Design, control and evaluation of a low-cost active orthosis for the gait of spinal cord injured subjects

Robotic gait training after spinal cord injury is of high priority to maximize independence and improve the living conditions of the patients. Current rehabilitation robots are expensive and heavy, and are generally found only in the clinical environment. To overcome these issues, we present the design of a low-cost, low-weight and personalized robotic orthosis for incomplete spinal cord injured subjects. The paper also presents a preliminary experimental evaluation of the assistive device on one subject with spinal cord injury that can control hip flexion to a certain extent, but lacks control of knee and ankle muscles. Results show that gait velocity, stride length and cadence of walking increased (24,11%, 7,41% and 15,56%, respectively) when wearing active orthoses compared to the case when the subject used the usual passive orthoses.Postprint (published version

Robot-assisted ankle rehabilitation for the treatment of drop foot: A case study

This paper involves the use of an intrinsically-compliant ankle rehabilitation robot for the treatment of drop foot. The robot has a bio-inspired design by employing four Festo fluidic actuators that mimic skeletal muscles to actuate three rotational degrees of freedom (DOFs). A position controller in task space was developed to track the predefined trajectory of the end effector. The position tracking was achieved by the length tracking of each actuator in joint space by inverse kinematics. A stroke patient with drop foot participated in the trial as a case study to evaluate the potential of this robot for clinical applications. The patient gave positive feedback in using the ankle robot for the treatment of drop foot, although some limitations exist. The trajectory tracking showed satisfactory accuracy throughout the whole training with varying ranges of motion, with the root mean square deviation (RMSD) value being 0.0408 rad and the normalized root mean square deviation (NRMSD) value being 8.16%. To summarize, preliminary findings support the potential of the ankle rehabilitation robot for clinical applications. Future work will investigate the effectiveness of the robot for treating drop foot on a large sample of subjects

Fuzzy sliding mode control of a multi-DOF parallel robot in rehabilitation environment

Multi-degrees of freedom (DOF) parallel robot, due to its compact structure and high operation accuracy, is a promising candidate for medical rehabilitation devices. However, its controllability relating to the nonlinear characteristics challenges its interaction with human subjects during the rehabilitation process. In this paper, we investigated the control of a parallel robot system using fuzzy sliding mode control (FSMC) for constructing a simple controller in practical rehabilitation, where a fuzzy logic system was used as the additional compensator to the sliding mode controller (SMC) for performance enhancement and chattering elimination. The system stability is guaranteed by the Lyapunov stability theorem. Experiments were conducted on a lower limb rehabilitation robot, which was built based on kinematics and dynamics analysis of the 6-DOF Stewart platform. The experimental results showed that the position tracking precision of the proposed FSMC is sufficient in practical applications, while the velocity chattering had been effectively reduced in comparison with the conventional FSMC with parameters tuned by fuzzy systems

An ankle rehabilitation robot based on 3-RRS spherical parallel mechanism

This article presents the design modeling of a novel 3-RRS spherical parallel mechanism for ankle rehabilitation applications. The kinematics of the 3-RRS spherical parallel mechanism is established. The degree of freedom of 3-RRS spherical parallel mechanism is calculated using screw theory. The inverse kinematics of 3-RRS spherical parallel mechanism is solved. Eight groups of inverse solutions of 3-RRS spherical parallel mechanism are obtained. A method for forward position analysis is developed with variation and iteration approaches, which is suitable for motor position control. The ankle rehabilitation robot can be widely used in clinical treatment and can also be used at home, hotels, and fitness centers for ankle muscle relaxation.</p

A Preliminary Study on Robot-Assisted Ankle Rehabilitation for the Treatment of Drop Foot

This paper involves the use of a compliant ankle rehabilitation robot (CARR) for the treatment of drop foot. The robot has a bio-inspired design by employing four Festo Fluidic muscles (FFMs) that mimic skeletal muscles actuating three rotational degrees of freedom (DOFs). A trajectory tracking controller was developed in joint task space to track the predefined trajectory of the end effector. This controller was achieved by controlling individual FFM length based on inverse kinematics. Three patients with drop foot participated in a preliminary study to evaluate the potential of the CARR for clinical applications. Ankle stretching exercises along ankle dorsiflexion and plantarflexion (DP) were delivered for treating drop foot. All patients gave positive feedback in using this ankle robot for the treatment of drop foot, although some limitations exist. The proposed controller showed satisfactory accuracy in trajectory tracking, with all root mean square deviation (RMSD) values no greater than 0.0335 rad and normalized root mean square deviation (NRMSD) values less than 6.7%. These preliminary findings support the potentials of the CARR for clinical applications. Future work will investigate the effectiveness of the robot for treating drop foot on a large sample of subjects

A methodology for the Lower Limb Robotic Rehabilitation system

The overall goal of this thesis is to develop a new functional lower limb robot-assisted rehabilitation system for people with a paretic lower limb. A unilateral rehabilitation method is investigated, where the robot acts as an assistive device to provide the impaired leg therapeutic training through simulating the kinematics and dynamics of the ankle and lower leg movements. Foot trajectories of healthy subjects and post-stroke patients were recorded by a dedicated optical motion tracking system in a clinical gait measurement laboratory. A prototype 6 degrees of freedom parallel robot was initially built in order to verify capability of achieving singularity-free foot trajectories of healthy subjects in various exercises. This was then followed by building and testing another larger parallel robot to investigate the real-sized foot trajectories of patients. The overall results verify the designed robot’s capability in successfully tracking foot trajectories during different exercises. The thesis finally proposes a system of bilateral rehabilitation based on the concept of self-learning, where a passive parallel mechanism follows and records motion signatures of the patient’s healthy leg, and an active parallel mechanism provides motion for the impaired leg based on the kinematic mapping of the motion produced by the passive mechanism