Chronic lower-extremity wounds in patients undergoing exoskeleton-assisted rehabilitation require materials that can both protect tissue and enable real-time physiological monitoring. Conventional dressings lack dynamic sensing capability, while current conductive hydrogels often compromise either adhesion or electronic performance. Here, we present a biointegrated hydrogel (CPSD) composed of carboxymethyl chitosan (CMCS) and poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) forming the conductive backbone, integrated with dopamine-functionalized sodium alginate (SD); the network is assembled via electrostatic complexation and carbodiimide (EDC/NHS)-mediated covalent crosslinking. The resulting hydrogel exhibits a dense, tissue-conformal porous network with tunable swelling, stable mechanical integrity, and high photothermal conversion efficiency. In vitro assays confirmed potent antioxidant activity, strong antibacterial performance (>90% under near-infrared), and excellent cytocompatibility and hemocompatibility. CPSD shows bulk conductivity ~1.6 S·m⁻¹, compressive modulus ~15 kPa, lap-shear adhesion on porcine skin ~9.5 kPa, and WVTR ~75 g·m⁻²·h⁻¹, supporting stable biointerfaces for motion/sEMG sensing. Integrated into a lower-limb exoskeleton, CPSD hydrogels adhered securely during motion and reliably captured electromyographic and strain signals, enabling movement-intent detection. These results highlight CPSD hydrogel as a multifunctional interface material for next-generation closed-loop rehabilitation systems and mobile health monitoring.

Most pediatric exoskeletons for cerebral palsy (CP) focus on lower-limb assistance and neglect trunk control, limiting rehabilitation outcomes. This study presents a self-aligning trunk–limb exoskeleton that integrates trunk stabilization with active lower-limb support. The design includes a hip–waist rapid adjustment mechanism, a bioinspired gear-rolling knee joint, modular thigh–shank structures, a trunk support module, and a body-weight support device. To enable transparent and coordinated assistance under pathological gait conditions, a continuous gait progress-based multi-joint control framework is developed. Joint motion is described as continuous gait progress over the full gait cycle (0–100%), and joint-specific progress estimates are fused into a unified system-level reference using observability-weighted circular statistics. Inter-joint coordination is achieved through phase-consistency-based temporal modulation implemented, enabling smooth synchronization while preserving joint-level autonomy and motion continuity. Technical evaluation—comprising kinematic misalignment analysis, simulation validation, and gait trials—demonstrated a 66.8% reduction in hip misalignment and an 87.4% reduction in knee misalignment. Gait parameters under exoskeleton-assisted walking closely matched baseline walking, confirming natural kinematic preservation without interference. These results indicate that the proposed trunk–limb exoskeleton improves human–robot synergy, enhances postural stability, and provides a promising solution for pediatric gait rehabilitation in CP.

This paper presents the design and evaluation of a lightweight, minimally actuated lower limb exoskeleton that emphasizes hip–knee coordination for natural and efficient gait assistance. The system adopts a hip-only motorized actuation strategy in combination with an electromagnetically controlled knee locking mechanism, ensuring rigid stability during stance while providing compliant assistance during swing. To support sit-to-stand transitions, a gas spring–ratchet mechanism is integrated, which remains disengaged in the seated position, delivers assistive torque during rising, and provides cushioning during the descent to enhance safety and comfort. The control framework fuses foot pressure and thigh-mounted IMU signals for finite state machine (FSM)-based gait phase detection and employs a fuzzy PID controller to achieve adaptive hip torque regulation with coordinated hip–knee control. Preliminary human-subject experiments demonstrate that the proposed design enhances lower-limb coordination, reduces muscle activation, and improves gait smoothness. By integrating a minimal-actuation architecture, a practical sit-to-stand assist module, and an intelligent control strategy, this exoskeleton strikes an effective balance between mechanical simplicity, functional support, and gait naturalness, offering a promising solution for everyday mobility assistance in elderly or mobility-impaired users.

Biomimetic knee exoskeletons often struggle to balance accurate replication of joint biomechanics with efficient torque transmission. This study presents a knee exoskeleton featuring a single-stage planetary gear set with three coupled interface gears to reproduce the coupled rolling–sliding motion of the human knee. By mapping rolling and sliding displacements into distinct gear-driven motions, the design achieves a near-linear relationship approximating the physiological J-shaped instantaneous center of rotation (ICR). Gear parameters were optimized under biomechanical and engineering constraints, producing a compact, manufacturable configuration with ICR deviation ≤ 5 mm (sliding distance). Performance experience demonstrates that the optimized joint reduced sliding misalignment of the contact point by 73.4%, delivered peak output torque in agreement with predictions, and maintained an average efficiency of 95.4% across operating speeds. These findings confirm that the proposed mechanism enhances kinematic fidelity and actuation performance, offering a promising solution for next-generation rehabilitation exoskeletons.