End-effector-based robots are widely adopted by physiotherapists and caregivers as support in the delivery of the rehabilitation training to the patient. The validation of these devices presents critical aspects, since the system performance must be assessed analyzing the movement performed by the subject limb, i.e., elements outside the device. This paper presents a multi-sensor approach for the validation of an innovative end-effector-based device, comparing different measurement strategies for evaluating the system effectiveness in imposing an expected training. The study was performed monitoring the movement induced by the device on the upper limb of a young male healthy subject during a set of fictitious rehabilitation sessions. The kinematic structure of the device is characterized by a compact differential mechanism with two degrees of freedom. A sequence of repetitions of a planar reaching pattern was analyzed as illustrative training task. A kinematic model of subject and system was developed, and the kinematics of a set of specific landmark points on the subject limb was evaluated. Data obtained from two measurement systems were compared: (1) an optoelectronic system with two cameras and eight skin passive markers, and (2) two triaxial accelerometers. Results were analyzed in MATLAB and R environment, revealing a high repeatability of the limb movement. Although both the measurement systems allow evaluating the acceleration of subject’s arm and forearm, accelerometers should be preferred for punctual analysis, like components optimizations, whereas optical markers provide a general overview of the system, particularly suitable for the functional design process.

Domestic Use of the Exoskeleton for Gait Training in Patients with Spinal Cord Injuries: Ethical Dilemmas in Clinical Practice