1. Introduction
Stroke and other neurological disorders frequently leave survivors with persistent impairment of upper limb function, which limits independence in daily living [
1]. Recovery is strongly associated with intensive, repetitive, and task-relevant practice, yet conventional therapist-delivered training is difficult to scale because it is labor intensive, time constrained, and variable across sessions [
2]. Wearable upper limb rehabilitation exoskeletons have therefore attracted sustained interest as a means to deliver repeatable training, to provide quantitative measurement during therapy, and to extend rehabilitation to settings where clinical resources are limited [
3].
A defining feature of wearable exoskeletons is the mechanical coupling between the device and the human body through cuffs and attachment interfaces [
4,
5]. After donning, the exoskeleton and the upper limb form a spatial closed kinematic chain, and coordinated motion is achieved through physical interaction at these interfaces [
6]. In an ideal case, the mechanism guides the limb while keeping interaction loads low, so the user experiences assistance rather than constraint. In practice, precise alignment between anatomical joint axes and exoskeleton joint axes is rarely achievable. The shoulder complex exhibits joint-center migration and coupled motion, and the location of attachment interfaces is affected by soft-tissue compliance, cuff placement, and individual anatomy. As the coupled human–robot chain moves, geometric mismatch can introduce redundant constraints that generate hyperstatic forces and torques at the interfaces. These loads vary over the movement cycle and may compromise comfort, safety, and training quality when they become excessive [
7,
8].
Introducing passive degrees of freedom into the exoskeleton structure is a widely used strategy for mitigating these effects [
9]. Passive joints provide motion accommodation paths that allow the mechanism to adjust to joint-center migration and axis misalignment, thereby reducing redundant constraints in the closed chain. Many upper-limb exoskeleton designs incorporate passive joints or passive tracking modules at the shoulder or elbow (EL) and report improved wearing comfort and reduced interaction loading [
10,
11,
12]. However, much of the available evidence is tied to a single device architecture or a local joint module, which makes it difficult to infer general principles for how passive mobility should be allocated across the shoulder and EL subchains.
Configuration synthesis studies provide a more systematic framework by linking compatibility to the kinematic structure of the human–exoskeleton closed chain [
13,
14]. In particular, Li and coauthors explained incompatibility using mechanism theory and showed that redundant actuation in the closed chain is a primary source of hyperstatic interface loading [
15]. Under an upper-limb model that represents the shoulder as a joint with a migrating center of rotation and the EL as a revolute joint, their analysis indicates that eight passive joints should be introduced into a four degree of freedom exoskeleton to avoid hyperstaticity. Importantly, this requirement leads to three families of compatible configurations that differ in how passive degrees of freedom are distributed between the shoulder and EL closed chains [
16,
17]. This synthesis result is valuable because it frames compatibility as a configuration-level design problem rather than a collection of isolated joint-level adjustments [
18].
A practical gap remains between synthesis-level compatibility and wearable performance [
19,
20,
21,
22]. Even if multiple configurations satisfy the same theoretical criteria, they may not be equivalent once a real human arm is coupled to the device and moved through functional trajectories [
23]. Real systems include finite passive joint ranges, friction, mass distribution, cuff compliance, and subject-specific anatomy, all of which affect how residual mismatch is accommodated and how loads are transmitted to the user [
24,
25,
26]. Moreover, comparisons across different exoskeleton platforms are often confounded by differences in hardware, sensing, and control, which prevents clear attribution of measured interaction forces to configuration differences alone [
27,
28]. A controlled experimental comparison that holds the hardware platform constant while varying only the passive-joint distribution is therefore needed to translate synthesis insights into configuration selection guidance with engineering value [
29].
This study addresses that need by developing a single reconfigurable upper-limb rehabilitation robot that can be assembled into each of the three compatible configuration families using modular passive units. The platform enables the same actuation, mass properties, cuffs, and sensing arrangement to be used across configurations. Human–robot interaction is quantified at both the upper-arm and forearm interfaces using six-axis force–torque sensing, allowing proximal and distal loading to be evaluated separately. Experiments are performed in passive training mode using two representative daily living trajectories, eating and combing, which differ in shoulder excursion and coordination demands. Compatibility is assessed using directional and resultant metrics derived from both mean and peak interaction components, capturing steady loading as well as transient peaks that are most relevant to comfort and safety.
