Page 278 - Control Theory in Biomedical Engineering
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250   Control theory in biomedical engineering


          Most of the existing prototypes of rehabilitation exoskeletons have used
          electric actuators as they are advantageous in terms of high power, commer-
          cial availability, reliability, easy mounting, and little to no maintenance. In
          pneumatic actuation, compressed air is used to produce mechanical motion.
          Pneumatic actuators have inherently low impedance and considerably
          reduce weight of the exoskeleton. However, they require a compressor
          to be installed on, and an air tube and valve, which limits their portability.
          On top of that, they require regular maintenance to keep the right air pres-
          sure. The major limitation of pneumatic actuators is the bandwidth they are
          operating on, which is relatively low (5 Hz). This low bandwidth limits the
          rate at which they can respond to command signals (Lo and Xie, 2012).
          In hydraulic actuation, pressure of liquid is used to produce required energy
          for actuation. The commercially available hydraulic actuators are large,
          bulky, and noisy, and are not suitable to use in clinical settings. Moreover,
          they have high impedance and liquid leakage. Pneumatic muscle actuators
          are composed of stretchable bladders and flexible braided mesh. These
          muscle-like actuators vary their diameter during actuation and this variation
          produces tension at their ends, ultimately leading to slow and nonlinear
          responses (Chou and Hannaford, 1996). In series elastic actuators (e.g., Har-
          mony robot; Kim and Deshpande, 2017), a passive mechanical spring is
          placed between the motor and load to reduce interface stiffness to provide
          greater shock tolerance with the tradeoff of operating bandwidth (Pratt and
          Williamson, 1995). The desired characteristics for choosing actuators for
          upper limb exoskeleton are: (a) light weight, (b) high power-to-weight
          ratio, (c) high operating bandwidth, and (d) considerable impedance to deal
          with unwanted movements such as shock, (e) safe and easy operation, (f )
          reliability, (g) durability, and (h) low maintenance. For further study, the
          interested reader may want to see the review by Manna and Dubey
          (2018), which compares the different actuation systems used in upper limb
          exoskeletons.


          Power transmission mechanism

          Transmitting power from motors to exoskeleton joints is one of the key
          challenges in upper limb exoskeleton research. Continuous variable power
          transmission is required to provide therapy uninterruptedly to patients. The
          power transmission can be done by cable drive, wire rope drive, gear train
          transmission, harmonic drive, belt drive, and so on. Rotation produced at
          motors is considerably high and needs to be reduced before it transmits to
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