Robotic exoskeleton is getting important to human in many aspects such as power assist, muscle training, regain motor function and rehabilitation. The research and development towards these functions are expected to be combined and integrated with the human intelligent and machine power, eventually becoming another generation of robot which will enhance the machine intelligent and human power. This paper reviews the upper extremity exoskeleton with different functions, actuators and degree of freedom (DOF). Among the functions, rehabilitation and power assist have been highlighted while pneumatic actuator, pneumatic muscle, motor and hydraulic actuator are presented under the categories of actuator. In addition, the structure of exoskeleton is separated by its DOF in terms of shoulder, elbow, wrist and hand
Towards Restoring Locomotion for Paraplegics: Realizing Dynamically Stable Wa...Emisor Digital
A research original from Thomas Gurriet, Sylvain Finet, Guilhem Boeris, Alexis Duburcq, Ayonga Hereid, Omar Harib, Matthieu Masselin, Jessy Grizzle and Aaron D. Ames
1. Upper limb amputations occur frequently due to trauma, tumors, and diseases. Prosthetic options include body-powered, myoelectric, and hybrid prostheses.
2. Myoelectric prostheses provide more grip strength and functional range compared to body-powered prostheses but require targeted muscle sites and electrodes.
3. Advances in prosthetic interfaces, microprocessor technology, waterproof components, and speed have improved the function and real-world use of electronic upper limb prostheses.
Integrating Mobile Phones In Wearable Robots - Muthukumaran Thangaramanujamhealthcareisi
The document discusses integrating mobile phones into wearable rehabilitation robots to enable physiological monitoring of patients. It proposes that a mobile phone could be linked to a wearable robot to allow clinicians to remotely monitor a patient's heart rate, movement, and other vital signs during home rehabilitation exercises. This would help ensure patient safety and allow clinicians to track recovery progress from a distance. The document reviews the evolution of rehabilitation robotics and various robotic devices used in physical therapy before discussing the need for integrated physiological monitoring.
This document presents the design of an active prosthetic knee. It describes the mechanical system including a ball screw drive mechanism powered by a brushless motor to provide movement. The CAD drawing shows the overall dimensions and angular velocity calculations. It has 12 bearings, 18 screws, and 13 parts. Future work will explore using these technologies to enhance human capabilities beyond injury repair in military and other applications.
Local Hand Control for Tezpur University Bionic Hand GraspingHao Yuan Cheng
This document describes the development of a local hand control system for a biomimetic bionic hand called the Tezpur University Bionic Hand. The local hand control system uses kinematic and dynamic analysis to derive grasp primitives like finger joint angles and torques that allow the bionic hand to emulate different grasp types like the human hand. Simulation results showed the joint angles and velocities of the bionic hand fingers closely approximated those of human fingers. The local hand control provides an intuitive interface between higher-level grasp recognition and low-level actuation of the bionic hand motors.
This document describes the design and mechanics of an active prosthetic knee (APK). It provides details on the motivation, objectives, and design features of the APK. The key points are:
1) The APK aims to provide a cost-effective active prosthetic knee joint with a simple modular design to enable easy maintenance and robust performance.
2) The mechanical design of the APK utilizes aluminum for its lightweight components. It incorporates a ball screw drive mechanism powered by a motor to provide active motion at the knee joint.
3) The APK design is intended to fit a broad range of users through an anthropometric approach and aims to minimize energy depletion during movement.
1. Researchers developed a neuromuscular control algorithm for a powered foot-ankle prosthesis based on the "winding filament hypothesis" (WFH) model of muscle contraction.
2. The WFH algorithm was tested during level walking, stair ascent, descent, and backwards walking. Results found the algorithm produced ankle torque profiles similar to an existing controller and human ankle during walking. It also matched profiles of able-bodied individuals during stair ascent with only ankle angle input.
3. Preliminary results found stair descent and backwards walking were limited by mechanical constraints of the prosthesis design. Overall, the bio-inspired WFH algorithm demonstrated more robust control of the prosthesis during different locomotion tasks
Towards Restoring Locomotion for Paraplegics: Realizing Dynamically Stable Wa...Emisor Digital
A research original from Thomas Gurriet, Sylvain Finet, Guilhem Boeris, Alexis Duburcq, Ayonga Hereid, Omar Harib, Matthieu Masselin, Jessy Grizzle and Aaron D. Ames
1. Upper limb amputations occur frequently due to trauma, tumors, and diseases. Prosthetic options include body-powered, myoelectric, and hybrid prostheses.
2. Myoelectric prostheses provide more grip strength and functional range compared to body-powered prostheses but require targeted muscle sites and electrodes.
3. Advances in prosthetic interfaces, microprocessor technology, waterproof components, and speed have improved the function and real-world use of electronic upper limb prostheses.
Integrating Mobile Phones In Wearable Robots - Muthukumaran Thangaramanujamhealthcareisi
The document discusses integrating mobile phones into wearable rehabilitation robots to enable physiological monitoring of patients. It proposes that a mobile phone could be linked to a wearable robot to allow clinicians to remotely monitor a patient's heart rate, movement, and other vital signs during home rehabilitation exercises. This would help ensure patient safety and allow clinicians to track recovery progress from a distance. The document reviews the evolution of rehabilitation robotics and various robotic devices used in physical therapy before discussing the need for integrated physiological monitoring.
This document presents the design of an active prosthetic knee. It describes the mechanical system including a ball screw drive mechanism powered by a brushless motor to provide movement. The CAD drawing shows the overall dimensions and angular velocity calculations. It has 12 bearings, 18 screws, and 13 parts. Future work will explore using these technologies to enhance human capabilities beyond injury repair in military and other applications.
Local Hand Control for Tezpur University Bionic Hand GraspingHao Yuan Cheng
This document describes the development of a local hand control system for a biomimetic bionic hand called the Tezpur University Bionic Hand. The local hand control system uses kinematic and dynamic analysis to derive grasp primitives like finger joint angles and torques that allow the bionic hand to emulate different grasp types like the human hand. Simulation results showed the joint angles and velocities of the bionic hand fingers closely approximated those of human fingers. The local hand control provides an intuitive interface between higher-level grasp recognition and low-level actuation of the bionic hand motors.
This document describes the design and mechanics of an active prosthetic knee (APK). It provides details on the motivation, objectives, and design features of the APK. The key points are:
1) The APK aims to provide a cost-effective active prosthetic knee joint with a simple modular design to enable easy maintenance and robust performance.
2) The mechanical design of the APK utilizes aluminum for its lightweight components. It incorporates a ball screw drive mechanism powered by a motor to provide active motion at the knee joint.
3) The APK design is intended to fit a broad range of users through an anthropometric approach and aims to minimize energy depletion during movement.
1. Researchers developed a neuromuscular control algorithm for a powered foot-ankle prosthesis based on the "winding filament hypothesis" (WFH) model of muscle contraction.
2. The WFH algorithm was tested during level walking, stair ascent, descent, and backwards walking. Results found the algorithm produced ankle torque profiles similar to an existing controller and human ankle during walking. It also matched profiles of able-bodied individuals during stair ascent with only ankle angle input.
3. Preliminary results found stair descent and backwards walking were limited by mechanical constraints of the prosthesis design. Overall, the bio-inspired WFH algorithm demonstrated more robust control of the prosthesis during different locomotion tasks
IRJET- Powered Exoskeleton for Assisting Upper Limb Disability using ArtemisIRJET Journal
This document describes a powered exoskeleton designed to assist arm movements for those with upper limb disabilities. Specifically, it aims to assist stroke survivors and those with weak musculature. The exoskeleton allows for flexion and extension of the elbow joint, controlled via a joystick. It is made of lightweight materials to minimize strain on the user. The design uses a motor, motor driver, microcontroller and other components to power arm movements and lift loads up to 15kg to assist with daily activities. The goal is to provide affordable rehabilitation and support to regain arm function.
