Wearable technologiesPub Date : 2025-03-12eCollection Date: 2025-01-01DOI: 10.1017/wtc.2025.5
Finn G Eagen, Nicholas P Fey
{"title":"Toward model-based individualized fitting of hip-flexion exosuits for persons with unilateral transfemoral amputation.","authors":"Finn G Eagen, Nicholas P Fey","doi":"10.1017/wtc.2025.5","DOIUrl":"https://doi.org/10.1017/wtc.2025.5","url":null,"abstract":"<p><p>The muscular restructuring and loss of function that occurs during a transfemoral amputation surgery has a great impact on the gait and mobility of the individual. The hip of the residual limb adopts a number of functional roles that would previously be controlled by lower joints. In the absence of active plantar flexors, swing initiation must be achieved through an increased hip flexion moment. The high activity of the residual limb is a major contributor to the discomfort and fatigue experienced by individuals with transfemoral amputations during walking. In other patient populations, both passive and active hip exosuits have been shown to positively affect gait mechanics. We believe an exosuit configured to aid with hip flexion could be well applied to individuals with transfemoral amputation. In this article, we model the effects of such a device during whole-body, subject-specific kinematic simulations of level ground walking. The device is simulated for 18 individuals of K2 and K3 Medicare functional classification levels. A user-specific device profile is generated via a three-axis moment-matching optimization using an interior-point algorithm. We employ two related cost functions that reflect an active and passive form of the device. We hypothesized that the optimal device configuration would be highly variable across subjects but that variance within mobility groups would be lower. From the results, we partially accept this hypothesis, as some parameters had high variance across subjects. However, variance did not consistently trend down when dividing into mobility groups, highlighting the need for user-specific design.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e16"},"PeriodicalIF":3.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11950789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wearable technologiesPub Date : 2025-03-03eCollection Date: 2025-01-01DOI: 10.1017/wtc.2024.27
Larisa Y C Loke, Demiana R Barsoum, Todd D Murphey, Brenna D Argall
{"title":"Characterizing eye gaze and mental workload for assistive device control.","authors":"Larisa Y C Loke, Demiana R Barsoum, Todd D Murphey, Brenna D Argall","doi":"10.1017/wtc.2024.27","DOIUrl":"10.1017/wtc.2024.27","url":null,"abstract":"<p><p>Eye gaze tracking is increasingly popular due to improved technology and availability. In the domain of assistive device control, however, eye gaze tracking is often used in discrete ways (e.g., activating buttons on a screen), and does not harness the full potential of the gaze signal. In this article, we present a method for collecting both reactionary and controlled eye gaze signals, via screen-based tasks designed to isolate various types of eye movements. The resulting data allows us to build an individualized characterization for eye gaze interface use. Results from a study conducted with participants with motor impairments are presented, offering insights into maximizing the potential of eye gaze for assistive device control. Importantly, we demonstrate the potential for incorporating direct continuous eye gaze inputs into gaze-based interface designs; generally seen as intractable due to the 'Midas touch' problem of differentiating between gaze movements for perception versus for interface operation. Our key insight is to make use of an individualized measure of smooth pursuit characteristics to differentiate between gaze for control and gaze for environment scanning. We also present results relating to gaze-based metrics for mental workload and show the potential for the concurrent use of eye gaze for control input as well as assessing a user's mental workload both offline and in real-time. These findings might inform the development of continuous control paradigms using eye gaze, as well as the use of eye tracking as the sole input modality to systems that share control between human-generated and autonomy-generated inputs.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e13"},"PeriodicalIF":3.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wearable technologiesPub Date : 2025-03-03eCollection Date: 2025-01-01DOI: 10.1017/wtc.2024.29
X Yamile Sandoval-Castro, J German Cortes-Gonzalez, Maximiano F Ruiz-Torres, Eduardo Castillo-Castaneda, Med Amine Laribi
