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Mechatronics
journal homepage: www.elsevier.com/locate/mechatronics
Department of Mechatronics Engineering, Universidad Politcnica de Zacatecas (UPZ), Plan de Pardillo S/N, 99056 Fresnillo, Zacatecas, Mexico
Department of Mechatronics Engineering, Centro Nacional de Investigacin y Desarrollo Tecnolgico (CENIDET), Interior Internado Palmira S/N, 62490 Cuernavaca, Morelos, Mexico
a r t i c l e
i n f o
Article history:
Received 17 September 2014
Accepted 10 June 2015
Available online xxxx
Keywords:
Hip-joint rehabilitation
Mechatronics
PID controller
Impedance controller
a b s t r a c t
The hip is the strongest joint of the human body. A wide range of disorders and fractures can affect the
hip. The use of therapeutic robots has the potential to reduce the physical workload of rehabilitation and
to improve repeatability. In this paper, a simple hip-joint rehabilitation robot (HipBot) is presented to
perform combined movements of abduction/adduction and exion/extension. HipBot has 5-DOF and
can perform combined movements. This system can learn specic exercise motions through a GUI and
perform them without the physiotherapist. In addition, HipBot is capable of performing rehabilitation
on both right and left legs (individually). The simple mechanism covers the requirements of stability
and robustness necessary for hip-joint rehabilitation. The mechatronic design and control technique
are described. The robot system was tested in a small group of healthy subjects. The experimental results
carried out on healthy subjects proved the high performance of the rehabilitation device and showed its
great potential.
2015 Elsevier Ltd. All rights reserved.
1. Introduction
In recent years, the rehabilitation of patients with physical disability has attracted the interest of several universities, private
institutions and non-governmental organizations (NGOs) [1].
Stroke is the leading cause of disability in developed countries
and the third leading cause of death worldwide [2]. Neurological
impairment after stroke frequently leads to hemiplegia or partial
paralysis of one side of the body that affects the patients ability
to perform activities of daily living (ADL) [3]. Hence, this health
problem requires urgent attention, not only due to the physical
disability, but also it affects the patients with limited mobility
and decreases their quality of life (QOL) [4]. Physiotherapy, in a
general sense, is one of the health sciences dedicated to the treatment of injuries, illness and disabilities through therapeutic exercises [5]. The goal of therapeutic exercises is to reduce stiffness
and restore full range of movement (ROM) [6]. A rehabilitation process after stroke, spinal cord injury (SCI) or surgical operations
such as total hip replacement (THR) is important to regain functionality and mobility [7].
The rehabilitation of the hip is generally addressed in three
sequential phases [8], see Fig. 1. First, passive exercises to enable
Corresponding author. Tel./fax: +52 493 935 71 02.
E-mail address: cesar.gzm@hotmail.com (C.H. Guzmn-Valdivia).
full ROM of the hip. The therapist moves the joint without the
patients muscles being used. Second, active exercises to move
the hip muscles. This exercise is performed by the patient himself
without resistance. Once the required ROM and exibility is
achieved and the muscles become strong enough to bear partial
weight without inducing pain, then the nal phase of therapy
can be initiated with resistive exercises, focusing on the enhancement of proprioceptive abilities through gait. In general, a hip rehabilitation therapy is a long process which requires manual
exercises, time and patience. However, the physical movements
for hip-joint rehabilitation are very demanding and therefore the
session time is usually limited by the physiotherapist.
Furthermore, in rehabilitation centers, there is not enough medical
staff to attend various patients with hip disabilities simultaneously. For this reason, mechatronics encourages the innovation of
therapeutic robots in the eld of rehabilitation. A therapeutic robot
can replace the physical effort of therapy and accomplish physical
movements without the guidance and assistance of a physiotherapist [9]. In addition, several studies [1013] have demonstrated
that therapeutic robots have great potential in the assistance of
patients rehabilitation exercises.
