# Improving Community Ambulation for Stroke Survivors using Powered Hip Exoskeletons with Adaptive Environmental Controllers

> **NIH NIH R03** · GEORGIA INSTITUTE OF TECHNOLOGY · 2020 · $146,686

## Abstract

Project Summary Abstract
 The increased metabolic and biomechanical demands of ambulation limit community mobility in persons with
lower limb disability due to neurological damage. There is a critical need for improving the locomotion capabilities
of individuals who have walking impairments due to disease to increase their community mobility, independence,
and health. Robotic exoskeletons have the potential to assist these individuals by increasing community mobility
to improve quality of life. While these devices have incredible potential, current technology does not support
dynamic movements common with locomotion such as transitioning between different gaits and supporting a
wide variety of walking speeds. One significant challenge in achieving community ambulation with exoskeletons
is providing an adaptive control system to accomplish a wide variety of locomotor tasks. Many exoskeletons
today are developed without a detailed understanding of the effect of the device on the human musculoskeletal
system. This research is interested in studying the question of how the control system affects human
biomechanics including kinematic, kinetics and muscle activation patterns. By optimizing exoskeleton controllers
based on human biomechanics and adapting control based on task, the biggest benefit to patient populations
will be achieved to help advance the state-of-the-art with assistive hip exoskeletons.
 The long-term research goal is to create powered assistive exoskeletons devices that are of great value to
individuals with serious lower limb disabilities by improving clinical outcomes such as walking speed and
community ambulation ability. The overall objective of the proposed project is to study the biomechanical
effects of using a hip exoskeleton with adaptive controllers for assisting stroke survivors with lower limb deficits
to improve their community ambulation capabilities. The central hypothesis overarching both aims is that
exoskeleton control that adapts to environmental terrain will improve mobility metrics for human exoskeleton
users on community ambulation tasks. The rationale is that since human biomechanics change based on task,
exoskeleton controllers likewise need to optimize their assistance levels to match what the human is doing.
 The first aim of the research is to determine the benefit of adaptive control that changes based on
environmental conditions for improving community ambulation capability. The second aim will extend this
control architecture to stroke survivors with mobility impairment to provide adaptive assistance during
community ambulation conditions and quantify biomechanical and clinical improvements in gait. These aims
will have a positive impact by helping to inform the control and design of future powered exoskeletons for
assisting individuals with lower limb disabilities.

## Key facts

- **NIH application ID:** 9906245
- **Project number:** 5R03HD097740-02
- **Recipient organization:** GEORGIA INSTITUTE OF TECHNOLOGY
- **Principal Investigator:** Aaron John Young
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $146,686
- **Award type:** 5
- **Project period:** 2019-04-03 → 2022-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9906245

## Citation

> US National Institutes of Health, RePORTER application 9906245, Improving Community Ambulation for Stroke Survivors using Powered Hip Exoskeletons with Adaptive Environmental Controllers (5R03HD097740-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9906245. Licensed CC0.

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