Search Results (38)

Stroke often results in impaired hand motor function, making effective hand rehabilitation essential for restoring activities of daily living (ADLs). Motor rehabilitation and neurorehabilitation are two major pathways to functional recovery. Rehabilitation gloves have proven to be effective tools for motor rehabilitation, and among them, soft robotic gloves (SRGs) have emerged as a research focus due to their lightweight design and inherent safety. Functional electrical stimulation (FES), which applies electrical currents to muscles and nerves, shows promise in promoting motor neural reorganization and restoring muscle strength in the hands of stroke survivors. The technologies applied to hand rehabilitation must possess the characteristics of safety, comfort, and practicality, while overcoming critical challenges such as portability, user-friendliness, and wearability. Motivated by the rehabilitation needs of post-stroke patients, this paper reviews recent advances in SRGs, FES, and hybrid hand rehabilitation systems (HHRSs) for hand rehabilitation, systematically examining progress in actuation strategies, intention sensing, and control algorithms across these three technologies. Furthermore, the limitations and technical challenges of current HHRSs are analyzed and four key future research directions are identified to pave the way for further development in this field. Full article

Electromyography (EMG) has become essential in biomedical engineering, rehabilitation, and human–machine interfacing due to its ability to capture neuromuscular activation for control, monitoring, and diagnosis. Recent advances in sensing hardware, high-density and flexible electrodes, and embedded acquisition modules combined with modern signal processing and machine learning have significantly enhanced the robustness and applicability of EMG-based systems. This review provides an integrated overview of EMG generation, acquisition standards, and preprocessing techniques, including adaptive filtering, wavelet denoising, and empirical mode decomposition. Feature extraction methods across the time, frequency, time–frequency, and nonlinear domains are compared with respect to computational efficiency and suitability for real-time systems. The review synthesizes classical and contemporary pattern-recognition approaches, from statistical classifiers to deep architectures such as CNNs, RNNs, hybrid CNN–RNN models, transformer-based networks, and graph neural networks. Key challenges, including signal non-stationarity, electrode displacement, muscle fatigue, and poor cross-user or cross-session generalization, are examined alongside emerging strategies such as transfer learning, domain adaptation, and multimodal fusion with IMU or FMG signals. Finally, the paper surveys rapidly growing EMG applications in prosthetics, rehabilitation robotics, human–machine interfaces, clinical diagnostics, and sports analytics. The review highlights ongoing limitations and outlines future pathways toward robust, adaptive, and deployable EMG-driven intelligent systems. Full article

Stroke continues to impose an enormous morbidity and mortality burden worldwide. Stroke survivors often incur debilitating consequences that impair motor function, independence in activities of daily living and quality of life. Rehabilitation is a pivotal intervention to minimize disability and promote functional recovery following a stroke. The Internet of Medical Things, a network of connected medical devices, software and health systems that collect, store and analyze health data over the internet, is an emerging resource in neurorehabilitation for stroke survivors. Technologies such as asynchronous transmission to handle intermittent connectivity, edge computing to conserve bandwidth and lengthen device life, functional interoperability across platforms, security mechanisms scalable to resource constraints, and hybrid architectures that combine local processing with cloud synchronization help bridge the digital divide and infrastructure limitations in low-resource environments. This manuscript reviews emerging rehabilitation technologies such as robotic devices, virtual reality, brain–computer interfaces and telerehabilitation in the setting of neurorehabilitation for stroke patients. Full article

Robot-assisted rehabilitation has demonstrated significant efficacy in improving motor function among patients with physical and neurological impairments. The development of effective rehabilitation robots requires careful integration of mechanical design and control systems to ensure safe, compliant, and intention-oriented human–robot interaction while delivering appropriate therapeutic assistance and feedback. Parallel robot manipulators have increasingly gained attention in rehabilitation applications due to their superior precision, structural stiffness, and high load capacity compared to their serial counterparts. This paper presents a scoping review of control strategies specifically implemented in parallel rehabilitation robots between 2015 and 2025. The control strategies include position control, force control, compliance control, adaptive control, intelligent control, and hybrid control. Our analysis showed a progressive shift from traditional position-based control toward more sophisticated adaptive and intelligent strategies that better accommodate patient-specific needs and therapeutic requirements. Full article