Designof a fully passive prosthetic kneevaasukrishhna
This document presents the design of a knee mechanism for prosthetic limbs to help replicate able-bodied knee moments. The mechanism uses springs, dampers, and other components optimized through determining optimal mechanical coefficients. Preliminary user trials with two subjects in India found the locking mechanism was functional for smooth stance to swing transitions as evaluated through a 2-minute walk test. Future work will focus on further improving the kinematics of stance-swing transition. The goal is to produce highly realistic prosthetics that improve patient confidence.
This document discusses upper limb prosthetics. It describes the characteristics of a successful prosthesis, considerations when choosing a prosthesis, reasons for upper limb amputations, amputation levels, types of prosthetics including cosmetic, functional, body-powered, externally powered and myoelectric prosthetics. It provides details on the typical components of an upper limb body-powered prosthesis including the socket, suspension, control cables, terminal devices and any intervening joint components. It outlines the timelines for amputation and prosthetic fitting.
This document presents the design and development of a dual mode EMG-controlled robotic orthosis to assist stroke patients in rehabilitation. The robot can operate in two control modes: 1) using predefined reference trajectories to control joint movement, and 2) using EMG signals to control joint direction. A dynamic model of the robot is derived using Lagrange's equations. The dual mode control system is implemented and tested in simulation and experiments. Results show the robot can successfully be controlled by both reference trajectories and EMG signals to assist in gait rehabilitation for stroke patients.
1. A prosthesis is a device that replaces a missing body part and can support existing limbs.
2. There are two main types of prostheses - body-powered which use cables for control, and externally powered which use electric motors.
3. Prostheses aim to restore appearance and function as much as possible. Terminal devices like hooks aim to replicate different grips.
This document summarizes a research paper presented at the 2015 Florida Conference on Recent Advances in Robotics. The paper discusses the design of an actively powered ankle-foot prosthetic for transtibial amputees. Currently available passive prosthetics do not provide enough power and torque throughout the gait cycle. The proposed design uses a series elastic actuator and uni-directional spring configuration to provide natural ankle motion at a lower cost than existing active prosthetics. Gait modeling and biomechanics data were used to simulate the design and compare its torque-angle curve to that of a natural ankle. The goal is for the design to reduce costs while improving mobility for transtibial amputees.
Advancements in upper extremity prosthesesRajnish Sharma
Prosthetics refers to the design, fabrication, and fitting of custom-made artificial limbs or other types of assistive devices for patients who have lost limbs as a result of traumatic injuries, vascular diseases, diabetes, cancer, or congenital disorders.
1) Rotator cuff tears in overhead athletes like baseball pitchers usually result from chronic overuse of the muscles during the deceleration and follow-through phases of throwing.
2) Conservative rehabilitation for rotator cuff tears focuses on reducing inflammation, regaining full range of motion, strengthening muscles, and completing sport-specific exercises before returning to play.
3) The overhead throwing motion involves wind-up, early cocking, late cocking, acceleration, and follow-through phases that place high stresses on the rotator cuff muscles, making tears most common in the deceleration and follow-through phases.
The document discusses spinal immobilization and extrication. It notes that most spinal cord injuries occur in motor vehicle accidents and up to one-quarter may be worsened during transport or early treatment. Three studies are reviewed that used motion capture systems to track cervical spine movement during extrication from vehicles. The studies found that standard extrication techniques can result in more cervical spine movement than self-extrication. Extricating a subject head-first to a long spine board was associated with significant cervical spine motion. Exiting the vehicle unassisted with a cervical collar resulted in less cervical spine movement than unassisted exiting without protection.
This document describes a modified posterior approach technique for the hip joint. The key steps of the technique include making a skin incision from just below the posterior superior iliac spine curving toward the greater trochanter. The greater trochanter is then osteotomized to include the insertions of surrounding muscles. This posterior triangular flap is turned down to expose the hip joint capsule. The advantages of this modified approach include decreased risk of dislocation compared to conventional approaches by preserving bone and soft tissue attachments and providing stable exposure of the hip joint and surrounding structures.
ICVR2013 Workshop: Designing an effective rehabilitation simulationSergi Bermudez i Badia
This is the talk I gave at the International Conference on Virtual Rehabilitation 2013, part of the following workshop: Designing an effective rehabilitation simulation (Gerard Fluet, Wendy Powell, Sergi Bermúdez i Badia, Qinyin Qiu)
After completing this workshop participants should be able to: (1) Outline the process for developing, designing and testing an effective rehabilitation simulation, (2) Describe the process of shaping human movement abilities using simulated activities, (3) Identify variables that need to be considered when designing a rehabilitation activity, (4) Evaluate an open source virtual environment or game for conversion to a rehab activity, (5) Identify the strengths and weaknesses of commercially available software platforms, (6) Describe commonly used metrics to measure simulated movement performance, (7) Describe key features of a rehab activity that can be used to evaluate changes in movement performance. Intended audience: Computer Engineers, Biomedical Engineers, Physical Therapists and Occupational Therapists with less than three years experience in the design and development of simulated rehabilitation activities.
Discus throwing performances and medical classification of wheelchair athlete...Ciro Winckler
CHOW, J. W.; MINDOCK, L. A. Discus throwing performances and medical classification of wheelchair athletes. Medicine and Science in Sports and Exercise, v. 31, n. 9, p. 1272-1279, 1999.
The document discusses the design of a biomechatronic hand prototype. It introduces biomechatronics and prosthetics as artificial replacements for missing body parts. It then describes the design of the hand prototype, including the use of micro motors and lead screws for finger actuation. Position and force sensors are integrated to provide feedback. Experimental tests analyzed the force exerted by individual fingers. Advantages include independence for handicapped individuals while disadvantages are high costs and limited load capacity. Current research institutions in the field are also listed before concluding with challenges in implementing neural control interfaces.
This document summarizes a research paper on the design, control, and testing of soft exoskeletons for upper and lower body rehabilitation. It describes the construction of a 7 degree-of-freedom upper body exoskeleton and a 10 degree-of-freedom lower body exoskeleton powered by pneumatic muscle actuators. The use of these soft actuators allows the system to be lightweight while providing a wide range of motion and forces with high safety for the user. Preliminary experiments demonstrate the potential of the exoskeleton for limb rehabilitation and power assistance.
The document discusses the history and importance of physical therapy, particularly for recovering from ACL injuries and reconstruction surgery. It notes that physical therapy has been used since World Wars I and II to treat injured soldiers and became more widespread in the US following laws in the 1940s and 1960s. Physical therapy is described as playing a key role in rehabilitation after ACL surgery to help regain strength, stability, flexibility and prevent reinjury through exercises and education. The goal of physical therapy is to return patients to full strength and ability to participate in physical activities.
Biomechanical study, 3 d modeling and kinematic analysis of shoulder joint 2-3-4IAEME Publication
This document discusses a biomechanical study, 3D modeling, and kinematic analysis of the shoulder joint. It begins with an introduction to shoulder anatomy, including the clavicle, scapula, and humerus bones. It then reviews previous related studies on shoulder modeling. The paper describes 3D scanning and CAD modeling of the shoulder bones. A finite element analysis is performed on the meshed shoulder model to analyze von Mises stresses during flexion and extension motions. The modeling includes defining material properties of bones and muscles for the analysis.