This work makes three contributions. It provides an experimentally controlled framework to compare theoretically compatible configuration families on a common hardware platform. It reports interaction forces and torques at two interfaces under two functionally relevant trajectories, enabling a more complete view of compatibility than single-interface or force-only analyses. It further links the distribution of passive degrees of freedom to measured interaction loading, providing evidence that can guide configuration selection and inform future optimization of passive mobility allocation for safe and comfortable upper-limb rehabilitation.
2. Materials and Methods
2.1. Three Categories of Rehabilitation Exoskeleton Configurations
When the exoskeleton is attached to the user, the upper limb and the device form a spatial closed kinematic chain [
30,
31]. Power transmission and coordinated motion during rehabilitation tasks are realized through physical interaction at the connection interfaces between the limb segments and the exoskeleton links [
32]. To ensure smooth human exoskeleton interaction and to avoid secondary injury of the affected limb, the rehabilitation system should not generate large constraint forces or large relative motion offsets at these interfaces [
33,
34,
35]. In practice, however, misalignment between the anatomical joint axes of the upper limb and the joint axes of the exoskeleton introduces additional constraints into the closed chain. This misalignment gives rise to hyperstatic forces at the interfaces, and these forces vary with the motion of the chain [
36]. As a result, the interaction can become uncomfortable and, in extreme cases, unsafe for the patient [
37].
Introducing passive degrees of freedom (DOFs) into the exoskeleton structure is an effective way to compensate for joint axis misalignment [
16]. These passive joints allow the kinematic chain of the exoskeleton to adapt to the upper limb, so that the combined human exoskeleton system becomes kinematically compatible and the hyperstatic forces at the connection interfaces are reduced. Based on this design concept, Li et al. [
17] proposed a number synthesis approach for exoskeleton configurations that are compatible with the human upper limb. From a mechanism theory point of view, they showed that the incompatibility arises from redundant actuation in the human exoskeleton closed chain. According to the upper limb kinematic model reported in Ref. [
38], the shoulder complex can be approximated by a glenohumeral (GH) joint that behaves as a spherical joint with a moving rotational center, and the EL complex can be regarded as a single degree of freedom revolute joint. When the upper limb is modeled as a 4-DOF kinematic chain under this assumption, the results of Li et al. [
17] indicate that eight passive joints must be introduced into the exoskeleton chain in order to suppress undesired interaction forces. Furthermore, by distributing these eight passive joints between the shoulder and EL closed chains, Li et al. [
17] identified three families of compatible 4-DOF exoskeleton configurations, which are summarized in
Table 1. In these three categories, the numbers of passive joints required to achieve closed-chain compatibility at the shoulder and EL joints are denoted by (
fs,
fe), where
fs represents the number of passive DOFs introduced for shoulder closed-chain compatibility and
fe represents the number of passive DOFs introduced for EL closed-chain compatibility. Accordingly, the values of (
fs,
fe) are (3, 5), (4, 4), and (5, 3) for the three categories, respectively, while the total number of passive joints in the human–exoskeleton closed chain remains eight.
On the basis of this analysis, it can be concluded that there are multiple exoskeleton configurations that satisfy the kinematic compatibility conditions with the upper limb. However, not all of these configurations are equally attractive from an engineering point of view [
39,
40]. To obtain configurations with practical value, the joint distribution patterns of mature upper limb exoskeleton systems, such as Intelli Arm [
41], ARMin III [
42], and Armeo Power [
43], are used as design references. Guided by these systems, the following priorities are adopted for configuration selection. First, the influence of exoskeleton gravity on the active joints and on the upper limb should be minimized as much as possible, by directing the weight of the device toward the base instead of the limb. Second, the passive sub chains between the exoskeleton and the limb should be kept as short as possible in order to maintain efficient transmission of interaction forces and motion. Third, passive joints with a low number of DOF, such as prismatic joints, are preferred because they are structurally simple and mechanically robust [
44].
Following these priorities, one representative configuration is selected from each of the three categories proposed by Li et al. [
17] for further compatibility analysis and comparison. The three resulting exoskeletons are 4-DOF devices, and their schematic structures are shown in
Figure 1. In all three configurations, joints R
3, R
4, R
5, and R
7 are active joints, which together realize the 3-DOF of the glenohumeral (GH) joint as well as the flexion–extension motion of the EL joint. Specifically, the GH joint enables shoulder adduction/abduction (AD/AB), flexion/extension (FL/EX), and internal/external (IN/EX) rotation of the upper arm.
