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Table 1 Robotic devices for upper limb rehabilitation

From: A survey on robotic devices for upper limb rehabilitation

System name,references

DOF

Supported movements

Main control inputs

Actuators

Type; field of application

Stage of development; additional information

Systems assisting shoulder movements

Kiguchi [114]

2

Shoulder – FE, AA

sEMG

DC motors (x2)

Stationary system (exoskeleton-based); power assistance

C0 study: 1 hs

Systems assisting elbow movements

Cheng [9]

1

Elbow – FE

sEMG

DC motor

Stationary system; physical therapy

CI study: 5 stroke + 5 hs

Cozens [10]

1

Elbow – FE

Joint angle

Electric servo-motor

Stationary system; physical therapy

CI study: 10 stroke + MS

Kiguchi [170]

1

Elbow – FE

sEMG

DC motor

Stationary system (exoskeleton-based); physical therapy

C0 study: 2 hs

MARIONET, Sulzer [142]

1

Elbow – FE

Joint angle

AC servomotor (SEA)

Stationary system (end-effector-based); physical therapy

C0 study: 6 hs

Mavroidis [11]

1

Elbow – FE

Force/torque

DC motor

Portable orthosis (continuous passive motion device); physical therapy

Prototype

MEM-MRB, Oda [104]

[1]

[Elbow – flexion]

Joint angular velocity, torque

MRF brake

Stationary system; physical therapy

C0 study: 1 hs

Myomo e100, Myomo, Inc.; Stein [172]

1

Elbow – FE

sEMG

DC motor (x1)

Portable orthosis; physical therapy

Commercial system (FDA clearance); CI study: 8 cS

Ögce [171]

1

Elbow – FE

sEMG

DC step motor

Wearable shoulder-elbow orthosis; physical therapy

CI study: 2 traumatic brachial plexus injury

Pylatiuk [153]

1

Elbow – FE

sEMG

Hydraulic

Wearable orthosis; physical therapy

First prototype

Rosen [169]

1

Elbow – FE

sEMG

DC motor (x1)

Stationary system (exoskeleton-based); power assistance

C0 study: 1 hs; predecessor of CADEN-7

Song [12]

1

Elbow – FE

sEMG

AC servo motor

Stationary system (end-effector-based); physical therapy

CI studies: 8 cS [12], 7 cS [13], 3 cS [14]

Vanderniepen [143]

1

Elbow – FE

Joint angle

Electric motors (x2) (SEA)

Wearable orthosis; orthopedic physical therapy

Prototype

Systems assisting forearm movements

Kung [15]

1

Forearm – PS

Joint angle, torque

AC servomotor (1)

Stationary system; physical therapy

CI study: 7 cS + 8 hs [16]

Systems assisting wrist movements

ASSIST, Sasaki [146]

1

Wrist – flexion

Joint angle

Rotary-type pneumatic actuators (x2)

Wearable orthosis; power assistance

C0 study: 5 hs

Colombo [17]

1

Wrist – FE

Torque

Not specified

Stationary system; physical therapy

CII study: 20(8) cS

Hu [18]

1

Wrist – FE

sEMG

Electric motor

Stationary system (end-effector-based); physical therapy

CI study: 15 cS

Loureiro [100]

[1]

[Wrist – FE]

Hand motion (tremor)

MRF brake

Wearable orthosis; tremor suppression

CI study: 1 ET

PolyJbot, Song [175]

1

Wrist – FE

sEMG, joint angle and torque

DC servomotor (x1)

Stationary system; physical therapy

CII study: 27(15) cS [19]

Systems assisting finger(s) movements

Amadeo, tyromotion GmbH

5

Fingers (each) – FE

End-point position and force

Electric motors

Stationary system (end-effector-based); physical therapy

Commercial system; CI study: 7 aS [20]

Chen [21]

5

Independent linear movement of each finger

Fingers positions and forces, sEMG

DC linear motors (x5)

Stationary system (end-effector-based); physical therapy

C0 study: 1 hs

CyberGrasp, CyberGlove Systems LLC; Turner [22]

[5]

[Resistive force to each finger]

Joint angles (CyberGlove)

DC motors (x5)

Force-feedback glove; interactions with virtual environment

Commercial system for other applications, used in some clinical studies e.g. [191, 192]

Ertas [23]

1

Concurrent FE of 3 joints of a single finger

Joint angles

DC motor (x1)

Finger exoskeleton (underactuated mechanism); tendon physical therapy

C0 study: 4 hs

Fuxiang [24]

4

Index finger– FE (x3), AA

Joint positions and toques

Linear stepping motors

Modular-finger exoskeleton (continuous passive motion device); physical therapy

C0 study: 3 hs

Gloreha, Idrogenet srl

5

Independent passive movement of each finger

Fingers positions

Electric motors (x5)