Efficacy of PNF Training Vs Agility Training on Mobility and Balance in Unila...ijtsrd
This study compared the effects of proprioceptive neuromuscular facilitation (PNF) training and agility training on mobility and balance in 15 unilateral transtibial amputees each. Both groups received their respective training (PNF or agility) in addition to conventional occupational therapy, three times per week for four weeks. Outcome measures of Berg Balance Scale and Amputee Mobility Predictor showed significant improvements within each group after the intervention. When comparing the groups, there was no significant difference in balance improvement but agility training led to significantly greater gains in mobility. Thus, the study concluded that agility training may be more effective than PNF training at improving mobility in unilateral transtibial ampute
This document summarizes the mechanical design of SJTU-EX, a lower extremity exoskeleton designed to help soldiers and workers carry heavy loads while walking. Key points:
- SJTU-EX has two pseudo-anthropomorphic legs, with each leg containing four active joints (hip flexion/extension, hip abduction/adduction, ankle flexion/extension, ankle abduction/adduction) and two passive joints (diamond mechanism joints replacing knee).
- Springs are applied to both active and passive joints to store energy during swinging and help support weight during stance phase.
- The parallel diamond mechanism between hip and ankle increases load capacity over series architectures and provides a large workspace.
-
IRJET- Design of an Exoskeleton ARM with Pneumatic Muscle Actuation-A ReviewIRJET Journal
The document summarizes research on the design of an exoskeleton arm with pneumatic muscle actuation. It outlines the process of developing an exoskeleton arm to increase human load lifting capacity. Pneumatic artificial muscles use compressed air or gas to contract and produce large forces rapidly. The document reviews several existing exoskeleton arm designs for medical rehabilitation and industrial assistance. It discusses challenges in designing exoskeletons, such as accounting for nonlinearities in pneumatic actuation and meeting constraints of the human arm.
DEVELOPMENT OF MOTION CONTROL ALGORITHM FOR LOWER LIMB EXOSKELETONE WITH SIMU...DAXESHPATEL81
‘Exoskeleton’ can be interpreted into two different terms Exo-
meaning the external and ‘skeleton’- meaning rigid structure for any living organisms.
Exoskeletons are used to perform task which are usually beyond the boundaries of
human in their comfort environment. The exoskeletons can either be autonomous or
operator depended on the task to be fulfilled. Usually an ideal exoskeleton should be
able to perform any tasks which are done by human but with greater capacity and
durability. As our topic being one of the most fancy and fiction like equipment it has
been able to draw much wider attention than any other in the field of Robotics. But
such a topic composes two very different fields of Applied Sciences – Robotics and
Biology. In order to fully utilize these fields in development of Exoskeleton one must
possess a keen knowledge of all aspects of these both separate fields. So a new
Branch of Applied sciences has been introduced called ‘Bionics’
IRJET- Powered Exoskeleton for Assisting Upper Limb Disability using ArtemisIRJET Journal
This document describes a powered exoskeleton designed to assist arm movements for those with upper limb disabilities. Specifically, it aims to assist stroke survivors and those with weak musculature. The exoskeleton allows for flexion and extension of the elbow joint, controlled via a joystick. It is made of lightweight materials to minimize strain on the user. The design uses a motor, motor driver, microcontroller and other components to power arm movements and lift loads up to 15kg to assist with daily activities. The goal is to provide affordable rehabilitation and support to regain arm function.
Designof a fully passive prosthetic kneevaasukrishhna
This document presents the design of a knee mechanism for prosthetic limbs to help replicate able-bodied knee moments. The mechanism uses springs, dampers, and other components optimized through determining optimal mechanical coefficients. Preliminary user trials with two subjects in India found the locking mechanism was functional for smooth stance to swing transitions as evaluated through a 2-minute walk test. Future work will focus on further improving the kinematics of stance-swing transition. The goal is to produce highly realistic prosthetics that improve patient confidence.
This document discusses upper limb prosthetics. It describes the characteristics of a successful prosthesis, considerations when choosing a prosthesis, reasons for upper limb amputations, amputation levels, types of prosthetics including cosmetic, functional, body-powered, externally powered and myoelectric prosthetics. It provides details on the typical components of an upper limb body-powered prosthesis including the socket, suspension, control cables, terminal devices and any intervening joint components. It outlines the timelines for amputation and prosthetic fitting.
This document presents the design and development of a dual mode EMG-controlled robotic orthosis to assist stroke patients in rehabilitation. The robot can operate in two control modes: 1) using predefined reference trajectories to control joint movement, and 2) using EMG signals to control joint direction. A dynamic model of the robot is derived using Lagrange's equations. The dual mode control system is implemented and tested in simulation and experiments. Results show the robot can successfully be controlled by both reference trajectories and EMG signals to assist in gait rehabilitation for stroke patients.
1. A prosthesis is a device that replaces a missing body part and can support existing limbs.
2. There are two main types of prostheses - body-powered which use cables for control, and externally powered which use electric motors.
3. Prostheses aim to restore appearance and function as much as possible. Terminal devices like hooks aim to replicate different grips.
This document summarizes a research paper presented at the 2015 Florida Conference on Recent Advances in Robotics. The paper discusses the design of an actively powered ankle-foot prosthetic for transtibial amputees. Currently available passive prosthetics do not provide enough power and torque throughout the gait cycle. The proposed design uses a series elastic actuator and uni-directional spring configuration to provide natural ankle motion at a lower cost than existing active prosthetics. Gait modeling and biomechanics data were used to simulate the design and compare its torque-angle curve to that of a natural ankle. The goal is for the design to reduce costs while improving mobility for transtibial amputees.
Advancements in upper extremity prosthesesRajnish Sharma
Prosthetics refers to the design, fabrication, and fitting of custom-made artificial limbs or other types of assistive devices for patients who have lost limbs as a result of traumatic injuries, vascular diseases, diabetes, cancer, or congenital disorders.
1) Rotator cuff tears in overhead athletes like baseball pitchers usually result from chronic overuse of the muscles during the deceleration and follow-through phases of throwing.
2) Conservative rehabilitation for rotator cuff tears focuses on reducing inflammation, regaining full range of motion, strengthening muscles, and completing sport-specific exercises before returning to play.
3) The overhead throwing motion involves wind-up, early cocking, late cocking, acceleration, and follow-through phases that place high stresses on the rotator cuff muscles, making tears most common in the deceleration and follow-through phases.
The document discusses spinal immobilization and extrication. It notes that most spinal cord injuries occur in motor vehicle accidents and up to one-quarter may be worsened during transport or early treatment. Three studies are reviewed that used motion capture systems to track cervical spine movement during extrication from vehicles. The studies found that standard extrication techniques can result in more cervical spine movement than self-extrication. Extricating a subject head-first to a long spine board was associated with significant cervical spine motion. Exiting the vehicle unassisted with a cervical collar resulted in less cervical spine movement than unassisted exiting without protection.
This document describes a modified posterior approach technique for the hip joint. The key steps of the technique include making a skin incision from just below the posterior superior iliac spine curving toward the greater trochanter. The greater trochanter is then osteotomized to include the insertions of surrounding muscles. This posterior triangular flap is turned down to expose the hip joint capsule. The advantages of this modified approach include decreased risk of dislocation compared to conventional approaches by preserving bone and soft tissue attachments and providing stable exposure of the hip joint and surrounding structures.