{"title":"Enhancing dexterity: Soft pneumatic actuation utilizing granular jamming for a human finger flexo-extension.","authors":"X Yamile Sandoval-Castro, J German Cortes-Gonzalez, Maximiano F Ruiz-Torres, Eduardo Castillo-Castaneda, Med Amine Laribi","doi":"10.1017/wtc.2024.29","DOIUrl":"10.1017/wtc.2024.29","url":null,"abstract":"<p><p>This article presents a bioinspired pneumatic soft actuator designed to mimic the flexo-extension movement of the human finger, with a particular focus on stiffness modulation through granular jamming. Three-chamber geometries - honeycomb, rectangular, and half-round - were evaluated to optimize curvature performance, utilizing Mold Star 15 Slow elastomer for actuator fabrication. Granular jamming, both passive and active, was implemented within the inextensible layer using chia and quinoa grains to enhance stiffness modulation. Experimental results revealed that the honeycomb geometry most closely aligned with the natural index finger trajectory. Stiffness evaluations demonstrated a range of 0-0.47 N/mm/° for quinoa and 0-0.9 N/mm/° for chia. The actuator's force output increased by 16% for quinoa and 71% for chia compared to the nonjammed configuration. This enhanced performance is particularly beneficial for applications such as hand rehabilitation, where adaptive stiffness and force modulation are critical. Granular jamming, especially with active chia, provided superior adaptability for tasks requiring variable stiffness and resistance, making it a promising candidate for wearable robotic applications in rehabilitation.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e15"},"PeriodicalIF":3.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wearable technologiesPub Date : 2025-02-28eCollection Date: 2025-01-01DOI: 10.1017/wtc.2025.4
Aida Chebbi, Rachel M Robinson, Seth R Donahue, Michael E Hahn
{"title":"Identifying right and left impact using the derivative of linear resultant acceleration from a single sacrum-mounted IMU.","authors":"Aida Chebbi, Rachel M Robinson, Seth R Donahue, Michael E Hahn","doi":"10.1017/wtc.2025.4","DOIUrl":"10.1017/wtc.2025.4","url":null,"abstract":"<p><p>This study introduces a novel method for gait analysis using a single inertial measurement unit placed on the sacrum. This method is valid not only on level ground but also on incline and decline conditions. The method leverages the \"crackle\" function, the third derivative of the sacral resultant acceleration, to identify right and left gait events. This approach is particularly effective in capturing the initial peak in acceleration data during foot impact with the ground, often overlooked by other methods. The study aimed to demonstrate the method's accuracy in identifying the right- and left-side impacts during level ground, incline, and decline runs across a range of speeds. Additionally, the algorithm was applied in outdoor running scenarios, where it performed very well, further validating its robustness and reliability. The results are compared with other existing methods to highlight the effectiveness of this approach.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e14"},"PeriodicalIF":3.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Force control of motion teaching suit using serial-connected pneumatic artificial muscles for actuation and estimation.","authors":"Tetsuro Miyazaki, Yoshihide Tomita, Kenji Kawashima","doi":"10.1017/wtc.2024.30","DOIUrl":"10.1017/wtc.2024.30","url":null,"abstract":"<p><p>Machine - human interaction systems have been proposed to improve motion learning efficiency. We developed a pneumatic-driven motion teaching system that provides feedback to the learner by simultaneously presenting visual and torque information. We achieved a lightweight, soft, and user-safety haptic system using a pneumatic artificial muscle (PAM). The PAM's shrink force was estimated based on its characteristic model and the suit link system, and the suit generated external torque. However, accurate force control was challenging due to the time delay of the feedback control, the loosening of the soft suit, and modeling errors of the driving PAM caused by hysteresis. To improve the force control performance of the motion teaching suit, this article's contributions are to develop a novel suit in which PAMs for drive and force estimation are connected in series and implement a 2-degree-of-freedom (DOF) force control system using force estimation values in this suit and to confirm the effectiveness of the proposed hardware and software. This article contains three topics: (a) the development of novel suit hardware, (b) force estimation using a sealed small PAM, and (c) a proposal of force control using a 2-DOF controller. The effect of loosening the soft suit is reduced in the novel-developed suit. A sealed small PAM with small deformation and little hysteresis is adopted for force estimation. The time delay in feedback control is decreased by adopting the proposed novel 2-DOF control. Finally, the proposed suit and its control system were evaluated in experiments and achieved the desired performance.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e10"},"PeriodicalIF":3.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wearable technologiesPub Date : 2025-02-25eCollection Date: 2025-01-01DOI: 10.1017/wtc.2025.2
Amit Talukder, Jeyeon Jo
