Assistive control of motion therapy devices based on pneumatic soft-actuators with rotary elastic chambers

Abstract

Robot assisted motion therapy attains increasingly importance and acceptance especially in neurorehabilitation after stroke or spinal injury, but also in orthopedic rehabilitation and surgical interventions. Several studies have shown that a patient-cooperative (assistive) motion therapy, which activates remaining muscle strength and so optimizes recovery, will cause a much higher effectiveness compared to commonly used continuous passive motion (CPM) machines with pre-programmed trajectories (motion profiles). This article describes an assistive control concept developed for orthopedic rehabilitation based on inherent compliant (soft) actuators. Control concept takes into acccount specific properties of physiotherapists behavior during treatment. The patient will be supported and at the same time encouraged to generate own muscular strength to perform desired movement. Concept has been implemented for two prototypes of motion therapy devices (MTD) for knee and shoulder motion therapy. The first prototype (Knee-MTD) has been extensively tested with healthy persons and now is being tested in the Clinic for Orthopaedics and Trauma Surgery of Klinikum Stuttgart to prove concept in real-life conditions.