Comparison between guide plate navigation and virtual fixtures in robot-assisted osteotomy

To verify the advantages of Virtual Fixtures (VFs) by comparing the result of guide plate navigation (GPN) and VFs in robot-assisted osteotomy. Robot-assisted surgery has been extensively applied in traditional orthopedic surgeries. It fundamentally improves surgeries' cutting accuracy. In addition, many key techniques have been applied in bone cutting to increase the procedure's safety in various ways. In this paper, two robot-assisted osteotomy methods are proposed. Three operators with no osteotomy experience performed plane cutting with the assistance of a robot. GPN and VFs were applied to assist the Sawbones cutting. Each operator has five attempts using each method to perform bone cutting, distance errors and angular errors were recorded. The advantage of Sawbones is that there is no influence from soft tissues and blood. It can give a more precise measurement. The results show that both methods have high accuracy with the robot's assistance. VFs have higher accuracy in comparison with GPN. With GPN, the mean distance and angular error of the three operators were 2.974 ± 0.282 mm and 4.737 ± 0.254°. With VFs, the mean range and angular error of the three operators were 1.857 ± 0.349 mm and 2.24 ± 0.123°, respectively. VFs limited the robot's end in the planned area, increasing the accuracy and safety of robot-assisted osteotomy.

Resist-as-Needed ADL Training With SPINDLE for Patients With Tremor

Individuals with neurological disorders often exhibit altered manual dexterity and muscle weakness in their upper limbs. These motor impairments with tremor lead to severe difficulties in performing Activities of Daily Living (ADL). There is a critical need for ADL-focused robotic training that improves individual's strength when engaging with dexterous ADL tasks. This research introduces a new approach to training ADLs by employing a novel robotic rehabilitation system, Spherical Parallel INstrument for Daily Living Emulation (SPINDLE), which incorporates Virtual Reality (VR) to simulate ADL tasks. The study results present the feasibility of training individuals with movements similar to ADLs while interacting with the SPINDLE. A new game-based robotic training paradigm is suggested to perform ADL tasks at various intensity levels of resistance as needed. The proposed system can facilitate the training of various ADLs requiring 3-dimensional rotational movements by providing optimal resistance and visual feedback. We envision this system can be utilized as a table-top home device by restoring the impaired motor function of individuals with tremor and muscle weakness, guiding to improved ADL performance and quality of life.

Gait Prediction and Variable Admittance Control for Lower Limb Exoskeleton With Measurement Delay and Extended-State-Observer

The measurement delay of the feedback control system is a universal problem in industrial engineering, which will degrade output performance, especially causing undesirable chatter responses. In this study, a deep-Gaussian-process (DGP)-based method for operator's gait prediction is proposed to estimate the real-time motion intention and to compensate for the measurement delay of the inertial measurement unit (IMU). On the basis of these gait prediction uncertainties quantified by the DGP method, a variable admittance controller is designed to reduce real-time human-exoskeleton interaction torque. The reference trajectory is generated by the admittance controller, which is smoothed by the two-order Bessel interpolation. Meanwhile, the admittance parameters are self-regulated based on the defined uncertainty index of gait prediction. The extend-state observer (ESO) with backstepping iteration is adopted to compensate unmeasured system state, model uncertainties, and unmodeled dynamics of lower limb exoskeleton. The effectiveness of the proposed gait prediction and control scheme is verified by both the comparative simulations and experimental results of the human-exoskeleton cooperative motion.

Individualized Training of Back Muscles Using Iterative Learning Control of a Compliant Balance Board

Here we present the GyroTrainer, a bespoke mechatronic balance board system designed to trigger activation of the back muscles while the user engages in a balance-challenging game. The GyroTrainer uses admittance control coupled with an iterative learning approach so as to tailor the admittance control parameters, i.e. difficulty level, according to the user's skill. Our experimental evaluation demonstrated that an individualized admittance control stiffness could be identified for each user, which corresponds with a desired level of difficulty and increased back muscle activity. A first game implementation demonstrates the feasibility of utilizing the GyroTrainer system and the individually identified admittance control stiffness for gamification of back muscle training.

Comparison of Admittance Control Dynamic Models for Transparent Free-Motion Human-Robot Interaction

This paper presents an experimental comparison of multiple admittance control dynamic models implemented on a five-degree-of-freedom arm exoskeleton. The performance of each model is evaluated for transparency, stability, and impact on point-to-point reaching. Although ideally admittance control would render a completely transparent environment for physical human-robot interaction (pHRI), in practice, there are trade-offs between transparency and stability-both of which can detrimentally impact natural arm movements. Here we test four admittance modes: 1) Low-Mass: low inertia with zero damping; 2) High-Mass: high inertia with zero damping; 3) Velocity-Damping: low inertia with damping; and 4) a novel Velocity-Error-Damping: low inertia with damping based on velocity error. A single subject completed two experiments: 1) 20 repetitions of a single reach-and-return, and 2) two repetitions of reach-and-return to 13 different targets. The results suggest that the proposed novel Velocity-Error-Damping model improves transparency the most, achieving a 70% average reduction of vibration power vs. Low-Mass, while also reducing user effort, with less impact on spatial/temporal accuracy than alternate modes. Results also indicate that different models have unique situational advantages so selecting between them may depend on the goals of the specific task (i.e., assessment, therapy, etc.). Future work should investigate merging approaches or transitioning between them in real-time.

