Design and Prototyping of a Bio-inspired Kinematic Sensing Suit for the Shoulder Joint: Precursor to a Multi-DoF Shoulder Exosuit

Soft wearable robots are a promising new design paradigm for rehabilitation and active assistance applications. Their compliant nature makes them ideal for complex joints like the shoulder, but intuitive control of these robots require robust and compliant sensing mechanisms. In this work, we introduce the sensing framework for a multi-DoF shoulder exosuit capable of sensing the kinematics of the shoulder joint. The proposed tendon-based sensing system is inspired by the concept of muscle synergies, the body's sense of proprioception, and finds its basis in the organization of the muscles responsible for shoulder movements. A motion-capture-based evaluation of the developed sensing system showed conformance to the behaviour exhibited by the muscles that inspired its routing and validates the hypothesis of the tendon-routing to be extended to the actuation framework of the exosuit in the future. The mapping from multi-sensor space to joint space is a multivariate multiple regression problem and was derived using an Artificial Neural Network (ANN). The sensing framework was tested with a motion-tracking system and achieved performance with root mean square error (RMSE) of approximately 5.43 degrees and 3.65 degrees for the azimuth and elevation joint angles, respectively, measured over 29000 frames (4+ minutes) of motion-capture data.Comment: 8 pages, 7 figures, 1 tabl

AirExGlove — A novel pneumatic exoskeleton glove for adaptive hand rehabilitation in post-stroke patients

Stroke is one of the leading causes of disability worldwide: post-stroke disabilities affect the upper and lower limbs, significantly undermining a subject's autonomy in the Activities of Daily Living (ADLs). Among post-stroke disabilities, one of the most impairing and widespread conditions is the clenched fist deformity: the subject experiences a permanent contraction of the hand, resulting in a closed hand rest pose. In this paper, the authors propose a novel light-weight inflatable soft exoskeleton device, called the AirExGlove, to deliver high-dosage, adaptive and gradual rehabilitation therapy to patients affected by clenched fist deformity. Our system is lightweight, low-cost, adaptable to any hand size and unobtrusive. The system has been extensively tested to assess the hand-opening range in which it can operate according to the severity of the patient condition, which is typically ranked on the Modified Ashworth Scale (MAS) scale. Experimental analysis demonstrates the suitability of the glove for patients affected by post-stroke muscle spasticity scoring up to 3 out of 4 in the MAS scale. Preliminary testing with clenched-fist patient confirmed a higher level of ergonomics of the system in comparison with rigid-linked robotic systems

Self-Aligning Finger Exoskeleton for the Mobilization of the Metacarpophalangeal Joint

In the context of hand and finger rehabilitation, kinematic compatibility is key for the acceptability and clinical exploitation of robotic devices. Different kinematic chain solutions have been proposed in the state of the art, with different trade-offs between characteristics of kinematic compatibility, adaptability to different anthropometries, and the ability to compute relevant clinical information. This study presents the design of a novel kinematic chain for the mobilization of the metacarpophalangeal (MCP) joint of the long fingers and a mathematical model for the real-time computation of the joint angle and transferred torque. The proposed mechanism can self-align with the human joint without hindering force transfer or inducing parasitic torque. The chain has been designed for integration into an exoskeletal device aimed at rehabilitating traumatic-hand patients. The exoskeleton actuation the unit has a series-elastic architecture for compliant human-robot interaction and has been assembled and preliminarily tested in experiments with eight human subjects. Performance has been investigated in terms of (i) the accuracy of the MCP joint angle estimation through comparison with a video-based motion tracking system, (ii) residual MCP torque when the exoskeleton is controlled to provide null output impedance and (iii) torque-tracking performance. Results showed a root-mean-square error (RMSE) below 5 degrees in the estimated MCP angle. The estimated residual MCP torque resulted below 7 mNm. Torque tracking performance shows an RMSE lower than 8 mNm in following sinusoidal reference profiles. The results encourage further investigations of the device in a clinical scenario

