According to reviews, training with upper-extremities rehabilitation robotics is at least as good as regular stroke rehabilitation, probably because the robotics increase the training intensity for the patients. As an alternative to the functional approach mimicking activities of daily living, targeted force-coordination training may also have its benefits. Our passive exoskeleton, the Dampace, has controlled braking on the three rotational axes of the shoulder and one of the elbow. It is designed to combine functional training of activities of daily living with force-coordination training. The Dampace exoskeleton can assist in identifying causes behind the movement disorders of stroke patients, tackle these causes with isolated force-coordination training, possibly simultaneously over multiple joints, and then integrate the isolated training back into a functional, task-specific training protocol. Not needing to align the Dampace axes to the human shoulder and elbow axes overcome some of the difficulties traditionally associated with exoskeletons. Although it adds more complexity, the reduction of setup times to a few minutes and the absence of static reaction forces in the human joints, are major advantages and have been well received by therapists and physicians. Controlled braking instead of actively assisting actuators, has the advantage of inherent safety and always actively participating patients, at the cost of not being able to assist movements or create all virtual environments.

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The prevalence of neurological disorders such as stroke, spinal cord injury and traumatic brain injury is increasing quickly in the industrialised societies. Although the benefit of the use of technology in rehabilitation and neurorehabilitation programs is proved, the presence of mechatronic systems is still very low. This paper proposes a new lower limb exoskeleton for functional rehabilitation in persons with neurological pathologies. Since potential users have very reduced mobility even to start common daily movements, the control of the exoskeleton has to be intention based The estimation of the intention of the user is based on hip and knee angle, and the EMG signal is monitored for intention detection, control and neurofeedback aims. A novel approach of a whole mechatronic system has been done in order to approach functional rehabilitation in patients with neurological disorders and stroke. The EMG to force conversion in paraplegic patients is also described.

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Stroke forms one of the leading causes of disability in most industrialized countries. Robot mediated task-orientated physiotherapy is the recent answer to the shortage of staff and the cost associated with the treatment of strokes. The role of biofeedback as a rehabilitation tool has also being acknowledged recently. In this paper we present Rehab Lab, a multi-modal environment for implementing task-orientated therapy. The work focuses on how an arm exoskeleton operating in 3D space can be used in conjunction with rehabilitation software for training patients in relearning daily motor tasks as well as providing them with quality feedback. The Salford rehabilitation exoskeleton (SRE) is used as an assistive device which helps individuals retrain in performing motor tasks by assisting them to complete therapy regimes.

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Several studies demonstrate the importance of an early, constant and intensive rehabilitation following cerebral accidents. This kind of therapy is an expensive procedure in terms of human resources and time, and the increase of both life expectance of world population and incidence of stroke is making the administration of such therapies more and more important. The development of new robotic devices for rehabilitation can help to reduce this cost and lead to new effective therapeutic procedures. In this paper we present an exoskeleton for the robotic-assisted rehabilitation of the upper limb. This article describes the main issues in the design of an exoskeletal robot with high performance, in terms of backdrivability, low inertia, large workspace isomorphic to the human arm and high payload to weight ratio. The implementation of three different robotic schemes of therapy in virtual reality with this exoskeleton, based on an impedance control architecture, are presented and discussed in detail. Finally the experimental results of a preliminary evaluation of functionality of the system carried out on one patient are presented, and compared with the performance in the execution of the exercise obtained with healthy volunteers. Moreover, other preliminary results from an extended pilot clinical study with the L-Exos are reported and discussed.

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In the many decades since researchers began to explore methods of creating them, active orthoses have progressed from complex research devices to nearly commercialized products. And while there are still many challenges associated with their development that have yet to be perfected, the advances in the field have been enormous. In this paper we review the history and discuss the state of the art of lower-limb active orthoses. We provide a design overview of hardware, actuation, sensory, and control systems for most of the devices that have been described in the literature, and end with a discussion of the major advances that have been made and hurdles yet to be overcome.

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