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

Non-linear actuators and simulation tools for rehabilitation devices

Mención Internacional en el título de doctorRehabilitation robotics is a field of research that investigates the applications of robotics in motor function therapy for recovering the motor control and motor capability. In general, this type of rehabilitation has been found effective in therapy for persons suffering motor disorders, especially due to stroke or spinal cord injuries. This type of devices generally are well tolerated by the patients also being a motivation in rehabilitation therapy. In the last years the rehabilitation robotics has become more popular, capturing the attention at various research centers. They focused on the development more effective devices in rehabilitation therapy, with a higher acceptance factor of patients tacking into account: the financial cost, weight and comfort of the device. Among the rehabilitation devices, an important category is represented by the rehabilitation exoskeletons, which in addition to the human skeletons help to protect and support the external human body. This became more popular between the rehabilitation devices due to the easily adapting with the dynamics of human body, possibility to use them such as wearable devices and low weight and dimensions which permit easy transportation. Nowadays, in the development of any robotic device the simulation tools play an important role due to their capacity to analyse the expected performance of the system designed prior to manufacture. In the development of the rehabilitation devices, the biomechanical software which is capable to simulate the behaviour interaction between the human body and the robotics devices, play an important role. This helps to choose suitable actuators for the rehabilitation device, to evaluate possible mechanical designs, and to analyse the necessary controls algorithms before being tested in real systems. This thesis presents a research proposing an alternative solution for the current systems of actuation on the exoskeletons for robotic rehabilitation. The proposed solution, has a direct impact, improving issues like device weight, noise, fabrication costs, size an patient comfort. In order to reach the desired results, a biomechanical software based on Biomechanics of Bodies (BoB) simulator where the behaviour of the human body and the rehabilitation device with his actuators can be analysed, was developed. In the context of the main objective of this research, a series of actuators have been analysed, including solutions between the non-linear actuation systems. Between these systems, two solutions have been analysed in detail: ultrasonic motors and Shape Memory Alloy material. Due to the force - weight characteristics of each device (in simulation with the human body), the Shape Memory Alloy material was chosen as principal actuator candidate for rehabilitation devices. The proposed control algorithm for the actuators based on Shape Memory Alloy, was tested over various configurations of actuators design and analysed in terms of energy eficiency, cooling deformation and movement. For the bioinspirated movements, such as the muscular group's biceps-triceps, a control algorithm capable to control two Shape Memory Alloy based actuators in antagonistic movement, has been developed. A segmented exoskeleton based on Shape Memory Alloy actuators for the upper limb evaluation and rehabilitation therapy was proposed to demosntrate the eligibility of the actuation system. This is divided in individual rehabilitation devices for the shoulder, elbow and wrist. The results of this research was tested and validated in the real elbow exoskeleton with two degrees of freedom developed during this thesis.Programa Oficial de Doctorado en Ingeniería Eléctrica, Electrónica y AutomáticaPresidente: Eduardo Rocón de Lima.- Secretario: Concepción Alicia Monje Micharet.- Vocal: Martin Stoele

SMA based elbow exoskeleton for rehabilitation therapy and patient evaluation

A large number of musculoskeletal and neurological disorders can affect the upper limb limiting the subject's ability to perform activities of daily living. In recent years, rehabilitation therapies based on robotics have been proposed as complement to the work of therapists. This paper introduces a prototype of exoskeleton for the evaluation and rehabilitation therapy of the elbow joint in flexion extension and pronation-supination. The main novelty is the use of bioinspired actuators based on shape memory alloys (for the first time) in an upper limb rehabilitation exoskeleton. Because of this, the device presents a light weight, less than 1 kg, and noiseless operation, both characteristics are very beneficial for rehabilitation therapies. In addition, the prototype has been designed with low-cost electronics and materials, and the result is a wearable, comfortable, and cheap rehabilitation exoskeleton for the elbow joint. The exoskeleton can generate the joint torque (active mode) or it can be used as a passive tool. (The patient performs therapy by itself, carrying the device while it collects relevant movement data for evaluation.) The simulations and experimental tests validate the solution in the first phases of rehabilitation therapies when slow and repetitive movements are required.This work was supported in part by the Exoesqueleto para Diagnostico y Asistencia en Tareas de Manipulacion through the Spanish Research Project under Grant DPI2016-75346-R, and in part by the RoboCity2030-DIH-CM Madrid Robotics Digital Innovation Hub ("Robotica aplicada a la mejora de la calidad de vida de los ciudadanos. fase IV''), funded by the "Programas de Actividades I+D en la Comunidad de Madrid,'' and co-funded by the Structural Funds of the EU, under Grant S2018/NMT-4331

