Abstract

Exoskeleton robotics has ushered in a new era of modern neuromuscular rehabilitation engineering and assistive technology research. The technology promises to improve the upper-limb functionalities required for performing activities of daily living. The exoskeleton technology is evolving quickly but still needs interdisciplinary research to solve technical challenges, e.g., kinematic compatibility and development of effective human–robot interaction. In this paper, the recent development in upper-limb exoskeletons is reviewed. The key challenges involved in the development of assistive exoskeletons are highlighted by comparing available solutions. This paper provides a general classification, comparisons, and overview of the mechatronic designs of upper-limb exoskeletons. In addition, a brief overview of the control modalities for upper-limb exoskeletons is also presented in this paper. A discussion on the future directions of research is included.

Highlights

  • Upper limb exoskeletons are electromechanical systems which are designed to interact with the user for the purpose of power amplification, assistance, or substitution of motor function [1].These devices are usually anthropomorphic in nature, as they mechanically interact with the human upper-limb musculoskeletal structure

  • CAREX-7 is still in the phase of its design improvement, where an adaptive orthosis is required for improved physical human–robot interaction (pHRI), which helps to reduce the relative motion between the human arm and exoskeleton

  • The study investigated the optimization of the design parameters by considering the workspace requirement as well as studied the effect of forces acting on the human arm by a robotic exoskeleton

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Summary

Introduction

Upper limb exoskeletons are electromechanical systems which are designed to interact with the user for the purpose of power amplification, assistance, or substitution of motor function [1]. These devices are usually anthropomorphic in nature, as they mechanically interact with the human upper-limb musculoskeletal structure They share broad areas of application, e.g., power amplification in an industrial environment [2], neuromuscular impairment compensation [3,4] or post-stroke rehabilitation [5,6], and support for disabled people in their activities of daily living (ADL) [7]. To review the performance correlation between the aforementioned three elements for exoskeleton applications and the way they contribute toward improved physical human–robot interaction is the main contribution of this article For this purpose, a comprehensive review on upper-body exoskeletons is presented. The article analyzes the key challenges involved in commercialization of research prototypes and compares them with the available market solutions, upon which some new research problems in mechanical design, actuation, and control strategy along with possible direction for future development are identified. Possible challenges and future aspects on the upper-limb exoskeleton robots are described with conclusion

Upper Limb Anatomy and Design Challenges
Upper Limb Exoskeletons
Exoskeletons for Motion Assistance
EksoVest
AAU Upper Body Exo
Five-DOF Wearable Upper-Limb Exoskeleton
CAREX-7
Stuttgart Exo-Jacket
Robo-Mate Exoskeleton
X Fingers pinch
Parallel Actuated Shoulder Exoskeleton
NEUROExos
EAsoft Module for Neuro-Rehabilitation
Cable-Driven Upper-Limb Exoskeleton
Upper-Limb Exoskeleton for Rehabilitation
Active Elbow Orthosis
3.2.10. Under-Actuated Hand Exoskeleton
3.2.12. Hand Exoskeleton for Post-Stoke Patients
3.2.13. Spring-Assisted Hand-Opening Exoskeleton Module for Functional Rehabilitation
3.2.14. Spring-Assisted Exoskeleton Module for Wrist and Hand Rehabilitation
Assistive Mode
Passive Control
Partially Assistive Control
Corrective Mode
Actuation and Power Transmission
Exoskeleton Design Modeling
Possible Challenges in Upper-Limb Exoskeleton Development
Kinematic Compatibility
Workspace Limitation
Singularity Problem of Mechanical System
Discomfort and Misalignment
Human–Robot Interaction
Sensing and Estimation
Discussion and Future
Ergonomic and Standardized Design
Compliant Joint and Actuation
Performance Assessment
Findings
Adaptive Control
Conclusions

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