A Novel Design and Implementation of a 4-DOF Upper Limb Exoskeleton for Stroke Rehabilitation with Active Assistive Control Strategy

We developed a robot, CUREs (Chulalongkorn University Rehabilitation Robotic Exoskeleton system), for upper extremity rehabilitation. The active assistive control strategy based on the impedance force control is developed and implemented to obtain assistive-resistive paths tracking for rehabilitation activities. The desired trajectory or rehabilitated training pattern for each specific patient need to be assigned first by a medical doctor and a physical therapy. The therapist can program the desired trajectory by guiding the patient arm based on the assigned path pattern and the set of via points will be stored and used for generating the desired trajectory. The desired trajectory will be stored specific for the patient and can be called back anytime. During the rehabilitation, the robot can assist and resist the patient’s arm to follow the desired trajectory. If the patient has difficulty moving his arm to track the desired path, the robot will help by adding more torque to help the patient to move his arm to reduce the error between the desired path and the actual posture. And if the patient himself can move his arm tracking the desired path, the robot will not apply any more force to assist or resist. The necessary state variables such as angular position and torque can be recorded during the training. The main purpose of the experiment, follow the medical ethic, is to assure that there is no side effect for using this rehabilitation robot. Five subacute stroke patients participated in this pilot study. All patients have severe upper extremity weakness. The medical doctor will assign the training pattern based on patient condition. The result showed that the Fugl-Meyer Assessment Upper Extremity Scale was improved after 10 days of training in all participants without any sign of side effect.We developed a robot, CUREs (Chulalongkorn University Rehabilitation Robotic Exoskeleton system), for upper extremity rehabilitation. The active assistive control strategy based on the impedance force control is developed and implemented to obtain assistive-resistive paths tracking for rehabilitation activities. The desired trajectory or rehabilitated training pattern for each specific patient need to be assigned first by a medical doctor and a physical therapy. The therapist can program the desired trajectory by guiding the patient arm based on the assigned path pattern and the set of via points will be stored and used for generating the desired trajectory. The desired trajectory will be stored specific for the patient and can be called back anytime. During the rehabilitation, the robot can assist and resist the patient’s arm to follow the desired trajectory. If the patient has difficulty moving his arm to track the desired path, the robot will help by adding more torque to help the patient to move his arm to reduce the error between the desired path and the actual posture. And if the patient himself can move his arm tracking the desired path, the robot will not apply any more force to assist or resist. The necessary state variables such as angular position and torque can be recorded during the training. The main purpose of the experiment, follow the medical ethic, is to assure that there is no side effect for using this rehabilitation robot. Five subacute stroke patients participated in this pilot study. All patients have severe upper extremity weakness. The medical doctor will assign the training pattern based on patient condition. The result showed that the Fugl-Meyer Assessment Upper Extremity Scale was improved after 10 days of training in all participants without any sign of side effect

Novel Design and Implementation of a Knee Exoskeleton for Gait Rehabilitation with Impedance Control Strategy

This paper presents a novel cable-driven robotic joint for a gait exoskeleton robot. We discussed in detail a lightweight, low inertia, and highly back-drivable, 1-DOF tension amplification mechanism based on a pulley system and block-and-tackle technique. The exoskeleton is controlled using an impedance controller under the active-assistive and resistive approaches. Four experiments were conducted to evaluate the proposed exoskeleton’s safety and controller performance: mechanical transparency analysis, active-assistive trajectory tracking, resistance of trajectory tracking, and gait rehabilitation. The exoskeleton demonstrated high transparency with the root mean square (RMS) torque of 0.457 Nm under no-load condition, suggesting that the mechanism is highly back-drivable, has a low moment of inertia, and is mechanically safe to operate. The active-assistive trajectory tracking experiment indicated that the output torque was generated under assist-as-needed approach, as the average robotic-assistance torque was lowered by more than 73% when the user provided assistance force to complete the task on their own.  Additionally, the resistance experiment revealed the feasibility of employing the exoskeleton to strengthen muscles with adjustable resistive torque from 0.94 Nm and 2.25 Nm. Finally, the result of gait rehabilitation experiment demonstrated that the robot was able to provide adequate torque to assist users in completing their gait cycle without causing any negative effects during or after the experiment

A 3D End-Effector Robot for Upper Limb Functional Rehabilitation of Hemiparesis Patients

Robot-assisted therapy is a new type of rehabilitation that allows for highly repetitive, intensive, adaptable, and quantifiable physical training. It is increasingly being used to restore motor function, particularly in stroke survivors with upper limb paresis. The end-effector type robot allows natural movements without complex structure which is ideal for functional rehabilitation training. A 3D end-effector base on a five-bar linkage has been proposed to improve the common end-effector type that covers mechanical design, dynamic control strategy, and application of rehabilitation training or exercise. The dynamic controllers are deweighting with gravity compensation, passive mobilization or active assistive, and the virtual spring-damper wall concept. These controllers are used for developing functional rehabilitation training or exercise from an engineering point of view based on experiences in developing various types of rehabilitation robots. The experiments, based on the performance of the controllers, have been conducted with healthy subjects. The experimental results have shown very promising results and can be extended to various types of functional rehabilitation

Gemstone Grinding Process Improvement by using Impedance Force Control

Chula Automatic Faceting Machine has been developed by The Advance Manufacturing Research Lab, Chulalongkorn University to support Thailand Gems-Industry. The machine has high precision motion control by using position and force control. A contact stiffness model is used to estimate grinding force. Although polished gems from the Faceting Machine have uniform size and acceptable shape, the force of the grinding and polishing process cannot be maintain constant and has some fluctuation due to indirect force control. Therefor this research work propose a new controller for this process based on an impedance direct force control to improve the gemstone grinding performance during polishing process. The grinding force can be measured through motor current. The results show that the polished gems by using impedance direct force control can maintain uniform size as well as good shape and high quality surface

Gemstone Grinding Process Improvement by using Impedance Force Control

Chula Automatic Faceting Machine has been developed by The Advance Manufacturing Research Lab, Chulalongkorn University to support Thailand Gems-Industry. The machine has high precision motion control by using position and force control. A contact stiffness model is used to estimate grinding force. Although polished gems from the Faceting Machine have uniform size and acceptable shape, the force of the grinding and polishing process cannot be maintain constant and has some fluctuation due to indirect force control. Therefor this research work propose a new controller for this process based on an impedance direct force control to improve the gemstone grinding performance during polishing process. The grinding force can be measured through motor current. The results show that the polished gems by using impedance direct force control can maintain uniform size as well as good shape and high quality surface