Skip to main content
Log in

Low-resistance, high-force, and large-ROM fabric-based soft elbow exosuits with adaptive mechanism and composite bellows

  • Article
  • Published:
Science China Technological Sciences Aims and scope Submit manuscript

Abstract

Due to the lightweight and compliance, fabric-based pneumatic exosuits are promising in the assistance and rehabilitation of elbow impairments. However, existing elbow exosuits generally suffer from remarkable mechanical resistance on the flexion of the elbow, thus limiting the output force, range of motion (ROM), and comfortability. To address these challenges, we develop a fabric-based soft elbow exosuit with an adaptive mechanism and composite bellows in this work. With the elbow kinesiology considered, the adaptive mechanism is fabricated by sewing the interface of the exosuit into spring-like triangle pleats, following the profile of the elbow to elongate or contract when the elbow flexes or extends. The composite bellows are implemented by further sealing a single blade of bellows into two branches to enhance the output force. Based on these structural features, we characterize the mechanical performance of different soft elbow exosuits: exosuit with normal bellows-NB, exosuit with adaptive mechanism and normal bellows-AMNB, exosuit with adaptive mechanism and composite bellows-AMCB. Experimental results demonstrate that by comparing with NB, the mechanical resistance of AMNB and AMCB decreases by 80.6% and 78.6%, respectively; on the other hand, the output torque of AMNB and AMCB increases to 120.3% and 207.0%, respectively, at 50 kPa when the joint angle is 120°. By wearing these exosuits on a wooden arm model (1.25 kg), we further verify that AMCB can cover a full ROM of 0°–130° at the elbow with 500 g weight. Finally, the application on a health volunteer with AMCB shows that when the volunteer flexes the elbow to lift a weight of 500 g, the sEMG activity of the biceps and triceps is markedly reduced.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Explore related subjects

Discover the latest articles, news and stories from top researchers in related subjects.

References

  1. Feigin V L, Brainin M, Norrving B, et al. World stroke organization (WSO): Global stroke fact sheet 2022. Int J Stroke, 2022, 17: 18–29

    Article  Google Scholar 

  2. Hatem S M, Saussez G, Della Faille M, et al. Rehabilitation of motor function after stroke: A multiple systematic review focused on techniques to stimulate upper extremity recovery. Front Hum Neurosci, 2016, 10: 442

    Article  Google Scholar 

  3. Levin M F, Selles R W, Verheul M H G, et al. Deficits in the coordination of agonist and antagonist muscles in stroke patients: Implications for normal motor control. Brain Res, 2000, 853: 352–369

    Article  Google Scholar 

  4. Day J M, Lucado A M, Uhl T L. A comprehensive rehabilitation program for treating lateral elbow tendinopathy. Intl J Sports Phys Ther, 2019, 14: 818–829

    Article  Google Scholar 

  5. Hu X, Tong K Y, Song R, et al. Variation of muscle coactivation patterns in chronic stroke during robot-assisted elbow training. Arch Phys Med Rehabil, 2007, 88: 1022–1029

    Article  Google Scholar 

  6. Hogan N, Krebs H I, Charnnarong J, et al. MIT-MANUS: A workstation for manual therapy and training I. In: Proceeedings of the IEEE International Workshop on Robot and Human Communication (ROMAN). Tokyo, 1992. 161–165

  7. Nef T, Mihelj M, Riener R. ARMin: A robot for patient-cooperative arm therapy. Med Bio Eng Comput, 2007, 45: 887–900

    Article  Google Scholar 

  8. Perry J C, Rosen J, Burns S. Upper-limb powered exoskeleton design. IEEE ASME Trans Mechatron, 2007, 12: 408–417

    Article  Google Scholar 

  9. Cianchetti M, Laschi C, Menciassi A, et al. Biomedical applications of soft robotics. Nat Rev Mater, 2018, 3: 143–153

    Article  Google Scholar 

  10. Zhang J, Sheng J, O’Neill C T, et al. Robotic artificial muscles: Current progress and future perspectives. IEEE Trans Robot, 2019, 35: 761–781

    Article  Google Scholar 

  11. Cappello L, Dinh Khanh B, Shih-Cheng Y, et al. Design and preliminary characterization of a soft wearable exoskeleton for upper limb. In: Proceeedings of the IEEE International Conference on Biomedical Robotics and Biomechatronics (BioRob). Singapore, 2016. 623–630

  12. Koo I, Yun C, Costa M V O, et al. Development of a meal assistive exoskeleton made of soft materials for polymyositis patients. In: Proceeedings of the IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS). Chicago, 2014. 542–547

  13. Lessard S, Pansodtee P, Robbins A, et al. CRUX: A compliant robotic upper-extremity exosuit for lightweight, portable, multi-joint muscular augmentation. In: Proceeedings of the International Conference on Rehabilitation Robotics (ICORR). London, 2017. 1633–1638

  14. Noritsugu T, Takaiwa M, Sasaki D. Power assist wear driven with pneumatic rubber artificial muscles. In: Proceeedings of the International Conference on Mechatronics and Machine Vision in Practice (M2VIP). Auckland, 2008. 539–544

