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The purpose of this paper is to evaluate three categories of four-degrees of freedom (4-DOFs) upper limb rehabilitation exoskeleton mechanisms from the perspective of relative movement offsets between the upper limb and the exoskeleton, so as to provide reference for the selection of exoskeleton mechanism configurations.

According to the configuration synthesis and optimum principles of 4-DOFs upper limb exoskeleton mechanisms, three categories of exoskeletons compatible with upper limb were proposed. From the perspective of human exoskeleton closed chain, through reasonable decomposition and kinematic characteristics analysis of passive connective joints, the kinematic equations of three categories exoskeletons were established and inverse position solution method were addressed. Subsequently, three indexes, which can represent the relative movement offsets of human–exoskeleton were defined.

Based on the presented position solution and evaluation indexes, the joint displacements and relative movement offsets of the three exoskeletons during eating movement were compared, on which the kinematic characteristics were investigated. The results indicated that the second category of exoskeleton was more suitable for upper limb rehabilitation than the other two categories.

This paper has a certain reference value for the selection of the 4-DOFs upper extremity rehabilitation exoskeleton mechanism configurations. The selected exoskeleton can ensure the safety and comfort of stroke patients with upper limb dyskinesia during rehabilitation training.

The purpose of this paper is to design an exoskeleton robot and present a corresponding rehabilitation training method for patients in different rehabilitation stages.

This paper presents a lightweight seven-degrees-of-freedom (DOF) cable-driven exoskeleton robot that is wearable and adjustable. After decoupling joint movement caused by a cable-driven mechanism, active rehabilitation training mode and passive rehabilitation training mode are proposed to improve the effect of rehabilitation training.

Simulations and experiments have been carried out, and the results validated the feasibility of the proposed mechanism and methods by a fine rehabilitative effect with different persons.

This paper designed a 7-DOF cable-driven exoskeleton robot that is suitable for patients of different body measurements and proposed the active rehabilitation training mode and passive rehabilitation training mode based on the cable-driven exoskeleton robot.

For the robot-assisted upper limb rehabilitation training process of the elderly with damaged neuromuscular channels and hemiplegic patients, bioelectric signals are added to transform the traditional passive training mode into the active training mode.

This paper mainly builds a steady-state visual stimulation interface, an electroencephalography (EEG) signal processing platform and an exoskeleton robot verification platform. The target flashing stimulation blocks provide visual stimulation at the specified position according to the specified frequency and stimulate EEG signals of different frequency bands. The EEG signal-processing platform constructed in this paper removes the noise by using Butterworth band-pass filtering and common average reference filtering on the obtained signals. Further, the features are extracted to identify the volunteer’s active movement intention through the canonical correlation analysis (CCA) method. The classification results are transmitted to the upper limb exoskeleton robot control system, combined with the position and posture of the exoskeleton robot to control the joint motion of robot.

Through a large number of experimental studies, the average accuracy of offline recognition of motion intention recognition can reach 86.1%. The control strategy with a three-instruction judgment method reduces the average execution error rate of the entire control system to 6.75%. Online experiments verify the feasibility of the steady-state visual evoked potentials (SSVEP)-based rehabilitation system.

An EEG signal analysis method based on SSVEP is integrated into the control of an upper limb exoskeleton robot, transforming the traditional passive training mode into the active training mode. The device used to record EEG is of very low cost, which has the potential to promote the rehabilitation system for further widely applications.

Upper-limb joint kinematics are highly complex and the kinematics of rehabilitation exoskeletons fail to reproduce them, resulting in hyperstaticity and human–machine incompatibility. The purpose of this paper is to design and develop a compatible exoskeleton robot (Co-Exos II) to address these problems.

The configuration synthesis of Co-Exos II is completed using advanced mechanism theory. A compatible configuration is selected and four passive joints are introduced into the connecting interfaces based on optimal configuration principles. A Co-Exos II prototype with nine degrees of freedom (DOFs) is developed and still owns a compact structure and volume. A new approach is presented to compensate the vertical glenohumeral (GH) movements. Co-Exos II and the upper arm are simplified as a guide-bar mechanism at the elevating plane. The theoretical displacements of passive joints are calculated by the kinematic model of the shoulder loop. The compatible experiments are completed to measure the kinematics of passive joints.

