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

Feasibility of Manual Teach-and-Replay and Continuous Impedance Shaping for Robotic Locomotor Training Following Spinal Cord Injury

Robotic gait training is an emerging technique for retraining walking ability following spinal cord injury (SCI). A key challenge in this training is determining an appropriate stepping trajectory and level of assistance for each patient, since patients have a wide range of sizes and impairment levels. Here, we demonstrate how a lightweight yet powerful robot can record subject-specific, trainer-induced leg trajectories during manually assisted stepping, then immediately replay those trajectories. Replay of the subject-specific trajectories reduced the effort required by the trainer during manual assistance, yet still generated similar patterns of muscle activation for six subjects with a chronic SCI. We also demonstrate how the impedance of the robot can be adjusted on a step-by-step basis with an error-based, learning law. This impedance-shaping algorithm adapted the robot's impedance so that the robot assisted only in the regions of the step trajectory where the subject consistently exhibited errors. The result was that the subjects stepped with greater variability, while still maintaining a physiologic gait pattern. These results are further steps toward tailoring robotic gait training to the needs of individual patients

Feedback Control of an Exoskeleton for Paraplegics: Toward Robustly Stable Hands-free Dynamic Walking

This manuscript presents control of a high-DOF fully actuated lower-limb exoskeleton for paraplegic individuals. The key novelty is the ability for the user to walk without the use of crutches or other external means of stabilization. We harness the power of modern optimization techniques and supervised machine learning to develop a smooth feedback control policy that provides robust velocity regulation and perturbation rejection. Preliminary evaluation of the stability and robustness of the proposed approach is demonstrated through the Gazebo simulation environment. In addition, preliminary experimental results with (complete) paraplegic individuals are included for the previous version of the controller.Comment: Submitted to IEEE Control System Magazine. This version addresses reviewers' concerns about the robustness of the algorithm and the motivation for using such exoskeleton

Design and Development of an Affordable Haptic Robot with Force-Feedback and Compliant Actuation to Improve Therapy for Patients with Severe Hemiparesis

The study describes the design and development of a single degree-of-freedom haptic robot, Haptic Theradrive, for post-stroke arm rehabilitation for in-home and clinical use. The robot overcomes many of the weaknesses of its predecessor, the TheraDrive system, that used a Logitech steering wheel as the haptic interface for rehabilitation. Although the original TheraDrive system showed success in a pilot study, its wheel was not able to withstand the rigors of use. A new haptic robot was developed that functions as a drop-in replacement for the Logitech wheel. The new robot can apply larger forces in interacting with the patient, thereby extending the functionality of the system to accommodate low-functioning patients. A new software suite offers appreciably more options for tailored and tuned rehabilitation therapies. In addition to describing the design of the hardware and software, the paper presents the results of simulation and experimental case studies examining the system\u27s performance and usability

Kinematic and dynamic modeling and validation of an assistive robotic device for knee rehabilitation

La articulación de la rodilla está frecuentemente expuesta a lesiones en personas de todas las edades. En todos los casos, la terapia física se prescribe para recuperar la fuerza y la movilidad de un paciente. Los dispositivos de asistencia robótica están ganando la atención de la comunidad y apuntan a mejorar la calidad de vida de los pacientes. En este artículo, se propone el diseño mecánico de un dispositivo de rehabilitación de rodilla de enlace de 5 barras basado en la definición de los parámetros físicos de la población colombiana y/o latinoamericana, de acuerdo a los datos de antropometría. Se obtiene el modelo dinámico completo del sistema de rehabilitación propuesto y se realizan las comparaciones respectivas de movimiento con el prototipo real para desarrollar y evaluar estrategias de control apropiadas en trabajos futuros. Para este propósito, se presenta la formulación cinemática del dispositivo y luego se deriva la dinámica utilizando dos enfoques para validar el modelo; se obtiene la ecuación de movimiento utilizando la aproximación de Lagrange y un método algebraico que simplifica el modelado. Ambas aproximaciones producen un modelo único, que se valida en simulación y en ensayos experimentales, mostrando la funcionalidad del sistema y la validez de los modelos cuando se realizan rutinas de rehabilitación.The knee joint is frequently exposed to injuries in people of all ages. In all cases, physical therapy is prescribed to recover the strength and mobility of a patient. The robotic assistance devices are gaining the community attention and aim to improve the quality of life of patients. In this article, we propose the mechanical design of a 5-bar-linkage knee rehabilitation device based on the definition of the physical parameters of Colombian and/or Latin-American population, according to anthropomorphic data. We obtain the complete dynamic model of the proposed rehabilitation system and perform the respective comparisons of movement with the real prototype in order to develop and evaluate appropriate control strategies in future work. For this purpose, we present the kinematic formulation of the device and then we derive the dynamics using two approaches to validate the model; we obtain the motion equation using the Lagrange approach and an algebraic method that simplifies modeling. Both approaches yield a unique model, which is validated either in simulation and by experimental trials, showing the functionality of the system and the validity of the models when performing rehabilitation routines.Pregrad

Review of control strategies for robotic movement training after neurologic injury

There is increasing interest in using robotic devices to assist in movement training following neurologic injuries such as stroke and spinal cord injury. This paper reviews control strategies for robotic therapy devices. Several categories of strategies have been proposed, including, assistive, challenge-based, haptic simulation, and coaching. The greatest amount of work has been done on developing assistive strategies, and thus the majority of this review summarizes techniques for implementing assistive strategies, including impedance-, counterbalance-, and EMG- based controllers, as well as adaptive controllers that modify control parameters based on ongoing participant performance. Clinical evidence regarding the relative effectiveness of different types of robotic therapy controllers is limited, but there is initial evidence that some control strategies are more effective than others. It is also now apparent there may be mechanisms by which some robotic control approaches might actually decrease the recovery possible with comparable, non-robotic forms of training. In future research, there is a need for head-to-head comparison of control algorithms in randomized, controlled clinical trials, and for improved models of human motor recovery to provide a more rational framework for designing robotic therapy control strategies

Modeling and Control of a novel Variable Stiffness three DoF Wrist

This paper presents a novel design for a Variable Stiffness 3 DoF actuated wrist to improve task adaptability and safety during interactions with people and objects. The proposed design employs a hybrid serial-parallel configuration to achieve a 3 DoF wrist joint which can actively and continuously vary its overall stiffness thanks to the redundant elastic actuation system, using only four motors. Its stiffness control principle is similar to human muscular impedance regulation, with the shape of the stiffness ellipsoid mostly depending on posture, while the elastic cocontraction modulates its overall size. The employed mechanical configuration achieves a compact and lightweight device that, thanks to its anthropomorphous characteristics, could be suitable for prostheses and humanoid robots. After introducing the design concept of the device, this work provides methods to estimate the posture of the wrist by using joint angle measurements and to modulate its stiffness. Thereafter, this paper describes the first physical implementation of the presented design, detailing the mechanical prototype and electronic hardware, the control architecture, and the associated firmware. The reported experimental results show the potential of the proposed device while highlighting some limitations. To conclude, we show the motion and stiffness behavior of the device with some qualitative experiments.Comment: 13 pages + appendix (2 pages), 19 figures, submitted to IJR