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

Attention-controlled assistive wrist rehabilitation using a low-cost EEG sensor

It is essential to make sure patients be actively involved in motor training using robot-assisted rehabilitation to achieve better rehabilitation outcomes. This paper introduces an attention-controlled wrist rehabilitation method using a low-cost EEG sensor. Active rehabilitation training is realized using a threshold of the attention level measured by the low-cost EEG sensor as a switch for a flexible wrist exoskeleton assisting wrist flexion/extension and radial/ulnar deviation. We present a prototype implementation of this active training method and provide a preliminary evaluation. The feasibility of the attention-based control was proven with the overall actuation success rate of 95%. The experimental results also proved that the visual guidance was helpful for the users to concentrate on the wrist rehabilitation training: two types of visual guidance, namely, looking at the hand motion shown on a video and looking at the user's own hand had no significant performance difference. A general threshold of a certain group of users can be utilized in the wrist robot control rather than a customized threshold to simplify the procedure

MOSAR: A Soft-Assistive Mobilizer for Upper Limb Active Use and Rehabilitation

In this study, a soft assisted mobilizer called MOSAR from (Mobilizador Suave de Asistencia y Rehabilitación) for upper limb rehabilitation was developed for a 11 years old child with right paretic side. The mobilizer provides a new therapeutic approach to augment his upper limb active use and rehabilitation, by means of exerting elbow (flexion-extension), forearm (pronation-supination) and (flexion-extension along with ulnar-radial deviations) at the wrist. Preliminarily, the design concept of the soft mobilizer was developed through Reverse Engineering of his upper limb: first casting model, silicone model, and later computational model were obtained by 3D scan, which was the parameterized reference for MOSAR development. Then, the manufacture of fabric inflatable soft actuators for driving the MOSAR system were carried out. Lastly, a law close loop control for the inflation-deflation process was implemented to validate FISAs performance. The results demonstrated the feasibility and effectiveness of the FISAs for being a functional tool for upper limb rehabilitation protocols by achieving those previous target motions similar to the range of motion (ROM) of a healthy person or being used in other applications

Soft Wrist Exosuit Actuated by Fabric Pneumatic Artificial Muscles

Recently, soft actuator-based exosuits have gained interest, due to their high strength-to-weight ratio, inherent safety, and low cost. We present a novel wrist exosuit actuated by fabric pneumatic artificial muscles that can move the wrist in flexion/extension and ulnar/radial deviation. We derive a model representing the torque exerted by the exosuit and introduce a model-based optimization methodology for the selection of placement parameters of the exosuit muscles. We evaluate the accuracy of the model by measuring the exosuit torques throughout the full range of wrist flexion/extension. When accounting for the displacement of the mounting points, the model predicts the exosuit torque with a mean absolute error of 0.279 Nm, which is 26.1% of the average measured torque. To explore the capabilities of the exosuit to move the human body, we measure its range of motion on a passive human wrist; the exosuit is able to achieve 55.0% of the active biological range in flexion, 69.1% in extension, 68.6% in ulnar deviation, and 68.4% in radial deviation. Finally, we demonstrate the device controlling the passive human wrist to move to a desired orientation in the flexion/extension plane and along a two-degree-of-freedom trajectory.Comment: 16 pages, 15 figure

ReHand - a portable assistive rehabilitation hand exoskeleton

This dissertation presents a synthesis of a novel underactuated exoskeleton (namely ReHand2) thought and designed for a task-oriented rehabilitation and/or for empower the human hand. The first part of this dissertation shows the current context about the robotic rehabilitation with a focus on hand pathologies, which influence the hand capability. The chapter is concluded with the presentation of ReHand2. The second chapter describes the human hand biomechanics. Starting from the definition of human hand anatomy, passing through anthropometric data, to taxonomy on hand grasps and finger constraints, both from static and dynamic point of view. In addition, some information about the hand capability are given. The third chapter analyze the current state of the art in hand exoskeleton for rehabilitation and empower tasks. In particular, the chapter presents exoskeleton technologies, from mechanisms to sensors, passing though transmission and actuators. Finally, the current state of the art in terms of prototype and commercial products is presented. The fourth chapter introduces the concepts of underactuation with the basic explanation and the classical notation used typically in the prosthetic field. In addition, the chapter describe also the most used differential elements in the prosthetic, follow by a statical analysis. Moreover typical transmission tree at inter-finger level as well as the intra- finger underactuation are explained . The fifth chapter presents the prototype called ReHand summarizing the device description and explanation of the working principle. It describes also the kinetostatic analysis for both, inter- and the intra-finger modules. in the last section preliminary results obtained with the exoskeleton are shown and discussed, attention is pointed out on prototype’s problems that have carry out at the second version of the device. The sixth chapter describes the evolution of ReHand, describing the kinematics and dynamics behaviors. In particular, for the mathematical description is introduced the notation used in order to analyze and optimize the geometry of the entire device. The introduced model is also implemented in Matlab Simulink environment. Finally, the chapter presents the new features. The seventh chapter describes the test bench and the methodologies used to evaluate the device statical, and dynamical performances. The chapter presents and discuss the experimental results and compare them with simulated one. Finally in the last chapter the conclusion about the ReHand project are proposed as well as the future development. In particular, the idea to test de device in relevant environments. In addition some preliminary considerations about the thumb and the wrist are introduced, exploiting the possibility to modify the entire layout of the device, for instance changing the actuator location