The compatible configuration of the passive joints can effectively reduce the gravity influences of the exoskeleton device and the upper extremities. The passive joints exhibit excellent compensation effect for the GH joint movements by comparing the theoretical and measured results. Passive joints can compensate for most GH movements, especially vertical movements.

Co-Exos II possesses good human–machine compatibility and wearable comfort for the affected upper limbs. The proposed compensation method is convenient to therapists and stroke patients during the rehabilitation trainings.

To improve the position tracking efficiency of the upper-limb rehabilitation robot for stroke hemiplegia patients, the optimization Learning rate of the membership function based on the fuzzy impedance controller of the rehabilitation robot is propose.

First, the impaired limb’s damping and stiffness parameters for evaluating its physical recovery condition are online estimated by using weighted least squares method based on recursive algorithm. Second, the fuzzy impedance control with the rule has been designed with the optimal impedance parameters. Finally, the membership function learning rate online optimization strategy based on Takagi-Sugeno (TS) fuzzy impedance model was proposed to improve the position tracking speed of fuzzy impedance control.

This method provides a solution for improving the membership function learning rate of the fuzzy impedance controller of the upper limb rehabilitation robot. Compared with traditional TS fuzzy impedance controller in position control, the improved TS fuzzy impedance controller has reduced the overshoot stability time by 0.025 s, and the position error caused by simulating the thrust interference of the impaired limb has been reduced by 8.4%. This fact is verified by simulation and test.

The TS fuzzy impedance controller based on membership function online optimization learning strategy can effectively optimize control parameters and improve the position tracking speed of upper limb rehabilitation robots. This controller improves the auxiliary rehabilitation efficiency of the upper limb rehabilitation robot and ensures the stability of auxiliary rehabilitation training.

The purpose of this paper is to evaluate the physiotherapeutic benefits of bilateral symmetric training (BST) for stroke survivors affected by hemiparesis.

Other studies have investigated symmetric physiotherapy. A key difficulty in previous work is in maintaining mirror-imaged trajectories between the affected and less-affected limbs. This obstacle was overcome in this work by using a two-armed robotic exoskeleton to enforce symmetry. In total, 15 subjects, > 6 months post stroke were, randomly assigned to bilateral symmetric robotic training, unilateral robotic training, and standard physical therapy.

After 12 training sessions (90 minutes/session), the bilateral training group had the greatest intensity of movement training. They also had the greatest improvement in range of motion at the shoulder. The unilateral training group showed the greatest reduction in spasticity.

The rationale for symmetric physiotherapy is that it might promote connections from the undamaged brain hemisphere. The robot generated copious amounts of detailed kinematic data. Even though these data provided insights into the human to machine interface using different training modalities, it proved difficult to draw neurological conclusions. It is recommended that future research along these lines should include measures of neurophysiological change and/or changes in neurological activity.

This research suggests that the advantage of bilateral symmetric movement over other modalities is slight, and that robotic training has comparable results with standard care. If BST is used, care is potentially needed to avoid exacerbation of spasticity. Finally, this research includes a novel quantitative approach for evaluating robotic training.

This study is of value to therapeutic researchers interested in new physiotherapy techniques, roboticists interested in developing rehabilitation devices, or for rehabilitation game designers interested in using virtual reality.

This research was to understand people's perceptions and trends in wearable robots and the research questions were as follows: (1) investigating key terms related to wearable robots that were frequently used by and exposed to people and (2) analyzing relationships among those key terms.

Textom, a big data collection and analysis software system, was used to collect data using the keyword – wearable robot.

The frequency-inverse document frequency, term frequency and central analyses were investigated, and the major key terms related to wearable robots and their connectivity were identified. After performing network analysis and convergence of iterated correlations analyses using UCINET and NetDraw programs, the major key term categories were identified.

