Upper Limb Exoskeleton Systems—Overview

Shen, Yang; Ferguson, Peter Walker; Rosén, Jacob

doi:10.1016/b978-0-12-814659-0.00001-1

Cited by 26 publications

(17 citation statements)

References 34 publications

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“…Exoskeletons are devices that aim to interface with the human ( Figure 3 ) and assist with the recovery of the walking function compromised due to sensory and cognitive deficits. Repetitive training using such technological aids assists the human nervous system to create alternative neuron paths to replace the damaged ones [ 153 ].…”

Section: Technological Synergies Driving Neural Rehabilitationmentioning

confidence: 99%

“…Early upper limb (UL) rehabilitation robotic devices were end-effector type, which means that they were simpler in design and had only one point of attachment to the user’s limb [ 153 ]. The InMotionArm of MIT-Manus [ 159 ] is attached to the patient’s forearm and is used with robotic therapy games to encourage and synchronize therapeutic tasks, a method widely used in UL rehabilitation systems.…”

Section: Technological Synergies Driving Neural Rehabilitationmentioning

confidence: 99%

“…Representative examples of active UL wearable exoskeletons include: the NeReBot, which is a cable-driven exoskeleton actuated by three motors that maneuver the user’s arm [ 153 ]; the Armeo Power, which supports the rehabilitation of multiple DOF of the arm; and the Exorn, which is a portable exoskeleton developed to support all DOFs of the arm, also containing two at the shoulder and four at the glenohumeral joint [ 153 ]. The UL part of the full-body Recupera-Reha [ 163 ] exoskeletal system is the latest dual-arm robotic setup designed for stroke rehabilitation.…”

Section: Technological Synergies Driving Neural Rehabilitationmentioning

confidence: 99%

See 2 more Smart Citations

Converging Robotic Technologies in Targeted Neural Rehabilitation: A Review of Emerging Solutions and Challenges

Nizamis

Athanasiou

Almpani

et al. 2021

Sensors

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Recent advances in the field of neural rehabilitation, facilitated through technological innovation and improved neurophysiological knowledge of impaired motor control, have opened up new research directions. Such advances increase the relevance of existing interventions, as well as allow novel methodologies and technological synergies. New approaches attempt to partially overcome long-term disability caused by spinal cord injury, using either invasive bridging technologies or noninvasive human–machine interfaces. Muscular dystrophies benefit from electromyography and novel sensors that shed light on underlying neuromotor mechanisms in people with Duchenne. Novel wearable robotics devices are being tailored to specific patient populations, such as traumatic brain injury, stroke, and amputated individuals. In addition, developments in robot-assisted rehabilitation may enhance motor learning and generate movement repetitions by decoding the brain activity of patients during therapy. This is further facilitated by artificial intelligence algorithms coupled with faster electronics. The practical impact of integrating such technologies with neural rehabilitation treatment can be substantial. They can potentially empower nontechnically trained individuals—namely, family members and professional carers—to alter the programming of neural rehabilitation robotic setups, to actively get involved and intervene promptly at the point of care. This narrative review considers existing and emerging neural rehabilitation technologies through the perspective of replacing or restoring functions, enhancing, or improving natural neural output, as well as promoting or recruiting dormant neuroplasticity. Upon conclusion, we discuss the future directions for neural rehabilitation research, diagnosis, and treatment based on the discussed technologies and their major roadblocks. This future may eventually become possible through technological evolution and convergence of mutually beneficial technologies to create hybrid solutions.

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Section: Technological Synergies Driving Neural Rehabilitationmentioning

confidence: 99%

Section: Technological Synergies Driving Neural Rehabilitationmentioning

confidence: 99%

Section: Technological Synergies Driving Neural Rehabilitationmentioning

confidence: 99%

See 1 more Smart Citation

Converging Robotic Technologies in Targeted Neural Rehabilitation: A Review of Emerging Solutions and Challenges

Nizamis

Athanasiou

Almpani

et al. 2021

Sensors

View full text Add to dashboard Cite

show abstract

“…The number of active and passive DOFs determines the system’s functionality. They condition the workspace in which the joints are capable of moving, indicating the assistance/rehabilitation, which is needed to be delivered to each joint ( Shen et al, 2020 ). Patients’ anatomy should be incorporated into the design when determining a reachable workspace based on anthropometric norms of the end-user ( Washabaugh et al, 2019 ).…”

Section: Design Paradigmmentioning

confidence: 99%

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

2021

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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.

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“…Numerous review papers have been published on the topic of upper limb exoskeletons for rehabilitation and assistive purposes [14][15][16][17][18][19][20][21][22][23][24][25]. The difference between these published review papers and this paper is that the current paper concentrates mostly on robotic upper limb devices which can be used by old people to perform their ADL, enabling them improving their life quality.…”

Section: Introductionmentioning

confidence: 99%

State-of-the-Art Assistive Powered Upper Limb Exoskeletons for Elderly

2020

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The number of older people is growing rapidly around the world. Ageing process results in reduced or restricted mobility which is essential to perform activities of daily living. Currently, there are numerous powered assistive exoskeletons commercially available as well as are being developed to support and rehabilitate lower limbs. Significant attention is also been given to develop upper limb rehabilitation devices, however the question of what kind of assistive devices can be used by elderly group of people for their upper limbs and what technical characteristics they should incorporate is not properly researched. This paper presents the state of the art of currently available assistive exoskeletons which can be exploited to support the motions of upper limbs of elderly to perform activities of daily living. Mechanism type, degrees of freedom, type actuators and materials selected for the fabrication of these porotypes are presented in detail. Also, the type of control systems utilized for these upper limb exoskeletons are discussed in detail with the insight on the feedback signal methods. A detailed discussion on the challenges in the fields of mechanism development, actuation and control for these upper limb powered exoskeletons is presented with the opportunities for future technological developments.

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Upper Limb Exoskeleton Systems—Overview

Cited by 26 publications

References 34 publications

Converging Robotic Technologies in Targeted Neural Rehabilitation: A Review of Emerging Solutions and Challenges

Converging Robotic Technologies in Targeted Neural Rehabilitation: A Review of Emerging Solutions and Challenges

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

State-of-the-Art Assistive Powered Upper Limb Exoskeletons for Elderly

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