Biofeedback systems have been extensively used in walking exercises for gait improvement. Past research has focused on modulating the wearer’s cadence, gait variability, or symmetry, but none of the previous works has addressed the problem of inducing a desired walking speed in the wearer. In this paper, we present a new, minimally obtrusive wearable biofeedback system (WBS) that uses closed-loop vibrotactile control to elicit desired changes in the wearer’s walking speed, based on the predicted user response to anticipatory and delayed feedback. The performance of the proposed control was compared to conventional open-loop rhythmic vibrotactile stimulation with N = 10 healthy individuals who were asked to complete a set of walking tasks along an oval path. The closed-loop vibrotactile control consistently demonstrated better performance than the open-loop control in inducing desired changes in the wearer’s walking speed, both with constant and with time-varying target walking speeds. Neither open-loop nor closed-loop stimuli affected natural gait significantly, when the target walking speed was set to the individual’s preferred walking speed. Given the importance of walking speed as a summary indicator of health and physical performance, the closed-loop vibrotactile control can pave the way for new technology-enhanced protocols for gait rehabilitation.

Motor weakness at the ankle joint is a major contributor to locomotor deficits in stroke, as the ankle provides the largest propulsive moment during walking, compared to the knee and the hip joints. In this paper, a novel lightweight powered ankle-foot orthosis, named Stevens Ankle-Foot Electromechanical (SAFE) orthosis, is presented and evaluated. The prominent feature of the SAFE orthosis relies on its two alternative actuation modes: fully-active and semi-active. The former mode utilizes two BLDC motors to provide ankle plantar-and dorsiflexion torques, whereas the latter replaces the motor on the dorsiflexion side with a set of linear springs. This design allows direct investigation of how the introduction of a passive antagonistic element may affect the performance of a powered AFO. Experimental results from both bench-top tests and human walking tests indicate that the performance of the two actuation modes are comparable in terms of device transparency and torque tracking. Implications of these results for the design of future powered AFOs are discussed in the paper.

Assist-as-needed (AAN) control aims at promoting therapeutic outcomes in robot-assisted rehabilitation by encouraging patients’ active participation. Impedance control is used by most AAN controllers to create a compliant force field around a target motion to ensure tracking accuracy while allowing moderate kinematic errors. However, since the parameters governing the shape of the force field are often tuned manually or adapted online based on simplistic assumptions about subjects’ learning abilities, the effectiveness of conventional AAN controllers may be limited. In this work, we propose a novel adaptive AAN controller that is capable of autonomously reshaping the force field in a phase-dependent manner according to each individual’s motor abilities and task requirements. The proposed controller consists of a modified Policy Improvement with Path Integral algorithm, a model-free, sampling-based reinforcement learning method that learns a subject-specific impedance landscape in real-time, and a hierarchical policy parameter evaluation structure that embeds the AAN paradigm by specifying performance-driven learning goals. The adaptability of the proposed control strategy to subjects’ motor responses and its ability to promote short-term motor adaptations are experimentally validated through treadmill training sessions with able-bodied subjects who learned altered gait patterns with the assistance of a powered ankle-foot orthosis.