scholarly journals Artificial Intelligence-Based Wearable Robotic Exoskeletons for Upper Limb Rehabilitation: A Review

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 2146
Author(s):  
Manuel Andrés Vélez-Guerrero ◽  
Mauro Callejas-Cuervo ◽  
Stefano Mazzoleni

Processing and control systems based on artificial intelligence (AI) have progressively improved mobile robotic exoskeletons used in upper-limb motor rehabilitation. This systematic review presents the advances and trends of those technologies. A literature search was performed in Scopus, IEEE Xplore, Web of Science, and PubMed using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology with three main inclusion criteria: (a) motor or neuromotor rehabilitation for upper limbs, (b) mobile robotic exoskeletons, and (c) AI. The period under investigation spanned from 2016 to 2020, resulting in 30 articles that met the criteria. The literature showed the use of artificial neural networks (40%), adaptive algorithms (20%), and other mixed AI techniques (40%). Additionally, it was found that in only 16% of the articles, developments focused on neuromotor rehabilitation. The main trend in the research is the development of wearable robotic exoskeletons (53%) and the fusion of data collected from multiple sensors that enrich the training of intelligent algorithms. There is a latent need to develop more reliable systems through clinical validation and improvement of technical characteristics, such as weight/dimensions of devices, in order to have positive impacts on the rehabilitation process and improve the interactions among patients, teams of health professionals, and technology.

IEEE Access ◽  
2021 ◽  
pp. 1-1
Author(s):  
Quan Liu ◽  
Yang Liu ◽  
Chang Zhu ◽  
Xingxing Guo ◽  
Wei Meng ◽  
...  

2015 ◽  
Vol 76 (4) ◽  
Author(s):  
Nurul Atiqah Othman ◽  
Noor Ayuni Che Zakaria ◽  
Cheng Yee Low ◽  
Fazah Akhtar Hanapiah ◽  
Takashi Komeda ◽  
...  

Patient simulator is one of the methods physiotherapists and occupational therapists trainee use to improve their skills. The focus here is on spasticity as part of the upper motor neuron (UMN) syndrome. The rehabilitation process for patients with UMN syndrome and management of spasticity is very important because spasticity will affect function and quality of life. A rehabilitation process requires physicians, occupational therapists and physiotherapists to assess the spasticity level using clinical assessment methods. To engage directly with the patients, the clinicians should have enough skill and experience to reduce risk of injury to the patients. Thus, it is mandatory for the physiotherapists and occupational therapists trainee to go through comprehensive training before they can conduct the therapy session. This paper reveals the research urgency in therapist education tools for upper limb rehabilitation training and points out the significance of having compliance with clinical assessment scales.


2021 ◽  
Vol 22 (1) ◽  
pp. 298-322
Author(s):  
Norsinnira Zainul Azlan ◽  
Nurul Syuhadah Lukman

