Preference-based assistance optimization for lifting and lowering with a soft back exosuit.

Wearable robotic devices have become increasingly prevalent in both occupational and rehabilitative settings, yet their widespread adoption remains inhibited by usability barriers related to comfort, restriction, and noticeable functional benefits. Acknowledging the importance of user perception in this context, this study explores preference-based controller optimization for a back exosuit that assists lifting. Considering the high mental and metabolic effort discrete motor tasks impose, we used a forced-choice Bayesian Optimization approach that promotes sampling efficiency by leveraging domain knowledge about just noticeable differences between assistance settings.