Adaptive Exoskeletons: How Digital Human Models Boost Rehabilitation Training





Smarter Exoskeletons: How Digital Human Models Are Transforming Rehabilitation

Rehabilitation training is essential for people recovering from strokes, injuries, or neurological conditions. But there’s a challenge: patients often experience reduced motivation and fatigue during repetitive training sessions. To keep patients engaged while ensuring effective recovery, researchers are turning to smarter, adaptive technologies.

One promising solution is a digital human model-based adaptive assist-as-needed (DHM-AAAN) control framework designed for upper-limb exoskeletons. This advanced system personalizes the level of assistance provided to each patient, ensuring they get the help they need—no more, no less.
How It Works

The framework operates through two intelligent control loops:


Outer Loop – Adaptive Assistance
This layer evaluates the patient’s mobility and overall condition using a strategy called Digital Human Model and Task Performance Evaluation (DHM-TPE). Based on the results, the system automatically adjusts movement parameters like radius, frequency, and assistive force. To do this, it uses an Adaptive Frequency Oscillator (AFO), which adapts to each individual’s performance across multiple training cycles.


Inner Loop – Precision Control

While the outer loop decides how much help to give, the inner loop ensures movements are accurate and safe. It uses a Barrier Lyapunov Function-based Hybrid Force/Position Control (BLF-HCS). In simple terms, this keeps the exoskeleton aligned with the target movement path, while preventing errors or unsafe deviations. Advanced tools like Radial Basis Function Neural Networks (RBFNNs) further fine-tune this process in real time.
Why This Matters

By blending personalized support with precise control, the DHM-AAAN framework reduces patient fatigue, keeps them motivated, and improves rehabilitation efficiency.
Proof of Effectiveness

The system was tested in joint simulations, individual experiments, and a study involving six participants. Results showed that patients were able to track circular movement trajectories more effectively, with the exoskeleton adapting smoothly to their needs.
The Future of Rehab Tech

This approach shows how combining digital human models, adaptive algorithms, and AI-driven controllers can create smarter rehabilitation tools. The goal isn’t just to move patients’ limbs—it’s to create a system that understands, adapts, and supports each individual’s recovery journey.

Event Details:

Global Diseases Research Award

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Website: globaldiseases.org

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