Modeling, Control, and Clinical Validation of an Upper-Limb Medical Education Task Trainer for Elbow Spasticity and Rigidity Assessment

The goal of this study was to validate a series elastic actuator (SEA)-based robotic arm that can mimic three abnormal muscle behaviors, namely lead-pipe rigidity, cogwheel rigidity, and spasticity for medical education training purposes. Key characteristics of each muscle behavior were first modeled mathematically based on clinically-observed data across severity levels. A controller that incorporated feedback, feedforward, and disturbance observer schemes was implemented to deliver haptic target muscle resistive torques to the trainee during passive stretch assessments of the robotic arm. A series of benchtop tests across all behaviors and severity levels were conducted to validate the torque estimation accuracy of the custom SEA (RMSE: ~ 0.16 Nm) and the torque tracking performance of the controller (torque error percentage: < 2.8 %). A clinical validation study was performed with seven experienced clinicians to collect feedback on the task trainer's simulation realism via a Classification Test and a Disclosed Test. In the Classification Test, subjects were able to classify different muscle behaviors with a mean accuracy > 87 % and could further distinguish severity level within each behavior satisfactorily. In the Disclosed Test, subjects generally agreed with the simulation realism and provided suggestions on haptic behaviors for future iterations. Overall, subjects scored 4.9 out of 5 for the potential usefulness of this device as a medical education tool for students to learn spasticity and rigidity assessment.

Compliant robotic behaviors for satellite servicing

The demands of traditional industrial robotics differ significantly from those of space robotics. While industry requires robots that can perform repetitive tasks with precision and speed, the space environment needs robots to cope with uncertainties, dynamics, and communication delays or interruptions, similar to human astronauts. These demands make a well-suited application for compliant robotics and behavior-based programming. Pose Target Wrench Limiting (PTWL) is a compliant behavior paradigm developed specifically to meet these demands. PTWL controls a robot by moving a virtual attractor to a target pose. The attractor applies virtual forces, based on stiffness and damping presets, to an underlying admittance controller. Guided by virtual forces, the robot will follow the attractor until safety conditions are violated or success criteria are met. We tested PTWL on a variety of quasi-static tasks that may be useful for future space operations. Our results demonstrate that PTWL is an extremely powerful tool. It makes teleoperation easy and safe for a wide range of quasi-static tasks. It also facilitates the creation of semi-autonomous state machines that can reliably complete complex tasks with minimal human intervention.

Validation of the Human Arm Stiffness Estimation Method Developed for Overground Physical Interaction Experiments

To build a physically interactive robot for overground applications, it is crucial to first understand the biomechanics of humans underlying overground physical human-robot interaction (pHRI) tasks. Estimating human arm stiffness during overground interactive tasks is a promising first step toward this goal. For this, an arm stiffness estimation technique was developed in our previous works that consider the unique challenges involving overground pHRI, such as the need to estimate the arm stiffness from a short duration of data with fewer repetitions. In this work, our stiffness estimation method is further validated with a passive spring setup with known stiffness values, as well as with a human experiment setup that resembles the widely used seated reaching tasks. Results show that our method can estimate the passive spring stiffness within 0.5% of error. We also show that the human arm stiffness measured through our method is comparable to those reported in well-known literature. In addition, our method was able to discern experimental conditions such as early vs. late trials or differences in arm movement conditions. Implications of these results are discussed further.Clinical Relevance- This method can aid the design and development of overground interactive robots for human movement assistance and rehabilitation.

Learning Rat-Like Behavioral Interaction Using a Small-Scale Robotic Rat

In this paper, we propose a novel method for emulating rat-like behavioral interactions in robots using reinforcement learning. Specifically, we develop a state decision method to optimize the interaction process among 6 known behavior types that have been identified in previous research on rat interactions. The novelty of our method lies in using the temporal difference (TD) algorithm to optimize the state decision process, which enables the robots to make informed decisions about their behavior choices. To assess the similarity between robot and rat behavior, we use Pearson correlation. We then use TD-λ to update the state value function and make state decisions based on probability. The robots execute these decisions using our dynamics-based controller. Our results demonstrate that our method can generate rat-like behaviors on both short- and long-term timescales, with interaction information entropy comparable to that between real rats. Overall, our approach shows promise for controlling robots in robot-rat interactions and highlights the potential of using reinforcement learning to develop more sophisticated robotic systems.