With respect to the passive joints, the arrangement principles are consistent across the three configurations. Two passive prismatic joints, P1 and P2, are directly connected to the base and arranged orthogonally in the horizontal plane. Their role is to transfer the weight of the exoskeleton to the base while tracking the horizontal displacement of the GH joint over the workspace, thereby reducing constraint forces transmitted to the user’s limb. All remaining passive joints are located in the connection subchains between the exoskeleton and the upper-limb segments.
The specific type of each passive joint is selected to match the required number of passive degrees of freedom while keeping the connection subchains compact and mechanically robust: a prismatic joint provides one translational DOF, a universal joint provides two rotational DOFs, and a spherical joint provides three rotational DOFs. Importantly, all three configurations are implemented on the same reconfigurable hardware platform using identical passive joint modules (i.e., the same joint models and assembly methods). When switching among configurations, only the number and placement of passive joints are changed. This design choice ensures comparable mechanical characteristics of the passive joints, such as friction, damping, and stiffness, across the three configurations.
Through the introduction and distribution of these passive joints, the human–exoskeleton closed chain is converted into an evenly actuated kinematic system that ensures kinematic compatibility with the upper limb, while keeping the connection subchains short and preserving efficient force and motion transmission. As a result, the subsequent compatibility analysis focuses on the effect of passive DOF distribution at the configuration level, rather than on the optimization of passive joint types. In this work, the three exoskeleton configurations are fixed and used consistently throughout the subsequent compatibility analysis.
2.2. Prototype Description of Three Categories Exoskeleton Robot
Based on the three compatible exoskeleton configurations defined in
Section 2.1, a reconfigurable upper limb rehabilitation robot was designed and fabricated. The three-dimensional CAD model and the final prototype are shown in
Figure 2. For clarity of hardware description,
Figure 2 is reproduced from our previous work (Figure 5 in Ref. [
45]), and the source is explicitly acknowledged in the figure caption. The prototype provides a unified mechanical platform that can be assembled into any of the three configurations by replacing the passive modules at the shoulder and EL. This approach allows the kinematic characteristics of the three exoskeleton types to be compared under identical hardware conditions.
The shoulder module contains three active rotational joints, which reproduce FL/EX, AD/AB, and IN/EX rotation of the upper arm. The EL module includes one active joint for FL/EX. All active joints are equipped with dual encoders to ensure accurate joint angle measurements during passive movement. The mechanical frame provides vertical adjustment so that users of different body sizes can be accommodated without altering the kinematic chain. The arm modules are symmetric and can be configured for either the left or the right side, which simplifies clinical operation.
The passive joints in the prototype reflect the structural characteristics extracted from
Section 2.1. Two passive prismatic joints, P
1 and P
2, are placed between the base and the shoulder module and arranged orthogonally in the horizontal plane. Their function is to follow the floating motion of the GH joint center while transferring the weight of the robot to the base, thereby reducing the load transmitted to the user.
The remaining passive joints are implemented as modular units based on universal and spherical joints. These modules can be mounted or removed without affecting the main structure, allowing the robot to be reconfigured into any of the three compatible exoskeleton types. The choice between universal and spherical joint modules is determined by the required number of passive rotational degrees of freedom at each connection, rather than by differences in joint performance. By adjusting the number and position of these modules, the prototype achieves the desired distribution of passive degrees of freedom while keeping the connection branches short and mechanically efficient.
All passive joint modules are realized using identical joint models and assembly methods, which ensures comparable mechanical characteristics—such as friction, damping, and stiffness—across different configurations. Consequently, the reconfiguration process primarily alters the passive DOF distribution at the configuration level without introducing additional hardware-dependent variability.
The stroke limits of all passive joints were selected based on reported ranges of shoulder joint center migration and anthropometric variability, and were set to exceed the maximum displacement observed during the prescribed tasks, ensuring that no joint reached its mechanical limit during the experiments. Although friction and clearance are unavoidable in practical passive joints and may limit ideal motion accommodation to some extent, their influence remains consistent across all configurations because the same passive joint modules and mechanical structures are used throughout the study. As a result, joint-level frictional effects do not bias the comparative evaluation of configuration-level compatibility.