Upper limb soft robotic wearable devices: a systematic review

Introduction: Soft robotic wearable devices, referred to as exosuits, can be a valid alternative to rigid exoskeletons when it comes to daily upper limb support. Indeed, their inherent flexibility improves comfort, usability, and portability while not constraining the user’s natural degrees of freedom. This review is meant to guide the reader in understanding the current approaches across all design and production steps that might be exploited when developing an upper limb robotic exosuit. Methods: The literature research regarding such devices was conducted in PubMed, Scopus, and Web of Science. The investigated features are the intended scenario, type of actuation, supported degrees of freedom, low-level control, high-level control with a focus on intention detection, technology readiness level, and type of experiments conducted to evaluate the device. Results: A total of 105 articles were collected, describing 69 different devices. Devices were grouped according to their actuation type. More than 80% of devices are meant either for rehabilitation, assistance, or both. The most exploited actuation types are pneumatic (52%) and DC motors with cable transmission (29%). Most devices actuate 1 (56%) or 2 (28%) degrees of freedom, and the most targeted joints are the elbow and the shoulder. Intention detection strategies are implemented in 33% of the suits and include the use of switches and buttons, IMUs, stretch and bending sensors, EMG and EEG measurements. Most devices (75%) score a technology readiness level of 4 or 5. Conclusion: Although few devices can be considered ready to reach the market, exosuits show very high potential for the assistance of daily activities. Clinical trials exploiting shared evaluation metrics are needed to assess the effectiveness of upper limb exosuits on target users

A novel hand exoskeleton with series elastic actuation for modulated torque transfer

Abstract Among wearable robotic devices, hand exoskeletons present an important and persistent challenge due to the compact dimensions and kinematic complexity of the human hand. To address these challenges, this paper introduces HandeXos-Beta (HX-β), a novel index finger-thumb exoskeleton for hand rehabilitation. The HX-β system features an innovative kinematic architecture that allows independent actuation of thumb flexion/extension and circumduction (opposition), thus enabling a variety of naturalistic and functional grip configurations. Furthermore, HX-β features a novel series-elastic actuators (SEA) architecture that directly measures externally transferred torque in real-time, and thus enables both position- and torque-controlled modes of operation, allowing implementation of both robot-in-charge and user-in-charge exercise paradigms. Finally, HX-β's adjustable orthosis, passive degrees of freedom, and under-actuated control scheme allow for optimal comfort, robot-user joint alignment, and flexible actuation for users of various hand sizes. In addition to the mechatronic design and resulting functional capabilities of HX-β, this work presents a series of physical performance characterizations, including the position- and torque-control system performance, frequency response, end effector force, and output impedance. By each measure, the HX-β exhibited performance comparable or superior to previously reported hand exoskeletons, including position and torque step response times on the order of 0.3 s, −3 dB cut-off frequencies ranging from approximately 2.5 to 4 Hz, and fingertip output forces on the order of 4 N. During use by a healthy subject in torque-controlled transparent mode, the HX-β orthosis joints exhibited appropriately low output impedance, ranging from 0.42 to −0.042 Nm/rad at 1 Hz, over a range of functional grasps performed at real-life speeds. This combination of lab bench characterizations and functional evaluation provides a comprehensive verification of the design and performance of the HandeXos Beta exoskeleton, and its suitability for clinical application in hand rehabilitation

