This article discusses development of upper extremity exoskeleton devices for robot-aided rehabilitation. Neurological injuries, including stroke and spinal cord injury, typically result in significant motor impairments. These impairments negatively impact an individual’s movement coordination, in turn affecting their ability to function independently. Exoskeleton type devices are now being developed to isolate the motion of individual joints. These devices tend to have higher complexity and reduced range of motion as compared to endpoint manipulators, but they target more selectively the desired joint(s), and they enable more precise data collection about the motion of the patient's limb. Recent designs have focused on systems that match the full range of motion of the targeted joints, aiming towards actuated systems that have both high torque output, to assist patients with muscle tone, and low intrinsic impedance, to minimally perturb independent arm movements. Satisfying all of these requirements while simultaneously maintaining a high priority on patient safety is still an active area of research.

References

1.
Pehlivan
,
A.U.
,
O.
Celik
, and
M.K.
O’Malley.
“Mechanical Design of a Distal Arm Exoskeleton for Stroke and Spinal Cord Injury Rehabilitation,” Proceedings of the IEEE International Conference on Rehabilitation Robotics (ICORR), Zurich, Switzerland, June 29-July 1, pp. 633-637, 2011.
2.
Pehlivan
,
A.U.
,
F.
Sergi
,
A.
Erwin
,
N.
Yozbatiran
,
G.
Francisco
, and
M.K.
O’Malley.
“Design and Validation of the RiceWrist-S Exoskeleton for Robotic Rehabilitation after Incomplete Spinal Cord Injury,” accepted for publication, Robotica, CJO 2014, DOI: 1017/S0263574714001490.
3.
Krebs
,
H.
,
B.T.
Volpe
,
D.
Williams
,
J.
Celestino
,
S.K.
Charles
,
D.
Lynch
, and
N.
Hogan.
“Robot-aided neurorehabilitation: a robot for wrist rehabilitation,”
IEEE Trans. on Neural Systems and Rehabilitation Engineering
,
15
(3)
,
pp. 327
35
,
2007
.
4.
Pehlivan
,
A.U.
,
F.
Sergi
, and
M.K.
O’Malley.
“A subject-adaptive controller for wrist robotic rehabiltation,” IEEE/ASME Transactions on Mechatronics, DOI: 10.1109/TMECH.2014.2340697
5.
Kadivar
,
Z.
,
J.L.
Sullivan
,
D.P.
Eng
,
A.U.
Pehlivan
,
M.K.
O’Malley
,
N.
Yozbatiran
, and
G.E.
Francisco.
“RiceWrist Robotic Device for Upper Limb Training: Feasibility Study and Case Report of Two Tetraplegic Persons with Spinal Cord Injury,”
Intl. Journal of Biological Engineering
,
2
(4)
:
27
38
,
2012
.
6.
Yozbatiran
,
N.
,
J.
Berliner
,
M.K.
O’Malley
,
A.U.
Pehlivan
,
Z.
Kadivar
,
C.
Boake
, and
G.E.
Francisco.
“Robotic training and clinical assessment of upper extremity movements after spinal cord injury; a single case report,”
Journal of Rehabilitation Medicine
,
44
:
186
188
,
2012
.
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