ICVR2013 Workshop: Designing an effective rehabilitation simulationSergi Bermudez i Badia
This is the talk I gave at the International Conference on Virtual Rehabilitation 2013, part of the following workshop: Designing an effective rehabilitation simulation (Gerard Fluet, Wendy Powell, Sergi Bermúdez i Badia, Qinyin Qiu)
After completing this workshop participants should be able to: (1) Outline the process for developing, designing and testing an effective rehabilitation simulation, (2) Describe the process of shaping human movement abilities using simulated activities, (3) Identify variables that need to be considered when designing a rehabilitation activity, (4) Evaluate an open source virtual environment or game for conversion to a rehab activity, (5) Identify the strengths and weaknesses of commercially available software platforms, (6) Describe commonly used metrics to measure simulated movement performance, (7) Describe key features of a rehab activity that can be used to evaluate changes in movement performance. Intended audience: Computer Engineers, Biomedical Engineers, Physical Therapists and Occupational Therapists with less than three years experience in the design and development of simulated rehabilitation activities.
Discus throwing performances and medical classification of wheelchair athlete...Ciro Winckler
CHOW, J. W.; MINDOCK, L. A. Discus throwing performances and medical classification of wheelchair athletes. Medicine and Science in Sports and Exercise, v. 31, n. 9, p. 1272-1279, 1999.
The document discusses the design of a biomechatronic hand prototype. It introduces biomechatronics and prosthetics as artificial replacements for missing body parts. It then describes the design of the hand prototype, including the use of micro motors and lead screws for finger actuation. Position and force sensors are integrated to provide feedback. Experimental tests analyzed the force exerted by individual fingers. Advantages include independence for handicapped individuals while disadvantages are high costs and limited load capacity. Current research institutions in the field are also listed before concluding with challenges in implementing neural control interfaces.
This document summarizes a research paper on the design, control, and testing of soft exoskeletons for upper and lower body rehabilitation. It describes the construction of a 7 degree-of-freedom upper body exoskeleton and a 10 degree-of-freedom lower body exoskeleton powered by pneumatic muscle actuators. The use of these soft actuators allows the system to be lightweight while providing a wide range of motion and forces with high safety for the user. Preliminary experiments demonstrate the potential of the exoskeleton for limb rehabilitation and power assistance.
The document discusses the history and importance of physical therapy, particularly for recovering from ACL injuries and reconstruction surgery. It notes that physical therapy has been used since World Wars I and II to treat injured soldiers and became more widespread in the US following laws in the 1940s and 1960s. Physical therapy is described as playing a key role in rehabilitation after ACL surgery to help regain strength, stability, flexibility and prevent reinjury through exercises and education. The goal of physical therapy is to return patients to full strength and ability to participate in physical activities.
Biomechanical study, 3 d modeling and kinematic analysis of shoulder joint 2-3-4IAEME Publication
This document discusses a biomechanical study, 3D modeling, and kinematic analysis of the shoulder joint. It begins with an introduction to shoulder anatomy, including the clavicle, scapula, and humerus bones. It then reviews previous related studies on shoulder modeling. The paper describes 3D scanning and CAD modeling of the shoulder bones. A finite element analysis is performed on the meshed shoulder model to analyze von Mises stresses during flexion and extension motions. The modeling includes defining material properties of bones and muscles for the analysis.
Efficacy of PNF Training Vs Agility Training on Mobility and Balance in Unila...ijtsrd
This study compared the effects of proprioceptive neuromuscular facilitation (PNF) training and agility training on mobility and balance in 15 unilateral transtibial amputees each. Both groups received their respective training (PNF or agility) in addition to conventional occupational therapy, three times per week for four weeks. Outcome measures of Berg Balance Scale and Amputee Mobility Predictor showed significant improvements within each group after the intervention. When comparing the groups, there was no significant difference in balance improvement but agility training led to significantly greater gains in mobility. Thus, the study concluded that agility training may be more effective than PNF training at improving mobility in unilateral transtibial ampute
This document summarizes the mechanical design of SJTU-EX, a lower extremity exoskeleton designed to help soldiers and workers carry heavy loads while walking. Key points:
- SJTU-EX has two pseudo-anthropomorphic legs, with each leg containing four active joints (hip flexion/extension, hip abduction/adduction, ankle flexion/extension, ankle abduction/adduction) and two passive joints (diamond mechanism joints replacing knee).
- Springs are applied to both active and passive joints to store energy during swinging and help support weight during stance phase.
- The parallel diamond mechanism between hip and ankle increases load capacity over series architectures and provides a large workspace.
-
IRJET- Design of an Exoskeleton ARM with Pneumatic Muscle Actuation-A ReviewIRJET Journal
The document summarizes research on the design of an exoskeleton arm with pneumatic muscle actuation. It outlines the process of developing an exoskeleton arm to increase human load lifting capacity. Pneumatic artificial muscles use compressed air or gas to contract and produce large forces rapidly. The document reviews several existing exoskeleton arm designs for medical rehabilitation and industrial assistance. It discusses challenges in designing exoskeletons, such as accounting for nonlinearities in pneumatic actuation and meeting constraints of the human arm.
DEVELOPMENT OF MOTION CONTROL ALGORITHM FOR LOWER LIMB EXOSKELETONE WITH SIMU...DAXESHPATEL81
‘Exoskeleton’ can be interpreted into two different terms Exo-
meaning the external and ‘skeleton’- meaning rigid structure for any living organisms.
Exoskeletons are used to perform task which are usually beyond the boundaries of
human in their comfort environment. The exoskeletons can either be autonomous or
operator depended on the task to be fulfilled. Usually an ideal exoskeleton should be
able to perform any tasks which are done by human but with greater capacity and
durability. As our topic being one of the most fancy and fiction like equipment it has
been able to draw much wider attention than any other in the field of Robotics. But
such a topic composes two very different fields of Applied Sciences – Robotics and
Biology. In order to fully utilize these fields in development of Exoskeleton one must
possess a keen knowledge of all aspects of these both separate fields. So a new
Branch of Applied sciences has been introduced called ‘Bionics’
DEVELOPMENT OF MOTION CONTROL ALGORITHM FOR LOWER LIMB EXOSKELETONE WITH SIMU...DAXESHPATEL81
‘Exoskeleton’ can be interpreted into two different terms Exo-
meaning the external and ‘skeleton’- meaning rigid structure for any living organisms.
Exoskeletons are used to perform task which are usually beyond the boundaries of
human in their comfort environment. The exoskeletons can either be autonomous or
operator depended on the task to be fulfilled. Usually an ideal exoskeleton should be
able to perform any tasks which are done by human but with greater capacity and
durability. As our topic being one of the most fancy and fiction like equipment it has
been able to draw much wider attention than any other in the field of Robotics. But
such a topic composes two very different fields of Applied Sciences – Robotics and
Biology. In order to fully utilize these fields in development of Exoskeleton one must
possess a keen knowledge of all aspects of these both separate fields. So a new
Branch of Applied sciences has been introduced called ‘Bionics’
Design and Development of a Wrist Exoskeleton for people post stroke copy.pptxRishintiranGovindara
This document summarizes a student's final year project on designing a wrist exoskeleton device for stroke rehabilitation using shape memory alloys. It introduces the topic, outlines the objectives to develop and test a prototype that provides wrist flexion and extension using SMA wires. A literature review compares existing devices and a methodology is proposed using AutoCAD, 3D printing, sensors and a microcontroller. Expected results are provided showing the relationship between temperature, deformation of SMA wires and degrees of wrist bending. The document aims to develop a device to improve range of motion for wrist rehabilitation post-stroke.