Lower-limb exoskeletons have become an effective tool for gait rehabilitation by enabling precise and repetitive joint movements for individuals with motor impairments. Nevertheless, the nonlinear and uncertain nature of human–robot interaction dynamics requires effective control strategies that are both robust and smooth. Conventional sliding mode control (SMC) provides robustness against disturbances but, in effect, is prone to chattering, which can adversely cause mechanical vibrations and reduce user comfort. This paper proposes a novel hybrid sliding mode control integrated with integral resonant control (SMC + IRC), strategy addressing a gap in 3-DOF exoskeleton control where structural resonance and chattering mitigation are simultaneously required while maintaining robustness and trajectory accuracy. The IRC component in this work uses a resonant damping mechanism to filter high-frequency switching elements in the SMC signal, resulting in smoother actuator torques without compromising system stability, robustness or responsiveness. The proposed control framework here is implemented on a lower-limb exoskeleton with hip, knee, and ankle joints and compared to classical SMC and Super-Twisting SMC (STSMC) methods. Upon simulation, results showed that the SMC + IRC approach significantly reduces chattering as well as produces smoother torque profiles while maintaining high tracking precision. Quantitative analyses using RMSE and chattering index metrics prove the superior performance of the proposed controller over the previous ones, establishing it as a practical and effective solution for safe and comfortable rehabilitation motion in real-time exoskeleton systems. Full article

Pneumatic Artificial Muscles (PAMs) are soft actuators that mimic the contractile behavior of biological muscles through fluid-driven deformation. Originating from McKibben’s 1950s braided design, PAMs have evolved into a diverse class of actuators, offering high power-to-weight ratios, compliance, and safe human interaction, with applications spanning rehabilitation, assistive robotics, aerospace, and adaptive structures. This review surveys recent developments in actuation mechanisms and applications of PAMs. Traditional designs, including braided, pleated, netted, and embedded types, remain widely used but face challenges such as hysteresis, limited contraction, and nonlinear control. To address these limitations, researchers have introduced non-traditional mechanisms such as vacuum-powered, inverse, foldable, origami-based, reconfigurable, and hybrid PAMs. These innovations improve the contraction range, efficiency, control precision, and integration into compact or untethered systems. This review also highlights applications beyond conventional biomechanics and automation, including embodied computation, deployable aerospace systems, and adaptive architecture. Collectively, these advances demonstrate PAMs’ expanding role as versatile soft actuators. Ongoing research is expected to refine material durability, control strategies, and multifunctionality, enabling the next generation of wearable devices, soft robots, and energy-efficient adaptive systems. Full article

This study presents an integrated micro-system solution to address the challenges of gait instability in patients with impaired hip motor function. We developed a novel wearable hip exoskeleton, where a flexible support unit and a parallel drive mechanism achieve self-alignment with the biological hip joint to minimize parasitic forces. The system is driven by an active brain–computer interface (BCI) that synergizes an augmented reality visual stimulation (AR-VS) paradigm for enhanced motor intent recognition with a high-performance decoding algorithm, all implemented on a real-time embedded processor. This integration of micro-sensors, control algorithms, and actuation enables the establishment of a gait phase-dependent hybrid controller that optimizes assistance. Online experiments demonstrated that the system assisted subjects in completing 10 gait cycles with an average task time of 37.94 s, a correlated instantaneous rate of 0.0428, and an effective output ratio of 82.17%. Compared to traditional models, the system achieved an 18.64% reduction in task time, a 28.31% decrease in instantaneous rate, and a 7.36% improvement in output ratio. This work demonstrates a significant advancement in intelligent micro-system platforms for human-centric rehabilitation robotics. Full article

Soft pneumatic actuators (SPAs) are gaining attention in the field of soft robotics due to their lightweight, highly flexible, and safer interaction while operated under an unstructured environment. They are easy to fabricate, produce high output force, and are relatively very inexpensive compared to other soft actuators. However, accurate prediction of their nonlinear bending behavior is one of the main challenges, which is mainly due to the complex material properties and high deformation patterns. Therefore, this study focused on a hybrid approach that accurately captures the bending behavior of a single-chambered SPAs. This approach integrates physics-based modeling (finite element analysis (FEA) and analytical modeling) with a data-driven (polynomial regression modeling) approach to analyze the bending of single-chambered SPAs. Initially, four different hyperelastic material models (Neo-Hookean, Yeoh, Arruda–Boyce, and Ogden) were tested using FEA to analyze how material selection affects the SPA response. It is found that the Arruda–Boyce model generates the highest bending of 101° at 30 kPa pressure, while the other models consistently underestimated deformation at higher pressures. Further, an enhanced mathematical or analytical model was developed using Euler and Timoshenko beam theory with certain assumptions, such as neutral axis shifting, chamber ballooning, and shear deformation. These assumptions significantly improve the prediction accuracy and generate a bending angle of 99°at 30 kPa, which closely matches FEA bending. Further, a polynomial regression-based machine learning (ML) model was trained using analytical or mathematical bending data for faster output prediction. This data-driven approach achieves very high accuracy in the validation range, with an average absolute percentage deviation of only 0.002%. Additionally, comparison with the analytical results showed a mean absolute error (MAE) of 0.00180°, root mean squared error (RMSE) of 0.00205°, and coefficient of determination (R²) value of 0.999999808. Overall, integrating physics-based modeling with a data-driven approach provides a reliable and scalable method for SPA design. It provides practical information on material selection, analytical correction, and ML modeling, which will reduce the need for time-consuming prototyping. Finally, this hybrid approach can help to accelerate the development of soft robotic grippers, rehabilitation tools, and other bio-inspired actuation systems. Full article

