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Updated: Jun 26, 2026

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Enhancing Upper Limb Function and Motor Skills Post-Stroke Through an Upper Limb Rehabilitation Robot
Published on: September 6, 2024
'Hybrid-PLEMO', rehabilitation system for upper limbs with active / passive force feedback mode
Takehito Kikuchi1, Ying Jin, Kazuki Fukushima
1Osaka University, 2-1 Yamadaoka, Suita, Japan. kikuchi@mech.eng.osaka-u.ac.jp
Summary
This study introduces Hybrid-PLEMO, a novel quasi 3-DOF upper limb rehabilitation robot. It offers adjustable inclination and force feedback for effective patient recovery.
Area of Science:
- Rehabilitation Robotics
- Biomechanics
- Human-Machine Interaction
Background:
- Existing upper limb rehabilitation robots often lack the necessary degrees of freedom (DOF) for natural arm movement.
- Human upper limbs operate in a 3-DOF space, necessitating rehabilitation systems that can accommodate this complexity.
Purpose of the Study:
- To develop a quasi 3-DOF upper limb rehabilitation system with adjustable inclination and force feedback.
- To introduce Hybrid-PLEMO, a versatile system capable of both active and passive rehabilitation modes.
Main Methods:
- Development of a quasi 3-DOF rehabilitation system with a 2-DOF force-feedback working plane.
- Implementation of an adjustable inclination mechanism for the working plane.
- Integration of ER (Erhysteresis) brakes or actuators for safety and a direct-drive linkage mechanism with sub links.
Main Results:
- The Hybrid-PLEMO system provides a compact, low-cost, and safe solution for upper limb rehabilitation.
- The system allows for adjustable working plane inclination, enhancing its adaptability.
- It features a hybrid active/passive mode and a direct-drive linkage mechanism for improved performance.
Conclusions:
- Hybrid-PLEMO represents an advancement in upper limb rehabilitation robotics by addressing the limitations of 2-DOF systems.
- The system's design facilitates training in a more natural 3-DOF space, crucial for stroke patients and the elderly.
- Further research into the mechanism and haptic control of Hybrid-PLEMO is warranted.