Portable (Gloreha Lite)/Movable (Gloreha Professional) (end-effector-based, cable-driven); physical therapy

Commercial system (CE mark); CII study: 10(5) sS [25], CI studies: 9 stroke + 3 other diseases [26], 4 cS [27]

Hand of Hope, Rehab-Robotics Comp. Ltd., Ho [28]

5

Each finger separately - FE

sEMG

DC linear motors (x5)

Portable system (orthosis); physical therapy

Commercial system (CE Mark), CI study: 8 cS

HandCARE, Dovat [113]

5

Independent linear movement of each finger (1 at a time)

Fingers positions and forces

DC motor (x1!)

Stationary system (end-effector-based, cable-driven); physical therapy

CI study: 5 cS + 8 hs

HEXORR, Schabowsky [29]

2

Thumb – FE, other fingers together – FE

Fingers positions and forces

DC motor (x1), AC motor (x1)

Stationary system (end-effector-based, cable-driven); physical therapy

CI study: 5 cS + 9 hs

HIFE, Mali [183]

2

1 finger – FE

End-point position

DC motors

Haptic interface (end-effector-based); physical therapy

Prototype

InMotion HAND, previous name InMotion 5.0, Interactive Motion Tech., Inc.; Masia [165]

1

All fingers together – GR

Not specified

DC brushless motor

Add-on module for InMotion ARM; physical therapy

Commercial system

Kline [30]

1

All fingers together – extension

Joint angles, sEMG

Pneumatic

Wearable glove; physical therapy

CI study: 1 stroke + hs (np)

Lucas [147]

1

Index finger – flexion (passive extension)

sEMG

Pneumatic (x2)

Wearable orthosis; grasp assistance

CI study: 1 SCI

MR_CHIROD v.2, Khanicheh [158]

[1]

[All fingers together – GR]

Finger position and torque

ERF brake

Exercising device (handle-like); physical therapy

C0 study: hs (np); fMRI compatible

MRAGES, Winter [157]

[5]

[Fingers (each) – FE]

Finger positions and torques

MRF brakes (5)

Force-feedback glove; physical therapy

Prototype

Mulas [31]

2

Thumb – FE, other fingers together – FE

sEMG, pulleys position

DC servo motors (x2)

Wearable orthosis; physical therapy

CI study: 1 sS

Nathan [167]

1

All fingers together – grasp (passive release)

Hand-held trigger, index and thumb fingers joint angles

FES

Wearable orthosis (glove); physical therapy

CI study: 2 stroke + 1 hs

PowerGrip, Broaden Horizons, Inc.

1

Thumb, index and middle finger together – GR

Switches or sEMG

DC motor (1)

Wearable orthosis; grasp assistance

Commercial system

Reha-Digit, Reha-Stim; Hesse [32]

1

4 fingers (except the thumb) together – FE

None

DC motor

Portable system (rotating handle); physical therapy

Commercial system (CE mark); CII study: 8(4) sS, CI study: 1 cS

Rosati [144]

1

4 fingers (except the thumb) together – FE

Not selected yet

DC motor (SEA)

Wearable orthosis; physical therapy

Design

Rotella [33]

4

Index finger flexion (x2) (passive extension), thumb – flexion, other fingers together – flexion

Not specified

Electric motors

Wearable orthosis; grasp assistance

Design

Rutgers Master II-ND, Bouzit [184]

4

Thumb, index, middle, and ring finger – FE

Actuator translation and inclination

Pneumatic (x4)

Force-feedback glove; interactions with virtual environment

Research device; often used for hand therapy (e.g. [185187])

Salford Hand Exoskeleton, Sarakoglou [34]

7

Index, middle, and ring finger – FE (x2), thumb – FE

Joint angles and end-point force

DC motors

Wearable orthosis (exoskeleton); physical therapy

C0 study: hs (np)

Tong [35]

10

Each finger – FE (x2)

sEMG

Electric linear motors (x10)

Portable system (wearable orthosis); physical therapy

CI study: 2 cS

TU Berlin Finger Exoskeleton, Wege [36]

4

1 finger – FE (x3), AA

Joint angles

DC motors (x4)

Finger exoskeleton; physical therapy

C0 study: 1 hs

TU Berlin Hand Exoskeleton, Fleischer [117]

20

FE and AA of all major joints of each finger

Joint angles, end-point force, sEMG

DC motors

Wearable orthosis (exoskeleton); physical therapy

Prototype

Worsnopp [37]

3

Index finger – FE (x3)

Joint angles and torques

DC brushless servomotors (x6)

Finger exoskeleton; physical therapy

Prototype

Xing [38]

