Design, implementation and control of self-aligning, bowden cable-driven, series elastic exoskeletons for lower extremity rehabilitation

We present AssistOn-Leg, a modular, self-aligning exoskeleton for robotassisted rehabilitation of lower extremities. AssistOn-Leg consists of three selfaligning, powered exoskeletons targeting ankle, knee and hip joints, respectively. Each module can be used in a stand-alone manner to provide therapy to its corresponding joint or the modules can be connected together to deliver natural gait training to patients. In particular, AssistOn-Ankle targets dorsiflexion/ plantarflexion and supination/pronation of human ankle and can be configured to deliver balance/proprioception or range of motion/strengthening exercises; AssistOn-Knee targets flexion/extension movements of the knee joint, while also accommodating its translational movements in the sagittal plane; and AssistOn- Hip targets flexion/extension movements hip joint, while allowing for translations of hip-pelvis complex in the sagittal plane. Automatically aligning their joint axes, modules of AssistOn-Leg ensure an ideal match between human joint axes and the exoskeleton axes. Self-alignment of the modules not only guarantees ergonomy and comfort throughout the therapy, but also significantly shortens the setup time required to attach a patient to the exoskeleton. Bowden cable-driven series elastic actuation is utilized in the modules located at the distal (knee and ankle) joints of AssistOn-Leg to keep the apparent inertia of the system low, while simultaneously providing large actuation torques required to support human gait. Series elasticity also provides good force tracking characteristics, active back-driveability within the control bandwidth and passive compliance as well as impact resistance for excitations above this bandwidth. AssistOn-Hip is designed to be passively back-driveable with a capstan-based multi-level transmission. Thanks to passive compliance of the distal modules and passive backdriveability of the hip module, the overall design ensures safety even under power losses and robustness throughout the whole frequency spectrum

Design, implementation, control, and user evaluations of assiston-arm self-aligning upper-extremity exoskeleton

Physical rehabilitation therapy is indispensable for treating neurological disabilities. The use of robotic devices for rehabilitation holds high promise, since these devices can bear the physical burden of rehabilitation exercises during intense therapy sessions, while therapists are employed as decision makers. Robot-assisted rehabilitation devices are advantageous as they can be applied to patients with all levels of impairment, allow for easy tuning of the duration and intensity of therapies and enable customized, interactive treatment protocols. Moreover, since robotic devices are particularly good at repetitive tasks, rehabilitation robots can decrease the physical burden on therapists and enable a single therapist to supervise multiple patients simultaneously; hence, help to lower cost of therapies. While the intensity and quality of manually delivered therapies depend on the skill and fatigue level of therapists, high-intensity robotic therapies can always be delivered with high accuracy. Thanks to their integrated sensors, robotic devices can gather measurements throughout therapies, enable quantitative tracking of patient progress and development of evidence-based personalized rehabilitation programs. In this dissertation, we present the design, control, characterization and user evaluations of AssistOn-Arm, a powered, self-aligning exoskeleton for robotassisted upper-extremity rehabilitation. AssistOn-Arm is designed as a passive back-driveable impedance-type robot such that patients/therapists can move the device transparently, without much interference of the device dynamics on natural movements. Thanks to its novel kinematics and mechanically transparent design, AssistOn-Arm can passively self-align its joint axes to provide an ideal match between human joint axes and the exoskeleton axes, guaranteeing ergonomic movements and comfort throughout physical therapies. The self-aligning property of AssistOn-Arm not only increases the usable range of motion for robot-assisted upper-extremity exercises to cover almost the whole human arm workspace, but also enables the delivery of glenohumeral mobilization (scapular elevation/depression and protraction/retraction) and scapular stabilization exercises, extending the type of therapies that can be administered using upper-extremity exoskeletons. Furthermore, the self-alignment property of AssistOn-Arm signi cantly shortens the setup time required to attach a patient to the exoskeleton. As an impedance-type device with high passive back-driveability, AssistOn- Arm can be force controlled without the need of force sensors; hence, high delity interaction control performance can be achieved with open-loop impedance control. This control architecture not only simpli es implementation, but also enhances safety (coupled stability robustness), since open-loop force control does not su er from the fundamental bandwidth and stability limitations of force-feedback. Experimental characterizations and user studies with healthy volunteers con- rm the transparency, range of motion, and control performance of AssistOn- Ar

