This paper presents the design, modeling, analysis, fabrication, and experimental characterization of the soft robotic ankle-foot orthosis (SR-AFO), which is a wearable soft robot designed for ankle assistance, and a pilot human study of its use. Using two novel pneumatically powered soft actuators, the SR-AFO is designed to assist the ankle in multiple degrees-of-freedom during standing and walking tasks. The flat fabric pneumatic artificial muscle (ff-PAM) contracts upon pressurization and assists ankle plantarflexion in the sagittal plane. The multi-material actuator for variable stiffness (MAVS) aids in supporting ankle inversion/eversion in the frontal plane. Analytical models of the ff-PAM and MAVS were created to understand how the changing of the design parameters affects tensile force generation and stiffness support, respectively. The models were validated by both finite element analysis and experimental characterization using a universal testing machine. A set of human experiments was performed with able-bodied participants to evaluate: (a) lateral ankle support during quiet standing, (b) lateral ankle support during walking over compliant surfaces, and (c) plantarflexion assistance during push-off in treadmill walking. Group results revealed increased lateral ankle stiffness during quiet standing with the MAVS active, reduced lateral ankle deflection while walking over compliant surfaces with the MAVS active, and reduced muscle effort in ankle platarflexors during 40–60% of the gait cycle with the dual ff-PAM active. The SR-AFO shows promising results in providing lateral ankle support and plantarflexion assistance with able-bodied participants, which suggests a potential to help restore the gait of impaired users in future trials.

Despite recent advancements on cloud-enabled and human-in-the-loop cyber-physical systems, there is still a lack of understanding of how infrastructure-related quality of service (QoS) issues affect user-perceived quality of experience (QoE). This work presents a pilot experiment over a cloud-enabled mobility assistive device providing a guidance service and investigates the relationship between QoS and QoE in such a system. In our pilot experiment, we employed the CloudWalker, a system linking smart walkers and cloud platforms, to physically interact with users. Different QoS conditions were emulated to represent an architecture in which control algorithms are performed remotely. Results point out that users report satisfactory interaction with the system even under unfavorable QoS conditions. We also found statistically significant data linking QoE degradation to poor QoS conditions. We finalize discussing the interplay between QoS requirements, the human-in-the-loop effect, and the perceived QoE in healthcare applications.

In this work, we propose a method able to find user-oriented gait trajectories that can be used in powered lower limb orthosis applications. Most research related to active orthotic devices focuses on solving hardware issues. However, the problem of generating a set of joint trajectories that are user-oriented still persists. The proposed method uses principal component analysis to extract shared features from a gait dataset, taking into consideration gait-related variables such as joint angle information and the user's anthropometric features, used directly in an orthosis application. The trajectories of joint angles used by the model are represented by a given number of harmonics according to their respective Fourier series analyses. This representation allows better performance of the model, whose capability to generate gait information is validated through experiments using a real active orthotic device, analysing both joint motor energy consumption and user metabolic effort.

In accordance with strict requirements of portability, cheapness, and modularity, an innovative assistive device for hand disabilities has been developed and validated. This robotic orthosis is designed to be a low-cost, portable hand exoskeleton to assist people with physical disabilities in their everyday lives. Referring to hand opening disabilities, the authors have developed a methodology which, by starting from the geometrical characteristics of the patient's hand, defines the novel kinematic mechanism that better fits to the finger trajectories. The authors have validated the proposed novel mechanism by carrying out a Hand Exoskeleton System (HES) prototype, based on a single-phalanx mechanism, cable driven. The testing phase of the real prototype with a patient is currently on going.

In this paper, a Brain–Computer Interface (BCI) control approach for the assistive robotic system FRIEND is presented. The objective of the robot is to assist elderly and persons with disabilities in their daily and professional life activities. FRIEND is presented here from an architectural point of view, that is, as an overall robotic device that includes many subareas of research, such as human–robot interaction, perception, object manipulation and path planning, robotic safety, and so on. The integration of the hardware and software components is described relative to the interconnections between the various elements of FRIEND and the approach used for human–machine interaction. Since the robotic system is intended to be used especially by patients suffering from a high degree of disability (e.g., patients which are quadriplegic, have muscle diseases or serious paralysis due to strokes, or any other diseases with similar consequences for their independence), an alternative non-invasive BCI has been investigated. The FRIEND–BCI paradigm is explained within the overall structure of the robot. The capabilities of the robotic system are demonstrated in three support scenarios, one that deals with Activities of daily living (ADL) and two that are taking place in a rehabilitation workshop. The proposed robot was clinically evaluated through different tests that directly measure task execution time and hardware performance, as well as the acceptance of robot by end-users.

This paper presents a virtual headstick system as an alternative to the conventional passive headstick for persons with limited upper extremity function. The system is composed of a pair of kinematically dissimilar master-slave robots with the master robot being operated by the user's head. At the remote site, the end-effector of the slave robot moves as if it were at the tip of an imaginary headstick attached to the user's head. A unique feature of this system is that through force-reflection, the virtual headstick provides the user with proprioceptive information as in a conventional headstick, but with an augmentation of workspace volume and additional mechanical power. This paper describes the test-bed development, system identification, bilateral control implementation, and system performance evaluation.