Novel Design on Knee Exoskeleton with Compliant Actuator for Post-Stroke Rehabilitation.

Knee joint disorders pose a significant and growing challenge to global healthcare systems. Recent advancements in robotics, sensing technologies, and artificial intelligence have driven the development of robot-assisted therapies, reducing the physical burden on therapists and improving rehabilitation outcomes. This study presents a novel knee exoskeleton designed for safe and adaptive rehabilitation, specifically targeting bed-bound stroke patients to enable early intervention. The exoskeleton comprises a leg splint, thigh splint, and an actuator, incorporating a series elastic actuator (SEA) to enhance torque density and provide intrinsic compliance. A variable impedance control method was also implemented to achieve accurate position tracking of the exoskeleton, and performance tests were conducted with and without human participants. A preliminary clinical study involving two stroke patients demonstrated the exoskeleton's potential in reducing muscle spasticity, particularly at faster movement velocities. The key contributions of this study include the design of a compact SEA with improved torque density, the development of a knee exoskeleton equipped with a cascaded position controller, and a clinical test validating its effectiveness in alleviating spasticity in stroke patients. This study represents a significant step forward in the application of SEA for robot-assisted rehabilitation, offering a promising approach to the treatment of knee joint disorders.