Development and assessment of a hand assist device: GRIPIT

Background Although various hand assist devices have been commercialized for people with paralysis, they are somewhat limited in terms of tool fixation and device attachment method. Hand exoskeleton robots allow users to grasp a wider range of tools but are heavy, complicated, and bulky owing to the presence of numerous actuators and controllers. The GRIPIT hand assist device overcomes the limitations of both conventional devices and exoskeleton robots by providing improved tool fixation and device attachment in a lightweight and compact device. GRIPIT has been designed to assist tripod grasp for people with spinal cord injury because this grasp posture is frequently used in school and offices for such activities as writing and grasping small objects. Methods The main development objective of GRIPIT is to assist users to grasp tools with their own hand using a lightweight, compact assistive device that is manually operated via a single wire. GRIPIT consists of only a glove, a wire, and a small structure that maintains tendon tension to permit a stable grasp. The tendon routing points are designed to apply force to the thumb, index finger, and middle finger to form a tripod grasp. A tension-maintenance structure sustains the grasp posture with appropriate tension. Following device development, four people with spinal cord injury were recruited to verify the writing performance of GRIPIT compared to the performance of a conventional penholder and handwriting. Writing was chosen as the assessment task because it requires a tripod grasp, which is one of the main performance objectives of GRIPIT. Results New assessment, which includes six different writing tasks, was devised to measure writing ability from various viewpoints including both qualitative and quantitative methods, while most conventional assessments include only qualitative methods or simple time measuring assessments. Appearance, portability, difficulty of wearing, difficulty of grasping the subject, writing sensation, fatigability, and legibility were measured to assess qualitative performance while writing various words and sentences. Results showed that GRIPIT is relatively complicated to wear and use compared to a conventional assist device but has advantages for writing sensation, fatigability, and legibility because it affords sufficient grasp force during writing. Two quantitative performance factors were assessed, accuracy of writing and solidity of writing. To assess accuracy of writing, we asked subjects to draw various figures under given conditions. To assess solidity of writing, pen tip force and the angle variation of the pen were measured. Quantitative evaluation results showed that GRIPIT helps users to write accurately without pen shakes even high force is applied on the pen. Conclusions Qualitative and quantitative results were better when subjects used GRIPIT than when they used the conventional penholder, mainly because GRIPIT allowed them to exert a higher grasp force. Grasp force is important because disabled people cannot control their fingers and thus need to move their entire arm to write, while non-disabled people only need to move their fingers to write. The tension-maintenance structure developed for GRIPIT provides appropriate grasp force and moment balance on the users hand, but the other writing method only fixes the pen using friction force or requires the users arm to generate a grasp force

On Neuromechanical Approaches for the Study of Biological Grasp and Manipulation

Biological and robotic grasp and manipulation are undeniably similar at the level of mechanical task performance. However, their underlying fundamental biological vs. engineering mechanisms are, by definition, dramatically different and can even be antithetical. Even our approach to each is diametrically opposite: inductive science for the study of biological systems vs. engineering synthesis for the design and construction of robotic systems. The past 20 years have seen several conceptual advances in both fields and the quest to unify them. Chief among them is the reluctant recognition that their underlying fundamental mechanisms may actually share limited common ground, while exhibiting many fundamental differences. This recognition is particularly liberating because it allows us to resolve and move beyond multiple paradoxes and contradictions that arose from the initial reasonable assumption of a large common ground. Here, we begin by introducing the perspective of neuromechanics, which emphasizes that real-world behavior emerges from the intimate interactions among the physical structure of the system, the mechanical requirements of a task, the feasible neural control actions to produce it, and the ability of the neuromuscular system to adapt through interactions with the environment. This allows us to articulate a succinct overview of a few salient conceptual paradoxes and contradictions regarding under-determined vs. over-determined mechanics, under- vs. over-actuated control, prescribed vs. emergent function, learning vs. implementation vs. adaptation, prescriptive vs. descriptive synergies, and optimal vs. habitual performance. We conclude by presenting open questions and suggesting directions for future research. We hope this frank assessment of the state-of-the-art will encourage and guide these communities to continue to interact and make progress in these important areas

Feasibility of Muscle Synergy Outcomes in Clinics, Robotics, and Sports: A Systematic Review

In the last years, several studies have been focused on understanding how the central nervous system controls muscles to perform a specific motor task. Although it still remains an open question, muscle synergies have come to be an appealing theory to explain the modular organization of the central nervous system. Even though the neural encoding of muscle synergies remains controversial, a large number of papers demonstrated that muscle synergies are robust across different tested conditions, which are within a day, between days, within a single subject and between subjects that have similar demographic characteristics. Thus, muscle synergy theory has been largely used in several research fields, such as clinics, robotics and sports. The present systematical review aims at providing an overview on the applications of muscle synergy theory in clinics, robotics and sports; in particular, the review is focused on the papers that provide tangible information for: (i) diagnosis or pathology assessment in clinics; (ii) robot-control design in robotics; and (iii) athletes’ performance assessment or training guidelines in sports

