Hostname: page-component-848d4c4894-jbqgn Total loading time: 0 Render date: 2024-06-23T16:00:13.568Z Has data issue: false hasContentIssue false

Design and position control of a robotic brace dedicated to the treatment of scoliosis

Published online by Cambridge University Press:  09 January 2023

Rahul Ray*
Affiliation:
PRISME Laboratory, University of Orléans, Orléans, France Department of Research and Development, Proteor Company, Dijon, France
Laurence Nouaille
Affiliation:
PRISME Laboratory, University of Orléans, Orléans, France
Briac Colobert
Affiliation:
Department of Research and Development, Proteor Company, Dijon, France
Laurine Calistri
Affiliation:
Department of Research and Development, Proteor Company, Dijon, France
Gérard Poisson
Affiliation:
PRISME Laboratory, University of Orléans, Orléans, France
*
*Corresponding author. E-mail: rahul.ray@etu.univ-orleans.fr

Abstract

This paper’s content focuses on designing and prototyping a robotic brace dedicated to treating scoliosis. Scoliosis is an abnormal spinal curvature affecting 1–3% of children and constitutes a major therapeutic problem. In moderate cases of deformity, passive brace treatment is performed. However, this approach can lead to important patient discomfort. So, we propose a robotic solution providing greater mobility and the possibility of adapting the procedure to each patient. The robotic brace we built and tested is composed of three specific rings adapted to the patient’s torso. Each independent module of two consecutive rings is movable through a Stewart–Gough platform-type mechanism. As the robotic brace is lightweight, it brings better portability and improves the patient’s comfort.

The first part of the paper shows the state of the art of bracing techniques: from passive to active orthoses. Next, the mechatronics of the device is detailed, and the robot’s kinematic models are developed. The motion control principle is given. In the last part, motion tests were administered with a healthy human to validate the brace architecture choice and its position and motion control strategies.

Type
Research Article
Copyright
© The Author(s), 2023. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