In 1970, the concept of Continuous Passive Motion (CPM) was
introduced by Salter et al. [14]. The CPM machines are used widely
in medical centers and hospitals to perform passive rehabilitation
exercises when the physiotherapist cannot be present [15,16].
http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
0957-4158/ 2015 Elsevier Ltd. All rights reserved.
Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
The system was further studied in [48] through several tests with
healthy subjects. The MotionMaker is a commercial lower limb
rehabilitation system developed by Swortech SA. The system is
composed of two robotic orthosis which enable a controlled movement of the hip, knee, and ankle joints. Its control algorithm
includes a model based feed-forward and electrical muscle stimulation [49]. Akdogan and Adli introduced in 2011 a 3-DOF therapeutic exercise robot for lower limb rehabilitation named
Physiotherabot. This system has been described in [50,51] and
the rst tests with healthy subjects have been reported in [52].
This system was controlled through a HumanMachine Interface
that operated on a rule-based control structure combined with
impedance control. Other leg rehabilitation devices were proposed
in [5357], however no prototypes have been developed.
The main objective of the system developed in this study
HipBot is to perform the most important rehabilitation movements of the hip-joint (abduction/adduction and exion/extension) using a robust mechanism and a simple controller. In terms
of movement capability, the closest system to HipBot is
Physiotherabot. What distinguishes HipBot from this system is that
it has 5-DOF and can perform combined movements. In addition,
HipBot is capable of performing rehabilitation on both right and
left legs (individually). The preliminary simulation results of this
system have been published [58,59]. Therefore, there is no evidence of the physical prototype and experimental results on
healthy subjects. The principal contribution of HipBot is its simple
mechatronic design instead of a complex robotic system. The proposed mechanism which uses linear actuators covers the requirements of stability and robustness necessary for rehabilitation.
One of the objectives of mechatronics is to design simple machines
[60,61]. In this context, a PID controller was proposed to follow a
smooth planned trajectory. The novelty in this study is the development of the prototype with experimental results. In order to
demonstrate the developed robot, tests were carried out with
healthy subjects. Tests with real patients in a medical center are
being planned and these results will be introduced in future studies. The presentation of this work is structured as follows. Section 2
briey introduces the theory of the hip rehabilitation. Section 3
contains the mechatronic design process of the system developed.
Section 4 presents the experimental results obtained with healthy
subjects. Finally, Section 5 concludes the paper.
2. Hip-joint rehabilitation movements
This section identies the design requirements for the construction of the prototype. To obtain the technical specications of the
therapeutic robot, the anatomical data of the human hip is used
as primary specication for the design. The main purpose of the
hip joint is to support body weight and ambulation. The motion
of the hip can be well described by rotations in three axes which
are perpendicular to the anatomical planes [62]. The hip movements are shown in Fig. 2. The ROM for a human hip is reported
in Table 1. The internal/external rotations of the hip-joint are not
very common in therapies, hence the design of HipBot is based
only on abduction/adduction and exion/extension.
3. System description
3.1. System architecture
In general, the proposed therapeutic robot in this paper has one
active rotary joint for abduction/adduction movements and four
active translational joints for exion/extension movements. As an
end effector, a boot is attached to the patients foot with three
internal passive joints. The schematic structure of HipBot and the
Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
Table 1
Hip range of motion.
