A hand exoskeleton with series elastic actuation for rehabilitation : design, control and experimentation

Rehabilitation of the hands is critical for restoring independence in activities of daily living for individuals with upper extremity disabilities. Conventional therapies for hand rehabilitation have not shown significant improvement in hand function. Robotic exoskeletons have been developed to assist in therapy and there is initial evidence that such devices with force-control based strategies can help in effective rehabilitation of human limbs. However, to the best of our knowledge, none of the existing hand exoskeletons allow for accurate force or torque control. In this dissertation, we design and prototype a novel hand exoskeleton that has the following unique features: (i) Bowden-cable-based series elastic actuation allowing for bidirectional torque control of each joint individually, (ii) an underlying kinematic mechanism that is optimized to achieve large range of motion and (iii) a thumb module that allows for independent actuation of the four thumb joints. To control the developed hand exoskeleton for efficacious rehabilitation after a neuromuscular impairment such as stroke, we present two types of subject-specific assist-as-needed controllers. Learned force-field control is a novel control technique in which a neural-network-based model of the required torques given the joint angles for a specific subject is learned and then used to build a force-field to assist the joint motion of the subject to follow a trajectory designed in the joint-angle space. Adaptive assist-as-needed control, on the other hand, estimates the coupled digit-exoskeleton system torque requirement of a subject using radial basis function (RBF) and on-the-y adapts the RBF magnitudes to provide a feed-forward assistance for improved trajectory tracking. Experiments with healthy human subjects showed that each controller has its own trade-offs and is suitable for a specific type of impairment. Finally, to promote and optimize motor (re)-learning, we present a framework for robot-assisted motor (re)-learning that provides subject-specific training by allowing for simultaneous adaptation of task, assistance and feedback based on the performance of the subject on the task. To train the subjects for dexterous manipulation, we present a torque-based task that requires subjects to dynamically regulate their joint torques. A pilot study carried out with healthy human subjects using the developed hand exoskeleton suggests that training under simultaneous adaptation of task, assistance and feedback can module challenge and affect their motor learning.