Stroke is a leading cause of long-term disability worldwide, with survivors often facing significant challenges in regaining upper-limb functionality. In response, robotic rehabilitation systems have emerged as promising tools to enhance post-stroke recovery by delivering precise, adaptable, and patient-specific therapy. This paper presents a review of robotic interfaces developed specifically for upper-limb rehabilitation. It analyses existing exoskeleton- and end-effector-based systems, with respect to three core design pillars: assistance types, control philosophies, and actuation methods. The review highlights that most solutions favor electrically actuated exoskeletons, which use impedance- or electromyography-driven control, with active assistance being the predominant rehabilitation mode. Resistance-providing systems remain underutilized. Furthermore, no hybrid approaches featuring the combination of robotic manipulators with actuated interfaces were found. This paper also identifies a recent trend towards lightweight, modular, and portable solutions and discusses the challenges in bridging research prototypes with clinical adoption. By focusing exclusively on upper-limb applications, this work provides a targeted reference for researchers and engineers developing next-generation rehabilitation technologies. Full article

Robotic-assisted rehabilitation has become an essential field in supporting the functional recovery of patients with neurological, musculoskeletal or post-traumatic conditions. This paper provides a systematic and applicative analysis of the control algorithms used in robotic rehabilitation systems, with a focus on the functional classification: position control, force, impedance, adaptive, artificial intelligence-based and hybrid schemes. The characteristics of each type of control, clinical applications, advantages and technical limitations are discussed in detail, illustrated by block diagrams and comparative graphs. The paper also includes a synthesis of existing commercial systems, a multi-criteria evaluation of the performance of the algorithms and an analysis of emerging trends in the recent literature (2020–2024). Current challenges regarding sensor integration, system standardization, real-time clinical feasibility and the applicability of brain–machine interfaces or adaptive myoelectric prostheses are discussed. The results obtained can support the development of efficient, safe and personalized solutions in the field of robotic rehabilitation. Full article

Background: There are only a few available options for early rehabilitation of severely impaired individuals who must remain bedbound, as most exercise paradigms focus on out-of-bed exercises. To enable these individuals to exercise, we developed a novel hybrid rehabilitation system combining a brain–computer interface (BCI), functional electrical stimulation (FES), and a robotic device. Methods: The BCI assessed the presence of a movement-related cortical potential (MRCP) and triggered the administration of FES to produce movement of the lower limb. The exercise trajectory was supported by the robotic device. To demonstrate the system, an experiment was conducted in an out-of-lab setting by ten able-bodied participants. During exercise, the performance of the BCI was assessed, and the participants evaluated the system using the NASA Task Load Index, Intrinsic Motivation Inventory, and by answering a few subjective questions. Results: The BCI reached a true positive rate of 62.6 ± 9.2% and, on average, predicted the movement initiation 595 ± 129 ms prior to the MRCP peak negativity. All questionnaires showed favorable outcomes for the use of the system. Conclusions: The developed system was usable by all participants, but its clinical feasibility is uncertain due to the total time required for setting up the system. Full article

