Two-Stage Personalized Gait Phase Estimation in Stroke Survivors During Exoskeleton-Assisted Walking: An Offline Feasibility Study

📅 2026-09-13
📈 Citations: 0
Influential: 0
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🤖 AI Summary
研究使用IMU信号和两阶段模型适应方法,提高中风幸存者在穿戴外骨骼行走时的步态阶段估计准确性。
📝 Abstract
This study evaluated personalized gait phase estimation for stroke survivors using functional inertial measurement unit (IMU) alignment and two-stage sequential adaptation of models pre-trained on healthy gait. The estimator used signals from a thigh-mounted IMU. Heel force-sensitive resistor measurements provided reference phase labels for offline adaptation and evaluation. Stage 1 established a distillation-regularized participant-specific model, and Stage 2 performed conditional refinement using low-rank adaptation. Long Short-Term Memory (LSTM), Temporal Convolutional Network (TCN), and Transformer models were evaluated in five stroke survivors walking with a powered knee exoskeleton using leave-one-subject-out hyperparameter selection and sequential test-then-adapt Stage 2 replay. Relative to the non-adapted baselines, Stage 1+2 reduced the mean participant-wise phase root mean square error by 84.2%, 77.0%, and 60.7%, respectively. The Transformer achieved the lowest final error (2.90 +- 1.13$% of the gait cycle) and heel-strike timing error (23.7 +- 4.5ms). Policy-specific ablations showed that every-cycle updates generally produced the lowest or near-lowest error, whereas conditional updating reduced the update frequency with small accuracy differences. After personalization, alignment produced model-dependent changes in phase error while preserving or improving heel-strike detection and reducing heel-strike timing error for the LSTM and Transformer. Concurrent embedded tests showed that the TCN and Transformer maintained 100-Hz inference during Stage 2 updates without deadline misses, whereas the LSTM missed the 10-ms deadline in 6.6% of inferences. All updates completed within 0.8s. These results support the offline feasibility and embedded computational timing of the proposed framework for exoskeleton-assisted walking.
Problem

Research questions and friction points this paper is trying to address.

Gait Phase Estimation
Stroke Survivors
Exoskeleton-Assisted Walking
Personalized
Innovation

Methods, ideas, or system contributions that make the work stand out.

Two-Stage Adaptation
Personalized Gait Phase Estimation
Functional IMU Alignment
Low-Rank Adaptation
Transformer Model
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