Modeling and Design of a Spring-loaded, Cable-driven, Wearable Exoskeleton for the Upper Extremity

An approach to the design of wearable exoskeletons on the basis of simulation of the exoskeleton and a human body model is proposed in this paper. The new approach, addressing the problem of physical human-exoskeleton interactions, models and simulates the mechanics of both the exoskeleton and the human body, which allows designers to effectively analyze and evaluate an exoskeleton design for their function in concert with the human body. A simulation platform is developed by integrating a biomechanical model of the human body and the exoskeleton. With the proposed approach, an exoskeleton is designed for assisting patients with neuromuscular injuries. Results of the analysis and optimization are included

A Bamboo-inspired Exoskeleton (BiEXO) Based on Carbon Fiber for Shoulder and Elbow Joints

This paper presents a novel cable-driven exoskeleton (BiEXO) for the upper limb including shoulder and elbow joints. BiEXO is made of carbon fiber that is inspired by the Bamboo structure. The key components of BiEXO are carbon fiber tubes that mimic bamboo tubes. A combined driver is developed for BiEXO with two cable-driven mechanisms (CDMs) and a power transmission belt (PTB). The CDMs are used for shoulder and elbow flexion/extension movement utilizing cables to mimic the skeletal muscles function, while the PTB system drives a shoulder link to mimic the scapula joint for shoulder abduction/adduction movement. Simulation studies and evaluation experiments were performed to demonstrate the efficacy of the overall system. To determine the strength-to-weight of the bamboo-inspired links and guarantee high buckling strength in the face of loads imposed from the user side to the structure, finite element analysis (FEA) was performed. The results show that the carbon fiber link inspired by bamboo has more strength in comparison to the common long carbon fiber tube. The kinematic configuration was modeled by the modified Denavit-Hartenberg (D-H) notation. The mean absolute error (MAE) was 5.9 mm, and the root-mean-square error (RMSE) was 6 mm. In addition, verification experiments by tracking the trajectory in Cartesian space and the wear trials on a subject were carried out on the BiEXO prototype. The satisfactory results indicate BiEXO to be a promising system for rehabilitation or assistance in the future.</p

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 Bamboo-inspired Exoskeleton (BiEXO) Based on Carbon Fiber for Shoulder and Elbow Joints

This paper presents a novel cable-driven exoskeleton (BiEXO) for the upper limb including shoulder and elbow joints. BiEXO is made of carbon fiber that is inspired by the Bamboo structure. The key components of BiEXO are carbon fiber tubes that mimic bamboo tubes. A combined driver is developed for BiEXO with two cable-driven mechanisms (CDMs) and a power transmission belt (PTB). The CDMs are used for shoulder and elbow flexion/extension movement utilizing cables to mimic the skeletal muscles function, while the PTB system drives a shoulder link to mimic the scapula joint for shoulder abduction/adduction movement. Simulation studies and evaluation experiments were performed to demonstrate the efficacy of the overall system. To determine the strength-to-weight of the bamboo-inspired links and guarantee high buckling strength in the face of loads imposed from the user side to the structure, finite element analysis (FEA) was performed. The results show that the carbon fiber link inspired by bamboo has more strength in comparison to the common long carbon fiber tube. The kinematic configuration was modeled by the modified Denavit-Hartenberg (D-H) notation. The mean absolute error (MAE) was 5.9 mm, and the root-mean-square error (RMSE) was 6 mm. In addition, verification experiments by tracking the trajectory in Cartesian space and the wear trials on a subject were carried out on the BiEXO prototype. The satisfactory results indicate BiEXO to be a promising system for rehabilitation or assistance in the future.</p

Robot Assisted Shoulder Rehabilitation: Biomechanical Modelling, Design and Performance Evaluation

The upper limb rehabilitation robots have made it possible to improve the motor recovery in stroke survivors while reducing the burden on physical therapists. Compared to manual arm training, robot-supported training can be more intensive, of longer duration, repetitive and task-oriented. To be aligned with the most biomechanically complex joint of human body, the shoulder, specific considerations have to be made in the design of robotic shoulder exoskeletons. It is important to assist all shoulder degrees-of-freedom (DOFs) when implementing robotic exoskeletons for rehabilitation purposes to increase the range of motion (ROM) and avoid any joint axes misalignments between the robot and human’s shoulder that cause undesirable interaction forces and discomfort to the user. The main objective of this work is to design a safe and a robotic exoskeleton for shoulder rehabilitation with physiologically correct movements, lightweight modules, self-alignment characteristics and large workspace. To achieve this goal a comprehensive review of the existing shoulder rehabilitation exoskeletons is conducted first to outline their main advantages and disadvantages, drawbacks and limitations. The research has then focused on biomechanics of the human shoulder which is studied in detail using robotic analysis techniques, i.e. the human shoulder is modelled as a mechanism. The coupled constrained structure of the robotic exoskeleton connected to a human shoulder is considered as a hybrid human-robot mechanism to solve the problem of joint axes misalignments. Finally, a real-scale prototype of the robotic shoulder rehabilitation exoskeleton was built to test its operation and its ability for shoulder rehabilitation

Development of a Wearable Mechatronic Elbow Brace for Postoperative Motion Rehabilitation

This thesis describes the development of a wearable mechatronic brace for upper limb rehabilitation that can be used at any stage of motion training after surgical reconstruction of brachial plexus nerves. The results of the mechanical design and the work completed towards finding the best torque transmission system are presented herein. As part of this mechatronic system, a customized control system was designed, tested and modified. The control strategy was improved by replacing a PID controller with a cascade controller. Although the experiments have shown that the proposed device can be successfully used for muscle training, further assessment of the device, with the help of data from the patients with brachial plexus injury (BPI), is required to improve the control strategy. Unique features of this device include the combination of adjustability and modularity, as well as the passive adjustment required to compensate for the carrying angle