Smart portable rehabilitation devices

BACKGROUND: The majority of current portable orthotic devices and rehabilitative braces provide stability, apply precise pressure, or help maintain alignment of the joints with out the capability for real time monitoring of the patient's motions and forces and without the ability for real time adjustments of the applied forces and motions. Improved technology has allowed for advancements where these devices can be designed to apply a form of tension to resist motion of the joint. These devices induce quicker recovery and are more effective at restoring proper biomechanics and improving muscle function. However, their shortcoming is in their inability to be adjusted in real-time, which is the most ideal form of a device for rehabilitation. This introduces a second class of devices beyond passive orthotics. It is comprised of "active" or powered devices, and although more complicated in design, they are definitely the most versatile. An active or powered orthotic, usually employs some type of actuator(s). METHODS: In this paper we present several new advancements in the area of smart rehabilitation devices that have been developed by the Northeastern University Robotics and Mechatronics Laboratory. They are all compact, wearable and portable devices and boast re-programmable, real time computer controlled functions as the central theme behind their operation. The sensory information and computer control of the three described devices make for highly efficient and versatile systems that represent a whole new breed in wearable rehabilitation devices. Their applications range from active-assistive rehabilitation to resistance exercise and even have applications in gait training. The three devices described are: a transportable continuous passive motion elbow device, a wearable electro-rheological fluid based knee resistance device, and a wearable electrical stimulation and biofeedback knee device. RESULTS: Laboratory tests of the devices demonstrated that they were able to meet their design objectives. The prototypes of portable rehabilitation devices presented here did demonstrate that these concepts are capable of the performance their commercially available but non-portable counterparts exhibit. CONCLUSION: Smart, portable devices with the ability for real time monitoring and adjustment open a new era in rehabilitation where the recovery process could be dramatically improved

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

Underactuated Rehabilitation Robotics for Hand Function

Normal hand function plays an important role in daily life. At present, the incidence of hand dysfunction caused by diseases such as cerebral palsy or stroke is increasing year by year. For the rehabilitation of hand dysfunction, in addition to surgical treatment, effective rehabilitation exercise is also particularly important. It is also a necessary link in the efficient and intelligent development of rehabilitation medicine to develop robots that can effectively help patients with rehabilitation hand functions.In this paper, based on the analysis of the design principles and objectives of the rehabilitation robot with hand function, the kinematics model of the rehabilitation robot with hand function is constructed,based on top-down principle in the design of the machine, the design of the machine hand function rehabilitation robots design optimization process framework, and based on the kinematics model and the virtual prototype technology, build its skeleton model, and carries on the kinematics simulation analysis, the design is verified the correctness of the hand function rehabilitation robot kinematics model

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

State-of-the-Art of Hand Exoskeleton Systems

This paper deals with the analysis of the state-of-the-art of robotic hand exoskeletons (updated at May 2011), which is intended as the first step of a designing activity. A large number of hand exoskeletons (both products and prototypes) that feature some common characteristics and many special peculiarities are reported in the literature. Indeed, in spite of very similar functionalities, different hand exoskeletons can be extremely different for the characteristics of their mechanism architectures, control systems and working principles. The aim of this paper is to provide the reader with a complete and schematic picture of the state-of-the-art of hand exoskeletons. The focus is placed on the description of the main aspects that are involved in the exoskeleton design such as the system kinematics, the actuator systems, the transmission parts and the control schemes. Additionally, the critical issues provided by the literature analysis are discussed in order to enlighten the differences and the common features of different practical solutions. This paper may help to understand both the reasons why certain solutions are proposed for the different applications and the advantages and drawbacks of the different designs proposed in the literature. The motivation of this study is the need to design a new hand exoskeleton for rehabilitation purposes

Design of active feedback for rehabilitation device

Sensor systems are an essential part of automated equipment. They are even more important in machines that come in contact with people, because they have a significant impact on safety. This paper describes the design of active feedback for rehabilitation device driven by pneumatic artificial muscles. Here are presented three methods for measuring the load of the robot. The first is a system composed of Force Sensitive Resistors (FSR) placed in the handle of the device. Two other methods are intended to measure the load of the actuator composed of artificial muscles. The principle of one method is to measure the difference in filling pressures of the muscles, second is based on strain measurement in the drive cables. The paper describes advantages and disadvantages of using each of these methods in a rehabilitation deviceEU; Operational Programme Research and Development; Measure 2.2 Transfer of knowledge and technology from research and development into practice; Research and development of intelligent nonconventional actuators based on artificial muscles", ITMS [26220220103]; Slovak Grant Agency VEGA [1/0911/14]; Ministry of Education, Youth and Sports of the Czech Republic within the National Sustainability Programme [L01303 (MSMT7778/2014)]; European Regional Development Fund under the project CEBIA-Tech [CZ.1.05/2.1.00/03.0089

Selectively lockable knee brace

A knee brace for aiding in rehabilitation of damaged leg muscles includes upper and lower housings, normally pivotable, one relative to the other about the knee joint axis of a patient. The upper housing is attachable to the thigh of the patient above the knee joint, while the lower housing is secured to a stirrup which extends downwardly along the patient's leg and is attached to the patient's shoe. An actuation rod is carried within the lower housing and is coupled to a cable. The upper and lower housings carry cooperative clutch/brake elements which normally are disengaged to permit relative movement between the upper and lower housings. When the cable is extended, the clutch/brake elements engage and lock the housings together. A heel strike mechanism fastened to the stirrup and the heel of the shoe is connected to the cable to selectively extend the cable and lock the brace in substantially any position when the patient places weight on the heel

Development of a novel robotic system for hand rehabilitation

Rehabilitation Robotics involves the use of robotic systems as an enabling technology for people with kinetic problems, in order to help them recover from a physical trauma. This paper presents the investigation of a robotic system for stroke and post hand-surgery patient rehabilitation, in order to gradually regain flexibility in their finger-joints by passively extending and flexing their fingers. It includes one linear actuator for each finger and a thin-film force sensor at each fingertip as a safety measure against overstraining the finger-joints. Prior to designing the system, kinematic and dynamic models of a human hand have been derived and simulated in MATLAB. Data obtained from this model show a strong correlation to natural human hand movements, recorded in this study using a 6 DoF motion capture system. Design of the robotic system is performed using UGS NX6 software. © 2011 IEEE