1. Introduction
Arm swing plays a key role in healthy human gait [
1] through enhancing gait stability [
2], making locomotion energetically efficient [
3], and regaining balance after disruptions, particularly when unexpected disturbances occur [
4]. Previous studies have demonstrated the coupling between upper and lower limbs during locomotion that can stem from interlimb neural connections [
5,
6]. Arm swing is suggested to be an active process that influences lower limb muscle activity through shared pathways in both the brain and spinal cord, helping to maintain coordinated and rhythmic gait patterns [
6,
7,
8]. In addition to the arm swing role in healthy gait, proper arm swing can be critical for gait training of various populations, including older adults [
9], individuals poststroke [
10,
11], and those with Parkinson’s disease [
12]. Simultaneous arm and leg movements during training can enhance neural pathway excitability between limbs [
13], supporting better leg function recovery after neurological injuries such as stroke [
14] and spinal cord injury [
15]. Greater arm swing amplitude is linked to improved interlimb coordination during walking, emphasizing the importance of training with sufficient amplitude [
16]. The importance of coordinated arm swing for efficient and stable gait and the absence of proper arm swing in many clinical populations underscore the need for incorporating arm swing into gait rehabilitation, where it is currently lacking.
Most studies so far have been observational ones, mainly focusing on the role of arm swing on gait as well as the effects of disorders, speed, age, etc., on arm swing. However, some efforts have been made to integrate arm swing in gait rehabilitation, such as manual assistance by therapists via horizontally moving poles during walking on a treadmill [
13], verbal instructions have been utilized for phase manipulation [
17], using recumbent stepper machines [
18], holding on sliding handrails during treadmill walking [
19], and a simple rope-pulley system for mechanically coupling the arm and leg movements [
20]. The aforementioned methods are relatively simplistic, as they predominantly rely on manual assistance from one or several therapists within clinical facilities, and they may lead to body weight compensation through hands, leading to the learning of incorrect gait patterns [
21]. More recently, advances in wearable and intelligent systems have enabled the development of biofeedback systems for gait and arm swing training. Haptic feedback has been used to manipulate arm swing frequency and, thereby, walking speed in young [
22] and older adults [
6,
9], showing significant improvements in key gait outcomes as well as enhanced arm swing range of motion and symmetry. Vibrotactile feedback was used at the wrists for individuals with Parkinson’s disease [
23] and around the forearm for healthy young individuals and one poststroke individual [
24]; however, the distal location of the feedback concerning the shoulder joint, as the main joint for arm swing, may lead to unnatural arm-swing patterns. While biofeedback devices offer significant potential for gait training [
25,
26], individuals who struggle to initiate or alter their arm swing due to insufficient strength or motor control require stronger assistance or guidance than tactile feedback can provide.
To address the limitations of manual therapist-dependent interventions as well as providing stronger assistance to instigate arm swing, one may consider using an upper-limb assistive device or exoskeleton. Although no exoskeletons currently exist specifically to facilitate arm swing during gait training, upper-limb exoskeletons come in various forms, including rigid linkage-based devices and soft textile exosuits, and employ a range of actuators such as pneumatic or cable-driven mechanisms. Rigid exoskeletons offer precise torque transmission and large workspace coverage [
27,
28]; however, they are often heavier and more restrictive for natural gait-related arm swing. In contrast, soft exosuits offer comfort and a lightweight, low-profile design but provide limited torque capacity and bandwidth [
29,
30,
31]. For arm-swing rehabilitation where natural, unconstrained motion and minimal mechanical resistance are essential, devices must be lightweight, backdrivable, and capable of high transparency across a large range of motion [
32,
33]. Pneumatic actuators provide high torque-to-weight ratios and inherent compliance, making them attractive for assistive and rehabilitation robots [
34,
35]; however, they require external air sources and exhibit nonlinear, hysteretic pressure-force behavior that complicates precise and fast control during cyclic arm swing [
29,
36].
Cable-driven systems with soft garment-like components offer a reasonable compromise between power and comfort by relocating actuators away from the distal limb to reduce inertia and improve user comfort [
37,
38]. Their flexible cable routing supports natural multi-joint movements and better anatomical alignment [
32]. However, cable-driven transmissions also present several well-documented limitations. In general, tendon- or cable-based actuation systems exhibit nonlinear and direction-dependent friction, which reduces transmission efficiency and leads to measurable torque loss at the joint. These effects have been consistently reported across a wide range of cable-driven wearable devices, including upper-limb, lower-limb, and soft tendon-driven exosuits, where friction, hysteresis, and tension losses accumulate along the cable path and degrade control accuracy and responsiveness [
39,
40]. In addition, cable jamming and squeezing can occur under high tension or curved routing paths, which affects responsiveness, control accuracy, and long-term reliability [
41,
42].
