Division of Intelligent and Biomechanical System, State Key Laboratory of Tribology, Tsinghua University, Haidian, Beijing, China.
Rehabilitation Medical Center, Affiliated Hospital of National Research Center for Rehabilitation Technical Aids, Haidian, Beijing, China.
J Healthc Eng. 2017;2017:4931217. doi: 10.1155/2017/4931217. Epub 2017 Jun 15.
Numerous robots have been widely used to deliver rehabilitative training for hemiplegic patients to improve their functional ability. Because of the complexity and diversity of upper limb motion, customization of training patterns is one key factor during upper limb rehabilitation training. Most of the current rehabilitation robots cannot intelligently provide adaptive training parameters, and they have not been widely used in clinical rehabilitation. This article proposes a new end-effector upper limb rehabilitation robot, which is a two-link robotic arm with two active degrees of freedom. This work investigated the kinematics and dynamics of the robot system, the control system, and the realization of different rehabilitation therapies. We also explored the influence of constraint in rehabilitation therapies on interaction force and muscle activation. The deviation of the trajectory of the end effector and the required trajectory was less than 1 mm during the tasks, which demonstrated the movement accuracy of the robot. Besides, results also demonstrated the constraint exerted by the robot provided benefits for hemiplegic patients by changing muscle activation in the way similar to the movement pattern of the healthy subjects, which indicated that the robot can improve the patient's functional ability by training the normal movement pattern.
许多机器人已被广泛应用于为偏瘫患者提供康复训练,以提高其功能能力。由于上肢运动的复杂性和多样性,在进行上肢康复训练时,训练模式的定制是一个关键因素。目前大多数康复机器人无法智能地提供适应性训练参数,因此尚未在临床康复中得到广泛应用。本文提出了一种新型末端执行器上肢康复机器人,它是一种具有两个主动自由度的两连杆机械臂。本工作研究了机器人系统的运动学和动力学、控制系统以及不同康复治疗方法的实现。我们还探讨了康复治疗中约束对交互力和肌肉激活的影响。在任务过程中,末端执行器的轨迹偏差和所需轨迹的偏差小于 1mm,这证明了机器人的运动精度。此外,结果还表明,机器人施加的约束通过改变肌肉激活的方式,为偏瘫患者提供了类似于健康受试者的运动模式的益处,这表明机器人可以通过训练正常运动模式来提高患者的功能能力。