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Robot-assisted rehabilitation has exhibited great potential to enhance the motor function of physically and neurologically impaired patients. State-of-the-art control strategies usually allow the rehabilitation robot to track the training task trajectory along with the impaired limb, and the robotic motion can be regulated through physical human-robot interaction for comfortable support and appropriate assistance level. However, it is hardly possible, especially for patients with severe motor disabilities, to continuously exert force to guide the robot to complete the prescribed training task. Conversely, reduced task difficulty cannot facilitate stimulating patients' potential movement capabilities. Moreover, challenging more difficult tasks with minimal robotic assistance is usually ignored when subjects show improved performance. In this paper, a control framework is proposed to simultaneously adjust both the training task and robotic assistance according to the subjects' performance, which can be estimated from the users' electromyography signals. Concretely, a trajectory deformation algorithm is developed to generate smooth and compliant task motion while responding to pHRI. An assist-as-needed (ANN) controller along with a feedback gain modification algorithm is designed to promote patients' active participation according to individual performance variance on completing the training task. The proposed control framework is validated using a lower extremity rehabilitation robot through experiments. The experimental results demonstrate that the control scheme can optimize the robotic assistance to complete the subject-adaptation training task with high efficiency.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577441PMC
http://dx.doi.org/10.3389/fbioe.2023.1244550DOI Listing

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