# Development of a Modular Soft Exosuit Platform Suitable for Community-Based Neurorehabilitation

> **NIH NIH R01** · HARVARD UNIVERSITY · 2021 · $609,150

## Abstract

Project Summary/Abstract
Stroke is the leading cause of long-term disability worldwide. However, despite extensive rehabilitation efforts,
marked physical inactivity remains emblematic of individuals in the chronic phase of stroke recovery and
contributes to poor health and quality of life. For poststroke rehabilitation to be better positioned to enable
more physical activity, factors such as insufficient training dosage and poor ecological validity, which limit the
effectiveness of clinic-based gait training, must be overcome. Community-based rehabilitation approaches can
overcome these limitations; however, the amount of walking practice that they are able to leverage is inherently
limited by the reduced walking capacity typical after stroke. Indeed, recent work has shown that despite
producing some improvement in poststroke walking activity, individuals still remain largely sedentary after
community-based walking programs. A critical need thus exists for rehabilitation technologies that bridge the
gap between the clinic and the real world and facilitate the massed walking practice in salient contexts that is
necessary to induce experience-dependent neuroplasticity.
In response to this need, we are developing lightweight and unobtrusive soft wearable robots (exosuits)
suitable for community-based rehabilitation after stroke. Exosuits use innovative force-transmitting,
conformal textiles that anchor to the body and proximally-mounted, lightweight, cable-based actuation systems
to generate assistive joint forces. Adaptive control algorithms that use signals from the minimum number of
sensors direct the timing of assistance. These innovative wearable robots have the potential to increase an
individual's capacity for community ambulation. Indeed, we have demonstrated through preliminary
treadmill-based studies that an ankle-assisting exosuit produces paretic limb functional restoration in a
manner that induces gait symmetry, reduces the energy cost of walking, and increases walking stability.
In contrast to the rigid exoskeletons that have dominated the last half century, exosuits provide partial
assistance through a lightweight platform (<3kg overall, including motors and batteries) that requires low
power (<100W), can be used unilaterally, and does not impose an unnatural gait on the wearer. The exosuit
technology is ideally suited to assisting the impaired gait of individuals poststroke who have residual
walking capacity. This technology development-focused project seeks to build gait-restorative exosuits made
of modular components that can be easily assembled to serve the heterogeneous needs of individuals
poststroke. This project will optimize existing ankle, knee, and hip modules that have undergone >1000 hours
of testing on >130 healthy and impaired subjects for use by persons poststroke in clinical- and community-
settings. This work will be completed by a multidisciplinary team of engineers, clinicians, and researchers.
Qualitative and qua...

## Key facts

- **NIH application ID:** 10213100
- **Project number:** 5R01HD088619-06
- **Recipient organization:** HARVARD UNIVERSITY
- **Principal Investigator:** Conor Walsh
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $609,150
- **Award type:** 5
- **Project period:** 2016-09-22 → 2024-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10213100

## Citation

> US National Institutes of Health, RePORTER application 10213100, Development of a Modular Soft Exosuit Platform Suitable for Community-Based Neurorehabilitation (5R01HD088619-06). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10213100. Licensed CC0.

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