An Industrial Robot-Based Rehabilitation System for Bilateral Exercises

Robot-assisted rehabilitation devices can provide intensive and precise task-based training that differs from clinician-facilitated manual therapy. However, industrial robots are still rarely used in rehabilitation, especially in bilateral exercises. The main purpose of this research is to develop and evaluate the functionality of a bilateral upper-limb rehabilitation system based on two modern industrial robots. A `patient-cooperative' control strategy is developed based on an adaptive admittance controller, which can take into account patients' voluntary efforts. Three bilateral training protocols (passive, active, and self) are also proposed based on the system and the control strategy. Experimental results from 10 healthy subjects show that the proposed system can provide reliable bilateral exercises: the mean RMS values for the master error and the master-slave error are all less than 1.00 mm and 1.15 mm respectively, and the mean max absolute values for the master error and the master-slave error are no greater than 6.11 mm and 6.73 mm respectively. Meanwhile, the experimental results also confirm that the recalculated desired trajectory can present the voluntary efforts of subjects. These experimental findings suggest that industrial robots can be used in bilateral rehabilitation training, and also highlight the potential applications of the proposed system in further clinical practices

Bio-Cooperative Approach for the Human-in-the-Loop Control of an End-Effector Rehabilitation Robot

The design of patient-tailored rehabilitative protocols represents one of the crucial factors that influence motor recovery mechanisms, such as neuroplasticity. This approach, including the patient in the control loop and characterized by a control strategy adaptable to the user's requirements, is expected to significantly improve functional recovery in robot-aided rehabilitation. In this paper, a novel 3D bio-cooperative robotic platform is developed. A new arm-weight support system is included into an operational robotic platform for 3D upper limb robot-aided rehabilitation. The robotic platform is capable of adapting therapy characteristics to specific patient needs, thanks to biomechanical and physiological measurements, and thus closing the subject in the control loop. The level of arm-weight support and the level of the assistance provided by the end-effector robot are varied on the basis of muscular fatigue and biomechanical indicators. An assistance-as-needed approach is applied to provide the appropriate amount of assistance. The proposed platform has been experimentally validated on 10 healthy subjects; they performed 3D point-to-point tasks in two different conditions, i.e., with and without assistance-as-needed. The results have demonstrated the capability of the proposed system to properly adapt to real needs of the patients. Moreover, the provided assistance was shown to reduce the muscular fatigue without negatively influencing motion execution