{"title":"Elastic textile-based wearable modulation of musculoskeletal load: A comprehensive review of passive exosuits and resistance clothing.","authors":"Amit Talukder, Jeyeon Jo","doi":"10.1017/wtc.2025.2","DOIUrl":"10.1017/wtc.2025.2","url":null,"abstract":"<p><p>Elastic textiles play a critical role in passive wearable solutions for musculoskeletal load management in both passive exosuits and resistance clothing. These textiles, based on their ability to stretch and retract, can exhibit ambivalence in their load-modulating effects when used in occupational, rehabilitation, exercise, or everyday activity settings. While passive exosuits and resistance garments may appear similar in design, they have opposing goals: to reduce the musculoskeletal load in the case of exosuits and to increase it in the case of resistance clothing. Despite this intrinsic connection, these two approaches have not been extensively linked together. This review aims to fill this gap by examining the common and distinct principles of elastic textiles in passive exosuits and resistance clothing, shedding light on their interactions and the complex dynamics of musculoskeletal load systems. The effectiveness of different designs in passive exosuits that mimic musculoskeletal function and resistance clothing that increase the workload for strength training are critically reviewed. Current challenges in practical implementation and opportunities to improve critical issues, such as preload, thermal comfort, skin friction, and donning and doffing are also highlighted.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e11"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wearable technologiesPub Date : 2025-02-25eCollection Date: 2025-01-01DOI: 10.1017/wtc.2024.19
Marco Rossini, Sander De Bock, Vincent Ducastel, Gabriël Van De Velde, Kevin De Pauw, Tom Verstraten, Dirk Lefeber, Joost Geeroms, Carlos Rodriguez-Guerrero
{"title":"Design and evaluation of AE4W: An active and flexible shaft-driven shoulder exoskeleton for workers.","authors":"Marco Rossini, Sander De Bock, Vincent Ducastel, Gabriël Van De Velde, Kevin De Pauw, Tom Verstraten, Dirk Lefeber, Joost Geeroms, Carlos Rodriguez-Guerrero","doi":"10.1017/wtc.2024.19","DOIUrl":"10.1017/wtc.2024.19","url":null,"abstract":"<p><p>The wide adoption of occupational shoulder exoskeletons in industrial settings remains limited. Passive exoskeletons were proved effective in a limited amount of application scenarios, such as (quasi-)static overhead handling tasks. Quasi-active devices, albeit representing an improved version of their passive predecessors, do not allow full modulation of the amount of assistance delivered to the user, lacking versatility and adaptability in assisting various dynamic tasks. Active occupational shoulder exoskeletons could overcome these limitations by controlling the shape of the delivered torque profile according to the task they aim to assist. However, most existing active devices lack compactness and wearability. This prevents their implementation in working environments. In this work, we present a new active shoulder exoskeleton, named Active Exo4Work (AE4W). It features a new flexible shaft-driven remote actuation unit that allows the positioning of the motors close to the wearer's center of mass while it maintains a kinematic structure that is compatible with the biological motion of the shoulder joint. in vitro and in vivo experiments have been conducted to investigate the performance of AE4W. Experimental results show that the exoskeleton is kinematically compatible with the user's workspace since it does not constrain the natural range of motion of the shoulder joint. Moreover, this device can effectively provide different types of assistance while the user executes various dynamic tasks, without altering perceived comfort.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e12"},"PeriodicalIF":3.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wearable technologiesPub Date : 2025-02-24eCollection Date: 2025-01-01DOI: 10.1017/wtc.2025.3
Alejandro Moya-Esteban, Mohamed Irfan Refai, Saivimal Sridar, Herman van der Kooij, Massimo Sartori
{"title":"Soft back exosuit controlled by neuro-mechanical modeling provides adaptive assistance while lifting unknown loads and reduces lumbosacral compression forces.","authors":"Alejandro Moya-Esteban, Mohamed Irfan Refai, Saivimal Sridar, Herman van der Kooij, Massimo Sartori","doi":"10.1017/wtc.2025.3","DOIUrl":"10.1017/wtc.2025.3","url":null,"abstract":"<p><p>State-of-the-art controllers for active back exosuits rely on body kinematics and state machines. These controllers do not continuously target the lumbosacral compression forces or adapt to unknown external loads. The use of additional contact or load detection could make such controllers more adaptive; however, it can be impractical for daily use. Here, we developed a novel neuro-mechanical model-based controller (NMBC) that uses a personalized electromyography (EMG)-driven musculoskeletal (MSK) model to estimate lumbosacral joint loading. NMBC provided adaptive, subject- and load-specific assistive forces proportional to estimates of the active part of biological joint moments through a soft back support exosuit. Without <i>a priori</i> information, the maximum assistive forces of the cable were modulated across weights. Simultaneously, we applied a non-adaptive, kinematic-dependent, trunk inclination-based controller (TIBC). Both NMBC and TIBC reduced the mean and peak biomechanical metrics, although not all reductions were significant. TIBC did not modulate assistance across weights. NMBC showed larger reductions of mean than peak values, significant reductions during the erect stance and the cumulative compressive loads by 21% over multiple cycles in a cohort of 10 participants. Overall, NMBC targeted mean lumbosacral compressive forces during lifting without <i>a priori</i> information of the load being carried. This may facilitate the adoption of non-hindering wearable robotics in real-life scenarios. As NMBC is informed by an EMG-driven MSK model, it is possible to tune the timing of NMBC-generated torque commands to the exosuit (delaying or anticipating commands with respect to biological torques) to target further reduction of peak or mean compressive forces and muscle fatigue.