To measure the human–robot interaction forces during passive rehabilitation movements, six-axis force/torque sensors were installed at the upper arm and forearm interfaces. One Mini45 SI-145-5 sensor (ATI, Apex, NC, USA) was mounted between the upper arm cuff and the robot link, and a second identical sensor was mounted at the forearm interface. Each sensor provides three force components and three moment components, forming the basis for quantitative evaluation of interaction forces and for identifying the influence of different exoskeleton configurations. The performance parameters of the sensors and data acquisition system are summarized in
Table 2.
2.3. Participants and Experimental Tasks
To evaluate the human robot interaction forces associated with the three compatible exoskeleton configurations defined in
Section 2.1, a series of experiments were conducted using the passive training mode of the rehabilitation robot. The robot guided the participants through two representative rehabilitation movements, the eating task and the combing task, while six-dimensional force and torque data were recorded at the upper arm and forearm interfaces. These tasks were selected because they reflect common activities of daily living and involve substantial motion of both the shoulder and EL joints, making them suitable for assessing the interaction characteristics of the three configurations.
Five healthy participants with no history of neurological, musculoskeletal, or cardiopulmonary disorders affecting the upper limbs were recruited. Their anthropometric parameters were measured prior to the experiments, and written informed consent was obtained. Before the main trials, each participant completed introductory sessions to become familiar with the procedure. During all tests, participants were seated comfortably with the trunk supported, and the height of the robot as well as the positions of the arm cuffs were adjusted according to the individual body measurements. The shoulder and EL joints of the participant were aligned as closely as possible with the corresponding robot joints, and the cuffs were tightened sufficiently to maintain stable contact while avoiding excessive compression. All cuffs were fabricated using the same materials and structural design and were reused across all experimental conditions. The wearing tightness was standardized by the same experimenter across subjects to ensure consistent interface conditions. Throughout the experiments, participants were instructed to keep the right arm relaxed.
The experimental procedure followed the timeline illustrated in
Figure 3.
Figure 3 is reproduced from our previous shoulder-focused study (Figure 6 in Ref. [
45]) and is cited in the caption. Two experimental modes were tested for each of the three exoskeleton configurations. In the first mode, all passive joints were released, allowing the human–robot closed chain to self-align during movement. In this condition, the passive branch compensated for joint center mismatches, and the interaction forces during the eating and combing tasks were recorded. In the second mode, all passive joints were locked so that no passive motion compensation occurred. This mode allowed the interaction forces to reflect the inherent kinematic mismatch between the upper limb and the exoskeleton. Both modes were carried out under identical task trajectories to permit direct comparison of the influence of passive joint motion on compatibility. Prior to the main experiments, preliminary trials confirmed that none of the passive joints reached their stroke limits during the execution of the eating and combing tasks for any participant.
For every trial, the robot operated in passive mode and followed predefined joint trajectories for the three active shoulder joints and the active EL joint. These trajectories produced smooth transitions from the initial posture to the target posture, with continuous profiles in joint position, velocity, and acceleration. Joint angles measured by the dual encoders were used to ensure accurate tracking of the reference trajectories and to synchronize the kinematic and force measurements. Safety was ensured through mechanical limits, software limits on joint position and velocity, and real-time monitoring of the interaction forces. The motion was stopped immediately if any threshold was exceeded or if the participant reported discomfort.
Interaction forces and torques were recorded using two six-axis sensors mounted at the upper arm and forearm interfaces. The sampling frequency was set to 100 Hz to obtain detailed measurements of the transmitted forces and torques throughout the passive movements. Data collection began only after the robot reached a stable closed-chain state, avoiding transient effects that would otherwise influence the measurements. Although soft tissue deformation and micro-slippage at the cuff–limb interface cannot be completely eliminated in wearable experiments, these effects were consistent across configurations because the same cuffs, attachment locations, and wearing procedures were used throughout the study. Each participant completed ten repetitions of the eating and combing tasks in each experimental mode for each exoskeleton configuration. Every repetition contained eight continuous cycles of the predefined trajectory. All collected data were processed using consistent filtering and selection criteria to ensure reliable comparison across configurations and between the two experimental modes.
This procedure resulted in a complete dataset of interaction forces and torques for all three exoskeleton configurations under both the self-aligned and alignment-free conditions. Accordingly, the present experiments emphasize relative comparisons of interaction forces and torques among configurations under identical interface conditions, rather than absolute force transmission characteristics at the cuff–limb interface. The dataset provides the basis for assessing the kinematic compatibility of each configuration and for understanding how the distribution of passive joints influences the human robot interaction.
