NEE : A Self-Aligning Knee Exoskeleton

We present kinematics, actuation, detailed design, characterization results and initial user evaluations of ASSISTON-KNEE, a novel self-aligning active exoskeleton for robot-assisted knee rehabilitation. ASSISTON-KNEE can, not only assist flexion/extension movements of the knee joint but also accommodate its translational movements in the sagittal plane. Automatically aligning its joint axes, ASSISTON-KNEE enables an ideal match between human knee axis and the exoskeleton axis, guaranteeing ergonomy and comfort throughout the therapy. Self-aligning feature significantly shortens the setup time required to attach the patient to the exoskeleton, allowing more effective time spent on exercises. The proposed exoskeleton actively controls the rotational degree of freedom of the knee through a Bowden cable-driven series elastic actuator, while the translational movements of the knee joints are passively accommodated through use of a 3 degrees of freedom planar parallel mechanism. ASSISTON-KNEE possesses a lightweight and compact design with significantly low apparent inertia, thanks to its Bowden cable based transmission that allows remote location of the actuator and reduction unit. Furthermore, thanks to its series-elastic actuation, ASSISTONKNEE enables high-fidelity force control and active backdriveability within its control bandwidth, while featuring passive elasticity for excitations above this bandwidth, ensuring safety and robustness throughout the whole frequency spectrum.

[1]  Volkan Patoglu,et al.  Slacking prevention during assistive contour following tasks with guaranteed coupled stability , 2012, 2012 IEEE/RSJ International Conference on Intelligent Robots and Systems.

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

[3]  Vincent Hayward,et al.  Self-adjusting, isostatic exoskeleton for the human knee joint , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[4]  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..

[5]  E. Guglielmelli,et al.  Design and characterization of a compact rotary Series Elastic Actuator for knee assistance during overground walking , 2012, 2012 4th IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics (BioRob).

[6]  Johan Bellemans,et al.  Total knee arthroplasty: a guide to get better performance , 2005 .

[7]  Matthew M. Williamson,et al.  Series elastic actuators , 1995, Proceedings 1995 IEEE/RSJ International Conference on Intelligent Robots and Systems. Human Robot Interaction and Cooperative Robots.

[8]  Robert W. Horst,et al.  A bio-robotic leg orthosis for rehabilitation and mobility enhancement , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[9]  M. Yalcin,et al.  Kinematics and design of AssistOn-SE: A self-adjusting shoulder-elbow exoskeleton , 2012, 2012 4th IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics (BioRob).

[10]  Jerry E. Pratt,et al.  The RoboKnee: an exoskeleton for enhancing strength and endurance during walking , 2004, IEEE International Conference on Robotics and Automation, 2004. Proceedings. ICRA '04. 2004.

[11]  Aaron M. Dollar,et al.  Biomechanical considerations in the design of lower limb exoskeletons , 2011, 2011 IEEE International Conference on Rehabilitation Robotics.

[12]  Aykut C. Satici,et al.  A multi-lateral rehabilitation system , 2011 .

[13]  Jan F. Veneman,et al.  LOPES: a lower extremity powered exoskeleton , 2007, Proceedings 2007 IEEE International Conference on Robotics and Automation.

[14]  Nikolaos G. Tsagarakis,et al.  MACCEPA 2.0: Adjustable compliant actuator with stiffening characteristic for energy efficient hopping , 2009, 2009 IEEE International Conference on Robotics and Automation.

[15]  Kok-Meng Lee,et al.  Kinematic and dynamic analysis of an anatomically based knee joint. , 2010, Journal of biomechanics.

[16]  Martin Logan,et al.  Understanding tibio-femoral motion. , 2004, The Knee.

[17]  B. Prilutsky,et al.  Gains in Upper Extremity Function After Stroke via Recovery or Compensation: Potential Differential Effects on Amount of Real-World Limb Use , 2009, Topics in stroke rehabilitation.

[18]  Kok-Meng Lee,et al.  An adaptive knee joint exoskeleton based on biological geometries , 2011, 2011 IEEE International Conference on Robotics and Automation.

[19]  Hermano Igo Krebs,et al.  MIT-MANUS: a workstation for manual therapy and training. I , 1992, [1992] Proceedings IEEE International Workshop on Robot and Human Communication.

[20]  Nikolaos G. Tsagarakis,et al.  Dextrous exploration of a virtual world for improved prototyping , 1998, Proceedings. 1998 IEEE International Conference on Robotics and Automation (Cat. No.98CH36146).

[21]  Vincent Hayward,et al.  DESIGN OF SELF-ADJUSTING ORTHOSES FOR REHABILITATION , 2009 .

[22]  K. Nykänen The effectiveness of robot-aided upper limb therapy in stroke rehabilitation : a systematic review of randomized controlled studies , 2010 .

[23]  D. G. Caldwell,et al.  Design, modeling and control of a series elastic actuator for an assistive knee exoskeleton , 2012, 2012 4th IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics (BioRob).

[24]  J. Apkarian,et al.  A three-dimensional kinematic and dynamic model of the lower limb. , 1989, Journal of biomechanics.

[25]  Nilanjan Sarkar,et al.  Impact of Visual Error Augmentation When Integrated With Assist-as-Needed Training Method in Robot-Assisted Rehabilitation , 2010, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

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

[27]  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.

[28]  Youn-Sung Choi,et al.  Conceptualization of an exoskeleton Continuous Passive Motion(CPM) device using a link structure , 2011, 2011 IEEE International Conference on Rehabilitation Robotics.

[29]  Josep Amat,et al.  Design of a 3-DoF joint system with dynamic servo-adaptation in orthotic applications , 2011, 2011 IEEE International Conference on Robotics and Automation.

[30]  T. Platz,et al.  Electromechanical and robot-assisted arm training for improving arm function and activities of daily living after stroke. , 2008, The Cochrane database of systematic reviews.

[31]  J. Veneman Design and evaluation of the gait rehabilitation robot LOPES , 2007 .

[32]  Volkan Patoglu,et al.  A self-adjusting knee exoskeleton for robot-assisted treatment of knee injuries , 2011, 2011 IEEE/RSJ International Conference on Intelligent Robots and Systems.

[33]  R. Riener,et al.  Human-centered robotics applied to gait training and assessment. , 2006, Journal of rehabilitation research and development.

[34]  Michael A. Peshkin,et al.  A Highly Backdrivable, Lightweight Knee Actuator for Investigating Gait in Stroke , 2009, IEEE Transactions on Robotics.

[35]  L. Blankevoort,et al.  Validation of a three-dimensional model of the knee. , 1996, Journal of biomechanics.

[36]  Maarten J. IJzerman,et al.  Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke. , 2006, Journal of rehabilitation research and development.

[37]  Frans C. T. van der Helm,et al.  Self-Aligning Exoskeleton Axes Through Decoupling of Joint Rotations and Translations , 2009, IEEE Transactions on Robotics.

[38]  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.

[39]  J.W. Sensinger,et al.  Improvements to Series Elastic Actuators , 2006, 2006 2nd IEEE/ASME International Conference on Mechatronics and Embedded Systems and Applications.