Disability of Rehabil & Use of Prosthetic Devices PPT.pptxnaveenithkrishnan
According to the World Health Organization, disability has three dimensions: Impairment in a person's body structure or function, or mental functioning; examples of impairments include loss of a limb, loss of vision or memory loss. Activity limitation, such as difficulty seeing, hearing, walking, or problem solving.
Massaging human feet_by_a_redundant_manipulator_eq (1)ssuser2f7373
This document summarizes a research paper that proposes using a 7 degree-of-freedom robotic manipulator equipped with a tactile sensor to perform reflexology massages on human feet. Reflexology involves applying pressure to specific points on the feet that are believed to correspond to and affect different parts of the body. The robotic system would use hybrid impedance control to position the end effector for massaging while monitoring contact forces via the tactile sensor. An experiment massaging human feet demonstrated the effectiveness of the proposed control system.
At the end of this presentation, you will be able to understand what is physiotherapy and what kind of robotic devices we use. Those robotic devices have been very helpful but it can be a little challenging for us to utilize all the types of devices. The physiotherapist should know about the devices that he/she uses and have experience with it and that can be a disadvantage of the robotic devices. We have a lot of types of robotic devices for all kinds of disabilities. The patients can have more confidence and be more focused during the sessions. The devices have been an advantage for physiotherapists as well. It helps physiotherapists not to burnout during the sessions. Especially patients with disabilities like difficulty walking or even standing up. The future of physiotherapy and robotic devices is still in progress and let's see what it can bring us.
MINIMIZATION OF METABOLIC COST OF MUSCLES BASED ON HUMAN EXOSKELETON MODELING...ijbesjournal
In this work, movement of the exoskeleton wearer and the metabolic energy changes with the assisted
devices using OpenSim platform has been attempted. Two musculoskeletal models, one with torsional ankle
spring and the other with bi-articular path spring are subjected to forward dynamic simulation.The
changes in the metabolic rate of the lower extremity muscles before and after the addition of the assistive
devices were tested. The results about the effect of these external devices on individual muscles of the lower
muscle group were analysed which provided effective results.
The document describes research into developing a "myoprocessor" model based on the Hill muscle model to predict joint torque for a neural-controlled powered exoskeleton arm. The myoprocessor model parameters were optimized using genetic algorithms and an experimental dataset. The results showed high correlation between the model's predicted joint moments and measured data, indicating the myoprocessor is an adequate model for integration into the exoskeleton's control system.
Muscle force distribution for adaptive control of a humanoid robot arm with r...toukaigi
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Contents-
Introduction
Purpose
Components
Upper limb- above elbow And below elbow, socket, cable mechanism, elbow and wrist unit, hand/terminal device
Lower limb- above knee, below knee and syme prosthesis
Socket- quadrilateral, PTB
Knee and ankle unit
Foot
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@cpu
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UPPER EXTREMITY ROBOTICS EXOSKELETON: APPLICATION, STRUCTURE AND ACTUATION
1. International journal of Biomedical Engineering and Science (IJBES), Vol. 1, No. 1, April 2014
35
UPPER EXTREMITY ROBOTICS EXOSKELETON:
APPLICATION, STRUCTURE AND ACTUATION
Kwok-Hong Chay, Jer-Vui Lee, Yea-Dat Chuah and Yu-Zheng Chong
Department of Mechatronics and Biomedical Engineering, Faculty of Engineering and Science,
Universiti Tunku Abdul Rahman, Kuala Lumpur, Malaysia
ABSTRACT
Robotic exoskeleton is getting important to human in many aspects such as power assist, muscle training,
regain motor function and rehabilitation. The research and development towards these functions are
expected to be combined and integrated with the human intelligent and machine power, eventually
becoming another generation of robot which will enhance the machine intelligent and human power. This
paper reviews the upper extremity exoskeleton with different functions, actuators and degree of freedom
(DOF). Among the functions, rehabilitation and power assist have been highlighted while pneumatic
actuator, pneumatic muscle, motor and hydraulic actuator are presented under the categories of actuator.
In addition, the structure of exoskeleton is separated by its DOF in terms of shoulder, elbow, wrist and
hand.
KEYWORDS
Exoskeleton, Power-assist, Rehabilitation and Upper extremity
1. INTRODUCTION
A robotic exoskeleton is a system developed to assist those physically weak people to regain their
power or give augmentation power to normal people. An exoskeleton is first used to describe the
external skeleton of animal which playing the roles of protection, excretion, sensing, support and
defense [1]. The advantages of its rigidity and protective is then mimicked and utilized by human
to develop armor suit, orthotics and prosthetics. According to Nef et al. [2], the robot
exoskeletons are either end-effector robots or exoskeleton robots. End-effector is only connected
to the user or patient at one point of the forearm which is determined to have a better guidance of
arm motion with its simpler design. However, it cannot exert torque to the user joint so the
exoskeleton has an advantage compared to the end-effector robot. In exoskeleton, the torque at
each joint is controlled separately. Therefore, the hypertension to limb or joint can be avoided.
At recent decades, advanced technology has make improvement on robotics exoskeleton and a lot
of researches have been made such as Berkeley lower extremity exoskeleton (BLEEX), Hybrid
Assistive Limb (HAL), Anatomically Correct Testbed (ACT), MIT-MANUS, PUMA (MIME),
PHANTOM, WAM Lokomat and etc. [3]. In the researches, the developed robotic exoskeletons
transmit power to the human joint through different kind of actuators. The integration of human
intelligence and machine power undoubtedly is a milestone to increase the human power and
intelligence of robots. Since many robotics exoskeletons have been developed, there is a need to
categorize them by using different criteria. In term of functionality, they can be categorized into
power-assist, rehabilitation, tele-operation and haptic interaction in virtual reality. In term of
exoskeleton structure, they can be categorized into three types as upper extremity, lower
2. International journal of Biomedical Engineering and Science (IJBES), Vol. 1, No. 1, April 2014
36
extremity and full body [4]. In addition, the actuator of exoskeleton can be categorized into
motor, pneumatic actuator, hydraulic actuator and hybrid.
Power assist exoskeleton gives extra or additional strength to normal people in order to make
them able to do extreme work. Rehabilitation exoskeleton helps physically weak people such as
patient after stroke to regain their power. A tele-operation exoskeleton is a system which allows
users to control a robot at distant and virtually by using their hand instead of using a joystick.
Light exoskeleton is an exoskeleton based haptic interface for human, it is designed to be
wearable and capable of providing controllable force so it is suitable for the applications where
both motion tracking and force feedback are required [5]. Upper extremity exoskeleton includes
mechanical structure on the shoulder joint, elbow joint and wrist joint. While a lower extremity
exoskeleton includes the structure of ankle joint, knee joint and hip. Finally, the full body
exoskeletons include the upper extremity and lower extremity exoskeleton.
The lower extremity exoskeleton has been reviewed by the authors [6], so this paper only focuses
on the research of upper extremity exoskeleton. It reviews the applications, type of actuators,
mechanical structure and the controlling methods. The applications of exoskeleton are first
identified in section 2. Then the structure of exoskeleton is discussed in section 3. The various
types of actuator are presented in section 4.
2. APPLICATION OF EXOSKELETON
There are a few applications of exoskeleton but this paper only reviews the rehabilitation
exoskeleton and power assist exoskeleton.
2.1. Rehabilitation
According to Caldwell et al. [7], there are over 700,000 people in US and over 65,000 people in
UK survive a stroke every year. Among these survivors, some suffer from chronic hemiparesis.