Brain-wide neural recordings in mice navigating physical spaces enabled by a cranial exoskeleton

Complex behaviors are mediated by neural computations occurring throughout the brain. In recent years, tremendous progress has been made in developing technologies that can record neural activity at cellular resolution at multiple spatial and temporal scales. However, these technologies are primarily designed for studying the mammalian brain during head fixation - wherein the behavior of the animal is highly constrained. Miniaturized devices for studying neural activity in freely behaving animals are largely confined to recording from small brain regions owing to performance limitations. We present a cranial exoskeleton that assists mice in maneuvering neural recording headstages that are orders of magnitude larger and heavier than the mice, while they navigate physical behavioral environments. Force sensors embedded within the headstage are used to detect the mouse's milli-Newton scale cranial forces which then control the x, y, and yaw motion of the exoskeleton via an admittance controller. We discovered optimal controller tuning parameters that enable mice to locomote at physiologically realistic velocities and accelerations while maintaining natural walking gait. Mice maneuvering headstages weighing up to 1.5 kg can make turns, navigate 2D arenas, and perform a navigational decision-making task with the same performance as when freely behaving. We designed an imaging headstage and an electrophysiology headstage for the cranial exoskeleton to record brain-wide neural activity in mice navigating 2D arenas. The imaging headstage enabled recordings of Ca2+ activity of 1000s of neurons distributed across the dorsal cortex. The electrophysiology headstage supported independent control of up to 4 silicon probes, enabling simultaneous recordings from 100s of neurons across multiple brain regions and multiple days. Cranial exoskeletons provide flexible platforms for largescale neural recording during the exploration of physical spaces, a critical new paradigm for unraveling the brain-wide neural mechanisms that control complex behavior.

Spatiotemporal Compliance Control for a Wearable Lower Limb Rehabilitation Robot

Compliance control is crucial for physical human-robot interaction, which can enhance the safety and comfort of robot-assisted rehabilitation. In this study, we designed a spatiotemporal compliance control strategy for a new self-designed wearable lower limb rehabilitation robot (WLLRR), allowing the users to regulate the spatiotemporal characteristics of their motion. The high-level trajectory planner consists of a trajectory generator, an interaction torque estimator, and a gait speed adaptive regulator, which can provide spatial and temporal compliance for the WLLRR. A radial basis function neural network adaptive controller is adopted as the low-level position controller. Over-ground walking experiments with passive control, spatial compliance control, and spatiotemporal compliance control strategies were conducted on five healthy participants, respectively. The results demonstrated that the spatiotemporal compliance control strategy allows participants to adjust reference trajectory through physical human-robot interaction, and can adaptively modify gait speed according to participants' motor performance. It was found that the spatiotemporal compliance control strategy could provide greater enhancement of motor variability and reduction of interaction torque than other tested control strategies. Therefore, the spatiotemporal compliance control strategy has great potential in robot-assisted rehabilitation training and other fields involving physical human-robot interaction.

Force tracking smooth adaptive admittance control in unknown environment

In this research, a force tracking smoothing adaptive admittance controller is proposed that grants precise contact forces (performance necessary for many critical interaction tasks such as polishing) for unknown interaction environments (e.g., leather or thin and soft materials). First, an online indirect adaptive update strategy is proposed for generating the reference trajectory required by the desired tracking force, considering the uncertainty of the interaction. The sensor noise amplitude is environment dynamics and the necessity condition for traditional admittance controller to achieve ideal steady-state force tracking. Then, a pre-PD controller is introduced to increase the parameter convergence rate while ensuring the steady-state force tracking accuracy and enhancing the robustness of the system. The robustness boundary is also analyzed to provide assurance for the stability of the system. Finally, we verify the effectiveness of the proposed method in simulations. Simultaneously, an experiment is conducted on the AUBO-i5 serial collaborative robot, and the experimental results proved the excellent comprehensive performance of the control framework.

A New Wrist-Forearm Rehabilitation Protocol Integrating Human Biomechanics and SVM-Based Machine Learning for Muscle Fatigue Estimation

In this research, a new remote rehabilitation system was developed that integrates an IoT-based connected robot intended for wrist and forearm rehabilitation. In fact, the mathematical model of the wrist and forearm joints was developed and integrated into the main controller. The proposed new rehabilitation protocol consists of three main sessions: the first is dedicated to the extraction of the passive components of the dynamic model of wrist-forearm biomechanics while the active components are extracted in the second session. The third session consists of performing continuous exercises using the determined dynamic model of the forearm-wrist joints, taking into account the torque generated by muscle fatigue. The main objective of this protocol is to determine the state level of the affected wrist and above all to provide a dynamic model in which the torque generated by the robot and the torque supplied by the patient are combined, taking into account the constraints of fatigue. A Support Vector Machine (SVM) classifier is designed for the estimation of muscle fatigue based on the features extracted from the electromyography (EMG) signal acquired from the patient. The results show that the developed rehabilitation system allows a good progression of the joint's range of motion as well as the resistive-active torques.

Adaptive lead-through teaching control for spray-painting robot with closed control system

Industrial robots are widely used in the painting industry, such as automobile manufacturing and solid wood furniture industry. An important problem is how to improve the efficiency of robot programming, especially in the current furniture industry with multiple products, small batches and increasingly high demand for customization. In this work, we propose an outer loop adaptive control scheme, which allow users to realize the practical application of the zero-moment lead-through teaching method based on dynamic model without opening the inner torque control interface of robots. In order to accurately estimate the influence of joint friction, a friction model is established based on static, Coulomb and viscous friction characteristics, and the Sigmoid function is used to represent the transition between motion states. An identification method is used to quickly identify the dynamic parameters of the robot. The joint position/speed command of the robot’s inner joint servo loop is dynamically generated based on the user-designed adaptive control law. In addition, the zero-moment lead-through teaching scheme based on the dynamic model is applied to a spray-painting robot with closed control system. In order to verify our method, CMA GR630ST is used to conduct experiments. We identified the parameters of the dynamic model and carried out the zero-moment lead-through teaching experiment to track the target trajectory. The results show that the proposed method can realize the application of modern control methods in industrial robot with closed control systems, and achieve a preliminary exploration to improve the application scenarios of spray-painting robots.