It is important to understand how people think and perceive about wearable robots before developing wearable robots. The results of the research are expected to be helpful to better understand how people perceive and what key terms are mainly discussed by people in both countries and ultimately help when developing wearable robots with better market targeting approach methods.

Supernumerary robotic limbs (SRLs) are a new type of wearable robot, which improve the user’s operating and perceive the user’s environment by extra robotic limbs. There are some literature reviews about the SRLs’ key technology and development trend, but the design of SRLs has not been fully discussed and summarized. This paper aims to focus on the design of SRLs and provides a comprehensive review of the ontological structure design of SRLs.

In this paper, the related literature of SRLs is summarized and analyzed by VOSviewer. The structural features of different types of SRLs are extracted, and then discuss the design approach and characteristics of SRLs which are different from typical wearable robots.

The design concept of SRLs is different from the conventional wearable robots. SRLs have various reconfiguration and installed positions, and it will influence the safety and cooperativeness performance of SRLs.

This paper focuses on discussing the structural design of SRLs by literature review, and this review will help researchers understand the structural features of SRLs and key points of the ontological design of SRLs, which can be used as a reference for designing SRLs.

The purpose of this review paper is to address the substantial challenges of the outdated exoskeletons used for rehabilitation and further study the current advancements in this field. The shortcomings and technological developments in sensing the input signals to enable the desired motions, actuation, control and training methods are explained for further improvements in exoskeleton research.

Search platforms such as Web of Science, IEEE, Scopus and PubMed were used to collect the literature. The total number of recent articles referred to in this review paper with relevant keywords is filtered to 143.

Exoskeletons are getting smarter often with the integration of various modern tools to enhance the effectiveness of rehabilitation. The recent applications of bio signal sensing for rehabilitation to perform user-desired actions promote the development of independent exoskeleton systems. The modern concepts of artificial intelligence and machine learning enable the implementation of brain–computer interfacing (BCI) and hybrid BCIs in exoskeletons. Likewise, novel actuation techniques are necessary to overcome the significant challenges seen in conventional exoskeletons, such as the high-power requirements, poor back drivability, bulkiness and low energy efficiency. Implementation of suitable controller algorithms facilitates the instantaneous correction of actuation signals for all joints to obtain the desired motion. Furthermore, applying the traditional rehabilitation training methods is monotonous and exhausting for the user and the trainer. The incorporation of games, virtual reality (VR) and augmented reality (AR) technologies in exoskeletons has made rehabilitation training far more effective in recent times. The combination of electroencephalogram and electromyography-based hybrid BCI is desirable for signal sensing and controlling the exoskeletons based on user intentions. The challenges faced with actuation can be resolved by developing advanced power sources with minimal size and weight, easy portability, lower cost and good energy storage capacity. Implementation of novel smart materials enables a colossal scope for actuation in future exoskeleton developments. Improved versions of sliding mode control reported in the literature are suitable for robust control of nonlinear exoskeleton models. Optimizing the controller parameters with the help of evolutionary algorithms is also an effective method for exoskeleton control. The experiments using VR/AR and games for rehabilitation training yielded promising results as the performance of patients improved substantially.

Robotic exoskeleton-based rehabilitation will help to reduce the fatigue of physiotherapists. Repeated and intention-based exercise will improve the recovery of the affected part at a faster pace. Improved rehabilitation training methods like VR/AR-based technologies help in motivating the subject.

The paper describes the recent methods for signal sensing, actuation, control and rehabilitation training approaches used in developing exoskeletons. All these areas are key elements in an exoskeleton where the review papers are published very limitedly. Therefore, this paper will stand as a guide for the researchers working in this domain.

The purpose of this paper is to investigate the mechanical, kinematic and biological aspects that would be required for a customized upper limb exoskeleton prototype operation.

The research contained a literature survey, design, simulation, development and testing of an exoskeleton arm.

An adjustable/customizable exoskeleton arm was developed with a kinematic model to allow the desired motion. Tests were performed to determine the feasibility of the system.

The paper shows how the authors researched, designed and developed an exoskeleton arm that had similar mechanical properties to those of a biological arm. The exoskeleton must allow customization and be adaptable to the operator, without the need for major alterations.