2

Thumb – FE, other fingers together – FE

Position, force

Pneumatic (PAMs) (x2)

Wearable orthosis; physical therapy

C0 study: 3 hs

Systems assisting shoulder and elbow movements

ACRE, Schoone [108]

5

Shoulder * elbow

Joint angles

Electrical motors (x5)

Stationary system (end-effector-based); physical therapy

CI: 10 sS

ACT3D, Ellis [39]

3

Shoulder * elbow

End-point torque, position and velocity (HapticMaster)

DC brushed motors (HapticMaster)

Stationary system (end-effector-based); physical therapy and assessment of therapy results

CI study: 6 stroke

ARC-MIME, Lum [137]

1+[2]

Shoulder * elbow (longitudinal movements of the forearm) [forearm’s elevation and yaw]

Forearm position and torque

DC motor (x1), magnetic particle brakes (x2)

Stationary system (end-effector-based); physical therapy

An attempt to commercialize; CI study: 4 cS; merges concepts from MIME and ARM Guide

ARM Guide, Reinkensmeyer [136]

1+[2]

Shoulder * elbow (longitudinal movements of the forearm) [forearm’s elevation and yaw]

Forearm position and torque

DC motor (x1), magnetic particle brakes (x2)

Stationary system (end-effector-based); physical therapy

CII study: 19(10) cS [40]; see also: ARC-MIME

BFIAMT, Chang [41]

2

Shoulder * elbow (bilateral longitudinal movements of the forearms)

End point position and torque

DC servomotor (x2), magnetic particle brakes (x2)

Stationary system (end-effector-based); physical therapy

CI study: 20 cS [41]

BONES, Klein [118]

4

Shoulder – FE, AA, RT, elbow – FE

Joint angles, cylinder pressure

Pneumatic (x5)

Stationary system (parallel robot + exoskeleton-based distal part); physical therapy

Prototype; see also: Supinator extender (SUE)

Dampace, Stienen [154]

[4]

[Shoulder – FE, AA, RT, elbow – FE]

Joint angles and torques

Hydraulic brake actuators (SEA)

Stationary system (exoskeleton-based); physical therapy

CI study: stroke (np); see also Limpact

Freeman [163]

2

Shoulder * elbow (in the plane)

Handle torque and position

DC brusheless servomotors (x2), FES

Stationary system (end-effector-based); physical therapy

C0 study: 18 hs

InMotion ARM, previous name InMotion 2.0, Interactive Motion Tech., Inc.; based on: MIT Manus, Krebs [107]

2+[1]

Shoulder * elbow (in the plane + gravity compensation)

Joint positions, angular velocity and torque

DC brushless motors

Stationary system (end-effector-based); physical therapy

Commercial system, CIII/CIV studies: 127(49) cS [203], CII studies: 56(30) aS [42], 30(10) aS [43] and others

Ju [44]

2

Shoulder * elbow (in the plane)

Handle torque and position

AC motors (x2)

Stationary system (end-effector-based; physical therapy

CI study: stroke (np)

Kiguchi [45]

3

Shoulder – FE, AA, elbow – FE

sEMG

DC motors

Wheelchair mounted system (exoskeleton-based); power assistance

C0 study: hs (np); see also: shoulder, elbow and shoulder-elbow-forearm orthoses developed by Kiguchi and SUEFUL-7

Kobayashi [149]

4

Shoulder – FE, AA, RT, elbow – FE

Joint angle

Pneumatic (PAMs) (x10)

Wearable (but not portable) orthosis (”muscle suit“); power assistance

C0 study: 5 hs

Limpact, Stienen [155]

4

Shoulder – FE, AA, RT, elbow – FE

Joint angles and torques

Rotational hydroelastic actuator (SEA)

Stationary system (exoskeleton-based); physical therapy

Design; based on Dampace

MariBot, Rosati [46]

5

Shoulder * elbow

Motor positions

DC frameless brushless motors

Stationary system (end-effector-based, cable-driven robot); physical therapy

Prototype; successor of NeReBot

MEMOS, Micera [132]

2

Shoulder * elbow (in the plane)

Torque and handle position

DC motors (x2)

Stationary system (end-effector-based); physical therapy

CII study: 20(12) cS [17], CI study: 18 cS [47]

MIME, Burgar [120]

6

Shoulder * elbow

Forearm position, orientation, torque

DC brushed servomotors (PUMA 560 robot)

Stationary system (end-effector-based); physical therapy

CII studies: 27(13) cS [48] and 30(24) sS [49], CI study: 13 cS [50]; see also ARC-MIME

Moubarak [51]

4

Shoulder – FE, AA, RT, elbow – FE

Joint position, velocity and torques

DC brushless motors (x4)

