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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H
Hyungseok Ryu
Department of Mechanical and Robotics Engineering, Gwangju Institute of Science and Technology (GIST), Gwangju 61005, Republic of Korea
Pilwon Hur
Pilwon Hur
Department of Mechanical and Robotics Engineering, Gwangju Institute of Science and Technology (GIST), Gwangju 61005, Republic of Korea