Robotic Platforms for Assistance to People with Disabilities

People with congenital and/or acquired disabilities constitute a great number of dependents today. Robotic platforms to help people with disabilities are being developed with the aim of providing both rehabilitation treatment and assistance to improve their quality of life. A high demand for robotic platforms that provide assistance during rehabilitation is expected because of the health status of the world due to the COVID-19 pandemic. The pandemic has resulted in countries facing major challenges to ensure the health and autonomy of their disabled population. Robotic platforms are necessary to ensure assistance and rehabilitation for disabled people in the current global situation. The capacity of robotic platforms in this area must be continuously improved to benefit the healthcare sector in terms of chronic disease prevention, assistance, and autonomy. For this reason, research about human–robot interaction in these robotic assistance environments must grow and advance because this topic demands sensitive and intelligent robotic platforms that are equipped with complex sensory systems, high handling functionalities, safe control strategies, and intelligent computer vision algorithms. This Special Issue has published eight papers covering recent advances in the field of robotic platforms to assist disabled people in daily or clinical environments. The papers address innovative solutions in this field, including affordable assistive robotics devices, new techniques in computer vision for intelligent and safe human–robot interaction, and advances in mobile manipulators for assistive tasks

Some NASA contributions to human factors engineering: A survey

This survey presents the NASA contributions to the state of the art of human factors engineering, and indicates that these contributions have a variety of applications to nonaerospace activities. Emphasis is placed on contributions relative to man's sensory, motor, decisionmaking, and cognitive behavior and on applications that advance human factors technology

Compliant aerial manipulation.

