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Development of a Novel Task-oriented Rehabilitation Program using a Bimanual Exoskeleton Robotic Hand
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Adaptive Hybrid FES-Force Controller for Arm Exosuit.

Davide Burchielli, Nicola Lotti, Francesco Missiroli

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    This study introduces a hybrid controller combining Functional Electrical Stimulation (FES) and a soft exosuit for elbow rehabilitation. The system reduced user fatigue by 63% without compromising movement accuracy.

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    Area of Science:

    • Rehabilitation Engineering
    • Neuroscience
    • Biomedical Devices

    Background:

    • Neuromuscular diseases cause motor disabilities, impacting daily living independence.
    • Robotic devices and Functional Electrical Stimulation (FES) are common rehabilitation technologies with limitations.
    • Hybrid Robotic Rehabilitation Systems integrate technologies to overcome individual system limitations.

    Purpose of the Study:

    • To propose and test a novel hybrid cooperative controller integrating FES and a soft wearable upper arm exosuit.
    • To evaluate the controller's effectiveness in rehabilitating elbow movements.

    Main Methods:

    • Development of a hybrid cooperative controller for FES and a soft wearable upper arm exosuit.
    • Testing the controller on six healthy participants to assess elbow flexion movements.
    • Comparison of the hybrid system's performance against exosuit-alone and FES-alone conditions.

    Main Results:

    • The hybrid controller enabled elbow flexion with no significant loss in accuracy or precision compared to the exosuit alone.
    • A significant reduction in user fatigue by approximately 63% was observed with the hybrid system.
    • The onset of user fatigue was delayed when using the hybrid controller compared to FES alone.

    Conclusions:

    • The proposed hybrid controller effectively combines FES and a soft exosuit for upper limb rehabilitation.
    • This integrated approach enhances user comfort by significantly reducing and delaying fatigue.
    • The system shows promise for improving rehabilitation outcomes for individuals with motor disabilities.