Design of a Knee Exoskeleton actuated with Artificial Muscles of SMA

This project presents the preliminary design of a powered exoskeleton for the knee joint, build upon the structural framework of DonJoy’s X-Act Rom Lite - Knee Brace. The device allows exclusively one degree of freedom, intended for the flexion and extension of the lower limb. The actuation mechanism is based on artificial muscles of Nitinol fibers, which are a type of Shape Memory Alloys (SMA). These wires contract 4% of its original length as the temperature rises due to the Joule Effect, when connected to a power supply. Thanks to this phenomenon, the proposed robotic orthosis presents portability, lightness and noiseless performance, in comparison to similar products. The main role of these instruments is to conduct medical rehabilitation therapy for those patients who have suffered from neurological diseases, musculoskeletal lesions or spinal cord injuries. Consequently, the wearer might recover -partially or fully- the movement on the joint. The results from several trials were obtained after mimicking real rehabilitation positions -like sitting, standing or lying down- and are analyzed thoroughly in this thesis. All in all, this prototype proves how the SMA actuators are a viable alternative to create lower extremity robotic devices for rehabilitation.Ingeniería Biomédic

New design of a soft robotics wearable elbow exoskeleton based on shape memory alloy wire actuators

The elbow joint is a complex articulation composed of the humeroulnar and humeroradial joints (for flexion-extension movement) and the proximal radioulnar articulation (for pronation-supination movement). During the flexion-extension movement of the elbow joint, the rotation center changes and this articulation cannot be truly represented as a simple hinge joint. The main goal of this project is to design and assemble a medical rehabilitation exoskeleton for the elbow with one degree of freedom for flexion-extension, using the rotation center for proper patient elbow joint articulation. Compared with the current solutions, which align the exoskeleton axis with the elbow axis, this offers an ergonomic physical human-robot interface with a comfortable interaction. The exoskeleton is actuated with shape memory alloy wire-based actuators having minimum rigid parts, for guiding the actuators. Thanks to this unusual actuation system, the proposed exoskeleton is lightweight and has low noise in operation with a simple design 3D-printed structure. Using this exoskeleton, these advantages will improve the medical rehabilitation process of patients that suffered stroke and will influence how their lifestyle will change to recover from these diseases and improve their ability with activities of daily living, thanks to brain plasticity. The exoskeleton can also be used to evaluate the real status of a patient, with stroke and even spinal cord injury, thanks to an elbow movement analysis.The research leading to these results has received funding from the RoboHealth (DPI2013-47944-C4-3-R) Spanish research project and from the RoboCity2030-II-CM (Comunidad de Madrid) project

Soft hand exoskeleton actuated with SMA fibres

The current project is based on developing a wearable and comfortable soft hand exoskeleton actuated with Shape Memory Alloy (SMA) fibres. The main purpose of this device is both, to be involved in rehabilitation exercises and assistive therapies for patients suffering from hands’ damage. This innovative idea presents an affordable and convenient alternative in the exoskeletons’ field, combining a light and non-expensive actuation along with biocompatible materials specifically tailored to patient’s hand anatomy. To generate the perfectly fitting glove, plastic moulds were 3D-printed after sketching them with Creo Parametric software. Then, silicone was poured into the casts and it cured maintaining the desired shape. Taking advantage of Joule’s effect, the current which flows though the SMA wires is capable of increasing temperature, causing a microstructure change and thus inducing contraction. This motion can be accurately controlled by a MATLAB-Simulink interface, achieving both flexion and extension so as to perform pincer grip. Furthermore, a force sensor embedded on silicone finger’s tip is used as a force feedback to evaluate the pressure applied by the subject when holding distinct objects.Ingeniería Biomédica (Plan 2010