Dynamic modelling and simulation of a cable-driven parallel robot for rehabilitation applications

The aim of this work, in collaboration with the ROAR Lab of the Columbia University in the city of New York, is to build a simulation model of a new cable-driven parallel robot for rehabilitation applications, being able to compute the effort given by the patient while the system is working on him/her. The model was built on a multi-body dynamic software called Adams, which is able to simulate the behavior of the mechanism. Some theoretical issues about cable-driven parallel robots will be described, in order to familiarize with the application and introduce the state of the art of the topic. General foundations, dealing with kinematics, statics, dynamics will be detailed and a short introduction to control will be given. In the second chapter, a brief overview of the state of the art regarding rehabilitation cable-driven robotics will be outlined, first dealing with general applications possible to be found in literature, and then introducing the Columbia University work about this particular topic, with several examples and cutting edge devices. The third chapter is about the design description of the Stand Trainer, a 8-cable-driven parallel robot used for rehabilitation. Its mechanical system is introduced, while dealing especially with the issue of computing the cable tensions and the way it can be done in terms of sensors positioning. A new way of tension measurement will be explained. It will take the place of the previous one, bringing several advantages to the system. The last chapter deals with the dynamic simulations on Adams. After having introduced all the simplifications regarding three different models, an accurate description of them will be given and their comparison with the real device will be outlined. The post-process activity will be carried out explaining and discussing the final results. Finally, different points for future developments will be discussed, showing the novelty of this approach for rehabilitative treatments and applications

Design and Evaluation of the LOPES Exoskeleton Robot for Interactive Gait Rehabilitation

This paper introduces a newly developed gait rehabilitation device. The device, called LOPES, combines a freely translatable and 2-D-actuated pelvis segment with a leg exoskeleton containing three actuated rotational joints: two at the hip and one at the knee. The joints are impedance controlled to allow bidirectional mechanical interaction between the robot and the training subject. Evaluation measurements show that the device allows both a "pa- tient-in-charge" and "robot-in-charge" mode, in which the robot is controlled either to follow or to guide a patient, respectively. Electromyography (EMG) measurements (one subject) on eight important leg muscles, show that free walking in the device strongly resembles free treadmill walking; an indication that the device can offer task-specific gait training. The possibilities and limitations to using the device as gait measurement tool are also shown at the moment position measurements are not accurate enough for inverse-dynamical gait analysis

Electromechanical and robotic devices for gait and balance rehabilitation of children with neurological disability: a systematic review

In the last two decades, a growing interest has been focused on gait and balance robot-assisted rehabilitation in children with neurological disabilities. Robotic devices allow the implementation of intensive, task-specific training fostering functional recovery and neuroplasticity phenomena. However, limited attention has been paid to the protocols used in this research framework. This systematic review aims to provide an overview of the existing literature on robotic systems for the rehabilitation of gait and balance in children with neurological disabilities and their rehabilitation applications. The literature search was carried out independently and synchronously by three authors on the following databases: MEDLINE, Cochrane Library, PeDro, Institute of Electrical and Electronics Engineers, ScienceDirect, and Google Scholar. The data collected included three subsections referring to clinical, technical, and regulatory aspects. Thirty-one articles out of 81 found on the primary literature search were included in the systematic review. Most studies involved children with cerebral palsy. Only one-third of the studies were randomized controlled trials. Overall, 17 devices (nine end-effector systems and eight exoskeletons) were investigated, among which only 4 (24%) were bore the CE mark. Studies differ on rehabilitation protocols duration, intensity, and outcome measures. Future research should improve both rehabilitation protocols\u2019 and devices\u2019 descriptions

Impact of Ear Occlusion on In-Ear Sounds Generated by Intra-oral Behaviors

We conducted a case study with one volunteer and a recording setup to detect sounds induced by the actions: jaw clenching, tooth grinding, reading, eating, and drinking. The setup consisted of two in-ear microphones, where the left ear was semi-occluded with a commercially available earpiece and the right ear was occluded with a mouldable silicon ear piece. Investigations in the time and frequency domains demonstrated that for behaviors such as eating, tooth grinding, and reading, sounds could be recorded with both sensors. For jaw clenching, however, occluding the ear with a mouldable piece was necessary to enable its detection. This can be attributed to the fact that the mouldable ear piece sealed the ear canal and isolated it from the environment, resulting in a detectable change in pressure. In conclusion, our work suggests that detecting behaviors such as eating, grinding, reading with a semi-occluded ear is possible, whereas, behaviors such as clenching require the complete occlusion of the ear if the activity should be easily detectable. Nevertheless, the latter approach may limit real-world applicability because it hinders the hearing capabilities.</p

End-effector wheeled robotic arm gaming prototype for upper limb coordination control in home-based therapy

The stroke patient will be having difficulty to control their upper limb, which causes their handling to become weak and unorganized. Conventional therapy designed to retrain the subject ability when it's losses due to stroke. As previous study concern that a subject with strong motivation and concentration of treatment tends to recover better than people who don't follow the program. This research focused on intensifying the training by providing user with Wheel robotic arm to train their upper limb. User will be asked to do exercising on moving particular objects to another position repetitively during a specific period. The robot will help the user to assist and relearn their motoric skill and improve muscle strength and coordination. The result of training is quite convincing when the user gives a positive response toward the practice. Around 86 percent of subject likely prefer the proposed system as their home-based rehabilitation system. The Anova testing with alpha 0.05 shows that there is no significant difference between trained subject and untrained subject on operating the wheeled robotic arm. It's mean the proposed system is reliable and user friendly to be used without an assistant so user can have more flexibility and improve their accomplishment on regaining their motoric skills. The future work will focus on stroke patient testing with more challenge and obstacle in enhancing the effectiveness of the stroke rehabilitation system

Abnormal synergistic gait mitigation in acute stroke using an innovative ankle–knee–hip interlimb humanoid robot: A preliminary randomized controlled trial

Abnormal spasticity and associated synergistic patterns are the most common neuromuscular impairments affecting ankle–knee–hip interlimb coordinated gait kinematics and kinetics in patients with hemiparetic stroke. Although patients with hemiparetic stroke undergo various treatments to improve gait and movement, it remains unknown how spasticity and associated synergistic patterns change after robot-assisted and conventional treatment. We developed an innovative ankle–knee–hip interlimb coordinated humanoid robot (ICT) to mitigate abnormal spasticity and synergistic patterns. The objective of the preliminary clinical trial was to compare the effects of ICT combined with conventional physical therapy (ICT-C) and conventional physical therapy and gait training (CPT-G) on abnormal spasticity and synergistic gait patterns in 20 patients with acute hemiparesis. We performed secondary analyses aimed at elucidating the biomechanical effects of Walkbot ICT on kinematic (spatiotemporal parameters and angles) and kinetic (active force, resistive force, and stiffness) gait parameters before and after ICT in the ICT-C group. The intervention for this group comprised 60-min conventional physical therapy plus 30-min robot-assisted training, 7 days/week, for 2 weeks. Significant biomechanical effects in knee joint kinematics; hip, knee, and ankle active forces; hip, knee, and ankle resistive forces; and hip, knee, and ankle stiffness were associated with ICT-C. Our novel findings provide promising evidence for conventional therapy supplemented by robot-assisted therapy for abnormal spasticity, synergistic, and altered biomechanical gait impairments in patients in the acute post-stroke recovery phase. Trial Registration: Clinical Trials.gov identifier NCT03554642 (14/01/2020)