Evidence map›Paper›PMID 42356896›Full record

ArticleSensors (Basel, Switzerland)2026

Multimodal EEG-EMG and FEM-Based Adaptive Control of Passive Upper-Limb Exoskeletons.

Luigi Bibbò, Filippo Laganà, Salvatore A Pullano, Giovanni Angiulli

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

4 authors.

Luigi BibbòDepartment of Civil, Energy, Environment and Materials (DICEAM), "Mediterranea" University of Reggio Calabria, I-89124 Reggio Calabria, Italy.ORCID 0000-0001-6548-9503
Filippo LaganàLaboratory of Biomedical Applications Technologies and Sensors (BATS), Department of Health Science, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0001-6846-1784
Salvatore A PullanoLaboratory of Biomedical Applications Technologies and Sensors (BATS), Department of Health Science, "Magna Græcia" University of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0003-3391-1698
Giovanni AngiulliDIIES Department, Mediterranea University, I-89122 Reggio Calabria, Italy.ORCID 0000-0002-3153-9338

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrating neural and muscular signals into wearable robotics enables adaptive assistance during real-world tasks. This study proposes a multimodal neural interface for passive exoskeletons that combines electroencephalography (EEG) and electromyography (EMG) signals to classify motor gestures and estimate real-time cognitive and muscular effort, supported by finite-element-based biomechanical modeling. The system was implemented on the Ottobock Shoulder X passive exoskeleton© and validated using synchronous EEG-EMG acquisition via the LiveAmp platform©, a commercially available platform that was not developed specifically for this study. A hybrid CNN-LSTM architecture with deep fusion was employed to enhance robustness and responsiveness under realistic operating conditions. This study proposes a multimodal neural interface for the software-level adaptive assistance of passive upper-limb exoskeletons. While the physical device maintains a static mechanical profile, the proposed digital framework achieves adaptation by interpreting the user's physiological and motor states. Ten healthy participants performed three functional tasks (screwing, moving the box, and lifting the box) under five assistive conditions. Finite element modeling (FEM) was used to characterize the torque-angle relationship of the passive exoskeleton and to support the interpretation of experimentally observed assistive torque profiles. The FEM model, used as an offline biomechanical analysis tool to aid in the interpretation of experimental results, has not been integrated into the real-time control loop. Results showed an average classification accuracy of 90%, an F1-score of 0.85, and inference latency below 180 ms, confirming real-time applicability. Cognitive indices such as the Cognitive Load Index (CLI) and Frontal Asymmetry Index (FAI) enabled adaptive modulation of assistance strategies without requiring active actuation, thereby preserving the device's intrinsic passive nature. Comparative torque analysis highlighted the ergonomic benefits of passive systems in mid-range postures, while Finite Element Method (FEM) supported analysis clarified their limitations under highly dynamic loads compared to active solutions. These findings advance multimodal brain-machine interfaces for wearable robotics by integrating physiological sensing, deep learning, and biomechanical modeling, offering a safe, energy-efficient, and adaptive approach with potential rehabilitation, occupational ergonomics, and human-robot applications.

Indexed as

ElectroencephalographyElectromyographyExoskeleton DeviceUpper ExtremityAdultBiomechanical PhenomenaFinite Element AnalysisHumansMaleNeural Networks, ComputerRoboticsadaptive controlbrain–machine interface (BMI)CNN–LSTMcognitive loadEEG–EMGfinite element modeling (FEM)multimodal fusionpassive exoskeleton

Identifiers

PMID42356896
PMCPMC13306640

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Registered trials

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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.