They should receive intensive care and physical therapy to encourage their motor recovery.
However, due to economic pressure, non-life threatening and labour intensive, many patients do
not receive enough or any physical therapy before going home. In order to help these patients,
researches have put their effort in developing robotic rehabilitation system to allow the patient
exercise in-home physical therapy. The first assistive device was begun at 1960 and followed by
the studies of ARM Guide, Gentle-s, MIME, MIT-Manus, and Rutgers Master II-ND. It is very
obvious that there is a demand for the rehabilitation robot and the technique in the development.
An exoskeleton for forearm pronation and supination rehabilitation has been presented by
Andreasen et al.[8]. The developed system is expected to improve the neurological recovery and
promote the function used of upper extremity through an effort of repeated motor practice. The
authors have set their goal clearly in helping those neurological impairment patients in the
development of a computer assists and user interactive orthosis that capable to provide movement
recovery training. Secondly, they aimed to develop a program which can represent patient
movement involved in activity of daily lives (ADL). Because of the forearm recovery exercises
only involve pronation and supination, therefore the structure attaches and fixes the patient
forearm that allows the elbow joint and wrist joint to move freely. The motion torque is provided
by the motor. Sensors are implemented in the actuator to give position feedback to the system in
order to adjust the motor torque. Then, the actuator will perform the action as (i) the motion of the
pronator quadrates and pronator teres during pronation and (ii) the motion of biceps and supinator
3. International journal of Biomedical Engineering and Science (IJBES), Vol. 1, No. 1, April 2014
37
during supination. After the training of muscle, patients are expected to recover their forearm
motion.
Crocher et al. [9] explored the programmable of upper extremity exoskeleton in impose certain
joint coordination patterns during rehabilitation. Due to the conventional rehabilitation for upper
limb involves the interaction with both upper arm and lower arm, it is expected that the robotic
rehabilitation exoskeleton can cover both the end-point control and inter-joint synchronization.
An ABLE exoskeleton has been employed in their study. The exoskeleton has 4 DOF which are
actuated by motors and its power transmitted by cable. Optical incremental encoders were
installed at each joint to enable the calculation of joint position and corresponding speeds by
derivative method. In addition, a velocity synergy based controller was developed which modifies
the position of the active movement of the user. Besides, the developed system is able to
characterize both active patient motion as well as passive (therapy assisted) motions. Seven hemi
paresis patients volunteered in the conducted experiments of the system. The exoskeleton
attached to the subject at the bicep level and wrist. The subject was then asked to perform several
actions so that the movement can be recorded to perform data analysis. The second objective of
the experiment was to study the capacity of the controller to change the joint coordination with
giving small effect to the hand during a movement. The conducted experiment showed that the
exoskeleton is able to change the upper limb coordination patterns of hemi paretic patients
without modification of end effectors kinematics.
Bonato et al. [10] developed an advanced rehabilitation robot (RehaBot) which can provide
training of different ambulatory tasks to patients besides reduce the workload of physical
therapists. This system can be run under direct monitoring or at remote site through telepresence
operation control. To developed system has complied Series Elastic Actuator (SEA) technology
in order to acquire a safe and reliable control capacity. This system provides both upper and lower
limb rehabilitation, however they are run independently. The configuration to run both
rehabilitations is not yet completed. The upper extremity cover 7 DOF meanwhile 4 DOF at the
lower extremity. The control layer of this system includes gait control, feedback from patient and
remote control. The gait control is used to guide the walking of the patient. For the feedback
control, sensors are installed at the structure and attached to the patients to improve the
rehabilitation motion and to monitor the patients’ emotion. Finally, the remote control allows
remote supervision. This system is commented as user friendly and safe due to its remote
controllable and the built in SEA technology.
Bergamasco, et al. [11] presented the design of an upper extremity rehabilitation exoskeleton, L-
Exos system. The L-exos is a force feedback system for the human arm which is unique with its
high performance, low inertia, high payload to weight ratio and back-drivability. It is designed to
be wearable and capable to provide a controllable force at the center of user hand. The structure
covers the shoulder, elbow and wrist. However, the system is redundant when motor
compensation is performed to the patients. Overall, the reachable workspace of the system
corresponds to 70% of a normal person reachable workspace. To test the functionality of the
system, three tasks have been performed by (i) a reaching task, (ii) a free motion task and (iii) an
object manipulation task. The result indicated that the system does not influence the motion of
patient and causes incorrect motion. In addition, the motor compensation makes the robot exert
no force on the patient so it is a suitable tool to allow patient to have rehabilitation.
2.2. Power Assist
The technology of robotic exoskeleton not only benefits patients for rehabilitation, it also assists
human in power augmenting or burden reducing. The first powered exoskeleton was an
exoskeleton suit co-developed by General Electric and the US Military named Hardiman. It was
4. International journal of Biomedical Engineering and Science (IJBES), Vol. 1, No. 1, April 2014
38
used to amplify the strength of soldier in order to carry heavy weapons, tools and equipment.
However the suit was an incomplete product because it cannot be powered up even with human
inside. But it has highlighted the challenges and triggered the further development of exoskeleton.
Until recently, some successful products of powered exoskeleton are introduced such as Berkeley
Exoskeleton (BLEEX), Sarcos Exoskeleton and MIT Exoskeleton [12]. The technology in power
augmenting exoskeleton is getting mature and further developments are expected to benefit
human. Choi et al. (2012) [13] designed a wearable upper extremity exoskeleton that is capable to
lift heavy thing which the load is distributed to the exoskeleton and human in a proper manner.
The robot is a whole body exoskeleton which comprises of upper extremity and lower extremity.
Their simulation result indicated that the burden of human in carrying heavy object can be
reduced by the exoskeleton with proper load distribution.
Chen et al. [14] developed an exoskeleton to train the user muscles strength instead of helping the
user in lifting objects. Conventional muscle training device uses weight stacks to produce
resistance which is possible to cause injury to the user from the inertia generated. To overcome
this problem, the authors proposed an unpowered upper extremity exoskeleton to train the upper
limb muscle. The exoskeleton has 3 DOF at the shoulder and 1 DOF at the elbow that enables
muscle training of motion of internal-external, abduction–adduction, flexion-extension at the
upper arm and flexion–extension at lower arm. The resistance is generated by the arrangement of
spring that installed at the exoskeleton. Since the spring produces low inertia, the user has a lower
risk of sports injury. The experiment result indicated that a linear relationship between the
external load and spring. So it is suitable to use spring to replace the weight stack in a muscle
training device.
Hyodo et al. [15] presented a wearable full body exoskeleton which potentially to be used in
power augmenting and rehabilitation. The authors implemented sensorless torque detection and
its control system in the full body suit. Thus, the torque control of the exoskeleton can be carried
out without the requirement of sensing unit. The functionality of the sensorless system has been
tested in a developed prototype. The link length of the structure can be adjusted to different users.
In addition, the control of system is based on the Electromyography (EMG) signal acquired from
users. Weight lifting and upholding test were conducted by subject wearing of the exoskeleton.
The results showed that the method is workable and efficient.
3. MECHANICAL STRUCTURE
Upper extremity of human can be categorized into upper arm and forearm while the links
involved includes shoulder joint, elbow joint and wrist joint. Different parts of upper extremity
corresponding to the exoskeleton has been developed for the purposes of muscle training or
rehabilitation such as wrist joint exoskeleton [16], shoulder joint exoskeleton [2], elbow joint
exoskeleton [17], the upper limb exoskeleton [18] and hand [19].
