Development of elbow rehabilitation device with iterative learning control and internet of things

In this study, we present a novel approach for rehabilitation devices through the design of an active elbow joint orthosis, inspired by the fundamental principles of robotic exoskeletons. The device not only enables home-based usage but also facilitates the transmission of exercise data from patients to physiotherapists via the Internet of Things (IoT) device. This approach offers the possibility of increased therapy sessions for each patient while allowing physiotherapists access to data for real-time or subsequent analyses, thereby establishing a database. This permits a single physiotherapist to manage multiple patients more effectively. The developed mobile application within this research incorporates a distinct entry interface for both patients and physiotherapists. Maximum force and position values generated during each exercise period are displayed within the application. The device enables active exercise with a single degree of freedom at the elbow joint and is equipped with force sensors to ensure safety against potential high-shear forces. Furthermore, it can be worn on the upper extremity using adjustable Velcro straps to accommodate users with varying arm circumferences. Specifically, this system amalgamates two primary components: a microcontroller operating control algorithms and IoT technology, and a smartphone application containing interfaces for physiotherapists and users undergoing therapy. The control design of the device employs a P-Type Iterative Learning Control (ILC) due to periodic exercise movements, reducing the error norm by approximately 20% during each exercise period (excluding the initial period). The controller consistently diminishes error values with each iteration, ultimately converging to zero. Throughout an exercise lasting around 3 minutes, the average error norm is recorded as 0.229 degrees. In essence, this study presents a pioneering approach that sets itself apart from other research by minimizing shear forces and errors through a specialized controller, all while enabling remote, home-based rehabilitation under expert supervision.