Institute of Rehabilitation Engineering and Technology, University of Shanghai for Science and Technology, Shanghai, China.
Shanghai Engineering Research Center of Assistive Devices, Shanghai, China.
Biomed Res Int. 2019 Dec 17;2019:9627438. doi: 10.1155/2019/9627438. eCollection 2019.
To help hemiplegic patients with stroke to restore impaired or lost upper extremity functionalities efficiently, the design of upper limb rehabilitation robotics which can substitute human practice becomes more important. The aim of this work is to propose a powered exoskeleton for upper limb rehabilitation based on a wheelchair in order to increase the frequency of training and reduce the preparing time per training. This paper firstly analyzes the range of motion (ROM) of the flexion/extension, adduction/abduction, and internal/external of the shoulder joint, the flexion/extension of the elbow joint, the pronation/supination of the forearm, the flexion/extension and ulnar/radial of the wrist joint by measuring the normal people who are sitting on a wheelchair. Then, a six-degree-of-freedom exoskeleton based on a wheelchair is designed according to the defined range of motion. The kinematics model and workspace are analyzed to understand the position of the exoskeleton. In the end, the test of ROM of each joint has been done. The maximum error of measured and desired shoulder flexion and extension joint angle is 14.98%. The maximum error of measured and desired elbow flexion and extension joint angle is 14.56%. It is acceptable for rehabilitation training. Meanwhile, the movement of drinking water can be realized in accordance with the range of motion. It demonstrates that the proposed upper limb exoskeleton can also assist people with upper limb disorder to deal with activities of daily living. The feasibility of the proposed powered exoskeleton for upper limb rehabilitation training and function compensating based on a wheelchair is proved.
为了帮助中风偏瘫患者有效地恢复受损或丧失的上肢功能,设计能够替代人类实践的上肢康复机器人变得更加重要。本工作的目的是提出一种基于轮椅的助力式上肢康复外骨骼,以增加训练频率并减少每次训练的准备时间。本文首先通过测量坐在轮椅上的正常人的肩关节屈伸、内收/外展、内/外旋、肘关节屈伸、前臂旋前/旋后、腕关节屈伸和尺桡侧屈的运动范围(ROM),然后根据定义的运动范围设计了一种基于轮椅的六自由度外骨骼。分析了运动学模型和工作空间,以了解外骨骼的位置。最后,对每个关节的 ROM 进行了测试。测量和期望的肩部屈伸关节角度的最大误差为 14.98%。测量和期望的肘部屈伸关节角度的最大误差为 14.56%。这对于康复训练是可以接受的。同时,还可以根据运动范围实现饮水等动作。这表明所提出的基于轮椅的上肢外骨骼还可以帮助上肢障碍患者完成日常生活活动。验证了基于轮椅的上肢康复训练和功能补偿助力式外骨骼的可行性。