Biomechanical study of upper-limb exoskeleton for resistance training with three-dimensional motion analysis system.

The world's population is aging rapidly, particularly in developed countries. The trend toward prolonged life expectancy will increase the elderly population and thereby lead to an increase in occurrences of age-related health problems such as chronic disease. Healthcare services and home-based rehabilitation are in high demand, and the demand for professional physical therapy is imposing an increasing burden on the healthcare system. Rehabilitation training devices must keep pace with standards of care, be cost effective, and meet the home-based training requirements of today's rehabilitation trends. This article presents an experimental study of a novel spring-loaded upper-limb exoskeleton meant to enable a patient or nondisabled individual to move a limb at multiple joints in different planes for resistance training in a free and unconstrained environment. To assess the functionality of the design, we have measured its kinematic data while performing designated movements and adopted a motion-capture system to verify the function of our mechanism. The collected data and analysis of the kinematic and dynamic joint torques may not only verify our mechanism but also provide a profound understanding of the design requirements for an appropriate spring-loaded exoskeleton for upper-limb resistance training.

[1]  N. Manning,et al.  The human arm kinematics and dynamics during daily activities - toward a 7 DOF upper limb powered exoskeleton , 2005, ICAR '05. Proceedings., 12th International Conference on Advanced Robotics, 2005..

[2]  R Dumas,et al.  A 3D Generic Inverse Dynamic Method using Wrench Notation and Quaternion Algebra , 2004, Computer methods in biomechanics and biomedical engineering.

[3]  Judy Kruger,et al.  Trends in strength training--United States, 1998-2004. , 2006, MMWR. Morbidity and mortality weekly report.

[4]  D. Reinkensmeyer,et al.  Arm-Training with T-WREX After Chronic Stroke: Preliminary Results of a Randomized Controlled Trial , 2007, 2007 IEEE 10th International Conference on Rehabilitation Robotics.

[5]  Diane L Damiano,et al.  Progressive resistance exercise in physical therapy: a summary of systematic reviews. , 2005, Physical therapy.

[6]  Antonio Frisoli,et al.  A new force-feedback arm exoskeleton for haptic interaction in virtual environments , 2005, First Joint Eurohaptics Conference and Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems. World Haptics Conference.

[7]  Ananda Sen,et al.  Resistance exercise for muscular strength in older adults: A meta-analysis , 2010, Ageing Research Reviews.

[8]  D. Beevers,et al.  The atlas of heart disease and stroke , 2005, Journal of Human Hypertension.

[9]  Position Stand American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. , 2009, Medicine and science in sports and exercise.

[10]  Robert Riener,et al.  ARMin III --arm therapy exoskeleton with an ergonomic shoulder actuation , 2009 .

[11]  Jiping He,et al.  RUPERT: An exoskeleton robot for assisting rehabilitation of arm functions , 2008, 2008 Virtual Rehabilitation.

[12]  Sunil Kumar Agrawal,et al.  Design of a Cable-Driven Arm Exoskeleton (CAREX) for Neural Rehabilitation , 2012, IEEE Transactions on Robotics.

[13]  Dar-Zen Chen,et al.  Dynamic Analysis and Preliminary Evaluation of a Spring-Loaded Upper Limb Exoskeleton for Resistance Training with Overload Prevention , 2013 .

[14]  C. Hass,et al.  Prescription of Resistance Training for Healthy Populations , 2001, Sports medicine.

[15]  J. Gerberding,et al.  Morbidity and Mortality Weekly Report , 2012 .

[16]  C. Carignan,et al.  Design of an arm exoskeleton with scapula motion for shoulder rehabilitation , 2005, ICAR '05. Proceedings., 12th International Conference on Advanced Robotics, 2005..

[17]  S. Brochard,et al.  What's new in new technologies for upper extremity rehabilitation? , 2010, Current opinion in neurology.

[18]  Dar-Zen Chen,et al.  Design of an exoskeleton for strengthening the upper limb muscle for overextension injury prevention , 2011 .

[19]  William L Haskell,et al.  A Scientific Statement From the American Heart Association Resistance Exercise in Individuals With and Without Cardiovascular Disease , 2007 .

[20]  Grant D. Huang,et al.  Robot-assisted therapy for long-term upper-limb impairment after stroke. , 2010, The New England journal of medicine.

[21]  Thomas Schmitz-Rode,et al.  Surface electromyography and muscle force: limits in sEMG-force relationship and new approaches for applications. , 2009, Clinical biomechanics.

[22]  D. Lloyd,et al.  An EMG-driven musculoskeletal model to estimate muscle forces and knee joint moments in vivo. , 2003, Journal of biomechanics.