Synthesizing a Spatial Mechanism with a Hollow Core for Use in a Wrist Pronation and Supination Orthotic

Full use of the upper limb is necessary to carry out most tasks of daily life. Upper limb deficiencies, whether through complete or incomplete paralysis, inevitably lead to a loss of autonomy. Assistive orthoses are a potential method for restoring some autonomy. Pronation and supination, the turning of the wrist relative to the elbow, receives less focus than other joint movements in the arm. First, the utility of this degree-of-freedom in the arm is less obvious. Second, when compared to flexion and extension of the elbow, wrist prono-supination has no clear center of rotation due to the combined movement of the ulna and the radius bones as they cross and uncross in the forearm. This paper presents initial work in the design of a mechanism for a portable assistive orthosis that is expected to include powered prono-supination. The component proposed in this work is based on a spherical mechanism architecture. The capacity of these mechanisms to have a hollow center and to produce paths that follow arcs on spheres makes them worth consideration in this application. An optimization was carried out to perform path generation of a single spherical four-bar with the intent of replicating it three times to create the device proposed in this work. The mechanical design was modeled and a conceptual prototype was constructed to perform preliminary operational evaluations.