Wheelchair-mounted system (exoskeleton-based); physical therapy

Prototype

NeReBot, Rosati [111]

3

Shoulder * elbow

Motor positions

DC motors (x3)

Stationary system (end-effector-based, cable-driven robot); physical therapy

CII studies: 24(12) sS [111], 35 (17) aS [52], 21(11) sS [53]; predecessor of MariBot

REHAROB, Toth [125]

12

Shoulder * elbow

End-point torques

Electrical motors (ABB IRB 140 and IRB 1400H robots)

Stationary system (2 modified industrial robots); physical therapy

CII study: 22 (13) stroke + 8(2) TBI [54], CI study: 6 cS + 2 sS + 4 hs [125]

Systems assisting forearm and wrist movements

Bi-Manu-Track, Reha-Stim; Hesse [55]

1

Forearm – PS * wrist – FE

Not specified

Not specified

Stationary system (end-effector-based); physical therapy

Commercial system, CII study: 44 (22) sA [56], CI study: 12 cS [55]

CRAMER, Spencer [109]

3

Forearm – PS, wrist – FE, AA

Hand accelerations (Nintendo Wii console)

Digital servomotors (x4)

Stationary system (parallel robot); physical therapy

Prototype

InMotion WRIST, previous name InMotion 3.0, Interactive Motion Tech., Inc.; Krebs [138]

3

Forearm – PS, wrist – FE * AA

Joint angles

DC brushless motors (x3)

Stationary system, may be used as an add-on for InMotion ARM; physical therapy

Commercial system

RiceWrist, Gupta [119]

4

Forearm – PS, wrist – FE * AA

Joint angles and forces

Frameless DC brushless motors

Wearable orthosis; physical therapy

Prototype; extension for MIME, see also: MAHI

Supinator extender (SUE), Allington [57]

2

Forearm – PS, wrist – FE

Joint angles and forces

Pneumatic

Wearable orthosis; physical therapy

CI study: 8 cS; extension for BONES and ArmeoSpring

Takaiwa [110]

3

Forearm – PS, wrist – FE, AA

Torque

Pneumatic (x6)

Stationary system (parallel robot); physical therapy

Prototype

W-EXOS, Gopura [174]

3

Forearm – PS, wrist – FE, AA

sEMG, hand force, forearm torque

DC motors (x3)

Stationary system (exoskeleton-based); power assistance

C0 study: 2hs; see also: SUEFUL-7

Systems assisting wrist and fingers movements

AMES, Cordo [58]

1

wrist and MCP joints of 4 fingers (coupled together)

Flexion/Extension torque, sEMG (optional)

Electric motor + 2 vibrators (for flexor and extensor tendons)

Stationary system (with desktop mounted orthosis), physical therapy (at home)

FDA clearance; CI study: 20(11) cS; a modified version of the system is used for ankle rehabilitation

Hand Mentor™, Kinematic Muscles, Inc.; Koeneman [59]

1

Wrist and 4 fingers (except the thumb) extension

Wrist angle, flexion torque

Pneumatic (PAM) (x1)

Wearable orthosis; physical therapy

Commercial system (FDA Class I Device); CII study: 21(11) sS [60], CI studies: 1 cS [61], 1 cS [62]

HWARD, Takahashi [130]

3

Wrist – FE, thumb – FE, other fingers together – FE

Joint angles and torques

Pneumatic (x3)

Stationary system (with desktop mounted orthosis); physical therapy

CII study: 13(13) cS

My Scrivener, Obslap Reseach, LLC; Palsbo [190]

3

Wrist * fingers

End-point position and torque (Novint Falcon)

Electric motors (Novint Falcon)

Stationary system (end-effector-based, using haptic device); fine motor hand therapy

CI study: 18 children with weak handwriting skills

Systems assisting shoulder, elbow and forearm movements

ADLER, Johnson [63]

3+{3}

Shoulder * elbow * forearm

End-point torque, position and velocity (HapticMaster)

DC brushed motors (HapticMaster)

Stationary system (end-effector-based); physical therapy

C0 study: 8 hs [64]

ARAMIS, Pignolo [65]

6x2

Shoulder – FE, AA, RT, elbow – FE, forearm – PS

Joint angles and torques

DC brushed motors (x6 per exoskeleton)

Stationary system (2 exoskeletons); physical therapy

CI study: 14 sS

Gentle/S, Amirabdollahian [121]

3+{3}

Shoulder * elbow * forearm

End-point torque, position and velocity (HapticMaster)

DC brushed motors (HapticMaster)

Stationary system (end-effector-based); physical therapy

CII study: 31(31) sS + cS [66]; predecessor of Gentle/G

iPAM, Culmer [67]

