Robotic
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Rehabilitation
Robotic
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Rehabilitation
Realistic impact on
neuromotor disorder
treatment
Robotic Rehabilitation
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The underlying science and development of powered
devices for improving or substitute function or mobility
and individuals with physical disabilities through
movement therapy or chronic assistance.
Why?!
HumanprintMachine Interaction (HMI)
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A rehabilitation robot is a service robot for professional
use that provides physical and information-related
assistance during therapy sessions to rehabilitate
sensorimotor deficits after damage to the central nervous
system (CNS). The therapy is performed by stimulating
physiological limb muscles and peripheral receptors
through functional arm/hand and leg movement exercises
based on the neuroplasticity principle.
Lower Limb Exoskeleton:
Robot print
ortheOrthosis?!
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It is categorized as a Wearable Robot
(Robotic Suit) or Active Orthosis
(Computer Controlled orthosis), worn
by the operator. It maps the anatomy of
human body to augment the function of
the limb or to Replace it completely or
partially.
Application of Exoskeleton In Medical
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Today, Exoskeleton help to restore
function for bed ridden patients with
un-curable neurological disorders .It is
about How to create new Artificial
Musculo-Skeletal system for the patient
to be able to leave the wheel chair or
bed & move again...
With Exoskeleton / Without Exoskeleton
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Comparison between
the 4 commercially
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01 02
available Exoskeletons
and our prototype:
ISRAEl USA
03 04
NEW
ZEELAND EGYPT
Comparison between the 4 commercially available
Exoskeletons and
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ReWalk Ekso Indego Rex COSMOS
Country of Israel USA USA New Zeeland Egypt
Manufacture
Class Medical Center Medical Center Medical Center Medical centers Medical Centers
designation &home Only &home only & home
Cost in US $85,000 $130,000 $73,000 $160,000 17000-28000$
Dollars
Clinical Trials Yes Yes Yes Yes Yes
Weight of the 21 23 15.5 45 12-14
Unit (Kg)
(Excluding
Battery)
Comparison between the 4 commercially available
Exoskeletons and
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ReWalK Ekso Indego Rex COSMOS
Maximum 76 76 76 76 76
Height
(inches)
Control Arm Watch Hand-held ipod and Joystick COSMOS App
Interface Controller posture (Android &
combination IOS) &
Posture
Combination
Wheelchair No No Yes No Yes
Accommodati
on
Stairs Yes (disabled) No No No Yes
Climbing
FES unit No No Yes (Prototype) No No
(Built-in unit)
Comparison between the 4 commercially available
Exoskeletons and
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ReWalK Ekso Indego Rex COSMOS
Publication 8 5 2 0 0
s
Approved < T4 for C4 and < T4 for medical C1-C6 T6 and Below (for
level of SCI medical below use personal use)
use < T7 for home use <C7 For medical use
< T7 for
home use
Mechanics Hip tilt Lateral and Forward tilt and Joystick Forward tilt and
of Walking forward posture posture
shift
Max. 90 120 90 70
Battery
Durations
(minutes)
Max. Speed 0.71 0.44 0.36 0.1 0.6
(m/sec) (0.14- (0.11-0.44) (0.23-0.36)
0.71)
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The First Use of
Exoskeleton
• The patient and the robot together are
loaded on a Mobile Suspension System.
• He should surrounded by many therapists
during session to guide him, control the
Exoskeleton and provide aid in any
Emergency case.
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R. J. Farris, H. A. Quintero, S. A. Murray, K. H. Ha, C.
Hartigan and M. Goldfarb, "A Preliminary Assessment of
Legged Mobility Provided by a Lower Limb Exoskeleton for
Persons With Paraplegia," in IEEE Transactions on Neural
Systems and Rehabilitation Engineering, vol. 22, no. 3, pp. 482-
490, May 2014, doi: 10.1109/TNSRE.2013.2268320.
Benfits :
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Relearning of Locomotion gait pattern which
help in movement restoration.
Enhance muscle mass.
Increase Bone density.
Decrease probabilities of Urinary tract
infection , deep vein thrombosis, pressure
sores.
Positive psychological benefits
Enhance GIT dynamics which improve
digestion process and help in reduction of
constipation progression.
Improves joint health , prevent limitations
and stiffness
Rise Cardiopulmonary capacity and
performance
Inspection object
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Williams AMM, Deegan E, Walter M, Stothers L, Lam T.
Exoskeleton gait training to improve lower urinary tract
function in people with motor-complete spinal cord injury: A
randomized pilot trial. J Rehabil Med. 2021 Aug
26;53(8):jrm00222. doi: 10.2340/16501977-2864. PMID:
34383958; PMCID: PMC8638733.
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Central Pattern
Generator (CPG)
Central pattern
generators (CPGs) are
biological neural circuits
that produce rhythmic
outputs in the absence of
rhythmic input.
Mesencephalic locomotor region
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The Mesencephalic Locomotor
Region (MLR) is a functionally defined area
of the midbrain that is associated with the
initiation and control of locomotor
movements.
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Central Pattern Generator (CPG)
They are the source
of the tightly-coupled
patterns of neural
activity that drive rhythmic
and stereotyped motor
behaviors like walking,
swimming, breathing, or
chewing.
Main Role
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So, the main role of Exoskeleton
is En-gramming
(Reprogramming) the most
accurate locomotion pattern,
Hence, reactivating the CPG to
produce stepping movement
without initiation form higher
cortex.
What do we need to build an EXOSKELETON?
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Control
system
(Neuro)
Power
System
(Motor)
Mechanism
&
Mechanics
SPCs :
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Adjustable AFO
Pack Back
Suppoort Dorsolumber
Sergment & contain Actuated Knee Joint
Quick Release
COSMOS Computers and Adjustable Upper
Segments Batteries Leg Support
Actuated Hip joint
Uniqueness points
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Modular Design
Easy to Use
Lightest Exoskeleton in the
World
Fast Setup & operation (<2min)
Adaptive support
Adaptive support
Joints print
Support Modes
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Cosmos joints can work as
• Motorized Joint
• Variable stiffness Spring
• Damper
(Can work as active & passive
Exoskeleton)
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Egyptian Market
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Tha nks
To w a t c h