Type of motion
Flexion
Extension
Abduction
Adduction
External rotation
Internal rotation
120
20
45
30
45
45
d @L
@L
Qi
dt @ q_ i
@qi
1 _2 1
1
1
2
J h wm a2 h_ 2 wm d_2 2 m3 ad3 h_ 2 m3 d3 h_ 2
2
2
2
2
1
1
1
m3 d_3 2 m4 d_4 2 m5 d_5 2
2
2
2
P wm d2 g m4 d4 m5 d5 g
1 _2 1
1
1
2
J h wm a2 h_ 2 wm d_ 22 m3 ad3 h_ 2 m3 d3 h_ 2
2
2
2
2
1
1
1
m3 d_ 23 m4 d_ 24 m5 d_ 25 wm d2 g m4 d4 m5 d5 g
2
2
2
Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
4 4
5 m5 g
F 5 m5 d
The mathematical model described by Eq. (5) can be represented as follows:
Cq; q
_ q_ u
Mqq
Here, M(q) 2 R55 is inertia matrix, C(q, q_) 2 R55 represents the
Coriolis, centrifugal force and other effects such as the gravitational
force of the mechanism, q 2 R51 represents the generalized coordinates and u 2 R51 represents the joint force and torque required
to drive the robot.
2
6
6
6
Mq 6
6
6
4
J wm a2 2m3 ad3 m3 d3
wm
m3
m4
7
0 7
7
0 7
7
7
0 5
0
0
0
0 m5
3
2 3
2 3
s1
h
2m3 ad_ 3 2m3 d_ 3 0 0 0 0
7
6
6 7
6 7
6
6 F2 7
6 d2 7
0
0 0 0 07
7
6
6 7
6 7
6 7
6 7
_ 6
Cq; q
0
0 0 0 07
7; u 6 F 3 7; q 6 d3 7
6
7
6
6 7
6 7
F
5
5
4
4
4 d4 5
0
0 0 0 0
4
F
d5
0
0 0 0 0
5
7
Additionally, the angular position of the hip joint and knee joint
can be obtained using the Cartesian coordinates x05 , y05 and z05 . The
mathematical models that describe the kinematic behavior of the
hip-joint abduction/adduction, hip-joint exion/extension and
knee joint are shown in Eqs. (8)(10), respectively. For more details
see [58]. Where: L1 is the distance from the hip-joint to the
knee-joint, L2 is the distance from the knee-joint to the
ankle-joint, h is the angle of the hip-joint in abduction/adduction,
a is the angle of the hip joint in exion/extension, and b is the angle
of the knee joint. The angular position of the hip joint is not
addressed directly in this paper. However, Eqs. (9) and (10) represent only the interaction between the actuators and the hip-joint
movements as a reference point.
0
y5
x05
a Atan
8
z05
x05 2 y05 2
0q1
x05 2 y05 2 z05 2 L21 L22 Cosb2
A
Atan@
L1 L2 Cosb
h Atan
!
10
Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
Fig. 4. Overview of the virtual and physical prototype for the hip-joint rehabilitation.
Fig. 5. Prototype HipBot. (a) View of its components, (b) hip abduction/adduction, (c) hip exion/extension.
Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
Table 2
System parameters.
Parameter
Value
J
m2
m3
m4
m5
Wm
a
18.197 kg m2
11.379 kg
10.265 kg
8.789 kg
8.452 kg
21.644 kg
0.5 m
the actuators. The motor driver consist in a H-Bridge circuit coupled with a PWM feedback to control the current in each actuator.
Position data from the robot is obtained via an encoder and potentiometer. For the communication between PC and microcontrollers, a RS-232 communication protocol was set up to send data.
Safety is the primary requirement to start and operate the
device. Some measures were implemented both at software and
hardware levels. Also, the system can be stopped by the subject
or physiotherapist by shutting down the power supply with an
emergency button. In addition, surveillance routines implemented
in the software include position and speed monitoring. Whenever
an abnormal event is detected, the safety circuit immediately cuts
the power of the motor drivers. As the mechanical structure was
designed with a passive weight compensation system (lead
screws) it does not collapse after power loss. All precautions implemented by software and hardware are important to keep the
patient safe.
The ease of wearing the device was considered of particular
importance in order to enable the use of the system for patients
with hip-joint disabilities. The physical adjustment of the device
to the patient is executed using the graphical user interface
(GUI). The GUI is the connection between the physiotherapist
and the mechatronic system. The design of our GUI enables us to
simulate different rehabilitation exercises. The main menu of the
GUI is used to input the patients data, save exercise data from
the teaching phase, and exercise results are stored on the database.
