Abstract
Injuries and diseases such as wrist nerve injuries, stroke, neurological disorders, and other wrist-related conditions have significantly impacted people’s quality of life. This study aims to develop a lightweight, affordable, and portable ForeWrist (forearm and wrist) exoskeleton. This device is intended to assist and rehabilitate individuals with wrist disabilities, mainly stroke survivors, to enhance wrist range of motion and strength. The device can offer one active degree of freedom (DOF) responsible for pronation-supination (PS) of the forearm and two passive DOFs for the wrist joint. The design of the ForeWrist PS mainly consists of a cable-driven C-shaped guide rail and stationary bearing-carriage mechanism that can be attached to the user’s wrist. The simulation and experimental analysis are conducted for the design validation and performance analysis. The experimental results indicate that the designed device should demonstrate promising potential for practical applications. The root mean squared error for joint position and velocity exhibit low values, and the peak torque for an average weight of the human lower arm was found to be under 10% of the device’s total capacity. The developed exoskeleton provides a full range of motion for daily activities and covers 75% of the forearm’s total range of motion with a consistency error of less than \(1^\circ \). The device can be effective for both at home and outdoor assistance and rehabilitation training with its low weight of 300 g and peak velocity and torque of 70 deg/sec and 6 Nm, respectively.











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References
Snoek GJ, Ijzerman MJ, Hermens HJ, Maxwell D, Biering-Sorensen F (2004) Survey of the needs of patients with spinal cord injury: impact and priority for improvement in hand function in tetraplegics. Spinal cord 42(9):526–532
Nichols-Larsen DS, Clark PC, Zeringue A, Greenspan A, Blanton S (2005) Factors influencing stroke survivors’ quality of life during subacute recovery. Stroke 36(7):1480–1484. https://doi.org/10.1161/01.STR.0000170706.13595.4f
Law K et al (2008) Evaluation of deformity and hand function in cerebral palsy patients. J Orthop Surg Res 3(1):1–9. https://doi.org/10.1186/1749-799X-3-52
WHO (2020) The top 10 causes of death; Leading causes of death globally. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death. Accessed 20 Apr 2022
Lindsay MP et al (2019) World Stroke Organization (WSO): global stroke fact sheet 2019, pp 806–817
WHO (2019) World stroke organization; statement on stroke care in China. https://www.world-stroke.org/news-and-blog/news/statement-on-stroke-care-in-china-june. Accessed 20 Apr 2022
Angerhöfer C, Colucci A, Vermehren M, Hömberg V, Soekadar SR (2021) Post-stroke rehabilitation of severe upper limb paresis in Germany—toward long-term treatment with brain-computer interfaces. Front Neurol 12:2166. https://doi.org/10.3389/FNEUR.2021.772199/BIBTEX
Maciejasz P, Eschweiler J, Gerlach-Hahn K, Jansen-Troy A, Leonhardt S (2014) A survey on robotic devices for upper limb rehabilitation. J Neuroeng Rehabil 11(3):841–849. https://doi.org/10.1007/s00115-003-1549-7
Lee J, Tech V, Tech V (2018) Design of a wearable 3-DOF forearm exoskeleton for rehabilitation and assistive purposes. In: Proceedings ASME 2017 international mechanical engineering congress and exposition IMECE2017, pp 1–10
Stewart AM et al (2017) Review of upper limb hybrid exoskeletons. IFAC-PapersOnLine, vol 50, no 1, pp 15169–15178, [Online]. Available: https://doi.org/10.1016/j.ifacol.2017.08.2266