3.1. Wrist Joint
According to Lee et al. [16], the conventional exoskeleton system on the forearm and wrist part
focuses less on degree of freedom, range of motion and output torque capability. So the authors
have proposed a forearm and wrist rehabilitation exoskeleton, RiceWrist-S which has a better
range of motion and degree of freedom. The proposed forearm exoskeleton has 3 DOF including
the forearm, wrist flexion-extension and wrist radial-ulnar. The user arm is attached to the
skeleton and fixed by strip at the wrist and forearm. For safety purpose, an emergency stop
mechanism has been implemented. The torque required will be produced by two DC motor
5. International journal of Biomedical Engineering and Science (IJBES), Vol. 1, No. 1, April 2014
39
actuator and cable transmission for the whole system. This cable transmission makes the
RiceWrist-S a better candidate for virtual reality configuration compared to other wrist
exoskeletons that using gear transmission.
3.2. Shoulder Joint
Accordingly to Nef et al. [2], shoulder joint is the most complex joint among human joints. Thus,
the control and actuation of a shoulder joint is very challenging and complex. Unlike other joints
such as elbow and wrist have simple rotation along their axis, the center of the rotation of a
shoulder will be changed. Oversimplification in the design of the shoulder robot will result of
misalignment between human and robot. The authors described the motion of shoulder and its
corresponding actuation mechanism. The robots used were ARMin II and ARMin III which have
3 DOF about the shoulder. The ARMin II provides linear motion on the center of Glenohumeral
Joint (CGH) while the ARMin III provides circular motion of the CGH. The ARMin II is
relatively complex compared to the ARMin III due to its mechanical design. In addition, ARMin
III is weight compensated by utilizing spring in the system. To enhance the safety, the system is
equipped with a mechanical stop function. Finally, the test subjects of ARMin associated
functions of the system. Nevertheless, some of the users found that no difference with the
skeleton attached.
Most of the existing exoskeletons are having a similar structural frame in term of articulated rigid
links regardless of the application of the exoskeleton. However, rigid link might not suitable to be
used in certain application which emphasizes on the comfort of user or low torque requirement.
Such application includes the rehabilitation robot where low torques, ergonomics and
comfortability are important. In this situation, additional of a compliant component will have a
better result. Qiu et al. [20] proposed an upper arm rehabilitation exoskeleton by using an
alternate continuum mechanism. The main goal was to build a light weight and ergonomic
rehabilitation exoskeleton. However, the development of this technique is not completed yet. So,
they have built a preliminary prototype to study the continuum mechanism. Besides, kinematics
of the mechanism and a hydraulic transmission design are studied. Unlike other exoskeletons, this
mechanism provides 2 DOF to the shoulder joint instead of 3 DOF. Its structure consists of an
end-disk, a primary backbone and a few secondary backbones. The bending of the exoskeleton is
done by pushing and pulling the secondary exoskeleton simultaneously. The actuating of the
continuum in turn orients the wearer’s upper arm accordingly. As mentioned before, this
mechanism still has some room of improvement such as mechanical component and its control
system.
3.3. Elbow Joint
Chen et al. [17] has presented a wearable elbow exoskeleton with curved pneumatic muscle
actuator (PMA). Since, elbow has only 1 DOF, so the prototype also actuate in one DOF. The
system comprises of two PMAs which work in pair to produce torque required by the flexion and
extension of elbow. The PMA provides several advantages such as non-linear torque, low-cost,
clean and high power-weight ratio. Furthermore, the system implemented a hybrid fuzzy control
strategy to control the nonlinear curved PMA and other pneumatic components. The performance
of the system was proven through the experiments.
3.4. Hand
Human hand is a complex part to be mimicked by exoskeleton. However, researches in
mimicking human hand mechanism have been found but there are room to be improved. Unlike
6. International journal of Biomedical Engineering and Science (IJBES), Vol. 1, No. 1, April 2014
40
the conventional industrial gripper, a commercial prosthetic hand comprises of grippers with a
few DOF which are actuated separately. This kind of hand exoskeleton is simple but it is robust
enough. It has the problem of reduced sensitivity and functionality [19]. Therefore, further
development on ergonometric hand exoskeleton with DOF optimization is expected.
Patient who recovers after stroke needs rehabilitation to regain their hand movement. In addition,
patient undergo physical therapy of bilateral movement instead of unilateral motion has better
improvement in function recover. Jumailya et al. [21] aimed to design a post stroke rehabilitation
exoskeleton system to help patient flex or extend their impair hand. The bilateral movement
assistive device allows 15 DOF out of 21 DOF of the hand. The attachment of exoskeleton to the
fingers through the Proximal Phalange (PP), Middle Phalange (MP) and Distal Phalange (DP),
two supporting rods connect PP with MP another one connect PP and DP. Each rod is actuated by
a motor, once the rod extend, the finger flex while contraction of rod cause the finger to extend.
Since there are five fingers on a hand, five motors are required to actuate them separately. The
system is covered inside a glove. It implants flex sensors inside that determines the fingers’
position accurately. The research outcome indicated that the system is able to reach full flexion
and extension for every finger. Finally, the several tests have been conducted to prove that the
system has achieved their presetting goal.
Since 1960, thousands of motor driven rehabilitation devices have been developed due to its
advantages of compactness, reliability and simplicity on recharging. However, the system
becomes heavier when number of motors used increases. This problem becomes significant in the
motor driven hand exoskeleton. Until recent, modern technology allows the development of
hydraulic prosthetic hand which is safe, compact, controllable and simple. Thus hydraulic driven
exoskeleton hands become competitive with motor driven one. Kargov et al. [22] presented an
artificial hand with powerful miniaturized hydraulic system. Since the system implements myo-
electrodes to sense the hand motion, it is recognized as an electro-hydraulic system which is
known as hybrid system. Furthermore, the developed hand is very reliable and gives relatively
large grasping force. Unlike other motor driven system, this artificial hand is preprogrammed for
certain motion of hand and once signal is received through the myo-electrode, the control unit
commands the hydraulic pump to actuate the robot finger.
3.5. Upper Limb
Bergamasco et al. [18] presented a whole upper limb rehabilitation exoskeleton. The proposed
robot, RehabExos was an improved version of L-EXOS. They aimed to overcome the limitations
of L-EXOS while remaining its effective features. The exoskeleton was based on a custom-
designed actuator that ensures the performance of system safety, flexibility, joints’ torque and etc.
The exoskeleton has 5 DOF which includes the shoulder joint and elbow joint. The RehabExos is
attached to the human at the middle of forearm and forearm level. The outcome of the research
indicated that the RehabExos is relatively cheap, reliable and robust compared to the L-EXOS.
Besides, it has a better performance in contact force control.
Similarly, Celik et al. [23] proposed an upper limb exoskeleton by referencing to an existing
exoskeleton. The new exoskeleton named MAHI Exo II which was an improved version of
MAHI Exo I. This rehabilitation exoskeleton has 5 DOF which enables the flexion-extension of
elbow, pronation-supination of forearm, flexion-extension of forearm and redial-ulnar deviation.
The robot exoskeleton has remained the basic kinematic structure of MAHI Exo I. But it
demonstrated some improvement in terms of reduction of singularity and backlash, higher torque
generation, capable to mount the system on the shoulder and smooth interchange between left and
right arm configuration.
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Balasubramanian et al. [24] presented a rehabilitation upper extremity exoskeleton, RUPERT IV.
This exoskeleton has 5 DOF that includes the shoulder elevation, humeral external rotation,
elbow flexion-extension, forearm pronation-supination and wrist flexion-extension. The system is
actuated by PMA and controlled by a closed loop control system which comprises of PID-based
feedback controller and ILC-based feed forward controller.