Quantifying Viscous Damping and Stiffness in Parkinsonism Using Data-Driven Model Estimation and Admittance Control

Rigidity of upper and lower limbs in Parkinson's disease (PD) is typically assessed via a clinical rating scale that is subject to human perception biases. Methodologies to quantify changes in rigidity associated with the angular position (stiffness) or velocity (viscous damping) are needed to enhance our understanding of PD pathophysiology and objectively assess therapies. In this proof of concept study, we developed a robotic system and a model-based approach to estimate viscous damping and stiffness of the elbow. Our methodology enables the subject to freely rotate the elbow using an admittance controller while torque perturbations tailored to identify the arm dynamics are delivered. The viscosity and stiffness are calculated based on the experimental data using least-squares estimation. We validated our technique using computer simulations and experiments with a nonhuman animal model of PD in the presence and absence of deep brain stimulation therapy. Our data show that stiffness and viscosity measurements can better differentiate rigidity changes than scores previously used for research, including the work and impulse scores, and the modified unified Parkinson's disease rating scale. Our estimation method is suitable for quantifying the effect of therapies on viscous damping and stiffness and studying the pathophysiological mechanisms underlying rigidity in PD.

Adaptive variable impedance control of dual-arm robots for slabstone installation

The conventional dual-arm cooperative control method employed in the construction field cannot adequately meet the requirements of high precision and adaptability because of the use of large objects, heavy load, unstructured environment, and constraints related to the complex operation processes involved. Dual-arm robots are highly complex multi-degree-of-freedom system, and when using this robots for slabstone installation, it is necessary to consider not only the position constraint and force coupling relationship of the closed chain system, but also the force/position control while the slabstone contacts the wall. To solve this problem, this paper presents slabstone-installation model and motion element decomposition for dual-arm robots. Moreover, a control strategy is proposed by combining an adaptive variable impedance tracking controller for the force/position control of the slabstone and a tracking controller for the end-effector trajectories of the dual arms; the controllers proposed meet the requirements of position tracking and contact force tracking of the slabstone. Finally, different slabstone installation scenarios are simulated to verify the effectiveness of the proposed algorithm. The results show that the algorithm is compliant for the slabstone installation process and can meet the requirements of force/position control.

Design and Development of a Smart IoT-Based Robotic Solution for Wrist Rehabilitation

In this study, we present an IoT-based robot for wrist rehabilitation with a new protocol for determining the state of injured muscles as well as providing dynamic model parameters. In this model, the torque produced by the robot and the torque provided by the patient are determined and updated taking into consideration the constraints of fatigue. Indeed, in the proposed control architecture based on the EMG signal extraction, a fuzzy classifier was designed and implemented to estimate muscle fatigue. Based on this estimation, the patient’s torque is updated during the rehabilitation session. The first step of this protocol consists of calculating the subject-related parameters. This concerns axis offset, inertial parameters, passive stiffness, and passive damping. The second step is to determine the remaining component of the wrist model, including the interaction torque. The subject must perform the desired movements providing the torque necessary to move the robot in the desired direction. In this case, the robot applies a resistive torque to calculate the torque produced by the patient. After that, the protocol considers the patient and the robot as active and all exercises are performed accordingly. The developed robotics-based solution, including the proposed protocol, was tested on three subjects and showed promising results.

Identification of Hip and Knee Joint Impedance During the Swing Phase of Walking

Knowledge on joint impedance during walking in various conditions is relevant for clinical decision-making and the development of robotic gait trainers, leg prostheses, leg orthotics and wearable exoskeletons. Whereas ankle impedance during walking has been experimentally assessed, knee and hip joint impedance during walking have not been identified yet. Here we developed and evaluated a lower limb perturbator to identify hip, knee and ankle joint impedance during treadmill walking. The lower limb perturbator (LOPER) consists of an actuator connected to the thigh via rods. The LOPER allows to apply force perturbations to a free-hanging leg, while standing on the contralateral leg, with a bandwidth of up to 39 Hz. While walking in minimal impedance mode, the interaction forces between LOPER and the thigh were low (<5 N) and the effect on the walking pattern was smaller than the within-subject variability during normal walking. Using a non-linear multibody dynamical model of swing leg dynamics, the hip, knee and ankle joint impedance were estimated at three time points during the swing phase for nine subjects walking at a speed of 0.5 m/s. The identified model was well able to predict the experimental responses for the hip and knee, since the mean variance accounted (VAF) for was 99% and 96%, respectively. The ankle lacked a consistent response and the mean VAF of the model fit was only 77%, and therefore the estimated ankle impedance was not reliable. The averaged across-subjects stiffness varied between the three time points within 34-66 and 0-3.5 Nm/rad Nm/rad for the hip and knee joint respectively. The damping varied between 1.9-4.6 and 0.02-0.14 Nms/rad Nms/rad for hip and knee respectively. The developed LOPER has a negligible effect on the unperturbed walking pattern and allows to identify hip and knee impedance during the swing phase.