Abbasimoshaii A, Najafi F (2019) Design, prototyping and evaluation of a new robotic mechanism for ultrasound imaging. J Comput Appl Mech 50(1):108–117. https://doi.org/10.22059/jcamech.2018.257439.282
Mayetin U, Kucuk S (2022) Design and experimental evaluation of a low cost, portable, 3-DOF wrist rehabilitation robot with high physical human–robot interaction. J Intell Robot Syst 106(3):65. https://doi.org/10.1007/s10846-022-01762-6
Niestanak VD, Moshaii AA, Moghaddam MM (2017) A new underactuated mechanism of hand tendon injury rehabilitation In: 5th RSI international conference on robotics and mechatronics, IcRoM 2017, no IcRoM, pp 400–405, https://doi.org/10.1109/ICRoM.2017.8466194
Hussain S, Jamwal PK, Van Vliet P, Ghayesh MH (2020) State-of-the-art robotic devices for wrist rehabilitation: design and control aspects. IEEE Trans Hum Mach Syst 50(5):361–372. https://doi.org/10.1109/THMS.2020.2976905
Rahman HA, Fai YC, Ming ESL (2014) Analysis of human hand kinematics: forearm pronation and supination. J Med Imaging Heal Inform 4(2):245–249. https://doi.org/10.1166/jmihi.2014.1239
Lambelet C et al (2020) Characterization and wearability evaluation of a fully portable wrist exoskeleton for unsupervised training after stroke. J Neuroeng Rehabil 17(1):1–17. https://doi.org/10.1186/s12984-020-00749-4
Beekhuis JH, Westerveld AJ, Van Der Kooij H, Stienen AHA (2013) Design of a self-aligning 3-DOF actuated exoskeleton for diagnosis and training of wrist and forearm after stroke. In: IEEE international conference on rehabilitation robotics, pp 3–8, https://doi.org/10.1109/ICORR.2013.6650357
Omarkulov N, Telegenov K, Zeinullin M, Tursynbek I, Shintemirov A (2016) Preliminary mechanical design of NU-Wrist: A 3-DOF self-Aligning Wrist rehabilitation robot. In: Proceedinds IEEE RAS EMBS international conference on biomedical robotics and biomechatronics, vol. 2016-July, no November 2017, pp 962–967, https://doi.org/10.1109/BIOROB.2016.7523753
Gull MA et al (2021) A 4-dof upper limb exoskeleton for physical assistance: design, modeling, control and performance evaluation. Appl Sci 11(13):5865. https://doi.org/10.3390/app11135865
Fulton PV, Lohlein S, Paredes-Acuna N, Berberich N, Cheng G(2021) Wrist exoskeleton design for pronation and supination using mirrored movement control. In: 2021 20th Int. Conf. Adv. Robot. ICAR 2021, pp 575–580, https://doi.org/10.1109/ICAR53236.2021.9659397.
Shalal NS, Aboud WS (2021) Smart robotic exoskeleton: a 3-dof for wrist-forearm rehabilitation. J Robot Control 2(6):476–483. https://doi.org/10.18196/jrc.26125
Buongiorno D, Sotgiu E, Leonardis D, Marcheschi S, Solazzi M, Frisoli A (2018) WRES: a novel 3 DoF WRist ExoSkeleton with tendon-driven differential transmission for neuro-rehabilitation and teleoperation. IEEE Robot Autom Lett 3(3):2152–2159. https://doi.org/10.1109/LRA.2018.2810943
Wu Q, Wang X, Chen B, Wu H (2018) Patient-active control of a powered exoskeleton targeting upper limb rehabilitation training. Front Neurol 9:817. https://doi.org/10.3389/fneur.2018.00817
Kim B, Deshpande AD (2017) An upper-body rehabilitation exoskeleton Harmony with an anatomical shoulder mechanism: design, modeling, control, and performance evaluation. Int J Rob Res 36(4):414–435. https://doi.org/10.1177/0278364917706743
Kumar S, Simnofske M, Bongardt B, Müller A, Kirchner F (2017) Integrating mimic joints into dynamics algorithms: Exemplified by the hybrid recupera exoskeleton. In: ACM Int. Conf. Proceeding Ser., vol. Part F1320, https://doi.org/10.1145/3132446.3134891.
