Mechanical Analysis for Active Movement of Upper Limb Rehabilitation Robots to Alleviate Shoulder Pain in Patients with Stroke Hemiplegia and Frozen Shoulder

上肢康复机器人主动运动的力学分析及其在缓解中风偏瘫和肩周炎患者肩痛中的应用

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Abstract

Shoulder disorders, including frozen shoulder resulting from stroke-induced hemiplegia, significantly reduce a patient's ability to perform activities of daily living, thereby necessitating repeated rehabilitation. Consequently, extensive research has been conducted on rehabilitation robots to assist in upper-limb motor recovery. The shoulder moves according to the scapulohumeral rhythm. Considering the biomechanical characteristics of the shoulder joint, the rehabilitation robot was designed to replicate a similar kinematic environment using actuators and linkages that emulate the structures of the upper arm, shoulder, and clavicle. To ensure precise operation, the kinematic accuracy of the robot was pre-evaluated. Kinematic analyses were conducted using MATLAB, and the results were compared with coordinate data from the mechanical design to evaluate positional accuracy. In addition, the convergence and accuracy of joint-angle estimation for target positions were analyzed. The forward kinematic analysis revealed that the average positional error between the measured and target coordinates ranged from 0.5% to 2.8%, with the Base Motor-Back Motor segment exhibiting the highest error (2.8%). The inverse kinematic analysis demonstrated stable convergence to the target positions through iterative computations using the Gauss-Newton method, confirming that the actual motion could be accurately reproduced within the designed range of motion.

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