The aerial manipulation is a research field which proposes the integration of robotic manipulators in aerial platforms, typically multirotors – widely known as “drones” – or autonomous helicopters. The development of this technology is motivated by the convenience to reduce the time, cost and risk associated to the execution of certain operations or tasks in high altitude areas or difficult access workspaces. Some illustrative application examples are the detection and insulation of leaks in pipe structures in chemical plants, repairing the corrosion in the blades of wind turbines, the maintenance of power lines, or the installation and retrieval of sensor devices in polluted areas. Although nowadays it is possible to find a wide variety of commercial multirotor platforms with payloads from a few gramps up to several kilograms, and flight times around thirty minutes, the development of an aerial manipulator is still a technological challenge due to the strong requirements relative to the design of the manipulator in terms of very low weight, low inertia, dexterity, mechanical robustness and control. The main contribution of this thesis is the design, development and experimental validation of several prototypes of lightweight (<2 kg) and compliant manipulators to be integrated in multirotor platforms, including human-size dual arm systems, compliant joint arms equipped with human-like finger modules for grasping, and long reach aerial manipulators. Since it is expected that the aerial manipulator is capable to execute inspection and maintenance tasks in a similar way a human operator would do, this thesis proposes a bioinspired design approach, trying to replicate the human arm in terms of size, kinematics, mass distribution, and compliance. This last feature is actually one of the key concepts developed and exploited in this work. Introducing a flexible element such as springs or elastomers between the servos and the links extends the capabilities of the manipulator, allowing the estimation and control of the torque/force, the detection of impacts and overloads, or the localization of obstacles by contact. It also improves safety and efficiency of the manipulator, especially during the operation on flight or in grabbing situations, where the impacts and contact forces may damage the manipulator or destabilize the aerial platform. Unlike most industrial manipulators, where force-torque control is possible at control rates above 1 kHz, the servo actuators typically employed in the development of aerial manipulators present important technological limitations: no torque feedback nor control, only position (and in some models, speed) references, low update rates (<100 Hz), and communication delays. However, these devices are still the best solution due to their high torque to weight ratio, low cost, compact design, and easy assembly and integration. In order to cope with these limitations, the compliant joint arms presented here estimate and control the wrenches from the deflection of the spring-lever transmission mechanism introduced in the joints, measured at joint level with encoders or potentiometers, or in the Cartesian space employing vision sensors. Note that in the developed prototypes, the maximum joint deflection is around 25 degrees, which corresponds to a deviation in the position of the end effector around 20 cm for a human-size arm. The capabilities and functionalities of the manipulators have been evaluated in fixed base test-bench firstly, and then in outdoor flight tests, integrating the arms in different commercial hexarotor platforms. Frequency characterization, position/force/impedance control, bimanual grasping, arm teleoperation, payload mass estimation, or contact-based obstacle localization are some of the experiments presented in this thesis that validate the developed prototypes.La manipulación aérea es un campo de investigación que propone la integración de manipuladores robóticos in plataformas aéreas, típicamente multirotores – comúnmente conocidos como “drones” – o helicópteros autónomos. El desarrollo de esta tecnología está motivada por la conveniencia de reducir el tiempo, coste y riesgo asociado a la ejecución de ciertas operaciones o tareas en áreas de gran altura o espacios de trabajo de difícil acceso. Algunos ejemplos ilustrativos de aplicaciones son la detección y aislamiento de fugas en estructura de tuberías en plantas químicas, la reparación de la corrosión en las palas de aerogeneradores, el mantenimiento de líneas eléctricas, o la instalación y recuperación de sensores en zonas contaminadas. Aunque hoy en día es posible encontrar una amplia variedad de plataformas multirotor comerciales con cargas de pago desde unos pocos gramos hasta varios kilogramos, y tiempo de vuelo entorno a treinta minutos, el desarrollo de los manipuladores aéreos es todavía un desafío tecnológico debido a los exigentes requisitos relativos al diseño del manipulador en términos de muy bajo peso, baja inercia, destreza, robustez mecánica y control. La contribución principal de esta tesis es el diseño, desarrollo y validación experimental de varios prototipos de manipuladores de bajo peso (<2 kg) con capacidad de acomodación (“compliant”) para su integración en plataformas aéreas multirotor, incluyendo sistemas bi-brazo de tamaño humano, brazos robóticos de articulaciones flexibles con dedos antropomórficos para agarre, y manipuladores aéreos de largo alcance. Puesto que se prevé que el manipulador aéreo sea capaz de ejecutar tareas de inspección y mantenimiento de forma similar a como lo haría un operador humano, esta tesis propone un enfoque de diseño bio-inspirado, tratando de replicar el brazo humano en cuanto a tamaño, cinemática, distribución de masas y flexibilidad. Esta característica es de hecho uno de los conceptos clave desarrollados y utilizados en este trabajo. Al introducir un elemento elástico como los muelles o elastómeros entre el los actuadores y los enlaces se aumenta las capacidades del manipulador, permitiendo la estimación y control de las fuerzas y pares, la detección de impactos y sobrecargas, o la localización de obstáculos por contacto. Además mejora la seguridad y eficiencia del manipulador, especialmente durante las operaciones en vuelo, donde los impactos y fuerzas de contacto pueden dañar el manipulador o desestabilizar la plataforma aérea. A diferencia de la mayoría de manipuladores industriales, donde el control de fuerzas y pares es posible a tasas por encima de 1 kHz, los servo motores típicamente utilizados en el desarrollo de manipuladores aéreos presentan importantes limitaciones tecnológicas: no hay realimentación ni control de torque, sólo admiten referencias de posición (o bien de velocidad), y presentan retrasos de comunicación. Sin embargo, estos dispositivos son todavía la mejor solución debido al alto ratio de torque a peso, por su bajo peso, diseño compacto y facilidad de ensamblado e integración. Para suplir estas limitaciones, los brazos robóticos flexibles presentados aquí permiten estimar y controlar las fuerzas a partir de la deflexión del mecanismo de muelle-palanca introducido en las articulaciones, medida a nivel articular mediante potenciómetros o codificadores, o en espacio Cartesiano mediante sensores de visión. Tómese como referencia que en los prototipos desarrollados la máxima deflexión articular es de unos 25 grados, lo que corresponde a una desviación de posición en torno a 20 cm en el efector final para un brazo de tamaño humano. Las capacidades y funcionalidades de estos manipuladores se han evaluado en base fija primero, y luego en vuelos en exteriores, integrando los brazos en diferentes plataformas hexartor comerciales. Caracterización frecuencial, control de posición/fuerza/impedancia, agarre bimanual, teleoperación de brazos, estimación de carga, o la localización de obstáculos mediante contacto son algunos de los experimentos presentados en esta tesis para validar los prototipos desarrollados por el auto

A Novel 3D Printed Wrist Rehabilitation Robot: Design, Development and Optimal Trajectory Planning

Rehabilitation of patients suffering after stroke impairment is a lengthy process and requires experienced therapists. These limitations have led to the introduction of rehabilitation robots that can operate for a longer time while eliminating the lack of professional therapists. In this thesis, we propose a two-degrees-of-freedom robot for wrist rehabilitation, referred to as MOCH. The MOCH mechanism comprises a remote center of motion (RCM) mechanism with a rotation center outside of the robot structure. When the patient holds the robot end-effector, coinciding the RCM of the robot with the rotation axis of the wrist, allows pure rotational motion of the hand. As the RCM lies out of the robot structure, there is less risk of interference with the patient. Furthermore, MOCH benefits a novel actuation that enables the actuators to be grounded, reducing the inertia and the size of the robot. The optimal design of MOCH is provided considering the mechanical criteria and requirements of the wrist rehabilitation. Based on the proposed design, a prototype of the robot is developed with a total mass of 1.3 kg using 3D printing technology. Additionally, we introduce a novel methodology for passive rehabilitation exercise, exploiting the wrist dynamics which removes the complexity of force/impedance control approaches. This method involves designing an optimal trajectory within the limits of the wrist motion, and to keep the applied torque on the patient's hand in a safe range without using force sensors. The proposed trajectory is tested on a healthy individual using the implemented prototype