6

Shoulder * elbow * forearm

Joint torques

Pneumatic

Stationary system (2 robotic arms); physical therapy

CI study: 16 cS

Kiguchi [68]

4

Shoulder – FE, AA, elbow – FE, forearm – AA

sEMG

DC motors

Wheelchair mounted system (exoskeleton-based); power assistance

C0 study: 1 hs; see also: shoulder, elbow and shoulder-elbow orthoses developed by Kiguchi and SUEFUL-7

L-Exos, Frisoli [197]

4

Shoulder – FE, AA, RT, elbow – FE {forearm – PS}

Joint angles

Electric motors (x4)

Stationary system (exoskeleton-based); physical therapy

CI study: 9 cS [69]

MGA, Carignan [70]

5

Shoulder – FE, AA, RT, VD, elbow – FE, {forearm – PS}

Joint torques

DC brushless motors (x5)

Stationary system (exoskeleton-based); physical therapy

Prototype

MULOS, Johnson [168]

5

Shoulder – FE, AA, RT, elbow – FE, forearm – PS

Joystick (4 DOF)

Electric motors (x5)

Wheelchair-mounted system (exoskeleton-based); power assistance and physical therapy

C0 study: 1 hs

NJIT-RAVR, Fluet [71]

3+{3}

Shoulder * elbow * forearm

End-point torque, position and velocity (HapticMaster)

DC brushed motors (HapticMaster)

Stationary system (end-effector-based); physical therapy of children

CI study: 8 CP

RehabExos, Vertechy [131]

4

Shoulder – FE, AA, RT, elbow – FE {forearm – PS}

Joint torques

Custom-made frameless brushless motor (x3), DC motor (x1)

Stationary system (exoskeleton-based); physical therapy

First prototype

Systems assisting shoulder, elbow and fingers movements

Pneu-WREX, Wolbrecht [145]

4+{1}

Shoulder – FE, AA, HD, elbow – FE, {fingers – GR}

Joint angles, grasp force, cylinder pressure

Pneumatic (x4)

Stationary system (exoskeleton-based); physical therapy

CI study: 11 cS [72]; see also: T-WREX and ArmeoSpring

T-WREX, Sanchez [106]

{5}

{Shoulder – FE, AA, RT, elbow – FE, fingers – GR}

Joint angles, grasp force

None

Wheelchair mounted gravity balancing orthosis; physical therapy

CII studies: 23(11) cS [73], 28(14) cS [74], CI studies: 9cS + 5cS (2 studies) [75]; see also: Pneu-WREX and ArmeoSpring

Systems assisting elbow, forearm and wrist movements

Ding [179]

4

Elbow – FE, forearm – PS, wrist – FE, AA

Joint angles (a Motion Capture System is used)

Pneumatic (x8)

Wearable (but not portable) orthosis; power assistance for explicitly specified muscles

C0 study: 6 hs

MAHI, Gupta [76]

5

Elbow – FE, forearm – PS, wrist – FE * AA

Joint angles

Frameless DC brushless motors

Wearable orthosis (force-feedback exoskeleton); physical therapy

Prototype; extension for MIME; see also: RiceWrist

WOTAS, Rocon [99]

[3]

[Elbow – FE, forearm – PS, wrist – FE]

Angular velocity, torques

DC motors (x3)

Wearable orthosis; tremor suppression

CI study: 10 mainly ET

Systems assisting forearm, wrist and fingers movements

Haptic Knob, Lambercy [77]

2

Forearm – PS * wrist – FE, fingers – GR

Position, torque

DC brushed motors (x2)

Stationary system (2 parallelograms); physical therapy

CI study: 3 cS

Hasegawa [98]

11

Forearm – PS, wrist – FE, AA, thumb – FE (x2), index finger – FE (x3), other fingers together –FE (x3)

sEMG

DC motors (x11)

Wearable orthosis; grasp assistance

C0 study: 1 hs

Kawasaki [178]

18

Forearm – PS, wrist – FE, thumb – FE (x3), AA, other fingers – FE (x2), AA

Joint angles of healthy hand

Servo motors (x22)

Stationary system (exoskeleton-based); physical therapy

C0 study: 1 hs

Scherer [156]

[1]

[Forearm and fingers twisting movements * wrist – FE]

Position, torque

Magnetic particle brake

Stationary system (end-effector-based, rotating handle); physical therapy

CI study: 2 stroke + 1 MS

Systems assisting shoulder, elbow, forearm and wrist movements

Braccio di Ferro, Casadio [134]

2

Shoulder * elbow * (forearm) * wrist (in the horizonatal or vertical plane)

Device joint angles, end-point force

AC brushless servomotors (x2)

