Optimized Mappings from Biological Hip Moment Estimates to Exoskeleton Torque can Personalize Assistance Across Users and Generalize Across Tasks

Recent advancements in data-driven methods have enabled real-time estimation of biomechanical states for exoskeleton control. While biological joint moments can be directly used to scale exoskeleton assistance, this approach is often suboptimal. An optimized mapping between biological joint moments and exoskeleton assistance could enhance end-to-end controllers based on the users physiological state. We introduce a flexible parametrization of biological moment-based control using delay, scaling, and shaping terms to transform joint moment estimates into commanded torque. We performed human-in-the-loop optimization, using metabolic cost to evaluate each iterations controller parameters, for 9 subjects across three ambulation modes: level walking at 1.1 m/s, 1.5 m/s, and 5° inclined walking. We evaluated three methods of exoskeleton control: 1. Personalized/Task Dependent, 2. Task Dependent/Non-personalized, and 3. Task Agnostic/Non-personalized. On average, our personalized approach provided the greatest benefit of 18.3% reduction in metabolic cost compared to walking without the exoskeleton, with the task dependent and task agnostic controllers producing similar reductions of 8.6% and 8.4%, respectively. Our results show that while generalizable, task agnostic control parameters can improve user energetics across cyclic tasks, fully personalized exoskeleton control parameters yield larger metabolic reductions, highlighting the value of personalizing exoskeleton assistance to users across many diverse tasks.