Comfort-Centered Design of a Lightweight and Backdrivable Knee Exoskeleton

This paper presents design principles for comfort-centered wearable robots and their application in a lightweight and backdrivable knee exoskeleton. The mitigation of discomfort is treated as mechanical design and control issues and three solutions are proposed in this paper: 1) a new wearable structure optimizes the strap attachment configuration and suit layout to ameliorate excessive shear forces of conventional wearable structure design; 2) rolling knee joint and double-hinge mechanisms reduce the misalignment in the sagittal and frontal plane, without increasing the mechanical complexity and inertia, respectively; 3) a low impedance mechanical transmission reduces the reflected inertia and damping of the actuator to human, thus the exoskeleton is highly-backdrivable. Kinematic simulations demonstrate that misalignment between the robot joint and knee joint can be reduced by 74% at maximum knee flexion. In experiments, the exoskeleton in the unpowered mode exhibits 1.03 Nm root mean square (RMS) low resistive torque. The torque control experiments demonstrate 0.31 Nm RMS torque tracking error in three human subjects.Comment: 8 pages, 16figures, Journa

Design, implementation and control of a self-aligning full arm exoskeleton for physical rehabilitation

We present kinematics, design, control, characterization and user evaluation of AssistOn-Arm, a novel, powered, self-aligning exoskeleton for robot-assisted upper extremity rehabilitation that allows for movements of the shoulder girdle as well as shoulder rotations. AssistOn-Arm can both actively and passively enable translational movements of the center of glenohumeral joint, while also passively compensating for the translational movements at elbow and wrist. Automatically aligning all its joint axes, AssistOn-Arm provides an ideal match between human joint axes and the exoskeleton axes, guaranteeing ergonomy and comfort throughout the therapy, and extending the usable range of motion for upper extremity movement therapies. Furthermore, self-aligning feature of AssistOn-Arm significantly shortens the setup time required to attach the patient to the exoskeleton. In addition to the typical shoulder rotation exercises, AssistOn-Arm can deliver glenohumeral mobilization (scapular elevation/depression and protraction/retraction) and scapular stabilization exercises, extending the type of therapies that can be administered using the upper-arm exoskeletons. To ensure safety and gentle interactions with the patient, AssistOn-Arm is designed to be passively backdriveable, thanks to its capstan-based multi-level transmission and spring-based passive gravity compensation mechanism. Open and closed-loop impedance controllers have been implemented to safely regulate interactions of AssistOn-Arm with patients and performance of the device has been experimentally characterized. Ergonomy and useability of the device has also been demonstrated through human subject experiments

Self-adjustment mechanisms and their application for orthosis design

Medical orthoses aim at guiding anatomical joints along their natural trajectories while preventing pathological movements, especially in case of trauma or injuries. The motions that take place between bone surfaces have complex kinematics. These so-called arthrokinematic motions exhibit axes that move both in translation and rotation. Traditionally, orthoses are carefully adjusted and positioned such that their kinematics approximate the arthrokinematic movements as closely as possible in order to protect the joint. Adjustment procedures are typically long and tedious. We suggest in this paper another approach. We propose mechanisms having intrinsic self-aligning properties. They are designed such that their main axis self-adjusts with respect to the joint’s physiological axis during motion. When connected to a limb, their movement becomes homokinetic and they have the property of automatically minimizing internal stresses. The study is performed here in the planar case focusing on the most important component of the arthrokinematic motions of a knee joint

A double-layered elbow exoskeleton interface with 3-PRR planar parallel mechanism for axis self-alignment

Abstract Designing a mechanism for elbow self-axis alignment requires the elimination of undesirable joint motion and tissue elasticity. The novelty of this work lies in proposing a double-layered interface using a 3-PRR planar parallel mechanism as a solution to the axis alignment problem. 3-PRR planar parallel mechanisms are suitable candidates to solve this as they can span the desired workspace in a relatively compact size. In this paper, we present the modeling, design, prototyping, and validation of the double-layered elbow exoskeleton interface for axis self-alignment. The desired workspace for the self-axis alignment mechanism is specified based on the estimated maximum possible misalignment between the exoskeleton joint and the human anatomical elbow joint. Kinematic parameters of the 3-PRR planar mechanism are identified by formulating an optimization problem. The goal is to find the smallest mechanism that can span the specified workspace. The orientation angle of the mechanism’s plane addresses the frontal frustum vertex angle of the elbow’s joint, while the translational motion allows the translational offsets between the user’s elbow and the exoskeleton joint. The designed exoskeleton axis can passively rotate around the frontal plane ±15 deg and translate along the workspace 30 mm in the frontal plane. Experimental results (quantitative and qualitative) confirmed the capability of the proposed exoskeleton in addressing the complex elbow motion, user’s satisfaction, and ergonomics

