Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait

Edwin van Asseldonk; Maura Eveld; Noël Keijsers; Herman van der Kooij

doi:10.1007/978-3-031-77588-8_37

Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait

Edwin van Asseldonk^*, Maura Eveld, Noël Keijsers, Herman van der Kooij

^*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic › peer-review

7 Downloads (Pure)

Abstract

Exoskeleton balance support can improve the ability to counteract perturbations. The process of human adaptation to this support, however, remains unclear. Here, we assessed how able-bodied individuals adapted to balance support provided by an ankle exoskeleton during walking, specifically when counteracting forward-directed pushes at the pelvis. Activation of the balance support led to immediate and clear reductions in both Center Of Mass (COM) displacement and soleus EMG activity. Further adaptations were observed across the first 35 perturbations for COM displacement and only across the first 5 perturbations for EMG activity before reaching a stable value. These findings demonstrate that adaptation to balance support is a rapid process. These results indicate that minimal training time is required for an individual to effectively utilize exoskeleton balance support.

Original language	English
Title of host publication	Converging Clinical and Engineering Research on Neurorehabilitation V
Subtitle of host publication	Proceedings of the 6th International Conference on Neurorehabilitation (ICNR 2024), November 5–8, 2024, La Granja, Spain - Volume 1
Editors	Jose L. Pons, Jesus Tornero, Metin Akay
Publisher	Springer
Pages	190-194
Number of pages	5
ISBN (Electronic)	978-3-031-77588-8
ISBN (Print)	978-3-031-77587-1, 978-3-031-77590-1
DOIs	https://doi.org/10.1007/978-3-031-77588-8_37
Publication status	Published - 27 Feb 2025
Event	6th International Conference on NeuroRehabilitation, ICNR 2024 - Centro de Congresos y Convenciones Guardia de Corps, La Granja de San Ildefonso, Spain Duration: 5 Nov 2024 → 8 Nov 2024 Conference number: 6 https://2024.icneurorehab.org

Publication series

Name	Biosystems and Biorobotics
Volume	31
ISSN (Print)	2195-3562
ISSN (Electronic)	2195-3570

Conference

Conference	6th International Conference on NeuroRehabilitation, ICNR 2024
Abbreviated title	ICNR 2024
Country/Territory	Spain
City	La Granja de San Ildefonso
Period	5/11/24 → 8/11/24
Internet address	https://2024.icneurorehab.org

Keywords

2025 OA procedure

Access to Document

10.1007/978-3-031-77588-8_37

978-3-031-77588-8_37Final published version, 1.3 MBLicence: Taverne

Cite this

van Asseldonk, E., Eveld, M., Keijsers, N., & van der Kooij, H. (2025). Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait. In J. L. Pons, J. Tornero, & M. Akay (Eds.), Converging Clinical and Engineering Research on Neurorehabilitation V: Proceedings of the 6th International Conference on Neurorehabilitation (ICNR 2024), November 5–8, 2024, La Granja, Spain - Volume 1 (pp. 190-194). (Biosystems and Biorobotics; Vol. 31). Springer. https://doi.org/10.1007/978-3-031-77588-8_37

van Asseldonk, Edwin ; Eveld, Maura ; Keijsers, Noël et al. / Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait. Converging Clinical and Engineering Research on Neurorehabilitation V: Proceedings of the 6th International Conference on Neurorehabilitation (ICNR 2024), November 5–8, 2024, La Granja, Spain - Volume 1. editor / Jose L. Pons ; Jesus Tornero ; Metin Akay. Springer, 2025. pp. 190-194 (Biosystems and Biorobotics).

@inbook{fc802e332e4d4ca6a10a75f9e2e5e728,

title = "Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait",

abstract = "Exoskeleton balance support can improve the ability to counteract perturbations. The process of human adaptation to this support, however, remains unclear. Here, we assessed how able-bodied individuals adapted to balance support provided by an ankle exoskeleton during walking, specifically when counteracting forward-directed pushes at the pelvis. Activation of the balance support led to immediate and clear reductions in both Center Of Mass (COM) displacement and soleus EMG activity. Further adaptations were observed across the first 35 perturbations for COM displacement and only across the first 5 perturbations for EMG activity before reaching a stable value. These findings demonstrate that adaptation to balance support is a rapid process. These results indicate that minimal training time is required for an individual to effectively utilize exoskeleton balance support.",

keywords = "2025 OA procedure",

author = "\{van Asseldonk\}, Edwin and Maura Eveld and No{\"e}l Keijsers and \{van der Kooij\}, Herman",

note = "Publisher Copyright: {\textcopyright} The Author(s), under exclusive license to Springer Nature Switzerland AG 2025.; 6th International Conference on NeuroRehabilitation, ICNR 2024, ICNR 2024 ; Conference date: 05-11-2024 Through 08-11-2024",

