Research Progress in A Cable-Driven Exoskeleton With Personalized Assistance Improves the Gait Metrics of People in Subacute Stroke by IEEE TNSRE

Our master students,Bin Zhong,Mei Shen and Haowen Liu,proposed a study about A Cable-Driven Exoskeleton With Personalized Assistance Improves the Gait Metrics of People in Subacute Stroke in IEEE Transactions on Neural Systems and Rehabilitation Engineering (IF = 4.528).

Most stroke survivors have mobility deficits and show a pathological gait pattern. Seeking to enhance the gait performance among this population, we have developed a hybrid cable-driven lower limb exoskeleton (called SEAExo). This study aimed to determine the effects of SEAExo with personalized assistance on immediate changes in gait performance of people after stroke. Gait metrics (i.e., the foot contact angle, knee flexion peak, temporal gait symmetry indices) and muscle activities were the primary outcomes to evaluate the assistive perfor- mance. Seven subacute stroke survivors participated and completed the experiment with three comparison sessions, i.e., walking without SEAExo (served as baseline) and without/with personalized assistance, at their preferred walking speeds. Compared to the baseline, we observed increases in the foot contact angle and knee flexion peak by 70.1% (p < 0.05) and 60.0% (p < 0.05) with personal- ized assistance. Personalized assistance contributed to the improvements in temporal gait symmetry of more impaired participants (p < 0.05), and it led to a 22.8% and 51.3% (p < 0.05) reduction in the muscle activities of ankle flexor muscles. These results demonstrate that SEAExo with personalized assistance has the potential to enhance post-stroke gait rehabilitation in real-world clinical settings.

Zhong Bin and Liu Haowen, master’s students from the Southern University of Science and Technology, along with Shen Mei from the Rehabilitation Department of Longhua People’s Hospital, are designated as co-first authors for this paper. Mingming Zhang, an Assistant Professor at the Southern University of Science and Technology, and Haoyong Yu from the National University of Singapore serve as co-corresponding authors.