Guidelines for Robot-to-Human Handshake From the Movement Nuances in Human-to-Human Handshake

The handshake is the most acceptable gesture of greeting in many cultures throughout many centuries. To date, robotic arms are not capable of fully replicating this typical human gesture. Using multiple sensors that detect contact forces and displacements, we characterized the movements that occured during handshakes. A typical human-to-human handshake took around 3.63 s (SD = 0.45 s) to perform. It can be divided into three phases: reaching (M = 0.92 s, SD = 0.45 s), contact (M = 1.96 s, SD = 0.46 s), and return (M = 0.75 s, SD = 0.12 s). The handshake was further investigated to understand its subtle movements. Using a multiphase jerk minimization model, a smooth human-to-human handshake can be modelled with fifth or fourth degree polynomials at the reaching and return phases, and a sinusoidal function with exponential decay at the contact phase. We show that the contact phase (1.96 s) can be further divided according to the following subphases: preshake (0.06 s), main shake (1.31 s), postshake (0.06 s), and a period of no movement (0.52 s) just before both hands are retracted. We compared these to the existing handshake models that were proposed for physical human-robot interaction (pHRI). From our findings in human-to-human handshakes, we proposed guidelines for a more natural handshake movement between humanoid robots and their human partners.

Synthesis and Prototyping of a 6-dof Parallel Robot for the Automatic Performance of Assembly Tasks

This paper presents the development of a 6-dof parallel robot for the performance of assembly tasks in a human-robot collaborative environment. The architecture and design of the robot are selected such that the robot is mechanically backdrivable. Thereby, the robot can physically interact with an environment or with humans without requiring the use of a force/torque sensor, which is the main objective of this work. The architecture of the robot is first described and its kinematic model is established. The Jacobian matrices are derived and an algorithm is presented for the determination of its workspace. The force capabilities of the robot are then established based on a proposed formulation. A prototype of the robot is presented and control schemes are developed, including a controller based on a vision system. Finally, a video demonstrating the experimental validation of the robot accompanies this paper. The video qualitatively demonstrates the interaction capabilities of the robot.

Variable Admittance Control of a Hand Exoskeleton for Virtual Reality-Based Rehabilitation Tasks

Robot-based rehabilitation is consolidated as a viable and efficient practice to speed up and improve the recovery of lost functions. Several studies highlight that patients are encouraged to undergo their therapies and feel more involved in the process when collaborating with a user-friendly robotic environment. Object manipulation is a crucial element of hand rehabilitation treatments; however, as a standalone process may result in being repetitive and unstimulating in the long run. In this view, robotic devices, like hand exoskeletons, do arise as an excellent tool to boost both therapy's outcome and patient participation, especially when paired with the advantages offered by interacting with virtual reality (VR). Indeed, virtual environments can simulate real-life manipulation tasks and real-time assign a score to the patient's performance, thus providing challenging exercises while promoting training with a reward-based system. Besides, they can be easily reconfigured to match the patient's needs by manipulating exercise intensity, e.g., Assistance-As-Needed (AAN) and the required tasks. Modern VR can also render interaction forces when paired to wearable devices to give the user some sort of proprioceptive force or tactile feedback. Motivated by these considerations, a Hand Exoskeleton System (HES) has been designed to be interfaced with a variable admittance control to achieve VR-based rehabilitation tasks. The exoskeleton assists the patient's movements according to force feedback and following a reference value calculated inside the VR. Whenever the patient grasps a virtual object, the HES provides the user with a force feedback sensation. In this paper, the virtual environment, developed within the Webots framework and rendering a HES digital-twin mapping and mimicking the actual HES motion, will be described in detail. Furthermore, the admittance control strategy, which continuously varies the control parameters to best render the force sensation and adapt to the user's motion intentions, will be investigated. The proposed approach has been tested on a single subject in the framework of a pilot study.

Closed-Loop Torque and Kinematic Control of a Hybrid Lower-Limb Exoskeleton for Treadmill Walking

Restoring and improving the ability to walk is a top priority for individuals with movement impairments due to neurological injuries. Powered exoskeletons coupled with functional electrical stimulation (FES), called hybrid exoskeletons, exploit the benefits of activating muscles and robotic assistance for locomotion. In this paper, a cable-driven lower-limb exoskeleton is integrated with FES for treadmill walking at a constant speed. A nonlinear robust controller is used to activate the quadriceps and hamstrings muscle groups via FES to achieve kinematic tracking about the knee joint. Moreover, electric motors adjust the knee joint stiffness throughout the gait cycle using an integral torque feedback controller. For the hip joint, a robust sliding-mode controller is developed to achieve kinematic tracking using electric motors. The human-exoskeleton dynamic model is derived using Lagrangian dynamics and incorporates phase-dependent switching to capture the effects of transitioning from the stance to the swing phase, and vice versa. Moreover, low-level control input switching is used to activate individual muscles and motors to achieve flexion and extension about the hip and knee joints. A Lyapunov-based stability analysis is developed to ensure exponential tracking of the kinematic and torque closed-loop error systems, while guaranteeing that the control input signals remain bounded. The developed controllers were tested in real-time walking experiments on a treadmill in three able-bodied individuals at two gait speeds. The experimental results demonstrate the feasibility of coupling a cable-driven exoskeleton with FES for treadmill walking using a switching-based control strategy and exploiting both kinematic and force feedback.