On neuromechanical approaches for the study of biological and robotic grasp and manipulation

abstract: Biological and robotic grasp and manipulation are undeniably similar at the level of mechanical task performance. However, their underlying fundamental biological vs. engineering mechanisms are, by definition, dramatically different and can even be antithetical. Even our approach to each is diametrically opposite: inductive science for the study of biological systems vs. engineering synthesis for the design and construction of robotic systems. The past 20 years have seen several conceptual advances in both fields and the quest to unify them. Chief among them is the reluctant recognition that their underlying fundamental mechanisms may actually share limited common ground, while exhibiting many fundamental differences. This recognition is particularly liberating because it allows us to resolve and move beyond multiple paradoxes and contradictions that arose from the initial reasonable assumption of a large common ground. Here, we begin by introducing the perspective of neuromechanics, which emphasizes that real-world behavior emerges from the intimate interactions among the physical structure of the system, the mechanical requirements of a task, the feasible neural control actions to produce it, and the ability of the neuromuscular system to adapt through interactions with the environment. This allows us to articulate a succinct overview of a few salient conceptual paradoxes and contradictions regarding under-determined vs. over-determined mechanics, under- vs. over-actuated control, prescribed vs. emergent function, learning vs. implementation vs. adaptation, prescriptive vs. descriptive synergies, and optimal vs. habitual performance. We conclude by presenting open questions and suggesting directions for future research. We hope this frank and open-minded assessment of the state-of-the-art will encourage and guide these communities to continue to interact and make progress in these important areas at the interface of neuromechanics, neuroscience, rehabilitation and robotics.The electronic version of this article is the complete one and can be found online at: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-017-0305-

Exoguante mecánico para asistencia en rehabilitación de pacientes con insuficiencia motora en las manos

La presente tesis tiene como objetivo principal, determinar especificaciones de diseño de Exoguante mecánico para asistencia en rehabilitación de pacientes con insuficiencia motora en las manos. Las necesidades de diseño se obtuvieron mediante entrevistas a profesionales en fisioterapia. Mediante una matriz morfológica se seleccionó un concepto óptimo a través de criterios ponderados. Para una adecuada selección de los componentes se aplicó el diseño de configuración e ingeniería de detalle al concepto seleccionado. Se analizó el cabrestante del actuador en el software SolidWorks simulation, obteniendo el factor de seguridad mediante esfuerzos de Von Misses. El material del exoguante evaluado fue de cuero badana, por su flexibilidad y resistencia mecánica. Para el sistema de accionamiento del actuador se seleccionó el módulo de voz ELECHOUSE V3 como entrada de variables, este módulo fue conectado al microcontrolador Arduino UNO. Con el fin de validar el funcionamiento y agarre del Exoguante mecánico, se realizaron pruebas experimentales en dos sujetos que sufrieron ACV, logrando sujetar objetos de 6 gramos, 92 gramos y 344 gramos de peso las fuerzas máximas promedio de pellizco fueron 6.3N, 7.2N, 7.6N, con un desplazamiento de 10 mm. 45 mm. 70mm. de diámetro. El costo del proyecto como producto fue de S/. 1108.00

Soft Gloves: A Review on Recent Developments in Actuation, Sensing, Control and Applications

Interest in soft gloves, both robotic and haptic, has enormously grown over the past decade, due to their inherent compliance, which makes them particularly suitable for direct interaction with the human hand. Robotic soft gloves have been developed for hand rehabilitation, for ADLs assistance, or sometimes for both. Haptic soft gloves may be applied in virtual reality (VR) applications or to give sensory feedback in combination with prostheses or to control robots. This paper presents an updated review of the state of the art of soft gloves, with a particular focus on actuation, sensing, and control, combined with a detailed analysis of the devices according to their application field. The review is organized on two levels: a prospective review allows the highlighting of the main trends in soft gloves development and applications, and an analytical review performs an in-depth analysis of the technical solutions developed and implemented in the revised scientific research. Additional minor evaluations integrate the analysis, such as a synthetic investigation of the main results in the clinical studies and trials referred in literature which involve soft gloves