De Smet, A. A., Cook, M. A. A. L. T., Goin, J. E., Scheuch, H. G. and Orrick, J. M., “Three-dimensional analysis of right thoracic idiopathic scoliosis,” Spine 9(4), 377381 (1984).CrossRefGoogle ScholarPubMed
Stokes, I., Bigalow, L. and Moreland, M., “Three-dimensional spinal curvature in idiopathic scoliosis,” J. Orthop. Res. 5(1), 102113 (1987).CrossRefGoogle ScholarPubMed
Roach, J. W., “Adolescent idiopathic scoliosis,” Orthop. Clin. North Am. 30(3), 353365 (1999).CrossRefGoogle ScholarPubMed
Reamy, B. V. and Slakey, J. B., “Adolescent idiopathic scoliosis: Review and current concepts,” Am. Fam. Phys. 64(1), 111 (2001).Google ScholarPubMed
Weinstein, S., Dolan, L., Wright, J. and Dobbs, M., “Effects of bracing in adolescents with idiopathic scoliosis,” Child Care Health Develop. 40(1), 146147 (2014).Google Scholar
Weinstein, S., Dolan, L. and Wright, J., “Design of the bracing in adolescent idiopathic scoliosis trail (BrAIST),” Spine 38(21), 18321841 (2013).CrossRefGoogle Scholar
Yang, C., Tian, B., Li, X., Zheng, S. and Agrawal, S. K., “Investigation of robotic braces of patients with idiopathic scoliosis,” J. Mech. Med. Biol. 18(08), 8 (2018).Google Scholar
Cheng, J., Castelein, R., Chu, W., Danielsson, A., Dobbs, M., Grivas, T., Gurnett, C., Luk, K., Moreau, A., Newton, P., Stokes, I., Weinstein, S. and Burwell, R., “Adolescent idiopathic scoliosis,” Nat. Rev. Dis. Primers 1, 15030 (2015).CrossRefGoogle ScholarPubMed
Weinstein, S. and Ponseti, I., “Curve progression in idiopathic scoliosis,” J. Bone Joint Surg. 65(4), 447455 (1983).CrossRefGoogle ScholarPubMed
Lonstein, J. and Winter, R., “The Milwaukee brace for the treatment of adolescents idiopathic scoliosis. A review of one thousand and twenty patients,” J. Bone Joint Surg. 76(8), 12071221 (1994).CrossRefGoogle ScholarPubMed
Skaggs, D., “Effectiveness of treatment with a brace in girl who have adolescent idiopathic scoliosis. A prospective controlled study based on data from the brace study of the scoliosis research society,” J. Bone Joint Surg. 78(1), 151 (1996).CrossRefGoogle ScholarPubMed
Nnadi, C. and Fairback, J., “Scoliosis: A review,” Pediatr. Child Health 20(5), 215220 (2009).CrossRefGoogle Scholar
Carlson, J., “Clinical biomechanics of orthotic treatment of idiopathic scoliosis,” J. Prosthet. Orthot. 15(4S), 17S30 (2003).CrossRefGoogle Scholar
Heary, R., Bono, C. and Kumar, S., “Bracing for scoliosis,” Neurosurgery 63(3), A125A130 (2008).CrossRefGoogle ScholarPubMed
Negrini, S. and Minozzi, S.. Braces for Idiopathic Scoliosis in Adolescents (John Wiley & Sons, New York, NY, 2010).CrossRefGoogle ScholarPubMed
Weinstein, S., Dolan, L., Wright, J. and Dobbs, M., “Effects of bracing in adolescents with idiopathic scoliosis,” N. Engl. J. Med. 369(16), 15121521 (2013).CrossRefGoogle ScholarPubMed
Wynne, J., “The boston brace system philosophy, biomechanics, design & fit,” Stud. Health Technol. Inform. 135(1), 370384 (2007).Google Scholar
Rigo, M. and Weiss, H., “The cheneau concept of bracing - biomechanical aspects,” Stud. Health Technol. Inform. 135(1), 303319 (2008).Google ScholarPubMed
Price, C., Scott, D., Reed, F. and Riddick, M., “Night-time bracing for adolescent idiopathic scoliosis with the charleston bending brace: Preliminary report,” Spine 15(12), 12941299 (1990).CrossRefGoogle Scholar
Lonstein, J. and Winter, R., “Milwaukee brace for the treatment of adolescent idiopathic scoliosis: A review of one thousand and twenty patients,” J. Bone Joint Surg. 76(8), 12071221 (1994).CrossRefGoogle ScholarPubMed
Federico, D. and Renshaw, T., “Results of treatment of idiopathic scoliosis with the Charleston bending orthosis,” Spine 15(9), 886887 (1990).CrossRefGoogle ScholarPubMed
Blount, W., “The milwaukee brace in the treatment of the young child with scoliosis,” Arch. Orthop. Traum Surg. 56(4), 363369 (1964).Google Scholar
Watts, H., Hall, J. and Stanish, W., “The Boston brace system for the treatment of low thoracic and lumbar scoliosis by the use of girdle without superstructure,” Clin. Orthop. Relat. Res. 126(126), 8792 (1977).Google Scholar
Labelle, H., Dansereau, J., Bellefleur, C. and Poitras, B., “Three-dimensional effect of the Boston brace on the thoracic spine and rib cage,” Spine 21(1), 5964 (1996).CrossRefGoogle ScholarPubMed
