Occupational exoskeletons have the potential to prevent work-related musculoskeletal disorders. Their widespread adoption should be promoted by investigating their long-term innocuity, sustained effectiveness, and practicability. This article presents a six-months longitudinal study exploring effects of an arm support exoskeleton (ASE) on six male workers, examining potential side effects, ASE's effectiveness, and its integration into daily work practices. Monthly clinical visits were scheduled to monitor workers’ health. Effectiveness, usability and acceptance metrics were collected at the beginning of the study and after six months. No side effects were found in clinical metrics during the study. Significant reductions, consistent overtime, were observed in shoulder muscle activity (up to 30%) and in effort perception-related metrics (up to 2.4 out of 10 points). Usage time settled around 10% of the monthly work-shift and gradually decreased possibly due to external factors (e.g., social, motivational, and seasonal factors) beyond researchers' control. Results encourage the continuation of similar investigations to strengthen these findings and promote the use of occupational exoskeletons.

For a lower limb exoskeleton, accurate and continuous estimation of the gait phase in real time is a fundamental requirement to provide a well-tailored assistive action at the proper time in the gait cycle (GC). This article presents a new gait phase estimator for a portable hip exoskeleton based on discrete wavelet transform (DWT) and adaptive oscillators. The algorithm is capable of continuously tracking the gait phase and identifying the relevant biomechanical gait events online, i.e., heel strike (HS) and toe-off (TO). The proposed method exploits only the hip joint angle signals measured by hip encoders, avoiding the need to use additional sensors to those already built in the exoskeleton. The novel phase estimator has been benchmarked against a state-of-the-art method, based on the maximum flexion angle (MFA), with pressure-sensitive insoles used as the reference ground truth for the event detection. To validate the method, two experimental activities were carried out. Experiments conducted with eight healthy subjects walking on a treadmill at different speeds, with and without hip assistance, demonstrated that the DWT-based method outperformed the MFA method in all operative conditions, reducing the rms of the phase reset error by 64.0% in assistive mode, and identifying the HS and TO events with low delay (0.4% and 1.1% GC, respectively, for HS and TO). Experiments carried out with three transfemoral amputees showed similar performance, paving the way for clinical applications of the method.

This paper presents the design and experimental testing of the robotic elbow exoskeleton NEUROBOTICS Elbow Exoskeleton (NEUROExos). The design of NEUROExos focused on three solutions that enable its use for poststroke physical rehabilitation. First, double-shelled links allow an ergonomic physical human-robot interface and, consequently, a comfortable interaction. Second, a four-degree-of-freedom passive mechanism, embedded in the link, allows the user's elbow and robot axes to be constantly aligned during movement. The robot axis can passively rotate on the frontal and horizontal planes 30° and 40°, respectively, and translate on the horizontal plane 30 mm. Finally, a variable impedance antagonistic actuation system allows NEUROExos to be controlled with two alternative strategies: independent control of the joint position and stiffness, for robot-in-charge rehabilitation mode, and near-zero impedance torque control, for patient-in-charge rehabilitation mode. In robot-in-charge mode, the passive joint stiffness can be changed in the range of 24-56 N·m/rad. In patient-in-charge mode, NEUROExos output impedance ranges from 1 N·m/rad, for 0.3 Hz motion, to 10 N·m/rad, for 3.2 Hz motion.

This paper introduces a novel exoskeleton device (HANDEXOS) for the rehabilitation of the hand for post-stroke patients. The nature of the impaired hand can be summarized in a limited extension, abduction and adduction leaving the fingers in a flexed position, so the exoskeleton goal is to train a safe extension motion from the typical closed position of the impaired hand. The mechanical design of HANDEXOS offers the possibility to overcome the exoskeleton limits often related to the general high level of complexity of the structure, mechanism and actuation. We describe the mechanical design of the index finger module, the dynamic model and some preliminary experimental results.

This paper presents the development of new transmission components and position controller of the NEURARM hydraulic actuation unit as critical components of a novel robotic arm specifically designed to perform joint experiments between neuroscience and robotics. NEURARM replicates the main functions and characteristics of the human arm during the execution of planar movements like reaching and catching, and it was used to investigate human motion control theories, to develop and evaluate models of control, of learning and of sensory-motor interaction.