Stationary system (end-effector-based); physical therapy

CI studies: 10 cS + 4 hs [78], 7 MS + 9 hs [79], 11 MS + 11 hs [80], 8 MS [81]

CADEN-7, Perry [97]

2x7

Shoulder – FE, AA, RT, elbow – FE, forearm – PS, wrist – FE, AA

sEMG, joint angles, angular velocities and forces/torques

DC brushed motors (2x7)

Stationary system (exoskeleton-based), 2 robotic arms; power assistance

C0 study: 1 hs

Denève [82]

3

Shoulder * elbow * (forearm) * wrist

Device joint angles, end-point force

AC brushless motors (x3)

Stationary system (end-effector-based); physical therapy

Prototype

EMUL, Furusho [159]

3

Shoulder * elbow * (forearm) * wrist

End-point position

Electric motors + ERF clutches

Stationary system (end-effector-based); physical therapy

CI study: 6 stroke; predecessor of PLEMO, see also: Robotherapist

ESTEC exoskeleton, Schiele [115]

9

Shoulder – FE, AA, RT, VD, HD, elbow – FE, forearm – PS, wrist – FE, AA

Joint angles

Not selected yet

Wearable system (exoskeleton-based); physical therapy

First prototype

Furuhashi [83]

3

Shoulder * elbow * (forearm) * wrist

End-point torque

DC motors (x3)

Stationary system (end-effector-based); physical therapy

Prototype

Hybrid-PLEMO, Kikuchi [135]

2

Shoulder * elbow * (forearm) * wrist (in the adjustable plane)

Device joint angles, end-point force

DC servomotors (x2) + ERF clutches/brakes (x4)

Stationary system (end-effector-based); physical therapy

Prototype; based on PLEMO

Lam [180]

2

Shoulder * elbow * (forearm) * wrist (in the plane)

End-point position, abnormal trunk position detection

Not specified

Stationary system (end-effector-based); physical therapy

C0 study: 8 hs

Li [176]

5

Shoulder – FE, AA, elbow – FE, forearm – PS, wrist – FE

sEMG signals from not affected arm

AC (x3) and DC (x2) servo motors

Wearable system (exoskeleton-based); physical therapy

Prototype

MACARM, Beer [112]

6

Shoulder * elbow * forearm * wrist

End-point position and force

Electric motors (x8)

Stationary system (end-effector-based, cable-driven robot); physical therapy

CI study: 5 cS

Mathai [84]

3

Shoulder * elbow * forearm * wrist

End-point torque, position and velocity (HapticMaster)

DC brushed motors (HapticMaster)

Stationary system (end-effector-based); physical therapy

CI study: 4 cS

MIME-RiceWrist, Gupta [119]

10

Shoulder * elbow * forearm * wrist

See separate information for MIME and RiceWrist system

See separate information for MIME and RiceWrist system

Stationary system (robotic arm + orthosis); physical therapy

CI study: stroke (np)

PLEMO, Kikuchi [105]

[2]

[Shoulder * elbow * (forearm) * wrist] (in the adjustable plane)

Device joint angles, end-point force

ERF brakes

Stationary system (end-effector-based); physical therapy

CI study: 6 stroke + 27 hs [85]; successor of EMUL, predecessor of Hybrid-PLEMO

Robotherapist, Furusho [160]

6

Shoulder * elbow * forearm * wrist

End-point position

Electric motors + ERF clutches

Stationary system (end-effector-based); physical therapy

Prototype; see also: EMUL

RUPERT IV, Balasubrama- nian [151]

5

Shoulder – AA, RT, elbow – FE, forearm – PS, wrist – FE

Joint torques and actuators pressure

Pneumatic (PAMs)

Wearable system (exoskeleton-based); physical therapy

CI study: 6 cS [86]

Salford Arm Rehabilitation Exoskeleton, Tsagarakis [148]

7

Shoulder – FE, AA, RT, elbow – FE, forearm – PS, wrist – FE, AA

Joint positions and torques

Linear pneumatic actuators (PAMs) (x14)

Stationary system (exoskeleton-based); physical therapy

Prototype

Sophia-3, Rosati [87]

2

Shoulder * elbow * (forearm) * wrist (in the plane)

End-point position and force

AC motors

Stationary system (end-effector-based, planar cable-driven robot); physical therapy

First prototype; see also: Sophia-4

Sophia-4, Rosati [87]

2

Shoulder * elbow * (forearm) * wrist (in the plane)

End-point position and force

DC motors

Stationary system (end-effector-based, planar cable-driven robot); physical therapy

Prototype; see also: Sophia-3

SUEFUL-7, Gopura [166]

7

Shoulder – FE, AA, RT, elbow – FE, forearm – PS, wrist – FE, AA

sEMG/joint forces/torques

DC servo motors (x7)

