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Review
. 2015 Oct 17:5:26-37.
doi: 10.1016/j.jot.2015.09.007. eCollection 2016 Apr.

Recent developments and challenges of lower extremity exoskeletons

Bing Chen  1 , Hao Ma  2 , Lai-Yin Qin  3 , Fei Gao  2 , Kai-Ming Chan  1 , Sheung-Wai Law  1 , Ling Qin  1 , Wei-Hsin Liao  2
Affiliations
Review

Recent developments and challenges of lower extremity exoskeletons

Bing Chen et al. J Orthop Translat. .

Abstract

The number of people with a mobility disorder caused by stroke, spinal cord injury, or other related diseases is increasing rapidly. To improve the quality of life of these people, devices that can assist them to regain the ability to walk are of great demand. Robotic devices that can release the burden of therapists and provide effective and repetitive gait training have been widely studied recently. By contrast, devices that can augment the physical abilities of able-bodied humans to enhance their performances in industrial and military work are needed as well. In the past decade, robotic assistive devices such as exoskeletons have undergone enormous progress, and some products have recently been commercialized. Exoskeletons are wearable robotic systems that integrate human intelligence and robot power. This paper first introduces the general concept of exoskeletons and reviews several typical lower extremity exoskeletons (LEEs) in three main applications (i.e. gait rehabilitation, human locomotion assistance, and human strength augmentation), and provides a systemic review on the acquisition of a wearer's motion intention and control strategies for LEEs. The limitations of the currently developed LEEs and future research and development directions of LEEs for wider applications are discussed.

Keywords: control strategy; gait rehabilitation; human locomotion assistance; medical device; motion intention acquisition.

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Figures

Figure 1
Figure 1
Exoskeletons for gait rehabilitation. (A) The Robotic Orthosis Lokomat (Image credit: Hocoma, Zurich, Switzerland). (B) The Ekso Exoskeleton (Image credit: Ekso Bionics, Richmond, CA, USA).
Figure 2
Figure 2
Exoskeletons for locomotion assistance. (A) The ReWalk Wearable System (Image credit: ReWalk Robotics, Inc., Marlborough, MA, USA). (B) The lower extremity exoskeleton developed at the Chinese University of Hong Kong (Hong Kong, China).
Figure 3
Figure 3
Exoskeletons to augment human strength. (A) The Berkeley Lower Extremity Exoskeleton (BLEEX) (Image credit: Professor Kazerooni of the University of California, Berkeley, CA, USA). (B) The HEXAR-HL35 Exoskeleton (Image credit: Seungnam Yu of the Korea Atomic Energy Research Institute, Daejeon, Korea).
Figure 4
Figure 4
Schematic of the human–exoskeleton cooperation system.
See this image and copyright information in PMC

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