2.4. Quantitative Metrics for Compatibility
To evaluate the compatibility of the three exoskeleton configurations described in
Section 2.1, the interaction forces collected in
Section 2.3 were used to construct quantitative metrics. These metrics reflect the mechanical coupling between the upper limb and the device during passive movements and allow direct comparison of the three configurations under identical motion conditions. The interaction forces and torques were analyzed along three orthogonal directions, denoted as the
X,
Y and
Z axes of the local sensor frame.
For each movement cycle of the eating and combing tasks, the three force components
Fx,
Fy,
Fz and the three torque components
Tx,
Ty,
Tz were extracted from the six-axis sensors. Two sets of directional indicators were computed. The first set consisted of the mean value and the peak value of each directional force and torque, calculated over all sampled data in a cycle. If
i represents one direction of interest, the mean and peak values were obtained from
and
where
n is the number of samples in a cycle. These values characterize the steady interaction level and the instantaneous loading experienced by the participant.
To obtain an overall measure of the interaction loading, total force and total torque were computed as the Euclidean norms of the directional components,
The mean and peak values of these totals were then calculated in the same manner as above. These norms provide a compact representation of the combined effect of the directional forces and torques and allow the three configurations to be compared through a single scalar quantity.
All metrics were computed for the upper-arm and forearm sensors independently. By substituting the interaction forces measured in
Section 2.3 into the above definitions, the compatibility of the three exoskeleton configurations can be quantitatively assessed. Configurations producing smaller directional forces, smaller total interaction forces, and reduced peak values were considered to exhibit better mechanical compatibility with the upper limb. These metrics form the basis for the comparisons presented in the results section.
4. Discussion
This study set out to answer a practical question that is often left unresolved in configuration synthesis work. When several exoskeleton configurations satisfy the same theoretical compatibility requirement, do they remain equivalent once a human arm is actually connected and moved through daily living trajectories. The results show they do not. Even under identical hardware, identical trajectories, and the same sensing arrangement, the measured interaction loads differ substantially across configurations. Two observations are especially robust. Releasing passive joints reduces interaction forces and torques at both the upper-arm and forearm interfaces. Among the three compatible configurations, Category 2 yields the lowest interaction loading and the strongest attenuation of the transient peaks, indicating the best practical compatibility.
- (1)
Passive joint release reduces hyperstatic loading in a repeatable and task-independent manner
Across both eating and combing, the locked condition produces the highest interaction forces and torques and it also produces the sharpest periodic peaks. This pattern is important because it suggests that the loads are not random or driven by noise at the interface. They are phase-locked to the motion cycle, which is consistent with constraint accumulation in a closed chain. When passive joints are released, the same trajectories lead to smaller peaks, lower cycle averages, and smoother profiles. The most informative change is the suppression of narrow spikes. A reduction in mean values indicates that the closed chain is, on average, less constrained throughout the movement. A reduction in peak values indicates that the worst phases of the cycle are mitigated, which is directly relevant to comfort and safety.
From a mechanism standpoint, the improvement can be interpreted as a redistribution of mismatch accommodation. With passive joints locked, joint axis and center discrepancies are absorbed primarily through deformation of soft tissues, cuff compliance, and micro-slippage, all of which manifest as abrupt increments in measured force and torque. With passive joints released, a portion of the relative motion is redirected into passive motion of the mechanism, so the mismatch is absorbed as kinematic accommodation rather than interface loading. This is the expected behavior for an even-actuation closed chain in which passive degrees of freedom remove redundant constraints. The experimental evidence supports this interpretation because the reduction appears consistently at both interfaces and for both tasks.
- (2)
Category 2 achieves the best practical compatibility among the three compatible configurations
A key contribution of this work is that the three configurations are not compared solely at the level of geometric plausibility, but are evaluated through measured human–robot interaction loading under representative daily living trajectories. Under identical hardware, trajectories, and sensing arrangements, the three configurations exhibit substantially different interaction force and torque profiles. Among them, Category 2 consistently performs best: its force and torque traces remain below those of Category 1 and Category 3, and this separation is maintained across repeated motion cycles. This indicates that Category 2 does not merely reduce isolated peaks, but establishes a uniformly lower interaction regime throughout the motion.