Design and Control of a Knee Exoskeleton for Assistance and Power Augmentation

Thanks to the technological advancements, assistive lower limb exoskeletons are moving from laboratory settings to daily life scenarios. This dissertation makes a contribution toward the development of assistive/power augmentation knee exoskeletons with an improved wearability, ergonomics and intuitive use. In particular, the design and the control of a novel knee exoskeleton system, the iT-Knee Bipedal System, is presented. It is composed by: a novel mechanism to transmit the assistance generated by the exoskeleton to the knee joint in a more ergonomic manner; a novel method that requires limited information to estimate online the torques experienced by the ankles, knees and hips of a person wearing the exoskeleton; a novel sensor system for shoes able to track the feet orientation and monitor their full contact wrench with the ground. In particular, the iT-Knee exoskeleton, the main component of the aforementioned system, is introduced. It is a novel six degree of freedom knee exoskeleton module with under-actuated kinematics, able to assist the flexion/extension motion of the knee while all the other joint\u2019s movements are accommodated. Thanks to its mechanism, the system: solves the problem of the alignment between the joint of the user and the exoskeleton; it automatically adjusts to different users\u2019 size; reduces the undesired forces and torques exchanged between the attachment points of its structure and the user\u2019s skin. From a control point of view, a novel approach to address difficulties arising in real life scenarios (i.e. noncyclic locomotion activity, unexpected terrain or unpredicted interactions with the surroundings) is presented. It is based on a method that estimates online the torques experienced by a person at his ankles, knees and hips with the major advantage that does not rely on any information of the user\u2019s upper body (i.e. pose, weight and center of mass location) or on any interaction of the user\u2019s upper body with the environment (i.e. payload handling or pushing and pulling task). This is achieved v by monitoring the full contact wrench of the subject with the ground and applying an inverse dynamic approach to the lower body segments. To track the full contact wrench between the subject\u2019s feet and the ground, a novel add on system for shoes has been developed. The iT-Shoe is adjustable to different user\u2019s size and accommodates the plantar flexion of the foot. It tracks the interactions and the orientation of the foot thanks to two 6axis Force/Torque sensors, developed in-house, with dedicated embedded MEMS IMUs placed at the toe and heel area. Different tasks and ground conditions were tested to validate and highlight the potentiality of the proposed knee exoskeleton system. The experimental results obtained and the feedback collected confirm the validity of the research conducted toward the design of more ergonomic and intuitive to use exoskeletons

Design, implementation and control of an overground gait and balance trainer with an active pelvis-hip exoskeleton

Human locomotion is crucial for performing activities of daily living and any disability in gait causes a significant decrease in the quality of life. Gait rehabilitation therapy is imperative to improve adverse effects caused by such disabilities. Gait therapies are known to be more effective when they are intense, repetitive, and allow for active involvement of patients. Robotic devices excel in performing repetitive gait rehabilitation therapies as they can eliminate the physical burden of the therapist, enable safe and versatile training with increased intensity, while allowing quantitative measurements of patient progress. Gait therapies need to be applied to specific joints of patients such that the joints work in a coordinated and repetitious sequence to generate a natural gait pattern. Six determinants of gait pattern have been identified that lead to efficient locomotion and any irregularities in these determinants result in pathological gaits. Three of these six basic gait determinants include movements of the pelvic joint; therefore, an effective gait rehabilitation robot is expected to be capable of controlling the movements of the human pelvis. We present the design, implementation, control, and experimental verification of AssistOn-Gait, a robot-assisted trainer, for restoration and improvement of gait and balance of patients with disabilities affecting their lower extremities. In addition to overground gait and balance training, AssistOn-Gait can deliver pelvis-hip exercises aimed to correct compensatory movements arising from abnormal gait patterns, extending the type of therapies that can be administered using lower extremity exoskeletons. AssistOn-Gait features a modular design, consisting of an impedance controlled, self-aligning pelvis-hip exoskeleton, supported by a motion controlled holonomic mobile platform and a series-elastic body weight support system. The pelvis-hip exoskeleton possesses 7 active degrees of freedom to independently control the rotation of the each hip in the sagittal plane along with the pelvic rotation, the pelvic tilt, lateral pelvic displacement, and the pelvic displacements in the sagittal plane. The series elastic body weight support system can provide dynamic unloading to support a percentage of a patient's weight, while also compensating for the inertial forces caused by the vertical movements of the body. The holonomic mobile base can track the movements of patients on flat surfaces, allowing patients to walk naturally, start/stop motion, vary their speed, sidestep to maintain balance, and turn to change their walking direction. Each of these modules can be used independently or in combination with each other, to provide different configurations for overground and treadmill based training with and without dynamic body weight support. The pelvis-hip exoskeleton of AssistOn-Gait is constructed using two passively backdrivable planar parallel mechanisms connected to the patient with a custom harness, to enable both passive movements and independent active impedance control of the pelvis-hip complex. Furthermore, the exoskeleton is self-aligning; it can automatically adjust the center of rotation of its joint axes, enabling an ideal match between patient's hip rotation axes and the device axes in the sagittal plane. This feature not only guarantees ergonomy and comfort throughout the therapy, but also extends the usable range of motion for the hip joint. Moreover, this feature significantly shortens the setup time required to attach the patient to the exoskeleton. The exoskeleton can also be used to implement virtual constraints to ensure coordination and synchronization between various degrees of freedom of the pelvis-hip complex and to assist patients as-needed for natural gait cycles. The overall kinematics of AssistOn-Gait is redundant, as the exoskeleton module spans all the degrees of freedom covered by the mobile platform. Furthermore, the device features dual layer actuation, since the exoskeleton module is designed for force control with good transparency, while the mobile base is designed for motion control to carry the weight of the patient and the exoskeleton. The kinematically redundant dual layer actuation enables the mobile base of the system to be controlled using workspace centering control strategy without the need for any additional sensors, since the patient movements are readily measured by the exoskeleton module. The workspace centering controller ensures that the workspace limits of the exoskeleton module are not reached, decoupling the dynamics of the mobile base from the dynamics of the exoskeleton. Consequently, AssistOn-Gait possesses virtually unlimited workspace, while featuring the same output impedance and force rendering performance as its exoskeleton module. The mobile platform can also be used to generate virtual fixtures to guide patient movements. The ergonomy and useability of AssistOn-Gait have been tested with several human subject experiments. The experimental results verify that AssistOn-Gait can achieve the desired level of ergonomy and passive backdrivability, as the gait patterns with the device in zero impedance mode are shown not to significantly deviate from the natural gait of the subjects. Furthermore, virtual constraints and force-feedback assistance provided by AssistOn-Gait have been shown to be adequate to ensure repeatability of desired corrective gait patterns

