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Design and position control of a robotic brace dedicated to the treatment of scoliosis

Published online by Cambridge University Press:  09 January 2023

Rahul Ray*
Affiliation:
PRISME Laboratory, University of Orléans, Orléans, France Department of Research and Development, Proteor Company, Dijon, France
Laurence Nouaille
Affiliation:
PRISME Laboratory, University of Orléans, Orléans, France
Briac Colobert
Affiliation:
Department of Research and Development, Proteor Company, Dijon, France
Laurine Calistri
Affiliation:
Department of Research and Development, Proteor Company, Dijon, France
Gérard Poisson
Affiliation:
PRISME Laboratory, University of Orléans, Orléans, France
*
*Corresponding author. E-mail: rahul.ray@etu.univ-orleans.fr
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Abstract

This paper’s content focuses on designing and prototyping a robotic brace dedicated to treating scoliosis. Scoliosis is an abnormal spinal curvature affecting 1–3% of children and constitutes a major therapeutic problem. In moderate cases of deformity, passive brace treatment is performed. However, this approach can lead to important patient discomfort. So, we propose a robotic solution providing greater mobility and the possibility of adapting the procedure to each patient. The robotic brace we built and tested is composed of three specific rings adapted to the patient’s torso. Each independent module of two consecutive rings is movable through a Stewart–Gough platform-type mechanism. As the robotic brace is lightweight, it brings better portability and improves the patient’s comfort.

The first part of the paper shows the state of the art of bracing techniques: from passive to active orthoses. Next, the mechatronics of the device is detailed, and the robot’s kinematic models are developed. The motion control principle is given. In the last part, motion tests were administered with a healthy human to validate the brace architecture choice and its position and motion control strategies.

Information

Type
Research Article
Copyright
© The Author(s), 2023. Published by Cambridge University Press
Figure 0

Figure 1. Treatment options depend on the Cobb angle. Source: online resources from Smartist software ©Proteor.

Figure 1

Figure 2. Three-point pressure technique is applied to the spine (Adolescent idiopathic scoliosis type C). Source: Smartist software ©Proteor.

Figure 2

Figure 3. Several types of scoliosis brace: (a) Milwaukee [20], (b) Charleston [21], (c) Boston [17], (d) Cheneau [18], (e) Spinecor, (f) 3D Spirale brace. Source: online resources and figure (d) and (f) from © Proteor.

Figure 3

Figure 4. (a) ExMS-1brace from ExoDynamics [31], (b) Rose brace from roar lab [32]. Source: online resources.

Figure 4

Figure 5. Outline of brace concept: (a) 3D scan of the body; (b) 3D-printed three rings; (c) Rings assembled with mounting parts; (d) Fully assembled robotics brace.

Figure 5

Figure 6. (a) Robotic brace with actuator and load cell; (b) Mounting parts.

Figure 6

Figure 7. (a) Schematics of the robotic brace, (b) Brace on volunteer.

Figure 7

Figure 8. Position controller implemented within the joint space.

Figure 8

Figure 9. The three axis of brace rotation.

Figure 9

Figure 10. Motion analysis marker set: (a) position on the upper body; (b) position on the lower body.

Figure 10

Figure 11. Motion analysis 3D construction with marker positions.

Figure 11

Figure 12. Graphical representation of the Qualisys motion capture results from the three-point mode test. Rotation and translation about x, y, and z are represented by blue, red, and black, respectively. (a) Position of the Middle ring origins; (b) Rotation angles of the middle ring; (c) Position of the upper ring (d) Rotation angles of the upper ring.