Development and Electromyographic Validation of a Compliant Human-Robot Interaction Controller for Cooperative and Personalized Neurorehabilitation

BACKGROUND

Appropriate training modalities for post-stroke upper-limb rehabilitation are key features for effective recovery after the acute event. This study presents a cooperative control framework that promotes compliant motion and implements a variety of high-level rehabilitation modalities with a unified low-level explicit impedance control law. The core idea is that we can change the haptic behavior perceived by a human when interacting with the rehabilitation robot by tuning three impedance control parameters.

METHODS

The presented control law is based on an impedance controller with direct torque measurement, provided with positive-feedback compensation terms for disturbances rejection and gravity compensation. We developed an elbow flexion-extension experimental setup as a platform to validate the performance of the proposed controller to promote the desired high-level behavior. The controller was first characterized through experimental trials regarding joint transparency, torque, and impedance tracking accuracy. Then, to validate if the controller could effectively render different physical human-robot interaction according to the selected rehabilitation modalities, we conducted tests on 14 healthy volunteers and measured their muscular voluntary effort through surface electromyography (sEMG). The experiments consisted of one degree-of-freedom elbow flexion/extension movements, executed under six high-level modalities, characterized by different levels of (i) corrective assistance, (ii) weight counterbalance assistance, and (iii) resistance.

RESULTS

The unified controller demonstrated suitability to promote good transparency and render both compliant and stiff behavior at the joint. We demonstrated through electromyographic monitoring that a proper combination of stiffness, damping, and weight assistance could induce different user participation levels, render different physical human-robot interaction, and potentially promote different rehabilitation training modalities.

CONCLUSION

We proved that the proposed control framework could render a wide variety of physical human-robot interaction, helping the user to accomplish the task while exploiting physiological muscular activation patterns. The reported results confirmed that the control scheme could induce different levels of the subject's participation, potentially applicable to the clinical practice to adapt the rehabilitation treatment to the subject's progress. Further investigation is needed to validate the presented approach to neurological patients.

Review on Patient-Cooperative Control Strategies for Upper-Limb Rehabilitation Exoskeletons

Technology-supported rehabilitation therapy for neurological patients has gained increasing interest since the last decades. The literature agrees that the goal of robots should be to induce motor plasticity in subjects undergoing rehabilitation treatment by providing the patients with repetitive, intensive, and task-oriented treatment. As a key element, robot controllers should adapt to patients’ status and recovery stage. Thus, the design of effective training modalities and their hardware implementation play a crucial role in robot-assisted rehabilitation and strongly influence the treatment outcome. The objective of this paper is to provide a multi-disciplinary vision of patient-cooperative control strategies for upper-limb rehabilitation exoskeletons to help researchers bridge the gap between human motor control aspects, desired rehabilitation training modalities, and their hardware implementations. To this aim, we propose a three-level classification based on 1) “high-level” training modalities, 2) “low-level” control strategies, and 3) “hardware-level” implementation. Then, we provide examples of literature upper-limb exoskeletons to show how the three levels of implementation have been combined to obtain a given high-level behavior, which is specifically designed to promote motor relearning during the rehabilitation treatment. Finally, we emphasize the need for the development of compliant control strategies, based on the collaboration between the exoskeleton and the wearer, we report the key findings to promote the desired physical human-robot interaction for neurorehabilitation, and we provide insights and suggestions for future works.

Objective measurement of Inferior-Directed stiffness in glenohumeral joint using a specially designed robotic device in healthy shoulders; Within- and Between-Session reliability

Clinical assessment of capsuloligamentous structures of the glenohumeral joint has been qualitative and subjective in nature, as demonstrated by limited intra- and inter-rater reliability. Robotic devices were utilized to develop a clinically objective measurement technique for glenohumeral joint stiffness. The purpose of this study was to quantify the amount of inferior-direction stiffness of the glenohumeral joint using a safe clinical device in the asymptomatic individuals, and to determine between trial and between session reliability of the robotic device. Twenty healthy subjects were recruited via convenience sampling. Inferior-directed translation and applying force were measured using displacement and force sensors of a robotic device. The stiffness values were calculated as the mean of the slopes of the linear portions of the force-displacement curves for the cycles obtained after familiarization and preconditioning. Four trials for each measurement occasion were averaged to determine the stiffness value for each subject in one session. Repeatability of glenohumeral joint stiffness measurements for between trials and between two sessions was determined using intraclass correlation values and standard error of the measurements. The mean stiffness value was 1.50 N/mm (±0.40) and 1.52 N/mm (±0.40), respectively. The robotic device for stiffness assessment was reliable for repeated measures of stiffness in one session, and between sessions with ICC equal 0.96 (95% CI 0.93-0.98), and 0.97 (95% CI 0.95-0.99), respectively. The SEM between the trials was in each session 0.08 N/mm. The results of this study provide that our robotic technique for quantifying glenohumeral joint stiffness is precise and reproducible.

