A Biomimetic Treadmill-Driven Ankle Exoskeleton: A Study in Able-Bodied Individuals.

Despite rapid growth in the body of research on ankle exoskeletons, we have so far not seen their massive adoption in clinical rehabilitation. We foresee that an ankle exo best suited to rehabilitation use should possess the power generation capabilities of state-of-the-art active exos as well as the simplistic control and inherently suitable assistance timing seen in passive exos. In this paper we present and evaluate our attempt to create such a hybrid device: an Ankle Exoskeleton with Treadmill Actuation for Push-off Assistance. Using our device, we assisted a group of able-bodied individuals in generating ankle plantarflexion torque and power while measuring changes in biomechanics and electromyographic activity. Changes were mostly contained to the ankle joint, where a reduction in biological power and torque generation was observed in proportion to provided exo assistance. Assistance was comparable to state-of-the-art active exos in both timing and torque trajectory shape and well synchronized with the user's own biological efforts, despite using a very simplistic controller.