4. ACTUATOR
Among all exoskeletons, different types of actuator are used to actuate their system such as motor
[25], pneumatic [26], pneumatic muscle [27], hydraulic [28] and even hybrid system [22].
4.1. Motor Actuator
Motor actuator has been employed in the robot of Moreau et al.[25]. It has a gravity
compensation upper limb exoskeleton for rehabilitation. The structure of the exoskeleton consists
of 4 links with 4 revolute joints. The 4 DOF included shoulder abduction-adduction, shoulder
flexion-extension, shoulder internal-external rotation and elbow flexion-extension. These DOFs
are actuated by brushless motors. The motors are used with the gear system to amplify its torque.
The exoskeleton attached to the human arm that acquires signal through force sensors which
implemented around the wrist and arm. These signals are then feedback to the control system to
generate the appropriate signal to the motor which in turn compensate the weight of the
exoskeleton. Thus, the user will feel no weight of the exoskeleton when moving his arm.
A rehabilitation exoskeleton, WREX robot developed by Agrawal et al.[29] has the similarity.
WREX has 4 DOF where 2 of them located at the shoulder and 2 of them located at the elbow.
The user arm is attached to the robot and the robot is controlled by residue force of the user. Its
joints and links are actuated by brushed DC motor. In addition, there are connected with springs
that forming series elastic actuators (SEA). SEA used in the system which creates accurate
torque for the robot meanwhile provides softness to the user. It allows the user to raise their hand
overhead and lift weight. It is controlled by a PI controller with velocity feedback that ensures the
steady motor output.
Motor actuator and rigid link are used in the design of many exoskeletons. Nevertheless, it will
make the system to become bulky and heavy at the rotational joint [30]. In order to reduce the
mass of the system to the user, cable transmission is used in some exoskeleton design [31-32]. In
the design, motors are located at the base frame instead of the robot joint. The exoskeleton is
actuated by the motor and power transmitted to the joint by cable. These systems are more
complex than those systems without cable transmission because the driven cable can only
transmit forces to the joint and end-effector by tension. However, shorter setup time and exert
zero static force on human arm are great advantages of rehabilitation exoskeleton.
4.2. Pneumatic Actuator
Many rehabilitation robots have been developed so far such as MIME and MIT-MANUS but
none of them can provide sufficient power ergonometric to the user. This is a challenging issue
since it is difficult to develop a robot with larger DOF with good dynamic range of motion and
force. Bobrow et al. [26] try to overcome the problem by modifying and improving an existing
exoskeleton, WREX. They combined the features of WREX, passive counterbalance with a
pneumatic actuator and a non linear force control system. These counterbalance features allow the
exoskeleton to actuate against gravity thus exert no force on user in steady state. In addition, the
pneumatic actuator has higher power to weight ratio. Besides, the pneumatic actuator can remain
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42
the position of exoskeleton without spending energy because it is just the open or close of valve
to control the pneumatic. Finally, the non linear control system allows the pneumatic actuator to
control the position and it has the capability of active back drivability.
Pneumatic actuator is not commonly used in rehabilitation exoskeleton due to the difficulty in
controlling. Hence, Bobrow et al. [33] addressed this issue and presented the development and
control of pneumatically actuated exoskeleton, Pneu-Wrex. MEMs accelerometer is used in the
control system to acquire the position and velocity of the exoskeleton. They put effort in ensuring
the safety of the exoskeleton that includes the development of a few safety controls such as range
of motion limits, pneumatic limits, software fault detection, etc.
4.3. Pneumatic Muscle
Common actuators used in robotic exoskeleton are rigid in structure, which work with speed
reducer. Until the Pneumatic Muscle is introduced, “soft” robots have become an interest of
researchers. The softness of pneumatic muscle excludes the system that use speed reducer, the
actuator pair mimic the biceps and triceps of human arm perfectly [27]. A seven DOF upper
extremity exoskeleton has been built by using pneumatic muscle [34]. Similarly, He et al.[35]
developed a pneumatic muscle driven exoskeleton, RUPERT that is low cost and safe. The
compliant actuator used in the system reduces the complexity of the robot control. Compared to
the previous project, the difference is the actuator used in this system can actuate in two
directions. Common Pneumatic muscle only produce pulling force so flexion and extension of
arm need a pair of actuator. In this system, the actuator installed a spring inside so that it can
actuate in both direction. The control of a pneumatic muscle is relatively simple but it is difficult
to achieve excellent performance by using conventional control method. Chang [36] developed a
control method, ASOFSMC which can reduce number of fuzzy and the experimental result
indicated a good performance of the method.
4.4. Hydraulic Actuator
Bretthauer et al.[37] presented an elbow exoskeleton actuated by flexible fluidic actuator. The
system also comprises of a hydraulic pump and a miniaturized pump. It is suitable to be fixed like
mounting on a wheelchair compared to pneumatic actuator system. Another hydraulic actuated
exoskeleton was presentated by Aalsma et al.[31]. Different from the formal exoskeleton, their
system covered the upper limb instead of a working the elbow. However, they used a rotational
hydro-elastic actuator (rHEAS) and symmetric spring to actuate the exoskeleton and give the
system a stiffer admittance control.
5. CONCLUSIONS
The development of exoskeleton benefits the human which includes weaknesses or healthy
people. In this paper, rehabilitation and power assist robots have been reviewed. The robotic
exoskeleton can help physical weak or motor function reduced patient to regain their movement.
In additional, it can help healthy people to train up their strength or to distribute out the weight
gained by the users.
Pneumatic actuator, pneumatic muscle, motor actuator and hydraulic actuator are found to be
commonly used in research study about actuator among exoskeletons. The motor actuator has the
advantages of easy control and good accuracy while pneumatic actuator has the advantage of
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43
spend zero power in holding the position of robot. Furthermore, the pneumatic muscle mimics the
human muscle perfectly while the hydraulic actuator gives high power output.
In the review, it is found that some researchers only focus on a single DOF at a single joint while
some researchers look at the system design of whole upper extremity and even a few of the
researchers carry out a whole body suit exoskeleton. No matter how many DOFs are included in
the exoskeleton, their researches are benefiting human. Further review on the exoskeleton control
system might help to understand more about the exoskeleton.
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Authors
Chay Kwok-Hong is a graduate student of the Department of Mechatronics and
BioMedical Engineering, Faculty of Engineering & Science, Universiti Tunku Abdul
Rahman, Malaysia. His research interest is in the field of mechatronics system design.
Dr. Lee Jer-Vui is an Assistant Professor at the Department of Mechatronics and
BioMedical Engineering, Faculty of Engineering & Science, Universiti Tunku Abdul
Rahman, Malaysia. His research interests include modeling and simulation, automation
and robotics, Android and cloud mechatronics, UAV design and control, social robotics
and educational software development.
Chuah Yea-Dat is the Department Head of Mechatronics and BioMedical Engineering,
Faculty of Engineering & Science, Universiti Tunku Abdul Rahman, Malaysia. He is a
Chartered Engineer and member of The Institution of Engineering and Technology
(IET) UK. His research interests are in the field of mechatronics and biomedical
engineering system design
Chong Yu-Zheng is a Lecturer at the Department of Mechatronics and BioMedical
Engineering, Faculty of Engineering & Science, Universiti Tunku Abdul Rahman,
Malaysia. His research interests are in the field of biomechanical instrumentation,
wearable instrumentation, rehabilitation engineering, biomechanics, sport biomechanics
and automation.