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Enhancing the walking economy is a primary goal in the application of exoskeletons for gait assistance. However, traditional exoskeletons often face challenges due to rigid designs and the additional distal mass they introduce, limiting their effectiveness. In this study, inspired by the muscle-tendon complex of the human calf, we present a cable-driven ankle exoskeleton designed to provide targeted assistance during plantarflexion movements at the ankle joint. The proposed exoskeleton integrates a compact, lightweight actuation unit with a flexible fabric shank sleeve, ensuring efficient torque transmission from the motor to the ankle joint. A feedback-based cascaded repetitive control system, combined with a multi-sensor fusion communication framework, was developed to achieve precise force control. The system's actuation performance was evaluated through benchtop experiments, demonstrating a bandwidth of approximately 13.5 Hz and a force tracking error of 5 % under position disturbances. Treadmill experiments further validated the effectiveness of the exoskeleton, showing a 7.53 % improvement in walking economy compared to no-assistance conditions. These findings highlight the potential of the proposed design to advance the development of cable-driven exoskeletons for improved gait assistance.
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http://dx.doi.org/10.1109/ICORR66766.2025.11063097 | DOI Listing |
Eur J Phys Rehabil Med
June 2025
Department of Rehabilitation Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands -
Background: People with neuromuscular disorders (NMD) are often provided with lower limb orthoses to improve walking. Guideline-based provision of lower limb orthoses in expert settings (i.e.
View Article and Find Full Text PDFJ Vasc Nurs
September 2025
York and North Yorkshire Vascular Unit, York Hospital, Wigginton Road, York, YO31 8HE UK. Electronic address:
Background: Supervised exercise therapy (SET) has been shown to improve claudication symptoms in patients with peripheral artery disease (PAD), and it is recommended as a first-line treatment in national and international guidelines. Despite this, supervised exercise programmes have not been widely implemented in many countries. This quality improvement project aimed to implement and evaluate an exercise service for people with claudication in York, England.
View Article and Find Full Text PDFBMC Musculoskelet Disord
August 2025
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Background And Purpose: Patients receiving total hip arthroplasty (THA) have different expectations and concerns about their health outcomes after surgery. In this study we developed a tool based on registry data to inform patients and their clinicians about activity outcomes after THA.
Methods: We used data from the Geneva Arthroplasty Registry (GAR) on patients receiving a primary elective THA between 1996 and 2019.
Br J Sports Med
August 2025
Department of Mathematical and Physical Sciences, La Trobe University, Melbourne, Victoria, Australia.
Objectives: To determine the effect on participation attendance (being there) and involvement (experience of participation) compared with usual activities of a community gym-based physical activity intervention () for young people with disability.
Methods: An assessor-blinded stepped wedge cluster randomised trial was completed involving 163 participants with self-identified disability (61 female; mean age 19), 123 mentors and 11 sites randomised to four groups. Participant and mentor pairs exercised together two times a week for 12 weeks.
BMC Public Health
August 2025
Centre for Cognitive and Clinical Neuroscience, Department of Life Sciences, Brunel University London, Kingston Lane, Uxbridge, Middlesex, UB8 3PH, UK.
Introduction: Increasing the population's subjective wellbeing is an explicit aim of current UK government policies. The wellbeing of children and young people in the UK is deteriorating, and less than half of them meet national physical activity guidelines, despite the demonstrable benefits of physical activity for wellbeing. Hence, it is important to identify economically viable and effective public health interventions to increase young people's physical activity, and consequently, their wellbeing.
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