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Go to Editorial ManagerNowadays, robotic exoskeletons demonstrated great abilities to replace traditional rehabilitation processes for activating neural abilities performed by physiotherapists. The main aim of this review study is to determine a state-of-the-art robotic exoskeleton that can be used for the rehabilitation of the lower limb of people who have mobile disabilities as a result of stroke and musculoskeletal conditions. The study presented the anatomy of the lower limb and the biomechanics of human gait to explain the mechanism of the limb, which helps in constructing a robotic exoskeleton. A state-of-the-art review of more than 100 articles related to robotic exoskeletons and their constructions, functionality, and rehabilitation capabilities are accurately implemented. Moreover, the study included a review of upper limb rehabilitation that has been studied locally and successfully applied to patients who exhibited significant improvements. Results of recent studies herald an abundant future for robotic exoskeletons used in the rehabilitation of the lower extremity. Significant improvement in the mechanism and design, as well as the quality, were observed. Also, impressive results were obtained from the performance when used by patients. This study concludes that working and improving the robotic devices continuously in accordance with the cases are necessary to be treated with the best results and the lowest cost.
Regaining the activities of daily living after stroke and spinal cord injury requires repetitive and intensive tasks, meaning that rehabilitation therapy should be treated with a long duration. Thus, the need for rehabilitation devices based home is of most importance to increase the rehabilitation process and provide more comfortability for patients. This paper focuses on implementing and construction of a three degree of freedom (DOF) (flexion/extension, adduction/abduction, and pronation/supination), low cost, lightweight, and portable robotic exoskeleton for wrist-forearm rehabilitation. SolidWorks software program and 3D printer technology are used to model and construct the proposed robotic exoskeleton structure. In addition, the anthropometric parameters of the normal human lower arm are considered for this exoskeleton to provide a range of motion (ROM) and velocity for the links, joints, which matches with the anatomical structure of human and also to avoid the excesses motions over the normal range. The exoskeleton is constructed by a 3D printer utilizing polylactic acid (PLA) plastic material. The proposed implementing structure of the robotic exoskeleton shows comfortable, lightweight, simple and economic as well.
This study compares two different sockets, traditional and smart. It includes designs, manufacturing, and testing to evaluate the influence of the socket designs on gait symmetry. The proposed materials are locally available in the prosthetics center where traditional sockets are manufactured. and smart socket designs with the same materials as traditional additions. A simple electronic system programmed to control the movement of the stump by pneumatic pads and prevent slipping during movement is considered an advanced suspension system. A gait cycle test was carried out to evaluate the sockets. it was performed on a patient with AK amputation in two cases: the first when the patient was wearing the traditional and the second when wearing the smart. Where the difference in (gait cycle time, step velocity, heel contact, and mid-stance) between the left and right leg is equal to (0.54, 4.3, 0.19, and 0.34) respectively, when the patient uses the traditional, while these values reduce to (0.09, 0.7, 0.07, and 0.27) respectively when the patient used the smart, it improves comfort by modifying pressure distribution, relieving pressure points, and enhancing functionality through gait analysis. They adjust to the volume of the residual limb, ensuring an effective fit. Real-time monitoring and remote modifications decrease the need for in-person meetings and enhance user confidence. The smart socket, designed to fit user requirements, provides enhanced comfort, functionality, and independence. The studies will explore its long-term benefits and broader applications, focusing on its originality, practical implications, and outcome measurement.