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Stroke can be a devastating condition that impairs the upper limb and reduces mobility. Wearable robots can aid impaired users by supporting performance of Activities of Daily Living (ADLs). In the past decade, soft devices have become popular due to their inherent malleable and low-weight properties that makes them generally safer and more ergonomic. In this study, we present an improved version of our previously developed gravity-compensating upper limb exosuit and introduce a novel hand exoskeleton. The latter uses 3D-printed structures that are attached to the back of the fingers which prevent undesired hyperextension of joints. We explored the feasibility of using this integrated system in a sample of 10 chronic stroke patients who performed 10 ADLs. We observed a significant reduction of 30.3 +/- 3.5% (mean +/- standard error), 31.2 +/- 3.2% and 14.0 +/- 5.1% in the mean muscular activity of the Biceps Brachii (BB), Anterior Deltoid (AD) and Extensor Digitorum Communis muscles, respectively. Additionally, we observed a reduction of 14.0 +/- 11.5%, 14.7 +/- 6.9% and 12.8 +/- 4.4% in the coactivation of the pairs of muscles BB and Triceps Brachii (TB), BB and AD, and TB and Pectoralis Major (PM), respectively, typically associated to pathological muscular synergies, without significant degradation of healthy muscular coactivation. There was also a significant increase of elbow flexion angle (12.1 +/- 1.5 degrees). These results further cement the potential of using lightweight wearable devices to assist impaired users., IEEE Transactions on Neural Systems and Rehabilitation Engineering, 30, ISSN:1534-4320, ISSN:1558-0210

Soft exosuits have advantages over their rigid counterparts in terms of portability, transparency and ergonomics. Our previous work has shown that a soft, fabric-based exosuit, actuated by an electric motor and a Bowden cable, reduced the muscular effort of the user when flexing the elbow. This previous exosuit used a gravity compensation algorithm with the assumption that the shoulder was adducted at the trunk. In this investigation, the shoulder elevation angle was incorporated into the gravity compensation control via inertial measurement units (IMUs). We assessed our updated gravity compensation model with four healthy, male subjects (age: $26.2 \pm 1.19$ years) who followed an elbow flexion reference trajectory which reached three amplitudes $(25^{\circ}, 50^{\circ}, 75^{\circ})$ and was repeated at three shoulder angles $(25^{\circ}, 50^{\circ}, 75^{\circ})$. To assess the performance of the exosuit; the smoothness, tracking accuracy and muscle activity were investigated during each motion. We found a reduction of biceps brachii activation (24.3%) in the powered condition compared to the unpowered condition. In addition, there was an improvement in kinematic smoothness (0.83%) and a reduction of tracking accuracy (26.5%) in the powered condition with respect to the unpowered condition. We can conclude that the updated gravity compensation algorithm has increased the number of supported movements by considering the shoulder elevation, which has improved the usability of the device.

Humans are favoured to conventional robotics for some tasks in industry due to their increased dexterity and fine motor skills, however, performance of these tasks can result in injury to the user at a cost to both the user and the employer. In this paper we describe a lightweight, upper-limb exosuit intended to assist the user during lifting tasks (up to 10kg) and while operating power tools, which are common activities for industrial workers. The exosuit assists elbow and shoulder flexion for both arms and allows for passive movements in the transverse plane. To achieve the design criteria an underactuated mechanism has been developed, where a single motor is used to assist two degrees of freedom per arm. In the intended application, the hands are generally busy and cannot be used to provide inputs to the robot, therefore, a voice-activated control has been developed that allows the user to give voice commands to operate the exosuit. Experiments were performed on 5 healthy subjects to assess the change in Muscular Activation (MA), inferred through Electromyography (EMG) signals, during three tasks: i) lifting and releasing a load; ii) holding a position and iii) manipulating a tool. The results showed that the exosuit is capable of reducing EMG activity (between 24.6% and 64.6%) and the recognition rate (94.8%) of the voice recognition module was evaluated. This work was partially supported by the "Smart Exosuits for Human Augmentation in Industrial Working Environment" project funded by Parts Precision Technology (S) Pte Ltd (project definition: M4062147).