Design, implementation and control of rehabilitation robots for upper and lower limbs

We present two novel rehabilitation robots for stroke patients. For lower limb stroke rehabilitation, we present a novel self-aligning exoskeleton for the knee joint. The primal novelty of the design originates from its kinematic structure that allows translational movements of the knee joint on the sagittal plane along with the knee rotation. Automatically adjusting its joint axes, the exoskeleton enables a perfect match between human joint axes and the device axes. Thanks to this feature, the knee exoskeleton is not only capable of guaranteeing ergonomy and comfort throughout the therapy, but also extends the usable range of motion for the knee joint. Moreover, this adjustability feature significantly shortens the setup time required to attach the patient to the robot, allowing more effective time be spend on exercises instead of wasting it for adjustments. We have implemented an impedance-type concept of the knee exoskeleton, experimentally characterized its closed-loop performance and demonstrated ergonomy and useability of this device through human subject experiments. To administer table top exercises during upper limb stroke rehabilitation, we present a novel Mecanum-wheeled holonomic mobile rehabilitation robot for home therapy. The device can move/rotate independently on its unlimited planar workspace to provide assistance to patients. We have implemented two different concepts of holonomic mobile platform based on different actuation and sensing principles: an admittance-type mobile robot and a mobile platform with series elastic actuation. The admittance-type robot is integrated with virtual reality simulations and can assist patients through virtual tunnels designed around nominal task trajectories. The holonomic platform with series elastic actuation eliminates the need for costly force sensors and enables implementation of closed loop force control with higher controller gains, providing robustness against imperfections in the power transmission and allowing lower cost drive components to be utilized. For contour following tasks with the holonomic platforms, we have synthesized passive velocity field controllers (PVFC) that ensure coordination and synchronization between various degrees of freedom of the patient arm, while letting patients to complete the task at their own preferred pace. PVFC not only minimizes the contour error but also ensures coupled stability of the human-in-the-loop system

Self-adjusting, Isostatic Exoskeleton for The Human Knee Joint

Abstract — A knee-joint exoskeleton design that can apply programmable torques to the articulation and that self-adjusts to its physiological movements is described. Self-adjustment means that the articular torque is automatically produced around the rotational axis of the joint. The requirements are first discussed and the conditions under which the system tracks the spatial relative movements of the limbs are given. If these conditions are met, the torque applied to the joint takes into account the possible relative movements of the limbs without introducing constraints. A prototype was built to demonstrate the applicability of these principles and preliminary tests were carried out to validate the design. I