Robotic orthoses for gait rehabilitation: An overview of mechanical design and control strategies

Prashant K. Jamwal, Shahid Hussain, Mergen H. Ghayesh

Research output: Contribution to journalReview articlepeer-review

28 Citations (Scopus)

Abstract

The application of robotic devices in providing physiotherapies to post-stroke patients and people suffering from incomplete spinal cord injuries is rapidly expanding. It is crucial to provide valid rehabilitation for people who are experiencing abnormality in their gait performance; therefore, design and development of newer robotic devices for the purpose of facilitating patients’ recovery is being actively researched. In order to advance the traditional gait treatment among patients, exoskeletons and orthoses were introduced over the last two decades. This article presents a thorough review of existing robotic gait rehabilitation devices. The latest advancements in the mechanical design, types of control and actuation are also covered. The study comprehends discussions on robotic rehabilitation devices developed both for the training on treadmill and over-ground training. The assist-as-needed strategy for the gait training is particularly emphasized while reviewing various control strategies applied to these robotic devices. This study further reviews experimental investigations and clinical assessments of different control strategies and mechanism designs of robotic gait rehabilitation devices using experimental and clinical trials.

Original languageEnglish
Pages (from-to)444-457
Number of pages14
JournalProceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine
Volume234
Issue number5
DOIs
Publication statusAccepted/In press - Jan 1 2020

Funding

https://orcid.org/0000-0002-1330-6186 Jamwal Prashant K 1 Hussain Shahid 2 Ghayesh Mergen H 3 1 Department of Electrical and Computer Engineering, Nazarbayev University, Astana, Kazakhstan 2 Human-Centred Technology Research Centre, Faculty of Science and Technology, University of Canberra, Canberra, ACT, Australia 3 School of Mechanical Engineering, The University of Adelaide, Adelaide, SA, Australia Prashant K Jamwal, Department of Electrical and Computer Engineering, Nazarbayev University, Astana 010000, Kazakhstan. Email: [email protected] 1 2020 0954411919898293 12 4 2018 5 12 2019 © IMechE 2020 2020 Institution of Mechanical Engineers The application of robotic devices in providing physiotherapies to post-stroke patients and people suffering from incomplete spinal cord injuries is rapidly expanding. It is crucial to provide valid rehabilitation for people who are experiencing abnormality in their gait performance; therefore, design and development of newer robotic devices for the purpose of facilitating patients’ recovery is being actively researched. In order to advance the traditional gait treatment among patients, exoskeletons and orthoses were introduced over the last two decades. This article presents a thorough review of existing robotic gait rehabilitation devices. The latest advancements in the mechanical design, types of control and actuation are also covered. The study comprehends discussions on robotic rehabilitation devices developed both for the training on treadmill and over-ground training. The assist-as-needed strategy for the gait training is particularly emphasized while reviewing various control strategies applied to these robotic devices. This study further reviews experimental investigations and clinical assessments of different control strategies and mechanism designs of robotic gait rehabilitation devices using experimental and clinical trials. Robotic orthoses gait rehabilitation mechanism design actuation control strategies stroke university of canberra https://doi.org/10.13039/501100001802 edited-state corrected-proof typesetter ts1 The authors would like to acknowledge the help of Dr. Luke Nguyen-Hoan at the University of Canberra in language editing of the manuscript. Declaration of conflicting interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The authors would like to acknowledge the funding from Human-Centred Technology Research Centre, University of Canberra, Australia, for conducting this research work. ORCID iD Prashant K Jamwal https://orcid.org/0000-0002-1330-6186

Keywords

  • actuation
  • control strategies
  • gait rehabilitation
  • mechanism design
  • Robotic orthoses
  • stroke

ASJC Scopus subject areas

  • Mechanical Engineering

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