An outdoor dual-task study on cognitive-motor interference during exoskeleton-assisted walking

In contrast to unassisted walking, performing a serial subtraction task during exoskeleton-assisted walking led to a slight increase in gait velocity and a reduction in stride time variability. This suggests that externalizing attention may facilitate the coordination with external rhythmic cues provided by the exoskeleton. Concurrently, cognitive performance, measured by correct response rates, declined during exoskeleton-assisted walking, indicating a <i>posture-first</i> strategy. Short-term familiarization during exoskeleton-assisted walking reduced perceived workload and improved cognitive performance, yet cognitive performance remained lower than in both the seated control condition and unassisted walking. This suggests that walking with the exoskeleton continues to require significant attentional resources. These findings emphasize the necessity of evaluating the cognitive fit of exoskeletons to ensure safe human-exoskeleton interaction.