Fabric Pneumatic Artificial Muscle-Based Head-Neck Exosuit: Design, Modeling, and Evaluation

Portable pneumatic systems for 2 degree-of-freedom (DOF) soft shoulder exosuits remain underexplored, and face fundamental trade-offs between torque output and dynamic response that are further compounded by the need for multiple actuators to support complex shoulder movement. This work addresses these constraints through a volume-optimized spindle-shaped angled actuator (SSAA) geometry: by reducing actuator volume by 35.7% (357mL vs. 555mL), the SSAA maintains 94.2% of output torque while achieving 35.2% faster dynamic response compared to uniform cylindrical designs. Building on the SSAA, we develop a curved abduction actuator (CAA) based on the SSAA geometry and a horizontal adduction actuator (HAA) based on the pouch motor principle, integrating both into a dual-DOF textile-based shoulder exosuit (390 g). The exosuit delivers multi-modal assistance spanning shoulder abduction, flexion, and horizontal adduction, depending on the actuation. User studies with 10 healthy participants reveal that the exosuit substantially reduces electromyographic (EMG) activity across both shoulder abduction and flexion tasks. For abduction with HAA only, the exosuit achieved up to 59% muscle activity reduction across seven muscles. For flexion, both the single-actuator configuration (HAA only) and the dual-actuator configuration (HAA,+,CAA) reduced EMG activity by up to 63.7% compared to no assistance. However, the incremental benefit of adding the CAA to existing HAA support was limited in healthy users during flexion, with statistically significant additional reductions observed only in pectoralis major. These experimental findings characterize actuator contributions in healthy users and provide design guidance for multi-DOF exosuit systems.

Pneumatic artificial muscles have provided new opportunities to develop upper-extremity soft exosuits for reha- bilitation, augmentation, and assisted daily living. However, the complex dynamics and limited bandwidth of these actuators has made providing responsive assistance based on user intention a longstanding challenge. In this work, we present an inverse-plant control strategy for pneumatically actuated soft exosuits that only relies on kinematic sensing for task-agnostic and dynamic assistance during daily living. We model the human-robot system using a Hammerstein dynamic model, consisting of a Preisach hysteresis model and a linear time-invariant filter, to capture the static and dynamic behavior of the system. We personalize our model to each user using 140 s of data and approximate an inverse to integrate into our control loop. When evaluated on a test rig that emulated a soft assistive exosuit for the wrist, our controller reduced the interaction torque by up to 73% and the activation of key flexor and extensor muscles by up to 47% relative to the condition with no assistance for speeds ranging from 8°/s to 120°/s. Overall, this work presents a control strategy that can provide task-agnostic, dynamic assistance with pneumatically actuated soft exosuits without the need for physiological or force sensors to interpret user intention.

Dropped head syndrome, caused by neck muscle weakness from neurological diseases, severely impairs an individual's ability to support and move their head, causing pain and making everyday tasks challenging. Our long-term goal is to develop an assistive powered neck exoskeleton that restores natural movement. However, predicting a user's intended head movement remains a key challenge. We leverage virtual reality (VR) to collect coupled eye and head movement data from healthy individuals to train models capable of predicting head movement based solely on eye gaze. We also propose a novel multi-layer controller selection framework, where head control strategies are evaluated across decreasing levels of abstraction -- from simulation and VR to a physical neck exoskeleton. This pipeline effectively rejects poor-performing controllers early, identifying two novel gaze-driven models that achieve strong performance when deployed on the physical exoskeleton. Our results reveal that no single controller is universally preferred, highlighting the necessity for personalization in gaze-driven assistive control. Our work demonstrates the utility of VR-based evaluation for accelerating the development of intuitive, safe, and personalized assistive robots.