Research on lower limb exoskeleton (LLE) for rehabilitation have developed rapidly to meet the need of the population with neurologic injuries. LLEs for rehabilitation include therapeutic LLEs that aim to restore walking ability for patients, and assistive LLEs that offer support on activities in daily life. A substantial part of them can serve both purposes. However, these devices are yet to reach the final goal of performing human-machine joint movement agilely and smartly. Control strategy plays an important role in achieving their designed goal. At present, control strategies face three major challenges: how to detect human intention, how to do motion control with given intentions, and how to optimize control parameters to suit different individuals. As a contribution, this paper offers an overview on the state-of-the-art control strategies for rehabilitation LLEs by classifying them into eight categories, each of which is presented with a technical summary and tabulated information of representative papers. Moreover, current approaches addressing the three challenges are discussed in a macroscopic perspective. Finally, it has been explored which requirements the future control strategies should meet for maximizing the performance of rehabilitation LLEs.

As passive rehabilitation training with fixed trajectory ignores the active participation of patients, in order to increase the active participation of patients and improve the effect of rehabilitation training, this paper proposes an innovative adaptive sliding mode variable admittance (ASMVA) controller for the Lower Limb Rehabilitation Exoskeleton Robot. The ASMVA controller consists of an outer loop with variable admittance controller and an inner loop with an adaptive sliding mode controller. It estimates the wearer’s active muscle strength and movement intention by judging the deviation between the actual and standard interaction force of the wearer’s leg and the exoskeleton, thereby adaptively changing admittance controller parameters to alter training intensity. Three healthy volunteers engaged in further experimental studies, including trajectory tracking experiments with no admittance, fixed admittance, and variable admittance adjustment. The experimental results show that the proposed ASMVA control scheme has high control accuracy. Besides, the ASMVA can not only increase training intensity according to the active muscle strength of the patient during positive movement intention (so as to increase active participation of the patient), but also increase the amount of trajectory adjustment during negative movement intention to ensure the safety of the patient.

The lower-limb assist exoskeleton plays the role of torque assiting and compliant tracking for wearers to perform tasks. Accurate torque generation, backdrivability performance, low output impedance, and hardware compactness are essential factors for lower-limb exoskeleton to achieve better compliant physical interaction. This research studies a crank-slider series elastic actuator (CS-SEA) that can be used as a compact exoskeleton joint module. The device has a unique crank slider mechanism, and a set of linear springs are equipped inside the slider to guarantee the nonlinear stiffness of its physical impedance so that the torque effect can be improved and a high level of transparency can be achieved. The RBF-based sliding mode controller is chosen as the output torque controller of the exoskeleton, and the adaptive neuro-fuzzy sliding mode control law is designed and its stability is verified. The precise output force control performance of CS-SEA is verified by experiments. The actuator is incorporated into a knee exoskeleton prototype and was worn by the subjects. The experimental results demonstrate the precision of the compliant transparent and torque assisting control while interacting with the human wearer.

This paper presents the E-LEG, a novel semi-passive lower-limb exoskeleton for worker squatting assistance, with motorized tuning of the assistive squatting height. Compared with other passive industrial exoskeletons for the lower-limbs, the E-LEG presents novel design features namely inertial sensor for measuring the tilt angle of thigh and the novel electromagnetic switch for adjusting squat height. These features could enhance the effectiveness of the system. In addition to the introduction to exoskeleton design, this paper also reports the systematic experimental evaluation of human subjects. With the assistance of different conditions, the variability of muscular activity was evaluated in long-term static squatting task. The set of metrics to evaluate the effect of the device included leg muscle activity, plantar pressure fluctuation, plantar pressure center fluctuation and gait angles. Results show that the exoskeleton can reduce the muscular activity of the user during squatting, and it will have little affect the normal gait of the user during walking. In this study, we found that the E-LEG exoskeleton has potential effectiveness in reducing the muscular strain on long-term continuous squatting activities.

The exoskeleton as functional wearable equipment has been increasingly used in working environments. However, the effects of wearing an exoskeleton on human thermal responses are still unknown. In this study, 10 male package handlers were exposed to 10 °C (COLD) and 25 °C (TEMP) ambient temperatures while performing a 10 kg lifting task (LIFTING) and sedentary (REST) both with (EXO) and without the exoskeleton (WEXO). Thermal responses, including the metabolic rate and mean skin temperature (MST), were continuously measured. Thermal comfort, thermal sensation and sweat feeling were also recorded. For LIFTING, metabolic heat production is significant decrease with the exoskeleton support. The MST and thermal sensation significantly increase when wearing the exoskeleton, but thermal discomfort and sweating are only aggravated in TEMP. For REST, MST and thermal sensation are also increased by the exoskeleton, and there is no significant difference in the metabolic rate between EXO and WEXO. The thermal comfort is significantly improved by wearing the exoskeleton only in COLD. The results suggest that the passive exoskeleton increases the local clothing insulation, and the way of wearing reduces the “pumping effect”, which makes a difference in the thermal response between COLD and TEMP. Designers need to develop appropriate usage strategies according to the operative temperature.