Additionally, this GUI does not require any special training course
because it can be operated by an inexperienced user. The intuitive
design and functionality of HipBot using the GUI allows the physiotherapist to rehabilitate naturally the hip-joint of the patient. The
system has been designed to be an aid for the physiotherapist. The
device is rst operated by the physiotherapist who conducts the
rehabilitation movements. The device learns these movements
and then can replicate them on its own.
3.3.4. Control technique
In this section, the standard PID controller with acceleration
feed-forward with compensation signals for robust tracking tasks
of reference trajectories specied for the motion axes of the
v
q
_ q_
u Mqv Cq; q
d K d q_ q_ d K p q qd K i
q
Z
0
11
q qd dt
where Kd, Kp and Ki are constant matrices of the derivative, proportional and integral gains, respectively. The dynamic closed loop
with PID controller where the error is: e = q qd, is given by Eq.
(12).
e K d e_ K p e K i
e dt 0
12
e K d e K p e_ K i e 0
The parameters Kd, Kp and Ki were selected to ensure that the
error dynamics is globally asymptotically stable. The characteristic
polynomial (Hurwitz) is given by Eq. (13).
13
K i pw2n
where :
f; wn ; p > 0
X
d Bd X_ X_ d C d X X d F e
M d X
14
where X and Xd are the robots actual and desired position vectors,
respectively. Fe is the external force exerted on the robot by the
therapist; Md 2 R55, Bd 2 R55, and Cd 2 R55 correspond to the
desired inertia matrix, the desired damping coefcient matrix,
and the desired stiffness coefcient matrix, respectively.
4. Implementation of the HipBot prototype
The following results illustrate the contribution of HipBot in
physiotherapy, as well as, its control system performance and
Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
Sex
Height
(cm)
Weight
(kg)
Distance from
hip to knee
(cm)
Distance from
knee to ankle
(cm)
Age
1
2
F
M
165
150
60
40
40
35
40
40
22
15
Table 4
Parameters of the controllers.
PID controller
Actuator
Actuator
Actuator
Actuator
Actuator
1
2
3
4
5
Impedance controller
Kp
Kd
Ki
Md (kg)
Bd (Ns/)
Cd (N/)
450
400
350
120
110
80
80
75
45
50
35
30
25
15
15
4.5
4.25
3
2.5
2.5
0.05
0.025
0.01
0.01
0.01
1
1.2
1.5
2
2
given in Table 4. Various tests were carried out with the controllers
before the nal tests with healthy subjects. The gains of the
selected controller were used in all the tests with healthy subjects
and did not change. The control algorithm is implemented by using
a Pentium computer and the control software is LABVIEW with a
sample time of 10 ms.
In the rst experiment, the therapist taught one session of the
exion/extension motion to the robot with Subject 1. The exercise
was applied to the left hip-joint with a length of time of 80 s. Fig. 7
shows the impedance control operating and how the therapist
moves the hip-joint without the subjects muscles being used.
The movement position of the ankle is continuously tracked by
the robot. The position values and time history is recorded in real
time on the database. This data is used by the robot to generate the
same behavior. The rst tests done by the therapists revealed that
the mechanism was easy to handle. As it can be seen, the angular
position of the hip joint is obtained when the therapist combines
two or more actuators. The experimental results were focused on
the individual movement of each actuator.
Fig. 8 shows the experimental result of the robot performing hip
rehabilitation exercises with Subject 1. This rehabilitation movement follows a protocol supervised by a therapist to improve the
ROM of the patient. In this experiment only Actuators 1, 2, 3 and
4 are required to perform the rehabilitation exercise. In this exercise, the robot is able to guide the ankle joint of the subject to follow the desired position trajectory accurately. This test shows that
the robotic system can perfectly repeat the motion of the therapist
as learned during teaching mode. The rst test revealed that the
mechanism was easy to handle during the programming phase.