Recently, a significant number of upper-limb exoskeletons have been designed to reduce muscle strain and improve endurance during tasks that involve repetitive or overhead movements [
43]. These devices primarily support the shoulder joint and have been shown to reduce muscle activity in the deltoid and trapezius muscles and, thereby, decrease perceived exertion and discomfort [
44,
45,
46]. Using soft robotics, Proietti et al. [
47] utilized integrated textile pneumatic actuators to fabricate a portable inflatable shoulder wearable robot for assisting industrial workers during shoulder-elevated tasks. Although many portable upper-limb exoskeletons are used to augment the strength of able-bodied individuals, mostly in industrial settings, there are exoskeletons to support individuals with decreased musculoskeletal strength. Lee et al. [
34] presented an intelligent upper-extremity exoskeleton using pneumatic actuators and soft wearable sensors that can support shoulder and elbow flexion/extension by predicting the user’s intention. Textile-based pneumatic actuators were employed in a multi-joint soft wearable robot to assist the shoulder elevation and elbow extension to provide assistance and rehabilitation [
48]. Although upper-limb exoskeletons are progressing quickly thanks to lightweight and low-profile actuation mechanisms that improve portability and usability, they remain unsuitable for promoting natural arm swing in users. Of those exoskeletons with shoulder support, they mostly focus on assisting shoulder elevation and abduction, with fewer systems concerned with shoulder flexion/extension.
While these examples and other shoulder exoskeletons aim to provide substantial assistive torques at the shoulder during low-frequency arm movements in tasks such as reaching and lifting, eliciting natural arm swing involves higher-frequency movements, determined by gait frequencies, with torques that remain within the physiological range of shoulder torque during walking. Although upper-extremity exoskeletons may be a suitable option for the tasks mentioned above, they may be too excessive for incorporating arm swing during gait rehabilitation. To induce arm swing, there is a need for a wearable upper-extremity device with key ergonomic and motion/torque generation features of: (1) onboard actuators located on the back to avoid additional load on the user’s arms for users’ ergonomic, (2) powered in just one degree of freedom (DOF) to assist in flexion/extension of the user’s shoulder, while allowing relatively unconstrained motion of the user’s arms in the remaining DOFs including shoulder abduction/adduction, internal/external rotations, and elevation/depression, (3) large workspace to allow unconstrained movements of the arm while unpowered, (4) capable of generating approximately sinusoidal trajectories with stride frequencies in the range of 0.8–1.1 Hz corresponding to walking with normal speed [
5], and (5) torque generation capacity matching the physiological shoulder torque.
Building on our prior studies [
33,
49,
50], this paper presents the design, fabrication, and analysis of a research prototype for an arm swing facilitator device (ASFD) designed to evaluate the feasibility of inducing arm swing for gait rehabilitation applications in the future. Unlike the well-characterized requirements for lower-limb exoskeletons and upper-limb assistive devices, a substantial knowledge gap remains regarding the torque and movement requirements for a device whose primary function is to induce arm swing. As a step toward the overall goal of integrating arm swing into gait training, this version of the ASFD was developed as a research tool to answer the central question of whether arm swing can be generated and altered by a programmable wearable device that satisfies the mentioned features. Here, the design objective was to quantify sufficient torque to swing arms at different stride frequencies corresponding to walking with normal self-selected speed in the most demanding scenario, in which the wearer’s arms were passively hanging on their side, requiring full assistance from the ASFD. However, this scenario was only used for a feasibility demonstration, where the users’ active contribution to swinging their arms was restricted as a confounding factor preventing an objective evaluation of the ASFD. It is plausible, and should be tested in the future, that the ASFD only provides kinesthetic feedback using a small torque, instead of full assistance to swing passive arms, to nudge the arm and direct the user to modify arm swing accordingly.
To mitigate these limitations while retaining the benefits of remote actuation, the ASFD uses a rigid-link mechanism combined with a Bowden cable transmission. The rigid linkage ensures precise kinematic control with minimal compliance, while the Bowden cable enables motor placement near the torso, reducing distal mass and increasing comfort during gait. This hybrid architecture provides a more predictable and efficient torque transfer than fully cable-driven or soft-tendon systems, making it well-suited for cyclic, high-frequency arm-swing rehabilitation. The paper is structured as follows. First, the design and fabrication of the ASFD, including its double parallelogram linkage (DPL) and cable-driven power transmission, are presented. Dynamic modeling of the arm as a 2-DOF pendulum and the shoulder joint torque during walking were used to inform the design of the actuation system. Forward kinematics analysis, using Denavit–Hartenberg (DH) parameters, is performed with a focus on kinematic compatibility between the device’s workspace and the natural movements of the human body. Ensuring kinematic compatibility is essential to minimize parasitic interaction forces, enhance user safety, and maximize comfort during rehabilitative exercises [
31,
51,
52]. The evaluation of the torque and motion generation of the ASFD at different frequencies via static and dynamic load testing is presented next. Finally, the results of a human subject study demonstrate the ASFD’s capability in delivering sufficient torque to induce natural arm swing in the users at varying frequencies.