The distinction among configurations becomes particularly clear when peak behavior is examined. Peaks are the most sensitive indicators of kinematic incompatibility, as they typically arise when multiple joint motions couple and the closed chain momentarily lacks an effective accommodation pathway. Category 2 achieves the greatest reduction in both peak forces and peak torques relative to the locked condition, suggesting that its passive degrees of freedom are positioned and distributed in a way that provides more effective accommodation precisely during phases where mismatch would otherwise concentrate.
Because identical passive joint modules are used across all configurations, the observed differences can be attributed primarily to the configuration-level distribution of passive degrees of freedom rather than to joint-type-dependent mechanical properties. It should be noted that explicit human kinematic modeling based on motion capture systems (e.g., shoulder and EL joint trajectories) was not employed in this study; instead, the matching between passive joint distribution and human kinematics was evaluated indirectly through measured interaction forces and torques during representative functional tasks. Although friction and clearance in practical passive joints may limit ideal motion accommodation even in the released state, these joint-level effects act as common-mode disturbances due to the shared hardware and therefore do not alter the relative performance ranking among configurations.
A plausible mechanical explanation for the superior performance of Category 2 lies in the balance of passive mobility between the shoulder and EL subchains. In a human–exoskeleton closed chain, kinematic mismatch originates at both the shoulder complex and the EL complex. Shoulder center migration and scapular motion introduce time-varying shifts at the proximal end, while soft tissue deformation and forearm rotation coupling introduce secondary misalignment at the distal end. When passive mobility is unevenly distributed, one subchain may dominate the accommodation process, causing residual mismatch to be redirected rather than dissipated. By contrast, a more symmetric allocation of passive mobility reduces the likelihood of such bottlenecks.
This mechanism is reflected in the experimental observations. When the shoulder branch is highly compliant but the EL branch is comparatively constrained, residual mismatch tends to propagate distally and appear as elevated forearm torques. Conversely, when the EL branch is highly compliant but the shoulder branch is constrained, mismatch accumulates proximally and manifests as increased upper-arm forces. Category 2 exhibits consistently reduced interaction loading at both interfaces, indicating a more globally effective accommodation pathway across the closed chain.
- (3)
Why the combing task amplifies differences and why this matters
The combing task typically produces larger interaction torques than eating, especially at the upper arm interface. This observation aligns with the biomechanics of the task. Combing involves larger shoulder elevation and rotation, often requiring coupled motion across multiple anatomical structures and larger center migration at the shoulder complex. In a closed chain, such motions magnify the consequences of any imperfect alignment and any incomplete accommodation. The locked condition shows the strongest spikes under combing, which suggests that combing is a more demanding probe of compatibility than eating. This has direct methodological value. If a configuration performs well under combing, it is likely to be robust under a broader set of daily living motions. The fact that Category 2 maintains the lowest interaction levels under combing strengthens the argument that its compatibility advantage is not limited to a single trajectory. It also suggests a practical screening approach for future designs. A small set of high-demand trajectories can be more discriminative than a large set of low-demand motions when the goal is to rank configurations by compatibility.
- (4)
Proximal and distal interfaces provide complementary evidence
Measuring both upper-arm and forearm interfaces is not redundant. The two interfaces reveal how mismatch and accommodation propagate through the human–robot connection. Proximal loading reflects the ability to accommodate shoulder center migration and multi-axis rotation. Distal loading reflects the ability to accommodate EL axis mismatch, forearm coupling, and the redistribution of residual constraints from the shoulder. In the locked condition, both interfaces exhibit elevated loads, which implies that mismatch is global rather than localized. After passive joints are released, loads decrease at both interfaces but the magnitude of reduction can differ. This difference is informative. A configuration that reduces proximal loads but leaves distal torques relatively high may be compensating shoulder migration at the cost of transferring constraints distally. A configuration that reduces both indicates a more global compatibility improvement. Category 2 exhibits this global improvement pattern, which supports the conclusion that it provides a better overall accommodation pathway across the closed chain.
- (5)
Implications for configuration selection and engineering design
The results support a practical principle for designing compatible upper-limb exoskeletons. Compatibility is not determined only by satisfying a theoretical condition on passive degrees of freedom. It is determined by how those degrees of freedom are distributed relative to the dominant sources of anatomical variability and the dominant directions of motion. Category 2 provides a concrete example of a distribution that performs well across tasks and interfaces. This suggests that symmetric or balanced passive mobility allocation between shoulder and EL subchains can be a strong default choice when the device is intended to support daily living motions with varied shoulder involvement. The time-domain evidence also suggests a second principle. Peak suppression is as important as reducing average loading. Many adverse sensations and safety concerns are triggered by brief high loads rather than sustained moderate loads. Category 2 reduces both peaks and means, while also smoothing the temporal profile. From an engineering perspective, this indicates that the passive branch is not merely acting as a compliance element but is functioning as a kinematic accommodation mechanism that prevents abrupt constraint buildup.