Weiss, H. and Rigo, M., “The cheneau concept of bracing - actual standards,” Stud. Health Technol. Inform. 135(1), 291302 (2008).Google ScholarPubMed
Mac-Thiong, J., Petit, Y., Aubin, C., Delorme, S., Dansereau, J. and Labelle, H., “Biomechanical evaluation of the boston brace system for the treatment of adolescent idiopathic scoliosis: Relationship between strap tension and brace interface forces,” Spine 29(1), 2632 (2004).CrossRefGoogle ScholarPubMed
Aubin, C., Labelle, H., Ruszkowsk, A., Petit, Y., Gignac, D., Joncas, J. and Dansereau, J., “Variability of strap tension in brace treatment for adolescent idiopathic scoliosis,” Spine 24(4), 349354 (1993).CrossRefGoogle Scholar
Wong, M., Cheng, J., Lam, T., B., N. G., Sin, S., Lee-Shum, S., Chow, D. and Tam, S., “The effect of rigid versus flexible spinal orthosis on the clinical efficacy and acceptance for the patients with adolescent idiopathic scoliosis,” Spine 33(12), 13601365 (2008).CrossRefGoogle Scholar
Coillard, C., Vachon, V., Circo, A., Beausejour, M. and Rivard, C., “Effectiveness of the spinecor brace based on the new standardized criteria proposed by the scoliosis research society for adolescent idiopathic scoliosis,” J. Pediatr. Orthoped. 27(4), 375379 (2007).CrossRefGoogle ScholarPubMed
Lou, E., Venkateswaran, S., Hill, D., Raso, J. and Donauer, A., “An intelligent active brace system for the treatment of scoliosis,” IEEE Trans. Instrum. Meas. 53(4), 11461151 (2004).CrossRefGoogle Scholar
“ExMS-1,” ExoDynamics, LLC, [Online]. Available: www.exodynamicsmedical.com [Accessed 23/04/2019].Google Scholar
Park, J., Stegall, P. R., Roye, D. P. and Agrawal, S. K., “Robotic spine exoskeleton (RoSE): Characterizing the 3-d stiffness of the human torso in the treatment of spine deformity,” IEEE Trans. Neural Syst. Rehabil. Eng. 26(5), 10261035 (2018).CrossRefGoogle ScholarPubMed
Ray, R., Nouaille, L., Colobert, B. and Poisson, G., “Design of Robotic Braces for Patients with Scoliosis,” In: RAAD 2020, Mechanism and Machine Science, vol. 84 (Springer, Cham, 2020) pp. 18.Google Scholar
Merlet, J., “Direct kinematics of parallel manipulators,” IEEE Trans. Robot. Autom. 9(6), 842845 (1993).CrossRefGoogle Scholar
Waldron, K. and Hunt, K., “Series-parallel dualities in actively coordinated mechanisms,” Int. J. Robot. Res. 10(5), 473480 (1991).CrossRefGoogle Scholar
Tasi, L. W., Robot Analysis (John Wiley & Sons, Inc., New York, NY, 1999).Google Scholar
Taghirad, H., Parallel Robots (CRC Press, Boca Raton, FL, 2012).Google Scholar
Park, J., Stegall, P. and Agrawal, S. K., “Dynamic Brace for Correction of Abnormal Postures of the Human Spine,” In: Proceedings of the IEEE International Conference on Robotics and Automation, Seattle, WA (2015) pp. 59225927.Google Scholar
Moré, J. J., Numerical Analysis, Lecture Notes in Mathematics (Springer, Berlin, 1977) pp. 405–116.Google Scholar
Dennis, J. E. and Schnabel, R. B., Numerical Methods for Unconstrained Optimization and Nonlinear Equations, Prentice-Hall Series in Computational Mathematics (Prentice-Hall, Englewood Cliffs, NJ, 1983).Google Scholar
Levenberg, K., “A method for the solution of certain problems in least-squares,” Q. Appl. Math. 2(2), 164168 (1944).CrossRefGoogle Scholar
Marquardt, D., “An algorithm for least-squares estimation of nonlinear parameters,” SIAM J. Appl. Math. 11(2), 431441 (1963).CrossRefGoogle Scholar
Biagiotti, L. and Melchiorri, C., Trajectory Planning for Automatic Machines and Robots (Springer, Cham, 2008).Google Scholar
Gosselin, C., “Stiffness mapping of parallel manipulators,” IEEE Trans. Robot. Autom. 6(3), 377382 (1990).CrossRefGoogle Scholar
Ray, R., Nouaille, L., Colobert, B., Calistri, L. and Poisson, G., “Design of a Robotic Brace with Parallel Structure for Spine Deformities Correction,” In: MEDER 2021: Mechanism Design for Robotics, vol. 103 (Springer, Cham, 2021) pp. 159167.CrossRefGoogle Scholar
Hasler, C. C., Wietlisbach, S. and Buchler, P., “Objective compliance of adolescent girls with idiopathic scoliosis in a dynamic spinecor brace,” J. Child. Orthop. 4(3), 211218 (2010).CrossRefGoogle Scholar