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    This study introduces a new adaptive torque controller using deep reinforcement learning for knee exoskeletons to manage spasticity. The novel controller effectively reduces joint torques and improves performance in individuals with varying spasticity levels.

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    Area of Science:

    • Robotics
    • Neuroscience
    • Biomedical Engineering

    Background:

    • Spasticity is a disabling symptom in neurological conditions like cerebral palsy, spinal cord injury, and stroke.
    • Current wearable robot use for spasticity is limited, especially for higher spasticity levels (above 1+ on the Modified Ashworth Scale).
    • The velocity-dependent nature of spastic reflexes complicates the development of safe, personalized robotic controllers.

    Purpose of the Study:

    • To develop and evaluate a novel adaptive torque controller for knee exoskeletons.
    • To address challenges in controlling exoskeletons for individuals with joint spasticity.
    • To improve task performance and reduce interaction forces during exoskeleton use.

    Main Methods:

    • Utilized deep reinforcement learning (RL) to create an adaptive torque controller.
    • Developed a digital twin simulation including a musculoskeletal exoskeleton model with joint misalignment.
    • Incorporated a differentiable model of spastic muscle reflexes for controller training.
    • Simulated knee extension movements to train and test the RL agent.

    Main Results:

    • The RL agent successfully learned to control the knee exoskeleton across different spasticity levels.
    • The proposed controller reduced average maximum joint torques by 10.6% compared to a conventional compliant controller.
    • Root mean square values until settling time were decreased by 8.9%.

    Conclusions:

    • The novel adaptive torque controller demonstrates efficacy in managing spasticity during exoskeleton use.
    • Deep reinforcement learning offers a promising approach for personalized robotic assistance in neurological rehabilitation.
    • This controller has the potential to expand the application of wearable robots for individuals with moderate to severe spasticity.