As an important movement of the daily living activities, sit-to-stand (STS) movement is usually a difficult task facing elderly and dependent people. In this article, a novel impedance modulation strategy of a lower-limb exoskeleton is proposed to provide appropriate power and balance assistance during STS movements while preserving the wearer’s control priority. The impedance modulation control strategy ensures adaptation of the mechanical impedance of the human–exoskeleton system toward a desired one requiring less wearer’s effect while reinforcing the wearer’s balance control ability during STS movements. A human joint torque observer is designed to estimate the joint torques developed by the wearer using joint position kinematics instead of electromyography or force sensors; a time-varying desired impedance model is proposed according to the wearer’s lower-limb motion ability. A virtual environmental force is designed for balance reinforcement control. Stability and robustness of the proposed method are theoretically analyzed. Simulations are implemented to illustrate the characteristics and performance of the proposed approach. Experiments with four healthy subjects are carried out to evaluate the effectiveness of the proposed method and show satisfactory results in terms of appropriate power assist and balance reinforcement.

This work proposes a method to enable the use of non-intrusive, small, wearable, wireless sensors to estimate the pose of the lower body during gait and other periodic motions and to extract objective performance measures useful for physiotherapy. The Rhythmic Extended Kalman Filter (Rhythmic- EKF) algorithm is developed to estimate the pose, learn an individualized model of periodic movement over time, and use the learned model to improve pose estimation. The proposed approach learns a canonical dynamical system model of the movement during online observation, which is used to accurately model the acceleration during pose estimation. The canonical dynamical system models the motion as a periodic signal. The estimated phase and frequency of the motion also allow the proposed approach to segment the motion into repetitions and extract useful features such as gait symmetry, step length, and mean joint movement and variance. The algorithm is shown to outperform the extended Kalman filter in simulation, on healthy participant data, and stroke patient data. For the healthy participant marching dataset, the Rhythmic-EKF improves joint acceleration and velocity estimates over regular EKF by 40% and 37% respectively, estimates joint angles with 2.4° RMSE, and segments the motion into repetitions with 96% accuracy.

This work proposes to improve the accuracy of joint angle estimates obtained from an RGB-D sensor. It is based on a constrained extended Kalman Filter that tracks inputted measured joint centers. Since the proposed approach uses a biomechanical model, it allows physically consistent constrained joint angles and constant segment lengths to be obtained. A practical method that is not sensor-specific for the optimal tuning of the extended Kalman filter covariance matrices is provided. It uses reference data obtained from a stereophotogrammetric system but it has to be tuned only once since it is task-specific only. The improvement of the optimal tuning over classical methods in setting the covariance matrices is shown with a statistical parametric mapping analysis. The proposed approach was tested with six healthy subjects who performed four rehabilitation tasks. The accuracy of joint angle estimates was assessed with a reference stereophotogrammetric system. Even if some joint angles, such as the internal/external rotations, were not well estimated, the proposed optimized algorithm reached a satisfactory average root mean square difference of 9.7 ${}^{\circ }$ and a correlation coefficient of 0.8 for all joints. Our results show that an affordable RGB-D sensor can be used for simple in-home rehabilitation when using a constrained biomechanical model.