Identifying the Key Biomechanical Features of Movement Adaptation during Exoskeleton-Assisted Locomotion

Biological torque control directly maps an estimated human joint moment to exoskeleton assistance, providing a task-agnostic strategy for supporting diverse locomotor activities. However, it remains unclear whether a fixed state-to-torque mapping provides effective assistance across biomechanically distinct tasks. We examined how assistance delay affected hip exoskeleton performance during level-ground (LG), ramp-ascent (RA), and ramp-descent (RD) walking. Eight participants completed a zero-torque baseline condition and five active assistance conditions with delays ranging from 40 to 320 ms. Across tasks and active delays, assistance reduced net metabolic rate by 5.24%, positive biological hip joint work by 5.86%, and total lower-limb positive joint work by 1.68% (all p < 0.05). Assistance delay affected both joint-work outcomes (both p < 0.001) but not net metabolic rate. Mechanical unloading generally decreased with increasing delay, whereas metabolic benefits remained comparatively stable. Relative to the zero-torque condition, net metabolic rate decreased by 9.75% during LG and 7.20% during RA but increased by 1.23% during RD. We did not detect task-dependent differences in the delay response. Our findings indicate that biological torque mappings should be evaluated based on the target outcome and mechanical role of the assisted joint, and that predominantly positive-power assistance may not generalize to negative-work-dominant locomotion without modification.

Learning-based controllers can deliver exoskeleton assistance after training entirely in physics-based simulation, yet few controllers that address human-device co-adaptation have been validated on real users by whole-body metabolic measurement, the standard benchmark for assistive walking. Co-adaptation is challenging: as the device alters joint dynamics, the wearer reorganizes neuromuscular coordination, producing a non-stationary learning problem. Staged Multi-Agent Training (SMAT), a four-stage curriculum that progressively trains a musculoskeletal human actor and a bilateral hip exoskeleton actor, was introduced and shown to reduce simulated hip-muscle activation and provide positive assistance on hardware. This article provides the first physiological validation of SMAT. The policy was deployed on a hip exoskeleton and tested with eight healthy adults, with metabolic cost measured by indirect calorimetry across no-exoskeleton, passive, and active conditions. Active assistance lowered net metabolic rate by 19.7% relative to the passive device (p < 0.001). Biomechanical analysis confirmed predominantly positive hip mechanical power across all subjects (positive-power ratio 0.98), and the policy generalized across walking speeds and terrains. Together, these results show that a single simulation-trained SMAT policy, deployed without subject-specific retraining, delivers a significant metabolic benefit on real users while remaining robust beyond the conditions it was trained on.

Adaptive torque prediction in dynamic exoskeleton scenarios requires expensive motion capture systems, which are infeasible in complex outdoor environments. Trajectory prediction has emerged as one of the effective approaches to address such an issue. However, the core challenges of exoskeleton trajectory prediction are twofold: establishing the mapping from multi-modal features to trajectory information; constructing the mapping from trajectory to torque. For the former, most existing methods perform only single-step prediction and neglect inter-subject trajectory variability, thereby limiting the trajectory optimization space and prediction generalization. To address this, this paper proposes a fast flow matching method that enables accurate trajectory prediction and better generalization for real-time performance, where trajectory generation errors and encoded observations are used to guide the training direction. For the second challenge, due to the high dynamics of the human-robot system and the strong coupling between perception and control, simple control methods struggle to achieve efficient assistance based on the predicted trajectory. This paper utilizes model predictive control and designs a novel optimization objective to optimize torque, ensuring the exoskeleton achieves comfortable and robust assistance. By integrating the above two components, the unified policy, denoted as ExoTraj, is developed to enable adaptive assistance in complex outdoor scenarios without high data acquisition cost. Experimental results show that compared to traditional methods, ExoTraj reduces cross-subject prediction error by 14.0% during the online phase and maintains robustness against external noise. Relative to the zero torque condition, ExoTraj decreases metabolic rate by 11.5-24.4%, heart rate by 1.7-19.5%, and peak muscle activation levels by 10.9-41.3%, respectively.