Computer Vision-based Adaptive Control for Back Exoskeleton Performance Optimization

Back exoskeletons can reduce musculoskeletal strain, but their effectiveness depends on support modulation and adaptive control. This study addresses two challenges: defining optimal support strategies and developing adaptive control based on payload estimation. We introduce an optimization space based on muscle activity reduction, perceived discomfort, and user preference, constructing functions to identify optimal strategies. Experiments with 12 subjects revealed optimal operating regions, highlighting the need for dynamic modulation. Based on these insights, we developed a vision-based adaptive control pipeline that estimates payloads in real-time by enhancing exoskeleton contextual understanding, minimising latency and enabling support adaptation within the defined optimisation space. Validation with 12 more subjects showed over 80% accuracy and improvements across all metrics. Compared to static control, adaptive modulation reduced peak back muscle activation by up to 23% while preserving user preference and minimising discomfort. These findings validate the proposed framework and highlight the potential of intelligent, context-aware control in industrial exoskeletons.