Wearable Robotic Exoskeletons for Overground Walking in Rehabilitation: Specific Contexts of Use and Improvement Opportunities

Author:

Gagnon Dany H.ORCID,Aissaoui Rachid

Publisher

Springer Science and Business Media LLC

Subject

General Engineering

Reference39 articles.

1. • Pinto-Fernandez D, Torricelli D, Sanchez-Villamanan MDC, Aller F, Mombaur K, Conti R, et al. Performance evaluation of lower limb exoskeletons: a systematic review. IEEE Trans Neural Syst Rehabil Eng. 2020;28(7):1573–83. The authors of this paper presented a systematic review on lower limb exoskeleton. They designed a table in which performance indicators for kinematics, goal level, and human-robot interaction were related to motor skills in walking and standing. This review revealed an exponential increase in the number of studies related to the performance of exoskeleton. However, most of the studies are oriented towards walking either on a flat ground or a treadmill. However, their benchmark could be used in the future for other motor skills such as running, lateral stepping, sit-to-stand, and standing on slopes.

2. Esquenazi A, Talaty M, Jayaraman A. Powered exoskeletons for walking assistance in persons with central nervous system injuries: a narrative review. PM&R. 2017;9(1):46–62.

3. Onose G, Cârdei V, Crăciunoiu ŞT, Avramescu V, Opriş I, Lebedev MA, et al. Mechatronic wearable exoskeletons for bionic bipedal standing and walking: a new synthetic approach. Front Neurosci. 2016;10:343.

4. Chen G, Chan CK, Guo Z, Yu H. A review of lower extremity assistive robotic exoskeletons in rehabilitation therapy. Crit Rev Biomed Eng. 2013;41(4–5):343–63.

5. • Smith AJJ, Fournier BN, Nantel J, Lemaire ED. Estimating upper extremity joint loads of persons with spinal cord injury walking with a lower extremity powered exoskeleton and forearm crutches. J Biomech. 2020;107:109835. The authors developed the first musculoskeletal model that estimate upper-extremity (UE) loads using the crutch and exoskeleton. For the complete SCI injury, they found that the load impulse was 5 to 12 times the one experienced by incomplete SCI when walking reciprocally with crutches. This may cause UE joint and muscle pain and fatigue and increase energy cost of walking.

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1. Design for Complexity;Reshaping Engineering Education;2023-12-31

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