, Vrije Universiteit Brussel, 1050, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Powered lower-limb prostheses aim to enhance the mobility of people with amputations in daily life. The CYBATHLON competition offers an opportunity to evaluate these devices' performance across 10 tasks inspired by everyday activities, such as sitting and standing, avoiding obstacles, walking on uneven terrain and slopes, and climbing stairs. This study reports on the development and deployment of the CYBERLEGs X-Leg, a powered knee-ankle prosthesis equipped with a hierarchical control architecture and task-specific finite state machines (FSMs) during the CYBATHLON 2024 leg prosthesis race. The pilot, an individual with a transfemoral amputation, was trained for approximately 46 h, attempted eight tasks during the competition, and completed three. Overall, the pilot successfully controlled the prosthesis's behavior to execute multiple tasks. The prosthesis delivered stable knee-swing flexion during walking ([Formula: see text]), obstacle-clearance trajectories driven by thigh kinematics, and knee-extension assistance during sit-to-stand ([Formula: see text] Nm). The control design and competition experience underlined the importance of initiating control co-design at earlier development stages and revealed the extensive tuning effort required for a multitask FSM-based system. Performance analysis identified reliance on manual locomotion mode selection, sensitivity in threshold-based FSM transitions, and user discomfort at higher torque levels as key areas for improvement. The competition highlighted both the feasibility and the limitations of FSM-based control when deployed across diverse functional activities. These findings motivate future work on autonomous task recognition, smoother inter-state control blending, the integration of enriched sensing modalities, and human-in-the-loop optimization for user-specific personalization.

Indexed as

Artificial LimbsProsthesis DesignAmputeesBiomechanical PhenomenaHumansMaleWalkingActiveAnkleControlCYBATHLONFSMKnee

Identifiers

PMID42192464
PMCPMC13393846

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.