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A Biomimetic Treadmill-Driven Ankle Exoskeleton: A Study in Able-Bodied Individuals.

Matej Tomc1,2,3, Matjaž Zadravec1, Andrej Olenšek1

  • 1University Rehabilitation Institute Republic of Slovenia-Soča, 1000 Ljubljana, Slovenia.

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|September 26, 2025
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Summary

Researchers developed a hybrid ankle exoskeleton combining active power with passive control for rehabilitation. This device assists ankle push-off, reducing biological effort while maintaining synchronized, state-of-the-art assistance.

Keywords:
ankle exoskeletonsbiomechanicsgaitlower-limb jointsplantarflexorspush-offrehabilitationwearable robotics

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Area of Science:

  • Biomechanics
  • Robotics
  • Rehabilitation Engineering

Background:

  • Ankle exoskeletons show research growth but lack widespread clinical adoption.
  • Ideal rehabilitation exoskeletons need active power generation and passive control simplicity.
  • Current devices often lack optimal assistance timing for rehabilitation.

Purpose of the Study:

  • To present and evaluate a novel hybrid ankle exoskeleton for rehabilitation.
  • To create a device integrating active assistance with simple control for push-off.
  • To assess biomechanical and electromyographic responses to the hybrid exoskeleton.

Main Methods:

  • Development of an Ankle Exoskeleton with Treadmill Actuation for Push-off Assistance (AETAPA).
  • Testing with able-bodied individuals to measure ankle plantarflexion torque and power.
  • Analysis of biomechanical and electromyographic (EMG) activity changes during assistance.

Main Results:

  • The AETAPA provided assistance comparable to state-of-the-art active exos in timing and torque.
  • Assistance was well-synchronized with users' biological efforts.
  • A reduction in biological torque and power generation at the ankle was observed, proportional to the assistance provided.

Conclusions:

  • The hybrid ankle exoskeleton effectively assists plantarflexion torque and power.
  • The device achieves sophisticated assistance with a simple control strategy.
  • This hybrid approach shows promise for clinical rehabilitation applications.