This paper presents a Self-Learning Robotic System (SLRS) for healthcare assistance using Deep Imitation Learning (DIL). The proposed SLRS solution can observe and replicate human demonstrations, thereby acquiring complex skills without the need for explicit task-specific programming. It incorporates modular components for perception (i.e., advanced computer vision methodologies), actuation (i.e., dynamic interaction with patients and healthcare professionals in real time), and learning. The innovative approach of implementing a hybrid model approach (i.e., deep imitation learning and pose estimation algorithms) facilitates autonomous learning and adaptive task execution. The environmental awareness and responsiveness were also enhanced using both a Convolutional Neural Network (CNN)-based object detection mechanism using YOLOv8 (i.e., with 94.3% accuracy and 18.7 ms latency) and pose estimation algorithms, alongside a MediaPipe and Long Short-Term Memory (LSTM) framework for human action recognition. The developed solution was tested and validated in healthcare, with the aim to overcome some of the current challenges, such as workforce shortages, ageing populations, and the rising prevalence of chronic diseases. The CAD simulation, validation, and verification tested functions (i.e., assistive functions, interactive scenarios, and object manipulation) of the system demonstrated the robot’s adaptability and operational efficiency, achieving an 87.3% task completion success rate and over 85% grasp success rate. This approach highlights the potential use of an SLRS for healthcare assistance. Further work will be undertaken in hospitals, care homes, and rehabilitation centre environments to generate complete holistic datasets to confirm the system’s reliability and efficiency. Full article

The development of wearable robotic exoskeletons has seen rapid progress in recent years, driven by the growing need for technologies that support motor rehabilitation, assist individuals with physical impairments, and enhance human capabilities in both clinical and everyday contexts. Within this field, elbow exoskeletons have emerged as a key focus due to the joint’s essential role in upper limb functionality and its frequent impairment following neurological injuries such as stroke. With increasing research activity, there is a strong interest in evaluating these systems not only from a technical perspective but also in terms of user comfort, adaptability, and clinical relevance. This review investigates recent advancements in elbow exoskeleton technology, evaluating their effectiveness and identifying key design challenges and limitations. Devices are categorized based on three main criteria: mechanical structure (rigid, soft, or hybrid), actuation method, and sensing technologies. Additionally, the review classifies systems by their supported range of motion, flexion–extension, supination–pronation, or both. Through a systematic analysis of these features, the paper highlights current design trends, common trade-offs, and research gaps, aiming to guide the development of more practical, effective, and accessible elbow exoskeletons. Full article

Although existing motion transfer methods for bionic robot arms are based on kinematic equivalence or simplified dynamic models, they frequently fail to tackle dynamic compliance and real-time adaptability in complex human-like motions. To address this shortcoming, this study presents a motion transfer method from the human arm to a bionic robot arm based on the hybrid PSO-RF (Particle Swarm Optimization-Random Forest) algorithm to improve joint space mapping accuracy and dynamic compliance. Initially, a high-precision optical motion capture (Mocap) system was utilized to record human arm trajectories, and Kalman filtering and a Rauch–Tung–Striebel (RTS) smoother were applied to reduce noise and phase lag. Subsequently, the joint angles of the human arm were computed through geometric vector analysis. Although geometric vector analysis offers an initial estimation of joint angles, its deterministic framework is subject to error accumulation caused by the occlusion of reflective markers and kinematic singularities. To surmount this limitation, this study designed five action sequences for the establishment of the training database for the PSO-RF model to predict joint angles when performing different actions. Ultimately, an experimental platform was built to validate the motion transfer method, and the experimental verification showed that the system attained high prediction accuracy (R² = 0.932 for the elbow joint angle) and real-time performance with a latency of 0.1097 s. This paper promotes compliant human–robot interaction by dealing with joint-level dynamic transfer challenges, presenting a framework for applications in intelligent manufacturing and rehabilitation robotics. Full article

This research study proposes a heuristic hybrid deep neural network (DNN) gait sub-phase recognition model based on multi-source heterogeneous motion data fusion which quantifies gait phases and is applied in balance disorder rehabilitation control, achieving a recognition accuracy exceeding 99%. Building upon this model, a motion control strategy for a novel rehabilitation training robot is designed and developed. For patients with some degree of independent movement, an active training strategy is introduced; it combines gait recognition with a variable admittance control strategy. This strategy provides assistance during the stance phase and moderate support during the swing phase, effectively enhancing the patient’s autonomous movement capabilities and increasing engagement in the rehabilitation process. The gait phase recognition system not only provides rehabilitation practitioners with a comprehensive tool for patient assessment but also serves as a theoretical foundation for collaborative control in rehabilitation robots. Through the innovative active–passive training control strategy and its application in the novel rehabilitation robot, this research study overcomes the limitations of traditional rehabilitation robots, which typically operate in a single functional mode, thereby expanding their functional boundaries and enabling more precise, personalized rehabilitation training programs tailored to the needs of patients in different stages of recovery. Full article