Redefining Safety in Light of Human-Robot Interaction: A Critical Review of Current Standards and Regulations

Policymakers need to consider the impacts that robots and artificial intelligence (AI) technologies have on humans beyond physical safety. Traditionally, the definition of safety has been interpreted to exclusively apply to risks that have a physical impact on persons’ safety, such as, among others, mechanical or chemical risks. However, the current understanding is that the integration of AI in cyber-physical systems such as robots, thus increasing interconnectivity with several devices and cloud services, and influencing the growing human-robot interaction challenges how safety is currently conceptualised rather narrowly. Thus, to address safety comprehensively, AI demands a broader understanding of safety, extending beyond physical interaction, but covering aspects such as cybersecurity, and mental health. Moreover, the expanding use of machine learning techniques will more frequently demand evolving safety mechanisms to safeguard the substantial modifications taking place over time as robots embed more AI features. In this sense, our contribution brings forward the different dimensions of the concept of safety, including interaction (physical and social), psychosocial, cybersecurity, temporal, and societal. These dimensions aim to help policy and standard makers redefine the concept of safety in light of robots and AI’s increasing capabilities, including human-robot interactions, cybersecurity, and machine learning.

Quantitative Assessment of Motor Function by an End-Effector Upper Limb Rehabilitation Robot Based on Admittance Control

Various rehabilitation robots have been developed to assist the movement training of the upper limbs of stroke patients, among which some have been used to evaluate the motor recovery. However, how to understand the recovery of motor function from the quantitative assessment following robot-assisted rehabilitation training is still not clear. The objective of this study is to propose a quantitative assessment method of motor function based on the force and trajectory characteristics during robotic training to reflect motor functional recovery. To assist stroke patients who are not able to move voluntarily, an assistive training mode was developed for the robot-assisted rehabilitation system based on admittance control. Then, to validate the relationship between characteristic information and functional recovery, a clinical experiment was conducted, in which nine stroke patients and nine healthy subjects were recruited. The results showed a significant difference in movement range and movement smoothness during trajectory tracking tasks between stroke patients and healthy subjects. The two parameters above have a correlation with the Fugl-Meyer Assessment for Upper Extremity (FMU) of the involved patients. The multiple linear regression analysis showed FMU was positively correlated with parameters (R2=0.91,p<0.005). This finding indicated that the above-mentioned method can achieve quantitative assessment of motor function for stroke patients during robot-assisted rehabilitation training, which can contribute to promoting rehabilitation robots in clinical practice.

Robotic Ultrasound Scanning With Real-Time Image-Based Force Adjustment: Quick Response for Enabling Physical Distancing During the COVID-19 Pandemic

During an ultrasound (US) scan, the sonographer is in close contact with the patient, which puts them at risk of COVID-19 transmission. In this paper, we propose a robot-assisted system that automatically scans tissue, increasing sonographer/patient distance and decreasing contact duration between them. This method is developed as a quick response to the COVID-19 pandemic. It considers the preferences of the sonographers in terms of how US scanning is done and can be trained quickly for different applications. Our proposed system automatically scans the tissue using a dexterous robot arm that holds US probe. The system assesses the quality of the acquired US images in real-time. This US image feedback will be used to automatically adjust the US probe contact force based on the quality of the image frame. The quality assessment algorithm is based on three US image features: correlation, compression and noise characteristics. These US image features are input to the SVM classifier, and the robot arm will adjust the US scanning force based on the SVM output. The proposed system enables the sonographer to maintain a distance from the patient because the sonographer does not have to be holding the probe and pressing against the patient's body for any prolonged time. The SVM was trained using bovine and porcine biological tissue, the system was then tested experimentally on plastisol phantom tissue. The result of the experiments shows us that our proposed quality assessment algorithm successfully maintains US image quality and is fast enough for use in a robotic control loop.

Variable Admittance Control Based on Human-Robot Collaboration Observer Using Frequency Analysis for Sensitive and Safe Interaction

A collaborative robot should be sensitive to the user intention while maintaining safe interaction during tasks such as hand guiding. Observers based on the discrete Fourier transform have been studied to distinguish between the low-frequency motion elicited by the operator and high-frequency behavior resulting from system instability and disturbances. However, the discrete Fourier transform requires an excessively long sampling time. We propose a human–robot collaboration observer based on an infinite impulse response filter to increase the intention recognition speed. By using this observer, we also propose a variable admittance controller to ensure safe collaboration. The recognition speed of the human–robot collaboration observer is 0.29 s, being 3.5 times faster than frequency analysis based on the discrete Fourier transform. The performance of the variable admittance controller and its improved recognition speed are experimentally verified on a two-degrees-of-freedom manipulator. We confirm that the improved recognition speed of the proposed human–robot collaboration observer allows us to timely recover from unsafe to safe collaboration.