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e9"},"PeriodicalIF":3.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wearable technologiesPub Date : 2025-02-20eCollection Date: 2025-01-01DOI: 10.1017/wtc.2025.1
Mahdi Nabipour, Gregory S Sawicki, Massimo Sartori
{"title":"Predictive control of musculotendon loads across fast and slow-twitch muscles in a simulated system with parallel actuation.","authors":"Mahdi Nabipour, Gregory S Sawicki, Massimo Sartori","doi":"10.1017/wtc.2025.1","DOIUrl":"10.1017/wtc.2025.1","url":null,"abstract":"<p><p>Research in lower limb wearable robotic control has largely focused on reducing the metabolic cost of walking or compensating for a portion of the biological joint torque, for example, by applying support proportional to estimated biological joint torques. However, due to different musculotendon unit (MTU) contractile speed properties, less attention has been given to the development of wearable robotic controllers that can steer MTU dynamics directly. Therefore, closed-loop control of MTU dynamics needs to be robust across fiber phenotypes, that is ranging from slow type I to fast type IIx in humans. The ability to perform closed-loop control the in-vivo dynamics of MTUs could lead to a new class of wearable robots that can provide precise support to targeted MTUs for preventing onset of injury or providing precision rehabilitation to selected damaged tissues. In this paper, we introduce a novel closed-loop control framework that utilizes nonlinear model predictive control to keep the peak Achilles tendon force within predetermined boundaries during diverse range of cyclic force production simulations in the human ankle plantarflexors. This control framework employs a computationally efficient model comprising a modified Hill-type MTU contraction dynamics component and a model of the ankle joint with parallel actuation. Results indicate that the closed-form muscle-actuation model's computational time is in the order of microseconds and is robust to different muscle contraction velocity properties. Furthermore, the controller achieves tendon force control within a time frame below , aligning with the physiological electromechanical delay of the MTU and facilitating its potential for future real-world applications.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e8"},"PeriodicalIF":3.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wearable technologiesPub Date : 2025-02-17eCollection Date: 2025-01-01DOI: 10.1017/wtc.2024.26
Jeyeon Jo, Heeju T Park
{"title":"Battery-free head orientation measurement using passive RFID tags.","authors":"Jeyeon Jo, Heeju T Park","doi":"10.1017/wtc.2024.26","DOIUrl":"10.1017/wtc.2024.26","url":null,"abstract":"<p><p>Real-time measurement of head rotation, a primary human body movement, offers potential advantages in rehabilitating head or neck motor disorders, promoting seamless human-robot interaction, and tracking the lateral glance of children with autism spectrum disorder for effective intervention. However, existing options such as cameras capturing the entire face or skin-attached sensors have limitations concerning privacy, safety, and/or usability. This research introduces a novel method that employs a battery-free RFID tag-based wearable sensor for monitoring head orientation, as a substitute for the existing options like camera. By attaching a pair of passive RFID tags to the front of the head at a specific distance from each other, the signal strength of each tag within the pair differs based on the discrepancy in distance from the RFID reader caused by head rotation. Important parameters including distance between the tags, distance from the reader, and tag types, are investigated to suggest optimal sensor design. In tests involving random head rotations by 10 healthy adults, there was a significant correlation between the orientation of the head and gaze in the yaw direction and the differences in signal strength from the sensor pairs. The correlation coefficients () were satisfactory, at 0.88 for head and 0.83 for left eye pupil orientations. However, the sensor failed to estimate pitch rotations for head and gaze, due to the insufficient vertical spacing between the tags. No demographic factors appeared to influence the results.</p>","PeriodicalId":75318,"journal":{"name":"Wearable technologies","volume":"6 ","pages":"e7"},"PeriodicalIF":3.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}