Feedback Control of an Exoskeleton for Paraplegics: Toward Robustly Stable Hands-free Dynamic Walking

This manuscript presents control of a high-DOF fully actuated lower-limb exoskeleton for paraplegic individuals. The key novelty is the ability for the user to walk without the use of crutches or other external means of stabilization. We harness the power of modern optimization techniques and supervised machine learning to develop a smooth feedback control policy that provides robust velocity regulation and perturbation rejection. Preliminary evaluation of the stability and robustness of the proposed approach is demonstrated through the Gazebo simulation environment. In addition, preliminary experimental results with (complete) paraplegic individuals are included for the previous version of the controller.Comment: Submitted to IEEE Control System Magazine. This version addresses reviewers' concerns about the robustness of the algorithm and the motivation for using such exoskeleton

Robot Assisted Shoulder Rehabilitation: Biomechanical Modelling, Design and Performance Evaluation

The upper limb rehabilitation robots have made it possible to improve the motor recovery in stroke survivors while reducing the burden on physical therapists. Compared to manual arm training, robot-supported training can be more intensive, of longer duration, repetitive and task-oriented. To be aligned with the most biomechanically complex joint of human body, the shoulder, specific considerations have to be made in the design of robotic shoulder exoskeletons. It is important to assist all shoulder degrees-of-freedom (DOFs) when implementing robotic exoskeletons for rehabilitation purposes to increase the range of motion (ROM) and avoid any joint axes misalignments between the robot and human’s shoulder that cause undesirable interaction forces and discomfort to the user. The main objective of this work is to design a safe and a robotic exoskeleton for shoulder rehabilitation with physiologically correct movements, lightweight modules, self-alignment characteristics and large workspace. To achieve this goal a comprehensive review of the existing shoulder rehabilitation exoskeletons is conducted first to outline their main advantages and disadvantages, drawbacks and limitations. The research has then focused on biomechanics of the human shoulder which is studied in detail using robotic analysis techniques, i.e. the human shoulder is modelled as a mechanism. The coupled constrained structure of the robotic exoskeleton connected to a human shoulder is considered as a hybrid human-robot mechanism to solve the problem of joint axes misalignments. Finally, a real-scale prototype of the robotic shoulder rehabilitation exoskeleton was built to test its operation and its ability for shoulder rehabilitation

Development and Biomechanical Analysis toward a Mechanically Passive Wearable Shoulder Exoskeleton

Shoulder disability is a prevalent health issue associated with various orthopedic and neurological conditions, like rotator cuff tear and peripheral nerve injury. Many individuals with shoulder disability experience mild to moderate impairment and struggle with elevating the shoulder or holding the arm against gravity. To address this clinical need, I have focused my research on developing wearable passive exoskeletons that provide continuous at-home movement assistance. Through a combination of experiments and computational tools, I aim to optimize the design of these exoskeletons. In pursuit of this goal, I have designed, fabricated, and preliminarily evaluated a wearable, passive, cam-driven shoulder exoskeleton prototype. Notably, the exoskeleton features a modular spring-cam-wheel module, allowing customizable assistive force to compensate for different proportions of the shoulder elevation moment due to gravity. The results of my research demonstrated that this exoskeleton, providing modest one-fourth gravity moment compensation at the shoulder, can effectively reduce muscle activity, including deltoid and rotator cuff muscles. One crucial aspect of passive shoulder exoskeleton design is determining the optimal anti-gravity assistance level. I have addressed this challenge using computational tools and found that an assistance level within the range of 20-30% of the maximum gravity torque at the shoulder joint yields superior performance for specific shoulder functional tasks. When facing a new task dynamic, such as wearing a passive shoulder exoskeleton, the human neuro-musculoskeletal system adapts and modulates limb impedance at the end-limb (i.e., hand) to enhance task stability. I have presented development and validation of a realistic neuromusculoskeletal model of the upper limb that can predict stiffness modulation and motor adaptation in response to newly introduced environments and force fields. Future studies will explore the model\u27s applicability in predicting stiffness modulation for 3D movements in novel environments, such as passive assistive devices\u27 force fields

