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A passive exoskeleton is a wearable robotic device that is worn on the exterior of the user's body to provide physical support and facilitate movement. Existing elbow passive exoskeletons have limitations in their assistance capabilities and range of applications. In this paper, we propose a controllable elbow passive exoskeleton (CEPE) to address these limitations. The CEPE features a ratchet-based self-energy storage mechanism (RSSM) and a Candan gravity compensation mechanism (CGCM). The CGCM counteracts gravitational forces, while the RSSM stores and releases motion energy. This paper establishes a mathematical model for the RSSM, outlines design specifications for both the RSSM and CEPE, and analyzes the influence of design parameters on the power assistance performance. Three experiments were conducted to validate the feasibility of CEPE, including static strength testing, power assistance without load, and power assistance with load. Results show that, without loading, the CEPE provides compensation effects on elbow joint torque of 68.8%, 93.8%, and 70.7% at shoulder joint angles of 0°, 30°, and 60°, respectively. With a 5 kg loading, adjusting the shoulder joint angle from 30° to 60° results in an increase in the decrease of the average absolute torque directly acting on the elbow joint, from 86% to 91.2%. The adjustable RSSM enables the CEPE to operate in four different modes, expanding its potential applications.
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http://dx.doi.org/10.1063/5.0218295 | DOI Listing |
ACS Appl Mater Interfaces
September 2025
The Institute of Precision Machinery and Smart Structure, College of Engineering, Zhejiang Normal University, Jinhua, Zhejiang 321004, China.
Flexible sensors integrating motion detection and tactile perception capabilities demonstrate significant potential in aerospace biomechanics and medical rehabilitation. Here, we report a biomimetic inflatable chamber sensor that synergistically integrates pneumatic-auxiliary and electronic sensing for elbow joint health monitoring. The device architecture combines multiwalled carbon nanotube-reinforced silicone composites with embedded electrode arrays integrated within the inner lining of inflatable chambers, achieving high sensitivity while maintaining signal stability under electromagnetic interference.
View Article and Find Full Text PDFEur J Phys Rehabil Med
June 2025
Department of Physical Medicine and Rehabilitation, Gaziosmanpaşa Training and Research Hospital, University of Health Sciences, Istanbul, Türkiye.
Background: Conventional rehabilitation (CR) and robotic hand rehabilitation (RR) are effective rehabilitation options for post-stroke hemiplegia. Combining these two rehabilitation protocols may positively affect the results.
Aim: To compare the effectiveness of individual and combined applications of CR and RR on hand and upper extremity function, spasticity, grip and tip pinch strength in the treatment of post-stroke hemiplegia.
Sci Rep
August 2025
Department of Orthopedics and Joint Surgery, Qingxian People's Hospital, Cangzhou, 062650, China.
Continuous Passive Motion (CPM) has been widely used in rehabilitation, yet its effectiveness compared to conventional physical therapy (PT) following elbow contracture release remains unclear. This retrospective cohort study evaluated the effectiveness of home-based immersive CPM training versus manual PT in promoting functional recovery of the elbow. Clinical records of 40 patients with moderate to severe elbow osteoarthritis who underwent standardized arthroscopic release between 2020 and 2022 were reviewed.
View Article and Find Full Text PDFJBJS Essent Surg Tech
August 2025
Division of Hand and Reconstructive Microsurgery, Department of Orthopedics, Olympia Hospital & Research Centre, Trichy, Tamilnadu, India.
Background: Medial-approach derotational humeral osteotomy is indicated in patients with brachial plexus birth palsy (BPBP) who have internal rotation contracture, a condition that substantially limits upper-extremity function and creates cosmetic concerns as a result of excessive internal rotation. This procedure enhances the range of motion of the arm by surgically externally rotating the humerus, thereby facilitating essential activities such as bringing the hand to the mouth and neck without the need for compensatory movements. In addition, the medial approach offers cosmetic benefits; the incision along the inner arm is less conspicuous than those of traditional lateral approaches.
View Article and Find Full Text PDFJ Hand Surg Am
August 2025
Pediatric Hand Surgery and Microsurgery, Barcelona Children's Hospital, HM Nens, "Instituto de Investigación Sanitaria HM Hospitales," Barcelona, Spain.
Purpose: A subset of patients with brachial plexus birth injuries experiences a loss of internal rotation, resulting either from neurological paralysis, as a complication of surgical procedures intended to restore external rotation, or because of contractures of the external rotators. Although humeral internal rotation osteotomy can address this deficit, it often results in compromised external rotation. To mitigate this drawback, in supple shoulders, we investigated the pectoralis minor tendon transfer to the subscapularis footprint as an alternative.
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