Dittli J, Hofmann UAT, Bützer T, Smit G, Lambercy O, Gassert R (2021) Remote actuation systems for fully wearable assistive devices: requirements, selection, and optimization for out-of-the-lab application of a hand exoskeleton. Front Robot AI 7:1–20. https://doi.org/10.3389/frobt.2020.596185
Sanjuan JD et al (2020) Cable driven exoskeleton for upper-limb rehabilitation: a design review. Rob Auton Syst 126:103445. https://doi.org/10.1016/j.robot.2020.103445
Mohammadi E, Zohoor H, Khadem SM (2016) Design and prototype of an active assistive exoskeletal robot for rehabilitation of elbow and wrist. Sci Iran 23(3):998–1005. https://doi.org/10.24200/sci.2016.3868
Martinez JA, Ng P, Lu S, Campagna MS, Celik O (2013) Design of wrist gimbal: a forearm and wrist exoskeleton for stroke rehabilitation. IEEE Int Conf Rehabil Robot. https://doi.org/10.1109/ICORR.2013.6650459
Kelly SR, Tacy G, Kesner S, Harlan A (2020) Powered orthotic device and method of using same. US010758394B2
Shi K, Song A, Li Y, Li H, Chen D, Zhu L (2021) A cable-driven three-DOF wrist rehabilitation exoskeleton with improved performance. Front Neurorobotics 15:664062. https://doi.org/10.3389/fnbot.2021.664062
Gopura RARC, Kiguchi K (2007) Development of an exoskeleton robot for human wrist and forearm motion assist. In: ICIIS 2007—2nd international conference on industrial and information systems 2007, Conf. Proc., no August, pp 535–540, https://doi.org/10.1109/ICIINFS.2007.4579235
Dias EAF, de Andrade RM (2020) Design of a cable-driven actuator for pronation and supination of the forearm to integrate an active arm orthosis. p 4, https://doi.org/10.3390/iecat2020-08511
Lu J, Haninger K, Chen W, Gowda S, Tomizuka M, Carmena JM (2016) Design of a passive upper limb exoskeleton for macaque monkeys. J Dyn Syst Meas Control Trans ASME 138(11):1–10. https://doi.org/10.1115/1.4033837
Ambar R, Zakaria MF, Ahmad MS, Muji SZ, Jamil MMA (2017) Development of a home-based wrist rehabilitation system. Int J Electr Comput Eng 7(6):3153–3163. https://doi.org/10.11591/ijece.v7i6.pp3153-3163
M. H. and A. P. Letier, Pierre A. Schiele, M. Avraam, “Bowden Cable Actuator for Torque-Feedback in Haptic Applications,” Proc. Eurohaptics 2006, no. July, 2006.
Xiloyannis M, Cappello L, Khanh DB, Yen SC, Masia L (2016) Modelling and design of a synergy-based actuator for a tendon-driven soft robotic glove. In: Proceedings IEEE RAS EMBS international conference on biomedical robotics and biomechatronics, vol 2016-July, pp 1213–1219, https://doi.org/10.1109/BIOROB.2016.7523796.
