PTOtherJournal of neuroengineering and rehabilitation2017

Physical interface dynamics alter how robotic exosuits augment human movement: implications for optimizing wearable assistive devices.

Matthew B Yandell, Brendan T Quinlivan, Dmitry Popov and 2 others

PMID 28521803

WHAT IT FOUND

In one healthy walker, a soft ankle exosuit absorbed power at the shank and boot interfaces, then returned much of it, delaying push-off assistance.

This is device mechanics, not clinical effectiveness.

Key findings

01When exosuit force increased, cable end-effector net work was 10.6 ± 0.8 J, proximal interface work was -3.9 ± 0.3 J, distal interface work was -2.1 ± 0.3 J, and ankle augmentation work was 4.7 ± 0.4 J.

02When exosuit force decreased, proximal interface work was 3.6 ± 0.3 J, distal interface work was 0.3 ± 0.1 J, cable end-effector net work was 1.6 ± 0.2 J, and ankle augmentation work was 5.4 ± 0.5 J.

03Over the full stride, cable end-effector work was 12.2 ± 0.8 J, ankle augmentation work was 9.2 ± 0.6 J, proximal interface work was -1.1 ± 0.1 J, distal interface work was -1.8 ± 0.2 J, net ankle work was 27.5 ± 2.1 J, and biological ankle work was 18.2 ± 1.9 J.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Only one healthy male subject was tested, so this cannot show how patients with disabilities, different body shapes, ages, or weights would respond. The study tested one soft exosuit, one joint, and one walking task at one speed; it did not test other devices, joints, tasks, or clinical populations. It reports device power mechanics, not clinical outcomes such as walking speed, energy cost, safety, comfort, or patient benefit. Skin-mounted markers can introduce small inaccuracies, and interface slippage, pressure, and perceived comfort were not measured. The analysis could not fully separate power losses into textile deformation, tissue deformation, and relative motion without additional experiments, and internal cable power losses were not measured.

Declared interests

Funding: Defense Advanced Research Projects Agency, National Science Foundation, and National Institutes of Health. The supplied text does not report additional conflicts of interest.

The easy way to misread this

Do not read this as evidence that soft ankle exosuits improve patient walking. It tested one healthy person and reports how much power is absorbed and returned by the device-body interface, not clinical benefit.

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