Stationary system (exoskeleton-based); power assistance

C0 study: 2 hs; shoulder-elbow orthosis integrated with W-EXOS system

Takahashi [182]

2

Shoulder * elbow * (forearm) * wrist (in the plane)

End point position

Electric servomotors (x2)

Stationary system (end-effector-based); physical therapy

CI study: 5 stroke + 2 Guillain-Bare syndrome

Tanaka [88]

2

Shoulder * elbow * (forearm) * wrist (in the plane)

End-point force and position

AC linear motor (x2)

Stationary system (end-effector-based); physical therapy

C0 study: 6 hs

UHD, Oblak [139]

2

3 configurations possible: 1) shoulder * elbow, 2) forearm – PS, wrist – FE, 3) forearm – PS, wrist – AA

Torque and handle position

DC motors (x2), (SEA)

Stationary system (end-effector-based); physical therapy

CI study: 1 cS; reconfigurable robot

Umemura [152]

7

Shoulder – FE, AA, RT, elbow – FE, forearm – PS, wrist – FE, AA

Actuators pressure

Hydraulic

Stationary system (end-effector-based); physical therapy

Prototype

UMH, Morales [127]

6

Shoulder * elbow * forearm * wrist

Joint torques

Pneumatic

Stationary system (two robotic arms); physical therapy

C0 study: hs (np)

Xiu-Feng [89]

2

Shoulder * elbow * (forearm) * wrist (in the plane)

Device joint angles, end-point force

AC servomotors (x2)

Stationary system (end-effector-based); physical therapy

CI study: 30 stroke

Systems assisting shoulder, elbow, forearm, wrist and finger movements (whole arm)

ArmeoPower, Hocoma AG; based on: ARMin III, Nef [90]

6{+1}

Shoulder – FE, AA, RT, elbow – FE, forearm – PS, wrist – FE, {fingers – GR}

Joint angles, grasp force

DC motors (x6)

Stationary system (exoskeleton-based); physical therapy

Commercial system; CI studies: 3 cS (ARMin I) [91], 4 cS (ARMin II) [92]

ArmeoSpring, Hocoma AG; based on: T-WREX, Sanchez [106]

{7}

{Shoulder – FE, AA, RT, elbow – FE, forearm – PS, wrist – FE, fingers – GR}

Joint angles, grasp force

None

Stationary system (exoskeleton-based); physical therapy

Commercial system (CE Mark, FDA clearance); CI study: 10 MS [93]; see also: T-WREX

ARMOR, Mayr [177]

8

Shoulder – FE, AA, RT, elbow – FE, forearm – PS, wrist – FE, thumb – FE, other fingers together – FE

Joint angles of the master hand

Electric motor

Stationary master-slave system (exoskeleton-based); physical therapy

CII study: 8(8) sS

Gentle/G, Loureiro [123]

6{+3}

Shoulder * elbow (3 DOF, HapticMaster), {forearm – PS, wrist – FE, AA}, thumb – FE, other fingers together – FE (x2) (grasp robot)

End-point torque, position and velocity (HapticMaster) joint angels and end-point force (grasp robot)

DC brushed motors (HapticMaster and grasp robot)

Stationary system (robotic arm + orthosis); physical therapy

CII study: 4(4) sS [94]; based on Gentle/S

HEnRiE, Mihelj [124]

4{+2}

Shoulder * elbow (3 DOF, HapticMaster), {wrist – FE, AA}, thumb, middle and index finger together – GR

End-point torque, position and velocity (HapticMaster) joint angels and end-point force

DC brushed motors (HapticMaster) electric motors (grasping device)

Stationary system (robotic arm + orthosis); physical therapy

Prototype (with spring instead of an actuator in the hand part); C0 study: 1 hs; based on Gentle/S

IntelliArm, Ren [116]

8{+2}

Shoulder – FE, AA, RT, VD, {HD (x2)}, elbow – FE, forearm – PS, wrist – FE, all fingers together – GR

Joint angles and torques

Not specified

Stationary system (exoskeleton-based); physical therapy

CI study: stroke (np)

MUNDUS, Pedrocchi [101]

[3]+{2}+1

[Shoulder – FE, AA, elbow – FE], optional: forearm – PS, wrist – FE (shoulder-elbow-wrist exoskeleton), optional: all fingers together – GR (hand orthosis)

sEMG, button, eye-movement or Bran Computer Interface; object labels – radio frequency identification

elastic elements or DC brakes (shoulder-elbow-wrist exoskeleton), FES (optional), DC motor (optional hand orthosis)

Modular wheelchair-mounted system (exoskeleton-based); movement assistance

CI study: 3 SCI + 2 MS

ReoGo, Motorica Medical Inc.