Fig. 9(a)(d) shows the real and desired trajectories d2, d3, d4 and
d5 of Actuators 2, 3, 4 and 5, respectively. Fig. 9(e)(h) shows the
position errors of Actuators 25, respectively. Fig. 9(i)(l) shows
the controller outputs F2, F3, F4 and F5 of Actuators 2, 3, 4 and 5,
respectively. The experimental data show that the friction of the
mechanism and the weight of the patients leg cause a minimal disturbance on the desired trajectory tracking. In average, the errors
generated by the controllers vary between 2 mm and 2 mm.
This level of error is acceptable in the nal device due to the low
level of accuracy in human motion. The use of these controllers
are satisfying in terms of rehabilitation specications. Although,
these are restricted in terms of control performance, the robustness
of the mechanisms compensate the error generated. In this system,
Fig. 8. The robot is performing the exion/extension movement in the therapists absence.
Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
Fig. 9. Result of exion/extension experiment with Subject 1. (a, e, i) Corresponds to Actuator 2. (b, f, j) Corresponds to Actuator 3. (c, g, k) Corresponds to Actuator 4. (d, h, l)
Corresponds to Actuator 5.
Fig. 10. The robot is performing the exion/extension and abduction/adduction movement in the therapists absence.
control the motion learned from the therapist. In average, the error
of the angular position was between 2.5 and 2.5. The errors
generated on Actuators 2, 3, 4 and 5 varies between 2 mm and
2 mm.
The results obtained on test 1 and 2 with healthy subjects
demonstrate the stability and robustness of the device. In both
tests, the subjects weight was different (40 kg and 60 kg) and
the device remained stable. The amount of variable error was constant in both tests. This mean that the errors were generated due to
friction and viscous damping. In addition, to increase the devices
safety, an independent electronic system is necessary. It can shut
the system down in case of reaching the maximum error allowed.
The prototype of HipBot is fully functional and robust using a simple PID controller to track owing planned trajectories. The experimental results demonstrated the excellent performance of the
hip-joint rehabilitation system. The prototype can reproduce the
rehabilitation movements of abduction/adduction and exion/extension at the same time. Such rehabilitation device can
have a great impact in improving physiotherapeutic outcomes in
hip-joint rehabilitation.
Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
Fig. 11. Result of abduction/adduction and exion/extension experiment with Subject 2. (a, f, k) Corresponds to Actuator 1. (b, g, l) Corresponds to Actuator 2. (c, h, m)
Corresponds to Actuator 3. (d, i, n) Corresponds to Actuator 4. (e, j, o) Corresponds to Actuator 5.
5. Conclusion
In this paper, a simple hip-joint rehabilitation robot which performs abduction/adduction and exion/extension at the same time
(combined movements) is presented. The prototype HipBot has
demonstrated that it is possible to develop a relatively simple
and robust system for the assistance of physiotherapist. The
approach with a 5-DOF mechanism covers the full range of motion
of the human hip-joint and provides a robust and safe mechanical
structure. The stable movements of rehabilitation were controlled
through a PID control structure combined with an impedance control. The hip-joint rehabilitation movements have been considered
as the basis for the mechanical design. The mechanism allows
enough workspace to cover the required ROM of the hip. The robot
system was tested in a small group of healthy subjects. The experimental results of HipBot proved their high performance and
showed great potential for hip-joint rehabilitation. The next study
will undertake necessary research in this regard. Future work will
engage the development of real tests on patients in collaboration
with a team of physiotherapists.
Acknowledgment
The authors thank Vanesa Robles Maldonado for her support in
improving the writing of this paper.
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Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007
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Please cite this article in press as: Guzmn-Valdivia CH et al. HipBot The design, development and control of a therapeutic robot for hip rehabilitation.
Mechatronics (2015), http://dx.doi.org/10.1016/j.mechatronics.2015.06.007