Large-Range Polymer Optical-Fiber Strain-Gauge Sensor for Elastic Tendons in Wearable Assistive Robots

Wearable Optical Fiber Sensors in Medical Monitoring Applications: A Review

Wearable optical fiber sensors have great potential for development in medical monitoring. With the increasing demand for compactness, comfort, accuracy, and other features in new medical monitoring devices, the development of wearable optical fiber sensors is increasingly meeting these requirements. This paper reviews the latest evolution of wearable optical fiber sensors in the medical field. Three types of wearable optical fiber sensors are analyzed: wearable optical fiber sensors based on Fiber Bragg grating, wearable optical fiber sensors based on light intensity changes, and wearable optical fiber sensors based on Fabry-Perot interferometry. The innovation of wearable optical fiber sensors in respiration and joint monitoring is introduced in detail, and the main principles of three kinds of wearable optical fiber sensors are summarized. In addition, we discuss their advantages, limitations, directions to improve accuracy and the challenges they face. We also look forward to future development prospects, such as the combination of wireless networks which will change how medical services are provided. Wearable optical fiber sensors offer a viable technology for prospective continuous medical surveillance and will change future medical benefits.

Biomechanical Effects of Adding an Ankle Soft Actuation in a Unilateral Exoskeleton

Stroke disease leads to a partial or complete disability affecting muscle strength and functional mobility. Early rehabilitation sessions might induce neuroplasticity and restore the affected function or structure of the patients. Robotic rehabilitation minimizes the burden on therapists by providing repetitive and regularly monitored therapies. Commercial exoskeletons have been found to assist hip and knee motion. For instance, unilateral exoskeletons have the potential to become an effective training system for patients with hemiparesis. However, these robotic devices leave the ankle joint unassisted, essential in gait for body propulsion and weight-bearing. This article evaluates the effects of the robotic ankle orthosis T-FLEX during cooperative assistance with the AGoRA unilateral lower-limb exoskeleton (hip and knee actuation). This study involves nine subjects, measuring muscle activity and gait parameters such as stance and swing times. The results showed a reduction in muscle activity in the Biceps Femoris of 50%, Lateral Gastrocnemius of 59% and Tibialis Anterior of 35% when adding T-FLEX to the AGoRA unilateral lower-limb exoskeleton. No differences were found in gait parameters. Nevertheless, stability is preserved when comparing the two legs. Future works should focus on evaluating the devices in ground tests in healthy subjects and pathological patients.

3D Printing of Thermoplastic Elastomers: Role of the Chemical Composition and Printing Parameters in the Production of Parts with Controlled Energy Absorption and Damping Capacity

Additive manufacturing (AM) is a disruptive technology that enables one to manufacture complex structures reducing both time and manufacturing cost. Among the materials commonly used for AM, thermoplastic elastomers (TPE) are of high interest due to their energy absorption capacity, energy efficiency, cushion factor or damping capacity. Previous investigations have exclusively focused on the optimization of the printing parameters of commercial TPE filaments and the structures to analyse the mechanical properties of the 3D printed parts. In the present paper, the chemical, thermal and mechanical properties for a wide range of commercial thermoplastic polyurethanes (TPU) filaments were investigated. For this purpose, TGA, DSC, ¹H-NMR and filament tensile strength experiments were carried out in order to determine the materials characteristics. In addition, compression tests have been carried out to tailor the mechanical properties depending on the 3D printing parameters such as: infill density (10, 20, 50, 80 and 100%) and infill pattern (gyroid, honeycomb and grid). The compression tests were also employed to calculate the specific energy absorption (SEA) and specific damping capacity (SDC) of the materials in order to establish the role of the chemical composition and the geometrical characteristics (infill density and type of infill pattern) on the final properties of the printed part. As a result, optimal SEA and SDC performances were obtained for a honeycomb pattern at a 50% of infill density.

BCI-Based Control for Ankle Exoskeleton T-FLEX: Comparison of Visual and Haptic Stimuli with Stroke Survivors

Brain–computer interface (BCI) remains an emerging tool that seeks to improve the patient interaction with the therapeutic mechanisms and to generate neuroplasticity progressively through neuromotor abilities. Motor imagery (MI) analysis is the most used paradigm based on the motor cortex’s electrical activity to detect movement intention. It has been shown that motor imagery mental practice with movement-associated stimuli may offer an effective strategy to facilitate motor recovery in brain injury patients. In this sense, this study aims to present the BCI associated with visual and haptic stimuli to facilitate MI generation and control the T-FLEX ankle exoskeleton. To achieve this, five post-stroke patients (55–63 years) were subjected to three different strategies using T-FLEX: stationary therapy (ST) without motor imagination, motor imagination with visual stimulation (MIV), and motor imagination with visual-haptic inducement (MIVH). The quantitative characterization of both BCI stimuli strategies was made through the motor imagery accuracy rate, the electroencephalographic (EEG) analysis during the MI active periods, the statistical analysis, and a subjective patient’s perception. The preliminary results demonstrated the viability of the BCI-controlled ankle exoskeleton system with the beta rebound, in terms of patient’s performance during MI active periods and satisfaction outcomes. Accuracy differences employing haptic stimulus were detected with an average of 68% compared with the 50.7% over only visual stimulus. However, the power spectral density (PSD) did not present changes in prominent activation of the MI band but presented significant variations in terms of laterality. In this way, visual and haptic stimuli improved the subject’s MI accuracy but did not generate differential brain activity over the affected hemisphere. Hence, long-term sessions with a more extensive sample and a more robust algorithm should be carried out to evaluate the impact of the proposed system on neuronal and motor evolution after stroke.