The slacking behaviour or lack of participation from impaired patients during robotic rehabilitation therapy is one of the factors that slow down their recovery. The implementation of Assist As Needed (AAN) control law in the robotic assisted rehabilitation treatment may alleviate this problem and encourage the patients to be actively involved in the rehabilitation exercises. This paper presents a new Assist As Needed control strategy for an upper limb rehabilitation robot in assisting subjects with various levels of capabilities to regain their original upper limb’s functionality in realizing basic motions in eating activity. The controller consists of Proportional, Integral, Derivative (PID) controller in the feedback loop, with an adjustable gain K that varies according to the user’s level of capability. A Force Sensing Resistor (FSR) is used to identify the user’s upper extremity capability level. The controller regulates the necessary amount of assistance provided by the robot based on the information obtained from the sensor. The automatic adjustment of the robot’s assistance to the subjects leads them to put in their own effort in accomplishing the desired movements. The proposed control strategy is simple, easy to program, and mathematically less complicated. A prototype of the wearable upper limb rehabilitation robot has been built and a Graphical User Interface (GUI) has been developed using MATLAB software to facilitate the rehabilitation process and for progress monitoring. The simulation and experimental results have proven that the proposed control strategy is successful in regulating the necessary amount of robot assistance according to the patients’ level of capability. The proposed controller has effectively driven the upper limb rehabilitation robot to achieve the desired trajectory with zero steady state error, percentage overshoot less than 8% and settling time below 6 seconds, whilst providing the correct amount of robotic assistance in accordance to the subjects’ capability level. ABSTRAK: Reaksi kurang respon dari pesakit kurang keupayaan semasa terapi pemulihan robotik adalah satu faktor melambatkan kadar pemulihan. Pelaksanaan teknik kawalan Bantu Apabila Diperlukan (AAN) dalam rawatan pemulihan dengan bantuan robot dapat membantu dan mendorong pesakit terlibat secara aktif dalam latihan pemulihan. Artikel ini membentangkan strategi kawalan baru, iaitu Bantu Apabila Diperlukan oleh robot pemulihan bagi anggota atas pesakit yang mempunyai pelbagai tahap kemampuan, dalam mengembalikan fungsi asas gerakan tangan seperti aktiviti makan. Teknik kawalan terdiri daripada kawalan Berkadar, Integral, Terbitan (PID) dalam lingkaran tindak balas, dengan pemboleh ubah K mengikut tahap kemampuan pesakit. Alat pengukur Resistan Daya Rasa (FSR) digunakan bagi mengenal pasti tahap kemampuan maksima pesakit dalam menggerakkan tangan. Berdasarkan maklumat yang diperoleh daripada sensor, teknik kawalan akan menghantar maklumat kepada robot bagi membantu pesakit. Bantuan automatik yang dibekalkan robot kepada pesakit akan mendorong pesakit berusaha melakukan gerakan yang diperlukan. Strategi kawalan yang dicadangkan ini adalah ringkas, mudah diprogramkan dan kurang rumit dari segi matematik. Sebuah prototaip robot pemulihan anggota tangan telah dibina dan sebuah platform grafik bagi pengguna (Antara Muka Grafik Pengguna, GUI) telah dibangunkan menggunakan perisian MATLAB bagi memudahkan proses pemulihan dan pemantauan kemajuan pesakit. Hasil simulasi dan eksperimen membuktikan bahawa strategi cadangan kawalan ini berjaya mengatur jumlah bantuan daripada robot bersesuaian dengan tahap kemampuan pesakit. Teknik kawalan yang dicadangkan telah berjaya menggerakkan robot pemulihan tangan bagi mencapai lintasan gerakan yang diinginkan dengan ralat sifar pada keadaan stabil, peratusan ayunan berlebihan kurang daripada 8%, masa penyelesaian bawah 6 saat dan pada masa sama, memberikan maklumat bantuan robot yang tepat, bersesuaian dengan tahap kemampuan pesakit.


2020 ◽  
Vol 10 (19) ◽  
pp. 6976
Author(s):  
Hassan M. Qassim ◽  
W. Z. Wan Hasan

Rehabilitation is the process of treating post-stroke consequences. Impaired limbs are considered the common outcomes of stroke, which require a professional therapist to rehabilitate the impaired limbs and restore fully or partially its function. Due to the shortage in the number of therapists and other considerations, researchers have been working on developing robots that have the ability to perform the rehabilitation process. During the last two decades, different robots were invented to help in rehabilitation procedures. This paper explains the types of rehabilitation treatments and robot classifications. In addition, a few examples of well-known rehabilitation robots will be explained in terms of their efficiency and controlling mechanisms.


2018 ◽  
Vol 1 (2) ◽  
pp. 227-233
Author(s):  
Javier Fernando Garnica-Molina ◽  
Juan Nicolás Bustos-Ramírez ◽  
Jessica Zuleima Parrado-Agudelo ◽  
Cristian Mauricio Casallas-Contreras ◽  
Luis Miguel Méndez-Moreno

In the upper limb rehabilitation field, assisting to various patients per day, in different kinds of therapies is an exhausting task which can be achieved in a semiautomated or automated manner.  The ExPro is an exoskeleton of 3 degrees of freedom designed and created to support rehabilitation treatments for patients with little or no mobility in their arms. The device consists in a machine able to move forearm and wrist according to prone-supination, ulnar and radial deflection and flex-extension of wrist movements. The proposed prototype was designed to assist therapists in the first step of rehabilitation treatments, thus, passive therapies. Each mechanical component was designed in the Inventor 3D software and printed on PLA materials (polylactic acid). The controlling step is a Raspberry Pi 3 that receives information, interprets and connects power, and control PCBs. The design and calculations were tasted with the finite elements tool of inventor software. The work result presents an exoskeleton prototype easy to operate and transport, safe for the patient and able to carry out several preprogramed movements.


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