The use of specialized devices, such as orthopedic devices, has become indispensable in the lives of people with disabilities since ancient times. The primary purpose of such devices is to perform activities and solve problems that afflict their bearers in any extremity of their body. One of the most recurrent problems occurs in the lower extremities regarding mobility and autonomy. In addition, the use of orthopedic devices is considered a tool to lighten the repetitive and heavy rehabilitation work of physiotherapists while improving the patient’s recovery efficiency. A significant challenge is that a great variety of these devices are similar in their design and manufacture, complicating their application in rehabilitation processes. For these reasons, this article aims to provide an overview of the features and considerations made in the architecture of orthosis designs, emphasizing lower extremity orthoses for the case of knee joint analysis. A literature review of active and passive knee orthoses manufactured from the 1970s to the present was carried out, considering aspects such as manufacturing materials, mechanical systems, types of actuators, and control strategies. This review shows that the designs and development of orthoses have been abundant in these devices for lower limbs. Based on the literature collected, we have studied the main robotic devices focusing on the characteristics of design, manufacturing, and control systems to assist in human locomotion and support in rehabilitation processes.

The continuous passive motion (CPM) machines are used in the rehabilitation of members that have been injured to recover their range of motion and prevent stiffness. Nowadays, some CPM machines for knee, ankle, arm and elbow are available commercially. In this paper, a novel design of a parallel robot based on an XY table for ankle rehabilitation, that provides dorsiflexion-plantarflexion and abduction-adduction movements, is presented. Some results are presented in order to show the performance of the parallel robot for ankle rehabilitation. Proportional-derivative (PD), proportional-integral-derivative (PID) and generalised proportional integral (GPI) controllers for trajectory tracking are implemented in the virtual and physical prototype.

Continuous passive motion (CPM) machines are used in the rehabilitation of members that have been injured to recover their range of motion and prevent stiffness. Nowadays, some CPM machines for the knee, ankle, arm, and elbow are available commercially. In this paper, ankle and shoulder rehabilitation robots, based on an X-Y table, are presented. The novelty of these rehabilitation robots is that they have a computerized numerical control system, resulting in low-cost machines. Some G-codes for basic and combined movement routines for ankle and shoulder rehabilitation are presented. In addition, the use of a robust generalized PI controller is also proposed to guarantee safe rehabilitation movements and compensate for passive stiffness in the ankle joint of stroke survivors. Some numerical simulations are included to illustrate the dynamic performance of the robust Generalized Proportional Integral (GPI) controller using the virtual prototype.

This paper addresses the design and implementation of a Generalized Proportional Integral (GPI) controller for ankle rehabilitation based on an XY table. The horizontal linear guide provide the abduction/adduction motion and the vertical linear guide provide the dorsiflexión/plantarflexión motion. The ankle rehabilitation machine is of Continuous Passive Motion kind and it be able to perform single and combined movements. Some numerical and experimental results are included to illustrate the dynamic performance of the GPI controller.

The simple act of walking can occasionally cause ankle sprains. Traditionally, the rehabilitation of a sprained ankle involves physical therapy. Physical therapy is one of the health professions that help regain mobility through manual exercises. Aquatic therapy is one of the most potent water-based anti-inflammatory methods currently employed that increases local blood circulation, decreases pain and swelling, and promotes speedy healing. Several studies have demonstrated that ankle rehabilitation robots have immense potential in patients’ rehabilitation and recovery; however, these robots cannot be used underwater. This paper introduces the design, development, and control of a therapeutic robot incorporating aquatic therapy for ankle rehabilitation. Its primary objective is to design and control a one degree of freedom ankle rehabilitation robot that can be used in water and can recirculate hot water to simultaneously perform physical therapy and aquatic therapy. To conduct this study, an ankle rehabilitation robot was designed, modeled, developed, and controlled. The design and control techniques were evaluated by means of simulation and experimental results.