Design of a robot-assisted exoskeleton for passive wrist and forearm rehabilitation

Abstract. This paper presents a new exoskeleton design for wrist and forearm rehabilitation. The contribution of this study is to offer a methodology which shows how to adapt a serial manipulator that reduces the number of actuators used on exoskeleton design for the rehabilitation. The system offered is a combination of end-effector- and exoskeleton-based devices. The passive exoskeleton is attached to the end effector of the manipulator, which provides motion for the purpose of rehabilitation process. The Denso VP 6-Axis Articulated Robot is used to control motion of the exoskeleton during the rehabilitation process. The exoskeleton is designed to be used for both wrist and forearm motions. The desired moving capabilities of the exoskeleton are flexion–extension (FE) and adduction–abduction (AA) motions for the wrist and pronation–supination (PS) motion for the forearm. The anatomical structure of a human limb is taken as a constraint during the design. The joints on the exoskeleton can be locked or unlocked manually in order to restrict or enable the movements. The parts of the exoskeleton include mechanical stoppers to prevent the excessive motion. One passive degree of freedom (DOF) is added in order to prevent misalignment problems between the axes of FE and AA motions. Kinematic feedback of the experiments is performed by using a wireless motion tracker assembled on the exoskeleton. The results proved that motion transmission from robot to exoskeleton is satisfactorily achieved. Instead of different exoskeletons in which each axis is driven and controlled separately, one serial robot with adaptable passive exoskeletons is adequate to facilitate rehabilitation exercises.

[1]  Yorgo Istefanopulos 2001 conference proceedings of the 23rd annual International Conference of the IEEE Engineering in Medicine and Biology Society, 25-28 October, 2001, Istanbul, Turkey : building new bridges at the frontiers of engineering and medicibe , 2001 .

[2]  J. Denavit,et al.  A kinematic notation for lower pair mechanisms based on matrices , 1955 .

[3]  Almas Shintemirov,et al.  Preliminary mechanical design of NU-Wrist: A 3-DOF self-aligning Wrist rehabilitation robot , 2016, 2016 6th IEEE International Conference on Biomedical Robotics and Biomechatronics (BioRob).

[4]  Mark Whitty,et al.  Robotics, Vision and Control. Fundamental Algorithms in MATLAB , 2012 .

[5]  F.C.T. van der Helm,et al.  Kinematic Design to Improve Ergonomics in Human Machine Interaction , 2006, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[6]  H. Krebs,et al.  Effects of Robot-Assisted Therapy on Upper Limb Recovery After Stroke: A Systematic Review , 2008, Neurorehabilitation and neural repair.

[7]  M. T. Das,et al.  Forward and Inverse Kinematics Analysis of Denso Robot , 2017 .

[8]  R. Beaglehole,et al.  Recovery of motor function after stroke. , 1988, Stroke.

[9]  Imre Cikajlo,et al.  Universal Haptic Drive: A Robot for Arm and Wrist Rehabilitation , 2010, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[10]  K. X. Khor,et al.  Development of CR2-Haptic: A compact and portable rehabilitation robot for wrist and forearm training , 2014, 2014 IEEE Conference on Biomedical Engineering and Sciences (IECBES).

[11]  R. Teasell,et al.  The Role of Task-Specific Training in Rehabilitation Therapies , 2005, Topics in stroke rehabilitation.

[12]  Jeffrey D. Riley,et al.  Neuroplasticity and brain repair after stroke , 2008, Current opinion in neurology.

[13]  L. Canan Dülger,et al.  A New Artificial Neural Network Approach in Solving Inverse Kinematics of Robotic Arm (Denso VP6242) , 2016, Comput. Intell. Neurosci..

[14]  David J. Reinkensmeyer,et al.  Robotic assist devices for bimanual physical therapy: preliminary experiments , 1993 .

[15]  S. Leonhardt,et al.  A survey on robotic devices for upper limb rehabilitation , 2014, Journal of NeuroEngineering and Rehabilitation.

[16]  A. U. Pehlivan,et al.  Mechanical design of RiceWrist-S: A forearm-wrist exoskeleton for stroke and spinal cord injury rehabilitation , 2012, 2012 4th IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics (BioRob).

[17]  Herman van der Kooij,et al.  LIMPACT:A Hydraulically Powered Self-Aligning Upper Limb Exoskeleton , 2015, IEEE/ASME Transactions on Mechatronics.

[18]  W. Rymer,et al.  Robot-assisted movement training for the stroke-impaired arm: Does it matter what the robot does? , 2006, Journal of rehabilitation research and development.

[19]  Almas Shintemirov,et al.  An end-effector based upper-limb rehabilitation robot: Preliminary mechanism design , 2014, 2014 10th France-Japan/ 8th Europe-Asia Congress on Mecatronics (MECATRONICS2014- Tokyo).

[20]  Steven C Cramer,et al.  Robotics, motor learning, and neurologic recovery. , 2004, Annual review of biomedical engineering.

[21]  John A. Martinez,et al.  Design of Wrist Gimbal: A forearm and wrist exoskeleton for stroke rehabilitation , 2013, 2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR).

[22]  C. Burgar,et al.  Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. , 2002, Archives of physical medicine and rehabilitation.

[23]  N. Hogan,et al.  Robot-aided neurorehabilitation. , 1998, IEEE transactions on rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society.

[24]  Arno H. A. Stienen,et al.  Design of a self-aligning 3-DOF actuated exoskeleton for diagnosis and training of wrist and forearm after stroke , 2013, 2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR).

[25]  D.J. Reinkensmeyer,et al.  A low cost parallel robot and trajectory optimization method for wrist and forearm rehabilitation using the Wii , 2008, 2008 2nd IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics.

[26]  Joel C. Perry,et al.  Upper Limb Powered Exoskeleton , 2007, Int. J. Humanoid Robotics.

[27]  C. Burgar,et al.  The MIME robotic system for upper-limb neuro-rehabilitation: results from a clinical trial in subacute stroke , 2005, 9th International Conference on Rehabilitation Robotics, 2005. ICORR 2005..

[28]  Corwin Boake,et al.  Normalized Movement Quality Measures for Therapeutic Robots Strongly Correlate With Clinical Motor Impairment Measures , 2010, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[29]  Marcia K. O'Malley,et al.  Design of a Haptic Arm Exoskeleton for Training and Rehabilitation , 2004 .

[30]  Marcia Kilchenman O'Malley,et al.  Design, Control and Performance of RiceWrist: A Force Feedback Wrist Exoskeleton for Rehabilitation and Training , 2008, Int. J. Robotics Res..

[31]  K. Kiguchi,et al.  Development of an exoskeleton robot for human wrist and forearm motion assist , 2007, 2007 International Conference on Industrial and Information Systems.

[32]  D. Reinkensmeyer,et al.  Review of control strategies for robotic movement training after neurologic injury , 2009, Journal of NeuroEngineering and Rehabilitation.

[33]  R. Riener,et al.  ARMin - Exoskeleton for Arm Therapy in Stroke Patients , 2007, 2007 IEEE 10th International Conference on Rehabilitation Robotics.

[34]  J.C. Perry,et al.  Upper-Limb Powered Exoskeleton Design , 2007, IEEE/ASME Transactions on Mechatronics.

[35]  David J. Reinkensmeyer,et al.  Supinator extender (SUE): A pneumatically actuated robot for forearm/wrist rehabilitation after stroke , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[36]  Hermano Igo Krebs,et al.  A robot for wrist rehabilitation , 2001, 2001 Conference Proceedings of the 23rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society.