year = "2025",

month = feb,

day = "27",

doi = "10.1007/978-3-031-77588-8\_37",

language = "English",

isbn = "978-3-031-77587-1",

series = "Biosystems and Biorobotics",

publisher = "Springer",

pages = "190--194",

editor = "Pons, \{Jose L.\} and Jesus Tornero and Metin Akay",

booktitle = "Converging Clinical and Engineering Research on Neurorehabilitation V",

address = "Germany",

url = "https://2024.icneurorehab.org",

}

van Asseldonk, E, Eveld, M, Keijsers, N & van der Kooij, H 2025, Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait. in JL Pons, J Tornero & M Akay (eds), Converging Clinical and Engineering Research on Neurorehabilitation V: Proceedings of the 6th International Conference on Neurorehabilitation (ICNR 2024), November 5–8, 2024, La Granja, Spain - Volume 1. Biosystems and Biorobotics, vol. 31, Springer, pp. 190-194, 6th International Conference on NeuroRehabilitation, ICNR 2024, La Granja de San Ildefonso, Spain, 5/11/24. https://doi.org/10.1007/978-3-031-77588-8_37

Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait. / van Asseldonk, Edwin; Eveld, Maura; Keijsers, Noël et al.
Converging Clinical and Engineering Research on Neurorehabilitation V: Proceedings of the 6th International Conference on Neurorehabilitation (ICNR 2024), November 5–8, 2024, La Granja, Spain - Volume 1. ed. / Jose L. Pons; Jesus Tornero; Metin Akay. Springer, 2025. p. 190-194 (Biosystems and Biorobotics; Vol. 31).

Research output: Chapter in Book/Report/Conference proceeding › Chapter › Academic › peer-review

TY - CHAP

T1 - Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait

AU - van Asseldonk, Edwin

AU - Eveld, Maura

AU - Keijsers, Noël

AU - van der Kooij, Herman

N1 - Conference code: 6

PY - 2025/2/27

Y1 - 2025/2/27

N2 - Exoskeleton balance support can improve the ability to counteract perturbations. The process of human adaptation to this support, however, remains unclear. Here, we assessed how able-bodied individuals adapted to balance support provided by an ankle exoskeleton during walking, specifically when counteracting forward-directed pushes at the pelvis. Activation of the balance support led to immediate and clear reductions in both Center Of Mass (COM) displacement and soleus EMG activity. Further adaptations were observed across the first 35 perturbations for COM displacement and only across the first 5 perturbations for EMG activity before reaching a stable value. These findings demonstrate that adaptation to balance support is a rapid process. These results indicate that minimal training time is required for an individual to effectively utilize exoskeleton balance support.

AB - Exoskeleton balance support can improve the ability to counteract perturbations. The process of human adaptation to this support, however, remains unclear. Here, we assessed how able-bodied individuals adapted to balance support provided by an ankle exoskeleton during walking, specifically when counteracting forward-directed pushes at the pelvis. Activation of the balance support led to immediate and clear reductions in both Center Of Mass (COM) displacement and soleus EMG activity. Further adaptations were observed across the first 35 perturbations for COM displacement and only across the first 5 perturbations for EMG activity before reaching a stable value. These findings demonstrate that adaptation to balance support is a rapid process. These results indicate that minimal training time is required for an individual to effectively utilize exoskeleton balance support.

KW - 2025 OA procedure

UR - https://www.scopus.com/pages/publications/86000510686

U2 - 10.1007/978-3-031-77588-8_37

DO - 10.1007/978-3-031-77588-8_37

M3 - Chapter

AN - SCOPUS:86000510686

SN - 978-3-031-77587-1

SN - 978-3-031-77590-1

T3 - Biosystems and Biorobotics

SP - 190

EP - 194

BT - Converging Clinical and Engineering Research on Neurorehabilitation V

A2 - Pons, Jose L.

A2 - Tornero, Jesus

A2 - Akay, Metin

PB - Springer

T2 - 6th International Conference on NeuroRehabilitation, ICNR 2024

Y2 - 5 November 2024 through 8 November 2024

ER -

van Asseldonk E, Eveld M, Keijsers N, van der Kooij H. Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait. In Pons JL, Tornero J, Akay M, editors, Converging Clinical and Engineering Research on Neurorehabilitation V: Proceedings of the 6th International Conference on Neurorehabilitation (ICNR 2024), November 5–8, 2024, La Granja, Spain - Volume 1. Springer. 2025. p. 190-194. (Biosystems and Biorobotics). doi: 10.1007/978-3-031-77588-8_37

Rapid Adaptation to Exoskeleton Balance Support in Perturbed Gait

Abstract

Publication series

Conference

Keywords

Access to Document

Other files and links

Fingerprint

Cite this