In addition, the observed role of the base-connected prismatic joints is consistent with their intended function. Transferring device weight to the base reduces gravitational contributions to interface loads, which helps ensure that measured interaction forces are dominated by kinematic mismatch rather than by static weight support. This is essential when the goal is to attribute differences primarily to configuration effects.
- (6)
Clinical and experimental relevance
Although the experiments were performed with healthy participants in passive mode, the implications are relevant to clinical rehabilitation. Passive training is often used early after stroke when voluntary control is limited. In this phase, comfort and safety are particularly sensitive to high interaction peaks. A configuration that reduces peak interaction forces and torques can reduce the likelihood of discomfort, improve tolerance to training, and potentially allow longer sessions or higher repetition counts. The consistency of Category 2 across tasks suggests that it may offer a more forgiving mechanical interface for heterogeneous users, including those with altered muscle tone or limited range of motion. The locked condition results are also useful beyond being a baseline. They highlight what happens when accommodation is removed. This provides a cautionary reference for designs that rely on tight alignment assumptions. Even when careful initial alignment is performed, time-varying mismatch during motion can still generate large loads if the mechanism has insufficient passive accommodation.
- (7)
Limitations
Several limitations should be considered when interpreting the results. First, the study used a small sample size and healthy participants. While the closed-chain mechanics and the accommodation mechanism should generalize, patient populations may exhibit different soft tissue compliance, altered joint kinematics, and different tolerance to interface pressure. Second, the experiments were conducted in passive trajectory tracking. Active participation, spasticity, or involuntary movements may introduce additional interaction components that interact with the passive branch differently. Third, the analysis emphasized resultant forces and torques and summary metrics. While these metrics are appropriate for configuration ranking, additional insight could be gained by relating specific phases of the trajectories to anatomical events such as shoulder elevation onset or EL flexion peaks.
Another limitation is that the current results focus on net interaction loads rather than relative motion offsets at the cuffs. Force reduction strongly suggests improved accommodation, but a combined analysis of force and relative slip would provide a more complete picture of interface mechanics and could help identify whether reductions are achieved through kinematic accommodation or through controlled micro-slippage. Finally, only two daily living trajectories were used. They are representative and discriminative, especially combing, but broader coverage would further test generality.
- (8)
Future work
Several extensions of the present study follow naturally. A first direction is to compute reduction ratios systematically for each metric, each interface, and each task. Presenting these ratios in a compact table would make the ranking of configurations more transparent and would enable formal statistical testing of performance differences. A second direction is to incorporate participant-specific alignment offsets and anthropometric variability into the analysis in order to examine robustness. Although Category 2 appears robust across the tested tasks, a variability-focused study could assess whether this advantage is preserved across a wider range of body sizes and joint center migration patterns. A third direction is to bridge the experimental findings to design optimization. While the current study compares three configuration families derived from synthesis, future work can treat passive joint placement and passive joint range limits as explicit design variables and optimize them for minimizing peak interaction loads under a representative set of trajectories. In this context, the systematic optimization of passive joint stroke limits under broader anthropometric variability and more extreme motion scenarios is of particular interest. Furthermore, incorporating explicit human kinematic modeling would enable a quantitative analysis of the matching between passive joint placement and human joint motion, thereby supporting the optimization of passive joint spatial positions in addition to their quantity and distribution. Mechanical and control-level strategies to further reduce passive joint friction and clearance effects, such as low-friction joint structures or compensation methods, can also be integrated into this optimization framework. Finally, extending the experimental protocol to clinical users and to active assistive rehabilitation modes represents an important step toward translation. In such settings, voluntary muscle activation and assistive control may interact with passive joint accommodation, potentially altering the interaction dynamics observed in passive training. Investigating whether the stiffness or damping characteristics of passive joints should be adapted for active assistive modes is therefore an important topic for future research. In these clinically relevant scenarios, improvements in compatibility may directly influence training adherence, comfort, and functional outcomes.