Francesco Giovacchini

Mechatronic Design and Characterization of the Index Finger Module of a Hand Exoskeleton for Post-Stroke Rehabilitation

This paper presents HANDEXOS, a novel wearable multiphalanges device for post-stroke rehabilitation. It was designed in order to allow for a functional and safe interaction with the users hand by means of an anthropomorphic kinematics and the minimization of the human/exoskeleton rotational axes misalignment. This paper describes the mechatronic design of the exoskeletons index finger module, simulation, modeling, and development of the actuation unit and sensory system. Experimental results on the validation of the dynamic model and experimental characterization of the index finger module with healthy subjects are reported, showing promising results that encourage further clinical trials.

NEUROExos: A Powered Elbow Exoskeleton for Physical Rehabilitation

This paper presents the design and experimental testing of the robotic elbow exoskeleton NEUROBOTICS Elbow Exoskeleton (NEUROExos). The design of NEUROExos focused on three solutions that enable its use for poststroke physical rehabilitation. First, double-shelled links allow an ergonomic physical human-robot interface and, consequently, a comfortable interaction. Second, a four-degree-of-freedom passive mechanism, embedded in the link, allows the users elbow and robot axes to be constantly aligned during movement. The robot axis can passively rotate on the frontal and horizontal planes 30° and 40°, respectively, and translate on the horizontal plane 30 mm. Finally, a variable impedance antagonistic actuation system allows NEUROExos to be controlled with two alternative strategies: independent control of the joint position and stiffness, for robot-in-charge rehabilitation mode, and near-zero impedance torque control, for patient-in-charge rehabilitation mode. In robot-in-charge mode, the passive joint stiffness can be changed in the range of 24-56 N·m/rad. In patient-in-charge mode, NEUROExos output impedance ranges from 1 N·m/rad, for 0.3 Hz motion, to 10 N·m/rad, for 3.2 Hz motion.

A light-weight active orthosis for hip movement assistance

In the last decades, wearable powered orthoses have been developed with the aim of augmenting or assisting motor activities. In particular, among many applications, wearable powered orthoses have been also introduced in the state of the art with the goal of providing lower-limb movement assistance in locomotion-related tasks (e.g.: walking, ascending/descending stairs) in scenarios of activities of daily living. In this paper we present a light-weight active orthosis endowed with two series elastic actuators for hip flexion-extension assistance. Along with the description of its mechatronic modules, we report the experimental characterization of the performance of the actuation and control system, as well as the usability test carried out with a healthy subject. Results showed a suitable dynamic behavior of the actuation unit: the closed-loop torque control bandwidth is about 15 Hz and the output impedance ranges from about 1 N m/rad to 35 N m/rad in the frequency spectrum between 0.2 and 3.2 Hz. Results from the tests with the healthy subject proved the overall system usability: the subject could walk with the device without being hindered and while he received a smooth assistive flexion-extension torque profile on both hip articulations. Development of a novel light-weight wearable powered bilateral pelvis orthosis.Design of a novel compact, light-weight series-elastic actuator (SEA).SEA closed-loop torque control bandwidth equal to 15 Hz.SEA output impedance ranges from 1 to 35 N m /rad in human gait frequency spectrum.The overall system usability was proved by tests with a healthy subject.

HANDEXOS: Towards an exoskeleton device for the rehabilitation of the hand

This paper introduces a novel exoskeleton device (HANDEXOS) for the rehabilitation of the hand for post-stroke patients. The nature of the impaired hand can be summarized in a limited extension, abduction and adduction leaving the fingers in a flexed position, so the exoskeleton goal is to train a safe extension motion from the typical closed position of the impaired hand.

Artificial Roughness Encoding with a Bio-inspired MEMS-based Tactile Sensor Array

A compliant 2×2 tactile sensor array was developed and investigated for roughness encoding. State of the art cross shape 3D MEMS sensors were integrated with polymeric packaging providing in total 16 sensitive elements to external mechanical stimuli in an area of about 20 mm2, similarly to the SA1 innervation density in humans. Experimental analysis of the bio-inspired tactile sensor array was performed by using ridged surfaces, with spatial periods from 2.6 mm to 4.1 mm, which were indented with regulated 1N normal force and stroked at constant sliding velocity from 15 mm/s to 48 mm/s. A repeatable and expected frequency shift of the sensor outputs depending on the applied stimulus and on its scanning velocity was observed between 3.66 Hz and 18.46 Hz with an overall maximum error of 1.7%. The tactile sensor could also perform contact imaging during static stimulus indentation. The experiments demonstrated the suitability of this approach for the design of a roughness encoding tactile sensor for an artificial fingerpad.

Development of an in-shoe pressure-sensitive device for gait analysis

In this work, we present the development of an in-shoe device to monitor plantar pressure distribution for gait analysis. The device consists in a matrix of 64 sensitive elements, integrated with in-shoe electronics and battery which provide an high-frequency data acquisition, wireless transmission and an average autonomy of 7 hours in continuous working mode. The device is presented along with its experimental characterization and a preliminary validation on a healthy subject.

Kinematics and design of a portable and wearable exoskeleton for hand rehabilitation

We present the kinematic design and actuation mechanics of a wearable exoskeleton for hand rehabilitation of post-stroke. Our design method is focused on achieving maximum safety, comfort and reliability in the interaction, and allowing different users to wear the device with no manual regulations. In particular, we propose a kinematic and actuation solution for the index finger flexion/extension, which leaves full movement freedom on the abduction-adduction plane. This paper presents a detailed kineto-static analysis of the system and a first prototype of the device.

NEUROExos: A powered elbow orthosis for post-stroke early neurorehabilitation

This paper presents the development of a portable version of the robotic elbow exoskeleton NEUROExos, designed for the treatment of stroke survivors in acute/sub-acute phases. The design was improved by a novel Series Elastic Actuation (SEA) system. The system implements two control modalities: a near-zero output impedance torque control and a passive-compliance position control.

Soft artificial tactile sensors for the measurement of human-robot interaction in the rehabilitation of the lower limb

A new and alternative method to measure the interaction force between the user and a lower-limb gait rehabilitation exoskeleton is presented. Instead of using a load cell to measure the resulting interaction force, we propose a distributed measure of the normal interaction pressure over the whole contact area between the user and the machine. To obtain this measurement, a soft silicone tactile sensor is inserted between the limb and commonly used connection cuffs. The advantage of this approach is that it allows for a distributed measure of the interaction pressure, which could be useful for rehabilitation therapy assessment purposes, or for control. Moreover, the proposed solution does not change the comfort of the interaction; can be applied to connection cuffs of different shapes and sizes; and can be manufactured at a low cost. Preliminary results during gait assistance tasks show that this approach can precisely detect changes in the pressure distribution during a gait cycle.

The effects on biomechanics of walking and balance recovery in a novel pelvis exoskeleton during zero-torque control

Fall-related accidents are among the most serious concerns in elderly people, amputees and subjects with neurological disorders. The aim of this paper was to investigate the behaviour of healthy subjects wearing a novel light-weight pelvis exoskeleton controlled in zero-torque mode while carrying out unperturbed locomotion and managing unexpected perturbations. Results showed that the proposed exoskeleton was unobtrusive and had a minimum loading effect on the human biomechanics during unperturbed locomotion. Conversely, it affected the movement of the trailing leg while subjects managed unexpected slipping-like perturbations. These findings support further investigations on the potential use of powered exoskeletons to assist locomotion and, possibly prevent incipient falls.