Ayhan E, Ayhan Ç (2020) Kinesiology of the elbow complex. Comp Kinesiol Hum Body Norm Pathol Cond. https://doi.org/10.1016/B978-0-12-812162-7.00012-6
Sardelli M, Tashjian RZ, MacWilliams BA (2011) Functional elbow range of motion for contemporary tasks. J Bone Jt Surg 93(5):471–477. https://doi.org/10.2106/JBJS.I.01633
Plagenhoef S, Evans FG, Abdelnour T (1983) Anatomical data for analyzing human motion. Res Q Exerc Sport 54(2):169–178
Axelsson P, Fredrikson P, Nilsson A, Andersson JK, Kärrholm J (2018) Forearm torque and lifting strength: normative data. J Hand Surg Am. https://doi.org/10.1016/j.jhsa.2017.12.022
Perry JC, Rosen J, Burns S (2007) Upper-limb powered exoskeleton design. IEEE/ASME Trans Mechatron 12(4):408–417. https://doi.org/10.1109/TMECH.2007.901934
Wang Z et al (2021) Active loading control design for a wearable exoskeleton with a bowden cable for transmission. Actuators. https://doi.org/10.3390/act10060108
Lu Y, Fan D (2013) Transmission backlash of precise cable drive system. Proc Inst Mech Eng Part C J Mech Eng Sci 227(10):2256–2267. https://doi.org/10.1177/0954406212473887
Herbin P, Pajor M (2021) Human-robot cooperative control system based on serial elastic actuator bowden cable drive in ExoArm 7-DOF upper extremity exoskeleton. Mech Mach Theory 163:104372. https://doi.org/10.1016/j.mechmachtheory.2021.104372
Rahman MH, K-Ouimet T, Saad M, Kenné JP, Archambault PS (2011) Control of a powered exoskeleton for elbow, forearm and wrist joint movements. In: 2011 IEEE international conference on robotics and biomimetics, ROBIO 2011, pp 1561–1566, https://doi.org/10.1109/ROBIO.2011.6181511
Junior AL, de Andrade RM, Bento Filho A (2016) Series elastic actuator: design, analysis and comparison. Recent Adv Robot Syst. https://doi.org/10.5772/63573
Pehlivan AU, Sergi F, Erwin A, Yozbatiran N, Francisco GE, O’Malley MK (2014) Design and validation of the RiceWrist-S exoskeleton for robotic rehabilitation after incomplete spinal cord injury. Robotica 32(8):1415–1431. https://doi.org/10.1017/S0263574714001490
Pezent E, Rose CG, Deshpande AD, O’Malley MK (2017) Design and characterization of the OpenWrist: A robotic wrist exoskeleton for coordinated hand-wrist rehabilitation. In: IEEE international conference on rehabilitation robotics, pp 720–725, https://doi.org/10.1109/ICORR.2017.8009333
Cappello L, Elangovan N, Contu S, Khosravani S, Konczak J, Masia L (2015) Robot-aided assessment of wrist proprioception. Front hum neurosci 9:198. https://doi.org/10.3389/fnhum.2015.00198
Zhang X et al (2023) Design and performance analysis of a bioelectronic controlled hybrid serial-parallel wrist exoskeleton. IEEE Trans Neural Syst Rehabil Eng 31:2665–2675. https://doi.org/10.1109/TNSRE.2023.3283603
Garcia-Leal R, Cruz-Ortiz D, Ballesteros M, Huegel JC (2023) Development of the biomech-wrist: A 3-DOF exoskeleton for rehabilitation and training of human wrist. In: IEEE international conference on rehabilitation robotics, pp 1–6, https://doi.org/10.1109/ICORR58425.2023.10304602
Greiner TM (1991) Hand Anthropometry of U.S. Army Personnel Final Report no June 1989, [Online]. Available: https://apps.dtic.mil/sti/citations/ADA244533
Funding
This research was funded by Nanjing HUAGU Technologies Co. Ltd, China (Grant Number: 8502008413).
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Danaish was involved in conceptualization, methodology, formal analysis, investigation, writing—original draft, writing—review and editing. Professor Han Laing was involved in methodology, review, and supervision. Professor Gelin Xu and Dr. Xu Zongliang were involved in resources and review. Mohammad Abbas Baig, Yangzhen Gao, and, GuanCheng Dong were involved in data curation, resources, and review.
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Danaish, Liang, H., Xu, G. et al. Design, simulation, and experimental evaluation of a light weight, and wearable cable driven ForeWrist exoskeleton robot for assistance and rehabilitation. Intel Serv Robotics 17, 1061–1075 (2024). https://doi.org/10.1007/s11370-024-00558-x
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DOI: https://doi.org/10.1007/s11370-024-00558-x