AUTHOR=Dunkelberger Nathan , Berning Jeffrey , Schearer Eric M. , O'Malley Marcia K. TITLE=Hybrid FES-exoskeleton control: Using MPC to distribute actuation for elbow and wrist movements JOURNAL=Frontiers in Neurorobotics VOLUME=Volume 17 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/neurorobotics/articles/10.3389/fnbot.2023.1127783 DOI=10.3389/fnbot.2023.1127783 ISSN=1662-5218 ABSTRACT=Individuals who have suffered a cervical spinal cord injury prioritize the recovery of upper limb function for completing activities of daily living. Hybrid FES-exoskeleton systems have the potential to assist this population by providing a portable, powered, and wearable device; however, realization of this combination of technologies has been challenging. In particular, it has been difficult to show generalizability across motions, to define optimal distribution of actuation, and to limit the oscillatory behavior often experienced with FES systems due to their inherent time delay. In this paper, we present a hybrid controller using a model predictive control (MPC) formulation that combines the actuation of both an exoskeleton and an FES system. The MPC cost function is designed to distribute actuation on a single degree of freedom to favor FES control effort, reducing exoskeleton power consumption, while ensuring smooth movements along different trajectories, despite the time delays inherent in FES systems. Our controller was tested with 9 able-bodied participants using FES surface stimulation paired with an upper limb powered exoskeleton. The hybrid controller was compared to an exoskeleton alone controller, and we measured trajectory error and torque while moving the participant through two elbow flexion/extension trajectories, and separately through two wrist flexion/extension trajectories. The MPC-based hybrid controller showed a reduction in sum of squared torques by an average of 48.7% and 57.9% on the elbow flexion/extension and wrist flexion/extension joints respectively, with only small differences in tracking accuracy compared to the exoskeleton alone controller.