Physical Diagnosis and Rehabilitation Technologies

The book focuses on the diagnosis, evaluation, and assistance of gait disorders; all the papers have been contributed by research groups related to assistive robotics, instrumentations, and augmentative devices

Kinematical and dynamical modeling of a multipurpose upper limbs rehabilitation robot

Knowing accurate model of a system is always beneficial to design a robust and safe control while allowing reduction of sensors-related cost as the system outputs are predictable using the model. In this context, this paper addresses the kinematical and dynamical model identification of the multipurpose rehabilitation robot, Universal Haptic Pantograph (UHP), and present experimental validations of the identified models. The UHP is a Pantograph based innovative robot actuated by two SEAs (Series Elastic Actuator), aiming at training impaired upper limbs after a stroke. This novel robot, thanks to its lockable/unlockable joints, can change its mechanical structure so that it enables stroke patient to perform different training exercises of the shoulder, elbow and wrist. This work focuses on the ARM mode, which is a training mode used to rehabilitate elbow and shoulder. The kinematical model of UHP is identified based on the loop vector equations, while the dynamical model is derived based on the Lagrangian formulation. To demonstrate the accuracy of the models, several experimental tests were performed. The results reveal that the mean position error between estimated values with the model and actual measured values stays in 3 mm (less than 2% of the maximum motion range). Moreover, the error between estimated and measured interaction force is smaller than 10% of maximum force range. So, the developed models can be adopted to estimate motion and force of UHP as well as control it without the need of additional sensors such as a force sensor, resulting in the reduction of total robot cost.This work was supported in part by the Basque Country Governments (GV/EJ) under grant PRE-2014-1-152, UPV/EHU’s PPG17/56 project, Basque Country Governments IT914-16 project, Spanish Ministry of Economy and Competitiveness’ MINECO & FEDER inside DPI- 2012-32882 projects, Spanish Ministry of Economy and Competitiveness BES-2013-066142 grant, Euskampus, FIK

Design Principles for FES Concept Development

© Cranfield University 2013. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright owner.A variety of pathologies can cause injury to the spinal cord and hinder movement. A range of equipment is available to help spinal injury sufferers move their affected limbs. One method of rehabilitation is functional electrical stimulation (FES). FES is a technique where small electrical currents are applied to the surface of the user’s legs to stimulate the muscles. Studies have demonstrated the benefits of using this method and it has also been incorporated into a number of devices. The aim of the project was to produce a number of designs for a new device that uses FES technology. The project was completed in conjunction with an industrial partner. A review of the literature and consultation with industrial experts suggested a number of ways current devices could be improved. These included encouraging the user to lean forwards while walking and powering the device using a more ergonomic method. A group of designers were used to produce designs that allowed the user to walk with a more natural gait and avoided cumbersome power packs. The most effective of these designs were combined to form one design that solved both problems. A 3-dimensional model of this design was simulated using computer-aided design software. Groups of engineers, scientists and consumers were also invited to provide input on how a new device should function. Each of these groups provided a design that reflected their specific needs, depending on their experience with similar technology. Low level prototypes were produced of these designs. A group of designers were also used to design concepts for a functional electrical stimulation device based on an introduction given by industry experts. Each of the designs was presented to experienced professionals to obtain feedback. A set of guidelines were also produced during the project that instructed how to create the designs

Kinematical and dynamical modelling of a multipurpose upper limbs rehabilitation robot

Knowing accurate model of a system is always beneficial to design a robust and safe control while allowing reduction of sensors-related cost as the system outputs are predictable using the model. In this context, this paper addresses the kinematical and dynamical model identification of the multipurpose rehabilitation robot, Universal Haptic Pantograph (UHP), and present experimental validations of the identified models. The UHP is a Pantograph based innovative robot actuated by two SEAs (Series Elastic Actuator), aiming at training impaired upper limbs after a stroke. This novel robot, thanks to its lockable/unlockable joints, can change its mechanical structure so that it enables stroke patient to perform different training exercises of the shoulder, elbow and wrist. This work focuses on the ARM mode, which is a training mode used to rehabilitate elbow and shoulder. The kinematical model of UHP is identified based on the loop vector equations, while the dynamical model is derived based on the Lagrangian formulation. To demonstrate the accuracy of the models, several experimental tests were performed. The results reveal that the mean position error between estimated values with the model and actual measured values stays in 3 mm (less than 2% of the maximum motion range). Moreover, the error between estimated and measured interaction force is smaller than 10% of maximum force range. So, the developed models can be adopted to estimate motion and force of UHP as well as control it without the need of additional sensors such as a force sensor, resulting in the reduction of total robot cost.This work was supported in part by the Basque Country Governments (GV/EJ) under grant PRE-2014-1-152, UPV/EHU’s PPG17/56 project, Basque Country Governments IT914-16 project, Spanish Ministry of Economy and Competitiveness’ MINECO & FEDER inside DPI2012-32882 projects, Spanish Ministry of Economy and Competitiveness BES-2013-066142 grant, Euskampus, FIK

Elbow exoskeleton mechanism for multistage poststroke rehabilitation.

