A Telepresence system for therapist-in-the-loop training for elbow joint rehabilitation

This paper proposes a new robotic rehabilitation training platform that is motivated by the requirement for adjusting the training strategy and intensity in a patient-specific manner. The platform is implemented for tele-rehabilitation and is comprised of a haptic device operated by therapists, a lightweight exoskeleton worn by patients and a visually shared model. Through the visually shared model, the motion of the therapist and patient are measured and mapped to the motion of the corresponding object. Thus, the force generated by the therapist can be transferred to the patient for delivering training, while real-time force feedback with high transparency can be provided to the therapist so they know the amount of force being applied to patients in real time. In particular, both assistive therapy in the early stages and resistive therapy in the later stages of stroke can be performed. The home-use exoskeleton device is specifically designed to be light-weight and compliant for safety. The patient-exoskeleton and therapist-haptic interaction performance is evaluated by observing the muscle activities and interaction force. Two volunteers were requested to imitate the process of the therapist-in-the-loop training to evaluate the proposed platform.