2+{1}

Shoulder * elbow; also {* wrist} or {fingers - FE} if special handle used

End-point position

Electric motors (x4)

Portable system (end-effector-based) with various handles; physical therapy

Commercial system; CIII/CIV study: 60(np) sS [198], CI studies: 14 cS [95], 10 sS [96]

  1. All the systems in the following table are grouped according to the joint movement they support. For the sake of convenience, we consider the shoulder complex, the forearm and the hand (fingers) as single joints. Thus, we distinguish the following “joints”: shoulder, elbow, forearm, wrist and fingers. Devices assisting movements of only one “joint” (starting from shoulder and ending with fingers) are described first followed by devices assisting movement of two, three and four joints (in that order). The end of the table presents systems assisting movement of the whole arm.
  2. For some systems it was difficult to classify them into a particular group. One of such cases includes the end-effector-based systems with a splint. A specific classification to particular group may depend on the joints constrained in particular case by the splint. Furthermore, some devices allow for movements in some joints only in a limited range.
  3. In some cases the same system may appear multiple times in the table on various stages of development. We have accepted such occurrences only if, in our opinion, the difference between two versions of the system justified considering them as two various systems. Otherwise, information included in the table includes only the most recent version of the system available at the time of this publication.
  4. System names are provided in italics. Whenever possible, the first column of the table provides the system name and reference (including the name of the first author) to the publication in which the system is described. We only provide the appropriate reference for systems without a name. The names of commercial systems are followed by their producer names. Appropriate information is provided following a semicolon for commercial systems based on systems being described in scientific publication before commercialization. Except one case, i.e. ArmeoSpring based on T-WREX system, the description of the predecessors is not provided elsewhere in the table because we found no significant differences between the predecessors and their commercial versions.
  5. The last column contains information about the current stage of system development, clinical trials performed using the system and some additional information are provided. If the system has undergone clinical evaluation, information about the category of the trial, number of participants enrolled and their condition, as well as reference to the paper presenting results of the study is also provided. We distinguish four categories of the studies marked as C0, CI, CII, CIII/CIV. For a description, see Table 7. Categories CII and CIII/CIV provide two numbers of subjects. The first number indicates the total number of participants enrolled in the study. The number in parenthesis indicates number of participants undergoing therapy using the particular system. We made this distinction because there is often a control group undergoing other form of therapy in the CII and CIII/CIV studies. If both numbers are equal, all participants underwent therapy using the specified system but other parameter of the study varied between the groups (e.g. training intensity, device control strategy, or order in which various forms of therapy were applied). No reference after the number and condition of participants indicates that the reference is the same as the one provided in the first column. Information about predecessors or successors is also provided, if available. We use the following symbols and abbreviations: - for degrees of freedom of the device (DOF) and supported movements (second and third column of the table respectively): [ ] - indicates passive (i.e. exerting only resistive force) and { } - indicates not-actuated degrees of freedom or movements, otherwise active. - for supported movements (third column): (joint name) - indicates that range of movements for that joint is limited to a very small range, AA – adduction/abduction, FE – flexion/extension, GR – grasp and release, PS – pronation/supination, RT – internal/external rotation, HD - horizonatal displacement, VD - vertical displacement (both in the shoulder girdle), MCP – metacarpophalangeal joint, * - indicates that the direction of the movement of the device does not correspond to the direction of any of basic anatomical movements (e.g. pronation/supination, flexion/extension, rotation) but is a combination of many, (x number) - indicates that a few particular movements are possible (e.g. flexion in a few joints of one finger), (in the plane) - indicates that the end effector of the device moves only in a specified plane; for the explanation of anatomical terms of motion see Figure 2. - for main control inputs and actuators (fourth and fifth column respectively): (commercial system name) - indicates that the particular commercial device (usually robot or haptic interface) is incorporated in the described system and that the particular sensors or actuators are part of that commercial system. - for main control (forth column): sEMG - surface electromyography. - for actuators (fifth column): AC - alternating current, DC - direct current, ERF - electrorheological fluid based, FES - functional electrical stimulation, MRF - magnetorheological fluid based, PAM - pneumatic artificial muscle, SEA - series elastic actuator, (x number) - number of particular actuators being used (provided only if such an information was available). - for clinical studies (last column): C0, CI, CII, CIII/CIV - category of the study: 0, I, II and III/IV, respectively (for category descriptions see the subsection Clinical studies of the survey); subject condition: aS - acute stroke, CP - cerebral palsy, cS - chronic stroke, ET - essential tremor, hs - healthy subject(s), MS - multiple sclerosis, SCI - spinal cord injury, sS - subacute stroke, TBI - traumatic brain injury; np - number of subjects is not provided.