Viscoelastic Behaviour of Flexible Thermoplastic Polyurethane Additively Manufactured Parts: Influence of Inner-Structure Design Factors

Material extrusion based additive manufacturing is used to make three dimensional parts by means of layer-upon-layer deposition. There is a growing variety of polymers that can be processed with material extrusion. Thermoplastic polyurethanes allow manufacturing flexible parts that can be used in soft robotics, wearables and flexible electronics applications. Moreover, these flexible materials also present a certain degree of viscoelasticity. One of the main drawbacks of material extrusion is that decisions related to specific manufacturing configurations, such as the inner-structure design, shall affect the final mechanical behaviour of the flexible part. In this study, the influence of inner-structure design factors upon the viscoelastic relaxation modulus, E(t), of polyurethane parts is firstly analysed. The obtained results indicate that wall thickness has a higher influence upon E(t) than other inner-design factors. Moreover, an inadequate combination of those factors could reduce E(t) to a small fraction of that expected for an equivalent moulded part. Next, a viscoelastic material model is proposed and implemented using finite element modelling. This model is based on a generalized Maxwell model and contemplates the inner-structure design. The results show the viability of this approach to model the mechanical behaviour of parts manufactured with material extrusion additive manufacturing.

Highly Stretchable Polymer Optical Fiber for Mechanical Sensing in Artificial Tendons: Towards Novel Sensors for Soft Robotics

The control of tendon-driven actuators is mainly affected by the tendon behavior under stress or strain. The measurement of these parameters on artificial tendons brings benefits on the control and novel approaches for soft robotics actuators. This paper presents the development of polymer optical fiber sensors fabricated through the light spinning polymerization process (LPS-POF) in artificial tendons. This fiber has exceptionally low Young’s modulus and high strain limits, suitable for sensing applications in soft structures. Two different configurations are tested, indicating the possibility of measuring strain and stress applied in the tendon with determination coefficients of 0.996 and 0.994, respectively.

An Open-Source Social Robot Based on Compliant Soft Robotics for Therapy with Children with ASD

Therapy with robotic tools is a promising way to help improve verbal and nonverbal communication in children. The robotic tools are able to increase aspects such as eye contact and the ability to follow instructions and to empathize with others. This work presents the design methodology, development, and experimental validation of a novel social robot based on CompliAnt SofT Robotics called the CASTOR robot, which intends to be used as an open-source platform for the long-term therapy of children with autism spectrum disorder (CwASD). CASTOR integrates the concepts of soft actuators and compliant mechanisms to create a replicable robotic platform aimed at real therapy scenarios involving physical interaction between the children and the robot. The validation shows promising results in terms of robustness and the safety of the user and robot. Likewise, mechanical tests assess the robot’s response to blocking conditions for two critical modules (i.e., neck and arm) in interaction scenarios. Future works should focus on the validation of the robot’s effectiveness in the therapy of CwASD.

Polymer Optical Fiber Sensors in Healthcare Applications: A Comprehensive Review

Advances in medicine and improvements in life quality has led to an increase in the life expectancy of the general population. An ageing world population have placed demands on the use of assistive technology and, in particular, towards novel healthcare devices and sensors. Besides the electromagnetic field immunity, polymer optical fiber (POF) sensors have additional advantages due to their material features such as high flexibility, lower Young’s modulus (enabling high sensitivity for mechanical parameters), higher elastic limits, and impact resistance. Such advantages are well-aligned with the instrumentation requirements of many healthcare devices and in movement analysis. Aiming at these advantages, this review paper presents the state-of-the-art developments of POF sensors for healthcare applications. A plethora of healthcare applications are discussed, which include movement analysis, physiological parameters monitoring, instrumented insoles, as well as instrumentation of healthcare robotic devices such as exoskeletons, smart walkers, actuators, prostheses, and orthosis. This review paper shows the feasibility of using POF sensors in healthcare applications and, due to the aforementioned advantages, it is possible to envisage a further widespread use of such sensors in this research field in the next few years.