More than three million people are suffering from stroke in England. The process of post-stroke rehabilitation consists of a series of biomechanical exercises- controlled joint movement in acute phase; external assistance in the mid phase; and variable levels of resistance in the last phase. Post-stroke rehabilitation performed by physiotherapist has many limitations including cost, time, repeatability and intensity of exercises. Although a large variety of arm exoskeletons have been developed in the last two decades to substitute the conventional exercises provided by physiotherapist, most of these systems have limitations with structural configuration, sensory data acquisition and control architecture. It is still difficult to facilitate multistage post-stroke rehabilitation to patients sited around hospital bed without expert intervention. To support this, a framework for elbow exoskeleton has been developed that is portable and has the potential to offer all three types of exercises (external force, assistive and resistive) in a single structure. The design enhances torque to weight ratio compared to joint based actuation systems. The structural lengths of the exoskeleton are determined based on the mean anthropometric parameters of healthy users and the lengths of upperarm and forearm are determined to fit a wide range of users. The operation of the exoskeleton is divided into three regions where each type of exercise can be served in a specific way depending on the requirements of users. Electric motor provides power in the first region of operation whereas spring based assistive force is used in the second region and spring based resistive force is applied in the third region. This design concept provides an engineering solution of integrating three phases of post-stroke exercises in a single device. With this strategy, the energy source is only used in the first region to power the motor whereas the other two modes of exercise can work on the stored energy of springs. All these operations are controlled by a single motor and the maximum torque of the motor required is only 5 Nm. However, due to mechanical advantage, the exoskeleton can provide the joint torque up to 10 Nm. To remove the dependency on biosensor, the exoskeleton has been designed with a hardware-based mechanism that can provide assistive and resistive force. All exoskeleton components are integrated into a microcontroller-based circuit for measuring three joint parameters (angle, velocity and torque) and for controlling exercises. A user-friendly, multi-purpose graphical interface has been developed for participants to control the mode of exercise and it can be managed manually or in automatic mode. To validate the conceptual design, a prototype of the exoskeleton has been developed and it has been tested with healthy subjects. The generated assistive torque can be varied up to 0.037 Nm whereas resistive torque can be varied up to 0.057 Nm. The mass of the exoskeleton is approximately 1.8 kg. Two comparative studies have been performed to assess the measurement accuracy of the exoskeleton. In the first study, data collected from two healthy participants after using the exoskeleton and Kinect sensor by keeping Kinect sensor as reference. The mean measurement errors in joint angle are within 5.18 % for participant 1 and 1.66% for participant 2; the errors in torque measurement are within 8.48% and 7.93% respectively. In the next study, the repeatability of joint measurement by exoskeleton is analysed. The exoskeleton has been used by three healthy users in two rotation cycles. It shows a strong correction (correlation coefficient: 0.99) between two consecutive joint angle measurements and standard deviation is calculated to determine the error margin which comes under acceptable range (maximum: 8.897). The research embodied in this thesis presents a design framework of a portable exoskeleton model for providing three modes of exercises, which could provide a potential solution for all stages of post- stroke rehabilitation

Design and Control of Robotic Systems for Lower Limb Stroke Rehabilitation

Lower extremity stroke rehabilitation exhausts considerable health care resources, is labor intensive, and provides mostly qualitative metrics of patient recovery. To overcome these issues, robots can assist patients in physically manipulating their affected limb and measure the output motion. The robots that have been currently designed, however, provide assistance over a limited set of training motions, are not portable for in-home and in-clinic use, have high cost and may not provide sufficient safety or performance. This thesis proposes the idea of incorporating a mobile drive base into lower extremity rehabilitation robots to create a portable, inherently safe system that provides assistance over a wide range of training motions. A set of rehabilitative motion tasks were established and a six-degree-of-freedom (DOF) motion and force-sensing system was designed to meet high-power, large workspace, and affordability requirements. An admittance controller was implemented, and the feasibility of using this portable, low-cost system for movement assistance was shown through tests on a healthy individual. An improved version of the robot was then developed that added torque sensing and known joint elasticity for use in future clinical testing with a flexible-joint impedance controller

Modelling and EMG based Control of Upper Limb Exoskeletons for Hand Impairments

Functional losses associated with hand impairments have led to the growing development of hand exoskeletons. The main challenges are to develop the exoskeletons that work according to the user’s motion intention, which can be done by utilizing the electromyogram signals generated by forearm muscles contributed from the movement and/or grasping abilities of the hand. In this research, modelling and EMG based control of hand exoskeletons with the aim to assist stroke survivors in regaining their hand strength and functionality, and improve their quality of life is presented