Fuzzy logic-based connected robot for home rehabilitation

In this paper, a robotic system dedicated to remote wrist rehabilitation is proposed as an Internet of Things (IoT) application. The system offers patients home rehabilitation. Since the physiotherapist and the patient are on different sites, the system guarantees that the physiotherapist controls and supervises the rehabilitation process and that the patient repeats the same gestures made by the physiotherapist. A human-machine interface (HMI) has been developed to allow the physiotherapist to remotely control the robot and supervise the rehabilitation process. Based on a computer vision system, physiotherapist gestures are sent to the robot in the form of control instructions. Wrist range of motion (RoM), EMG signal, sensor current measurement, and streaming from the patient’s environment are returned to the control station. The various acquired data are displayed in the HMI and recorded in its database, which allows later monitoring of the patient’s progress. During the rehabilitation process, the developed system makes it possible to follow the muscle contraction thanks to an extraction of the Electromyography (EMG) signal as well as the patient’s resistance thanks to a feedback from a current sensor. Feature extraction algorithms are implemented to transform the EMG raw signal into a relevant data reflecting the muscle contraction. The solution incorporates a cascade fuzzy-based decision system to indicate the patient’s pain. As measurement safety, when the pain exceeds a certain threshold, the robot should stop the action even if the desired angle is not yet reached. Information on the patient, the evolution of his state of health and the activities followed, are all recorded, which makes it possible to provide an electronic health record. Experiments on 3 different subjects showed the effectiveness of the developed robotic solution.

Task-Space Admittance Controller with Adaptive Inertia Matrix Conditioning

Whenrobots physically interact with the environment, compliant behaviors should be imposed to prevent damages to all entities involved in the interaction. Moreover, during physical interactions, appropriate pose controllers are usually based on the robot dynamics, in which the ill-conditioning of the joint-space inertia matrix may lead to poor performance or even instability. When the control is not precise, large interaction forces may appear due to disturbed end-effector poses, resulting in unsafe interactions. To overcome these problems, we propose a task-space admittance controller in which the inertia matrix conditioning is adapted online. To this end, the control architecture consists of an admittance controller in the outer loop, which changes the reference trajectory to the robot end-effector to achieve a desired compliant behavior; and an adaptive inertia matrix conditioning controller in the inner loop to track this trajectory and improve the closed-loop performance. We evaluated the proposed architecture on a KUKA LWR4+ robot and compared it, via rigorous statistical analyses, to an architecture in which the proposed inner motion controller was replaced by two widely used ones. The admittance controller with adaptive inertia conditioning presents better performance than with a controller based on the inverse dynamics with feedback linearization, and similar results when compared to the PID controller with gravity compensation in the inner loop.

Variable Impedance Control and Learning-A Review

Robots that physically interact with their surroundings, in order to accomplish some tasks or assist humans in their activities, require to exploit contact forces in a safe and proficient manner. Impedance control is considered as a prominent approach in robotics to avoid large impact forces while operating in unstructured environments. In such environments, the conditions under which the interaction occurs may significantly vary during the task execution. This demands robots to be endowed with online adaptation capabilities to cope with sudden and unexpected changes in the environment. In this context, variable impedance control arises as a powerful tool to modulate the robot's behavior in response to variations in its surroundings. In this survey, we present the state-of-the-art of approaches devoted to variable impedance control from control and learning perspectives (separately and jointly). Moreover, we propose a new taxonomy for mechanical impedance based on variability, learning, and control. The objective of this survey is to put together the concepts and efforts that have been done so far in this field, and to describe advantages and disadvantages of each approach. The survey concludes with open issues in the field and an envisioned framework that may potentially solve them.

Development of a Planar Haptic Robot With Minimized Impedance

Several studies have reported that stroke survivors displayed improved voluntary planar movements when forces supporting the upper limb increased, and when impeding forces decreased. Earlier haptic devices interacting with the human upper limb were potentially impacted by undesired residual friction force and device inertia. To explore natural, undisturbed voluntary motor control in stroke survivors, we describe the development of a Decoupled-Operational space Robot for wide Impedance Switching (DORIS) with minimized mechanical impedances. This design is based on a novel decoupling mechanism separating the end effector from a manipulator. While the user manipulates the end effector freely inside the workspace of the decoupling mechanism, to which a manipulator of the robot is attached, the robot detects such change in position using a lightweight linkage system. The manipulator of the robot then follows such movements of the end effector swiftly. Consequently, the user can explore the extended workspace, which can be as large as the manipulator's workspace. Since the end effector is mechanically decoupled from the manipulators and actuators, the user can remain unaffected by the mechanical impedances of the manipulator. Mechanical impedances perceived by the user and bandwidth of the control system were estimated. The developed robot was capable of detecting larger maximum acceleration and larger jerk of the reaching movement in chronic stroke survivors with hemiparesis. We propose that this device can be utilized for evaluating voluntary motor control of the upper limb while minimizing the impact of robot inertia and friction forces on limb behavior.

Exploring physiological signals on people with Duchenne muscular dystrophy for an active trunk support: a case study

Background

Arm support devices are available to support people with Duchenne muscular dystrophy (DMD), but active trunk support devices are lacking. An active trunk support device can potentially extend the reach of the arm and stabilize the unstable trunk of people with DMD. In a previous study, we showed that healthy people were able to control an active trunk support using four different control interfaces (based on joystick, force on feet, force on sternum and surface electromyography). All four control interfaces had different advantages and disadvantages. The aim of this study was to explore which of the four inputs is detectably used by people with DMD to control an active trunk support.

Results

The results were subject-dependent in both experiments. In the active experiment, the joystick was the most promising control interface. Regarding the static experiment, surface electromyography and force on feet worked for two out of the three subjects.

Conclusions

To our knowledge, this is the first time that people with DMD have engaged in a control task using signals other than those related to their arm muscles. According to our findings, the control interfaces have to be customised to every DMD subject.