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Can humans perceive the metabolic benefit provided by augmentative exoskeletons?
Roberto Leo Medrano1,2, Gray Cortright Thomas1,3,2, Elliott J Rouse4,5
1Department of Mechanical Engineering, University of Michigan, Ann Arbor, 48109, USA.
Journal of Neuroengineering and Rehabilitation
|February 27, 2022
Summary
Wearers of augmentative exoskeletons cannot yet reliably perceive the metabolic benefits, as the perceptual threshold for detecting changes in metabolic rate is 22.7%. This finding is crucial for the future adoption and viability of exoskeleton technologies.
Area of Science:
- Biomechanics
- Human-Computer Interaction
- Robotics
Background:
- Augmentative exoskeletons aim to enhance human physical capabilities beyond natural limitations.
- While exoskeletons can improve walking efficiency by 10-15%, current technologies are largely confined to laboratory settings.
- Widespread adoption requires exoskeletons to offer a perceivable benefit to users, not just measurable efficiency gains.
Purpose of the Study:
- To quantify the perceptual threshold of metabolic efficiency benefits during exoskeleton-assisted walking.
- To determine the minimum assistance level required for users to reliably detect a change in their metabolic rate.
Main Methods:
- Ten participants walked continuously while wearing bilateral ankle exoskeletons.
- Exoskeleton assistance levels were varied in 2-minute intervals.
- Participants provided feedback on their perceived metabolic rate to estimate the perceptual threshold.
Main Results:
- Participants could detect a metabolic rate change of 22.7% (SD: 17.0%) with 75% accuracy.
- On average, current augmentative exoskeletons do not provide a reliably perceivable metabolic benefit in the short term.
Conclusions:
- The inability of users to perceive benefits may hinder the long-term adoption and viability of exoskeleton technology.
- Future exoskeleton design should focus on increasing the perceivable benefits to enhance user experience and market acceptance.
- The methods and findings can guide researchers and designers in developing more effective and user-centric exoskeletons.

