Regulating Metabolic Energy Among Joints During Human Walking Using a Multiarticular Unpowered Exoskeleton.

Researchers have found that the walking economy can be enhanced by recycling ankle metabolic energy using an unpowered ankle exoskeleton. However, how to regulate multiarticular energy to enhance the overall energy efficiency of humans during walking remains a challenging problem, as multiarticular passive assistance is more likely to interfere with the human body's natural biomechanics. Here we show that the metabolic energy of the hip and knee musculature can be regulated to a more energy-effective direction using a multiarticular unpowered exoskeleton that recycles negative mechanical energy of the knee joint in the late swing phase and transfers the stored energy to assist the hip extensors in performing positive mechanical work in the stance phase. The biarticular spring-clutch mechanism of the exoskeleton performs a complementary energy recycling and energy transfer function for hip and knee musculature. Through the phased regulation of the hip and knee metabolic energy, the target muscle activities decreased during the whole assistive period of the exoskeleton, which was the direct reason for 8.6 ± 1.5% (mean ± s.e.m) reduction in metabolic rate compared with that of walking without the exoskeleton. The proposed unpowered exoskeleton enhanced the user's multiarticular energy efficiency, which equals improving musculoskeletal structure by adding a complementary loop for efficient energy recycling and energy transfer.