Low obstacles avoidance for lower limb exoskeletons

Gli esoscheletri motorizzati per gli arti inferiori (LLEs) sono robot indossabili che permettono a soggetti con disabilità degli arti inferiori di camminare indipendentemente, e persino migliorare le prestazioni degli arti inferiori nel caso di soggetti sani. Nonostante i recenti sviluppi, l'uso di questa promettente tecnologia è relegato agli ambiti clinici e di ricerca; il suo utilizzo come strumento per camminare in modo indipendente in ambienti non controllati è ancora mancante. Il motivo principale di questa limitazione è dovuto alla mancanza di adattabilità degli LLE ai diversi ambienti che possono essere incontrati durante il cammino: la maggioranza degli LLE sfrutta traiettorie predefinite degli arti inferiori senza valutare l'ambiente circostante. Questo implica che ogni tipo di controllo addizionale è a carico dell'utente, e risulta in un sovraccarico fisico e cognitivo da parte di quest'ultimo. Questa tesi si pone l'obbiettivo di superare le limitazioni sopracitate, proponendo un approccio innovativo per aumentare l'autonomia degli LLE. In particolare, il metodo proposto ha lo scopo di stimare la traiettoria degli arti inferiori ottimale, così da poter superare in modo autonomo gli ostacoli bassi che potrebbero essere incontrati lungo il cammino. Tramite l'uso di una stereo camera unita ad un algoritmo di Computer Vision, l'ambiente viene percepito in modo da identificare il pavimento e gli ostacoli che potrebbero influenzare il cammino con l'obbiettivo di selezionare il punto d'appoggio ottimale per il piede. Successivamente, un algoritmo iterativo per la generazione della traiettoria del piede senza collisioni (CFFTG) permette di ottenere i dati necessari a calcolare la cinematica inversa dell'esoscheletro, ed infine gli angoli ai giunti ottenuti da quest'ultima vengono forniti ai controllori dei motori per effettuare il movimento desiderato. Test sperimentali in simulazione (basati su dati reali) sono stati eseguiti per valutare il comportamento dell'algoritmo di Computer Vision e del CFFTG, mostrando ottimi risultati in diversi scenari. Inoltre, le assunzioni su cui si basa la soluzione proposta permettono la sua compatibilità con la maggioranza degli esoscheletri commerciali e di ricerca attualmente disponibili. Credo che pensare agli esoscheletri come degli agenti semi autonomi, piuttosto che come dei dispositivi controllati unicamente dall'utente, rappresenti non solo un percorso che porterà alla simbiosi tra uomo ed esoscheletro, ma anche all'uso di questa tecnologia nella vita di tutti i giorni.Powered lower limb exoskeletons (LLEs) are innovative wearable robots that allow independent walking in people with severe gait impairments, or even to augment lower limb capabilities of able-bodied users. Despite the recent advancements, the use of this promising technology is still restricted to controlled research/clinical settings; uptake in real-life conditions as a device to promote user independence is still lacking. The main reason behind this limitation can be traced back to the lack adaptability of LLEs to the different walking conditions that may be encountered in real world settings: the majority of LLEs relies on predefined gait trajectories and is generally unaware of the environment in which gait occurs. This means that the control burden is entirely on the user, resulting in an increased physical and cognitive workload. This thesis aims at overcoming the aforementioned limitations by proposing a novel approach to enhance the autonomy of the LLEs. In particular, the proposed method has the purpose of estimating the optimal gait trajectory of the exoskeleton in order to autonomously avoid low obstacles on the ground. By using a depth camera coupled with Computer Vision software module, the environment is sensed to detect the ground plane and obstacles that might interfere with the forward motion, in order to predict the following foothold. Then, an iterative-based collision-free foot trajectory generator (CFFTG) algorithm is proposed to calculate the optimal foot motion and the joints’ angles to be sent to the exoskeleton low-level controllers. Experimental tests have been carried out in simulation to evaluate both the CV module and the CFFTG based on real data, showing successful performance in different scenarios. In addition, the assumptions that have been considered in this work make the proposed approach compatible with the majority of exoskeletons in research and on the market. I believe that re-thinking exoskeletons as semi-autonomous agents will represent not only the cornerstone to promote a more symbiotic human-exoskeleton interaction but may also pave the way for the use of this technology in the everyday life

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

Design and control of a single-leg exoskeleton with gravity compensation for children with unilateral cerebral palsy

Children with cerebral palsy (CP) experience reduced quality of life due to limited mobility and independence. Recent studies have shown that lower-limb exoskeletons (LLEs) have significant potential to improve the walking ability of children with CP. However, the number of prototyped LLEs for children with CP is very limited, while no single-leg exoskeleton (SLE) has been developed specifically for children with CP. This study aims to fill this gap by designing the first size-adjustable SLE for children with CP aged 8 to 12, covering Gross Motor Function Classification System (GMFCS) levels I to IV. The exoskeleton incorporates three active joints at the hip, knee, and ankle, actuated by brushless DC motors and harmonic drive gears. Individuals with CP have higher metabolic consumption than their typically developed (TD) peers, with gravity being a significant contributing factor. To address this, the study designed a model-based gravity-compensator impedance controller for the SLE. A dynamic model of user and exoskeleton interaction based on the Euler–Lagrange formulation and following Denavit–Hartenberg rules was derived and validated in Simscape™ and Simulink® with remarkable precision. Additionally, a novel systematic simplification method was developed to facilitate dynamic modelling. The simulation results demonstrate that the controlled SLE can improve the walking functionality of children with CP, enabling them to follow predefined target trajectories with high accuracy

Robotic Home-Based Rehabilitation Systems Design: From a Literature Review to a Conceptual Framework for Community-Based Remote Therapy During COVID-19 Pandemic

During the COVID-19 pandemic, the higher susceptibility of post-stroke patients to infection calls for extra safety precautions. Despite the imposed restrictions, early neurorehabilitation cannot be postponed due to its paramount importance for improving motor and functional recovery chances. Utilizing accessible state-of-the-art technologies, home-based rehabilitation devices are proposed as a sustainable solution in the current crisis. In this paper, a comprehensive review on developed home-based rehabilitation technologies of the last 10 years (2011–2020), categorizing them into upper and lower limb devices and considering both commercialized and state-of-the-art realms. Mechatronic, control, and software aspects of the system are discussed to provide a classified roadmap for home-based systems development. Subsequently, a conceptual framework on the development of smart and intelligent community-based home rehabilitation systems based on novel mechatronic technologies is proposed. In this framework, each rehabilitation device acts as an agent in the network, using the internet of things (IoT) technologies, which facilitates learning from the recorded data of the other agents, as well as the tele-supervision of the treatment by an expert. The presented design paradigm based on the above-mentioned leading technologies could lead to the development of promising home rehabilitation systems, which encourage stroke survivors to engage in under-supervised or unsupervised therapeutic activities