  15. Gao X F, Sun Y, Hao L, et al. A new type of soft pneumatic elbow. In: Proceeedings of the IEEE International Conference on Robotics and Biomimetics (ROBIO). Macao, 2017. 2681–2686

  16. Wilkening A, Stöppler H, Ivlev O. Adaptive assistive control of a soft elbow trainer with self-alignment using pneumatic bending joint. In: Proceeedings of the IEEE International Conference on Rehabilitation Robotics (ICORR). Singapore, 2015. 729–734

  17. Polygerinos P, Correll N, Morin S A, et al. Soft robotics: Review of fluid-driven intrinsically soft devices; manufacturing, sensing, control, and applications in human-robot interaction. Adv Eng Mater, 2017, 19: 1700016

    Article  Google Scholar 

  18. Morris M, Shoham M, Nahon M, Applications and theoretical issues of cable-driven robots. In: Proceeedings of the Florida Conference on Recent Advances in Robotics (FCRAR). Florida, 2009. 21–22

  19. Park D, Cho K J. Development and evaluation of a soft wearable weight support device for reducing muscle fatigue on shoulder. PLoS ONE, 2017, 12: e0173730

    Article  Google Scholar 

  20. Bessler J, Prange-Lasonder G B, Schaake L, et al. Safety assessment of rehabilitation robots: A review identifying safety skills and current knowledge gaps. Front Robot AI, 2021, 8: 602878

    Article  Google Scholar 

  21. Sanchez V, Walsh C J, Wood R J. Textile technology for soft robotic and autonomous garments. Adv Funct Mater, 2021, 31: 2008278

    Article  Google Scholar 

  22. O’Neill C T, Phipps N S, Cappello L, et al. A soft wearable robot for the shoulder: Design, characterization, and preliminary testing. In: Proceeedings of the International Conference on Rehabilitation Robotics (ICORR). London, 2017. 1672–1678

  23. Koh T H, Cheng N, Yap H K, et al. Design of a soft robotic elbow sleeve with passive and intent-controlled actuation. Front Neurosci, 2017, 11: 597

    Article  Google Scholar 

  24. Proietti T, O’Neill C, Hohimer C J, et al. Sensing and control of a multi-joint soft wearable robot for upper-limb assistance and rehabilitation. IEEE Robot Autom Lett, 2021, 6: 2381–2388

    Article  Google Scholar 

  25. Thalman C M, Lam Q P, Nguyen P H, et al. A novel soft elbow exosuit to supplement bicep lifting capacity. In: Proceeedings of the IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS). Madrid, 2018. 6965–6971

  26. Miller-Jackson T M, Li J, Natividad R F, et al. STAS: An antagonistic soft pneumatic actuator assembly for high torque output. In: Proceeedings of the IEEE International Conference on Soft Robotics (RoboSoft). Seoul, 2019. 43–48

  27. Nassour J, Vaghani S, Hamker F H. Design of soft exosuit for elbow assistance using butyl rubber tubes and textile. In: Proceeedings of the International Symposium on Wearable Robotics (WeRob). Pisa, 2018. 420–424

  28. Nassour J, Zhao G, Grimmer M. Soft pneumatic elbow exoskeleton reduces the muscle activity, metabolic cost and fatigue during holding and carrying of loads. Sci Rep, 2021, 11: 1–4

    Article  Google Scholar 

  29. Neumann D A. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. 2nd ed. Mosby: Elsevier, 2010

    Google Scholar 

  30. Feng M, Yang D, Gu G. High-force fabric-based pneumatic actuators with asymmetric chambers and interference-reinforced structure for soft wearable assistive gloves. IEEE Robot Autom Lett, 2021, 6: 3105–3111

    Article  Google Scholar 

  31. Schuind F A, Goldschmidt D, Bastin C, et al. A biomechanical study of the ulnar nerve at the elbow. J Hand Surg, 1995, 20: 623–627

    Article  Google Scholar 

  32. Park J, Choi J, Kim S J, et al. Design of an inflatable wrinkle actuator with fast inflation/deflation responses for wearable suits. IEEE Robot Autom Lett, 2020, 5: 3799–3805

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to GuoYing Gu.

Additional information

This work was supported by the National Natural Science Foundation of China (Grant Nos. 52025057 and 91948302) and the Science and Technology Commission of Shanghai Municipality (Grant No. 20550712100).

Supporting Information

The supporting information is available online at https://tech.scichina.com and https://link.springer.com. The supporting materials are published as submitted, without typesetting or editing. The responsibility for scientific accuracy and content remains entirely with the authors.

Electronic supplementary material

Supplementary material, approximately 19.3 MB.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Huang, W., Feng, M., Yang, D. et al. Low-resistance, high-force, and large-ROM fabric-based soft elbow exosuits with adaptive mechanism and composite bellows. Sci. China Technol. Sci. 66, 24–32 (2023). https://doi.org/10.1007/s11431-022-2233-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11431-022-2233-3

Keywords

Navigation