Review of Nine 1DOF-Actuated Knee Exoskeletons for ACL Injuries

  • Conference paper
  • First Online:
Human Factors and Ergonomics Toward an Inclusive and Sustainable Future (HFEM 2023)

Part of the book series: Springer Series in Design and Innovation ((SSDI,volume 46))

Included in the following conference series:

  • 17 Accesses

Abstract

Exoskeleton is one of the advanced strategies to assist knee injury patients to regain their mobility without experiencing as many risks and pains compared to the usage of traditional equipment such as cane and crutches. Knee injuries, such as Anterior Cruciate Ligament (ACL) injuries, disable a person’s leg to flex and extend to a certain degree, depending on the degree of injury. For Grade 1 and Grade 2 ACL injuries, a knee exoskeleton can be introduced. The knee exoskeleton can reduce the patient’s moving effort by providing extra torque to the flexion and extension of the leg, a.k.a. 1DOF actuation. This study has reviewed nine (9) knee exoskeletons in terms of their mechanism design, functions, and feasibility. Each exoskeleton displayed its design advantages as well as shortcomings. Many exoskeletons’ creators do not disclose their technical specifications for some reason. The author has provided reviews and recommendations based on the available but limited online information, mainly from research journal articles, review articles and brief mentions in the sources above. Depending on the design layout, all exoskeletons are particularly useful for rehabilitating ACL injury patients within the hospital’s treatment room and for some exoskeletons, beyond the hospital area. These exoskeletons are utilizing a variety of compliant mechanisms to facilitate their movements. Finally, a compilation of desirable characteristics of a knee exoskeleton is provided at the end of this paper. While most of other literature focus on technical characteristics from the inventor’s (manufacturer) perspective, this study focuses on a mix of characteristics where the patient’s (consumer) perspective is also considered.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now
Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 213.99
Price includes VAT (Germany)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
EUR 299.59
Price includes VAT (Germany)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Mayo Clinic: ACL Injury. https://www.mayoclinic.org/diseases-conditions/acl-injury/symptoms-causes/syc-20350738. Accessed 30 July 2023

  2. Beyl, P., Van Damme, M., Van Ham, R., Vanderborght, B., Lefeber, D.: Design and control of a lower limb exoskeleton for robot-assisted gait training. Appl. Bionics Biomech. 6(2), 229–243 (2009)

    Article  Google Scholar 

  3. Celebi, B., Yalcin, M., Patoglu, V.: Assiston-knee: a self-aligning knee exoskeleton. In: 2013 IEEE/RSJ International Conference on Intelligent Robots and Systems (2013)

    Google Scholar 

  4. Choi, W., Won, J., Lee, J., Park, J.: Low stiffness design and hysteresis compensation torque control of sea for active exercise rehabilitation robots. Auton. Robot. 41(5), 1221–1242 (2016)

    Article  Google Scholar 

  5. dos Santos, W.M., Caurin, G.A.P., Siqueira, A.A.G.: Design and control of an active knee orthosis driven by a rotary series Elastic Actuator. Control. Eng. Pract. 58, 307–318 (2017)

    Article  Google Scholar 

  6. Guan, X., Ji, L., Wang, R.: Development of exoskeletons and applications on rehabilitation. In: MATEC Web of Conferences, vol. 40, p. 02004 (2016)

    Google Scholar 

  7. Hamza, M.F., Ghazilla, R.A., Muhammad, B.B., Yap, H.J.: Balance and stability issues in lower extremity exoskeletons: a systematic review. Biocybern. Biomed. Eng. 40(4), 1666–1679 (2020)

    Article  Google Scholar 

  8. Karavas, Nikos C., Tsagarakis, Nikos G., Saglia, Jody, Galdwell, Darwin G.: A novel actuator with reconfigurable stiffness for a knee exoskeleton: design and modeling. In: Dai, J.S., Zoppi, M., Kong, X. (eds.) Advances in Reconfigurable Mechanisms and Robots I, pp. 411–421. Springer, London (2012). https://doi.org/10.1007/978-1-4471-4141-9_37

    Chapter  Google Scholar 

  9. Kiapour, A.M., Murray, M.M.: Basic science of anterior cruciate ligament injury and repair. Bone Joint Res. 3(2), 20–31 (2014)

    Article  Google Scholar 

  10. Kong, K., Bae, J., Tomizuka, M.: A compact rotary series elastic actuator for human assistive systems. IEEE/ASME Trans. Mechatron. 17(2), 288–297 (2012)

    Article  Google Scholar 

  11. Li, C., Chen, S.-C.: Design of compliant mechanisms based on compliant building elements. part I: principles. Precis. Eng. 81, 207–220 (2023)

    Google Scholar 

  12. Mosher, R.S.: Handyman to Hardiman. SAE Technical Paper Series (1967)

    Google Scholar 

  13. Pamungkas, D.S., Caesarendra, W., Soebakti, H., Analia, R., Susanto, S.: Overview: types of lower limb exoskeletons. Electronics 8(11), 1283 (2019)

    Article  Google Scholar 

  14. Pratt, J.E., Krupp, B.T., Morse, C.J., Collins, S.H.: The roboknee: an exoskeleton for enhancing strength and endurance during walking. In: IEEE International Conference on Robotics and Automation, 2004. Proceedings. ICRA ’04 (2004)

    Google Scholar 

  15. Ren, Y., Zhang, D.: Fexo knee: a rehabilitation device for knee joint combining functional electrical stimulation with a compliant exoskeleton. In: 5th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics (2014)

    Google Scholar 

  16. Saccares, L., Sarakoglou, I., Tsagarakis, N.G.: It-knee: an exoskeleton with ideal torque transmission interface for ergonomic power augmentation. In: 2016 IEEE/RSJ International Conference on Intelligent Robots and Systems (IROS) (2016)

    Google Scholar 

  17. Yu, H., Huang, S., Chen, G., Thakor, N.: Control design of a novel compliant actuator for rehabilitation Robots. Mechatronics 23(8), 1072–1083 (2013). https://doi.org/10.1016/j.mechatronics.2013.08.004

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. H. Yong .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Yong, T.H., Ma’arof, M.I.N. (2024). Review of Nine 1DOF-Actuated Knee Exoskeletons for ACL Injuries. In: Ng, Y.G., Daruis, D.D., Abdul Wahat, N.W. (eds) Human Factors and Ergonomics Toward an Inclusive and Sustainable Future. HFEM 2023. Springer Series in Design and Innovation , vol 46. Springer, Cham. https://doi.org/10.1007/978-3-031-60863-6_11

Download citation

Publish with us

Policies and ethics

Navigation