Current robotic rehabilitation devices have a high cost-to-benefit ratio, which prevents their large scale adoption by the clinical rehabilitation community. This paper first presents H-Man, a low cost planar robot, as a quantitative assessment and training tool. This is followed by a preliminary study to investigate baseline performance measures for motor assessment during reaching tasks as a step toward replacing conventional ordinal scales with continuous quantitative scales. Thirteen healthy and one participant with upper limb motor impairment participated in the study and performed reaching tasks with their dominant and non-dominant hands in three directions. The results from healthy subjects indicate no significant difference between different directions for both limbs and also between corresponding directions of dominant and non-dominant limbs (p > 0.05, all cases). However, differences in measures can be observed for the impaired subject.

This work investigates how to design a comfortable wrist exoskeleton which complies with the natural coordination mechanisms in the redundant wrist. Human sensorimotor control is known to impose intrinsic kinematic constraints to solve redundant motor tasks. To this end, the effect of an exoskeleton on natural motor strategies was assessed during pointing tasks performed with the wrist. The exoskeleton was designed based on the kinematic model of one specific subject. Then wrist orientation was observed during pointing tasks with the exoskeleton in the following conditions: i) optimal alignment between human and exoskeleton joints; ii) varying degrees of misalignment between human and exoskeleton joints; iii) optimal alignment while the PS axis was locked (i.e. no redundancy). The results exhibited a modification of the natural coordination mechanisms characterized by a subject-specific Koenderink shape index. Kruskal-Wallis pairwise analyses demonstrated a significant variation between test conditions indicating a change of intrinsic constraints with misalignment and locked PS. The assessment methodologies presented in this paper can be used to test for ergonomic constraints and can guide the design of robotic systems performing kinematically redundant tasks.