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Development of portable robotic orthosis and biomechanical validation in people with limited upper limb function after stroke

Published online by Cambridge University Press:  06 July 2022

Fernanda Márcia Rodrigues Martins Ferreira Open the ORCID record for Fernanda Márcia Rodrigues Martins Ferreira [Opens in a new window] ,
Guilherme de Paula Rúbio Open the ORCID record for Guilherme de Paula Rúbio [Opens in a new window] ,
Rina Mariane Alves Dutra Open the ORCID record for Rina Mariane Alves Dutra [Opens in a new window] ,
Adriana Maria Valladão Novais Van Petten  and
Claysson Bruno Santos Vimieiro
Fernanda Márcia Rodrigues Martins Ferreira*
Affiliation:
Graduate Program in Mechanical Engineering, Bioengineering Laboratory, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil CAMIN, INRIA, University of Montpellier, Montpellier, France
Guilherme de Paula Rúbio
Affiliation:
Graduate Program in Mechanical Engineering, Bioengineering Laboratory, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
Rina Mariane Alves Dutra
Affiliation:
Graduate Program in Mechanical Engineering, Bioengineering Laboratory, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil Department of Telecommunications and Mechatronics Engineering, Universidade Federal de São João del-Rei, Ouro Branco, Minas Gerais, Brazil
Adriana Maria Valladão Novais Van Petten
Affiliation:
Department of Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
Claysson Bruno Santos Vimieiro
Affiliation:
Graduate Program in Mechanical Engineering, Bioengineering Laboratory, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil Graduate Program in Mechanical Engineering, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
*
*Corresponding author. E-mail: fernandaferreira.to@gmail.com
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Abstract

Stroke has a considerable incidence in the world population and would cause sequelae in the upper limbs. One way to increase the efficiency in the rehabilitation process of patients with these sequelae is through robot-assisted therapy. The present study developed a portable robotic orthosis called Pinotti Portable Robotic Exoskeleton (PPRE) and validated its functioning in clinical tests. The static and dynamic parts of the device modules are described. Design issues, such as heavyweight and engine positioning, have been optimized. The implementation of control was through a smartphone application that communicates with a microcontroller to perform desired movements. Four individuals with motor impairment of the upper limbs due to stroke performed clinical tests to validate the device. Participants did not mention pain, discomfort, tingling, and paresthesia. The robotic device showed the ability to perform the flexion and extension movements of the fingers and elbow. The PPRE was confirmed to be adequate and functional at different levels of motor impairment assessed. The orthosis presented advantages over the currently existing devices, concerning its biomechanical functioning, portability, comfort, and versatility. Thus, the apparatus has the great innovative potential to become a device for home use, serving as an aid to the therapist and facilitating the rehabilitation of patients after an injury. In a larger sample, future studies are needed to assess the effect of a robotic orthosis on the level of rehabilitation in individuals with upper limb impairment.

Keywords

Orthosisexoskeletonupper limb impairmentwearable roboticsstrokerehabilitation
Type
Research Article
Information
Robotica , Volume 40 , Issue 12 , December 2022 , pp. 4238 - 4256
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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